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Brenda Q.,1 Case No. 2:23-cv-01071-BNW
Plaintiff, ORDER
v.
Kilolo Kijakazi,
Defendant.
This case involves review of an administrative action by the Commissioner of Social Security denying Plaintiff’s application for disability benefits under Title XVI of the Social Security Act. The Court reviewed Plaintiff’s opening brief, in which she asks this Court to reverse the Commissioner’s decision or, in the alternative, remand for further proceedings. ECF No. 20. The Court also reviewed the Commissioner’s response and motion to remand. ECF Nos. 26, 27. Plaintiff did not file a reply. For the reasons discussed below, the Court grants in part and denies in part Plaintiff’s motion, grants the Commissioner’s motion, and remands for further proceedings. Plaintiff first filed for disability insurance benefits under Title II of the Social Security Act as well as supplemental security income under Title XVI in 2011. Administrative Record (“AR”) 141. The Administrative Law Judge (“ALJ) in that case, Barry H. Jenkins, found that Plaintiff had the residual functional capacity (“RFC”) to perform light work but that she needed a cane to ambulate. AR 146. He further found that she was not disabled. AR 152. In November of 2018, Plaintiff again applied for supplemental security income under Title XVI, alleging that she became unable to work in April of 2018. AR 409–10. The Appeals Council remanded the case. AR 214–15. On remand, Plaintiff appeared with her attorney at two
1 In the interest of privacy, this opinion only uses the first name and last initial of the hearings before ALJ Cynthia R. Hoover. AR 40–61, 64–80. In 2022, ALJ Hoover issued her decision, in which she found that Plaintiff had a RFC to perform light work and did not need a cane to ambulate. AR 24–28. She further found that Plaintiff was not disabled. AR 31. The Appeals Council declined to review this decision, and Plaintiff appealed to this Court. AR 1. Administrative decisions in Social Security disability-benefits cases are reviewed under 42 U.S.C. § 405(g). See Akopyan v. Barnhart, 296 F.3d 852, 854 (9th Cir. 2002). Section 405(g) provides that “[a]ny individual, after any final decision of the Commissioner of Social Security made after a hearing to which [s]he was a party, irrespective of the amount in controversy, may obtain a review of such decision by a civil action . . . brought in the district court of the United States for the judicial district in which the plaintiff resides.” The Court may enter “upon the pleadings and transcripts of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing.” 42 U.S.C. § 405(g). The Commissioner’s findings of fact are conclusive if supported by substantial evidence. See id.; Ukolov v. Barnhart, 420 F.3d 1002 (9th Cir. 2005). However, the Commissioner’s findings may be set aside if they are based on legal error or not supported by substantial evidence. See Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 2006); Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). The Ninth Circuit defines substantial evidence as “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.” Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995); see also Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 (9th Cir. 2005). In determining whether the Commissioner’s findings are supported by substantial evidence, the Court “must review the administrative record as a whole, weighing both the evidence that supports and the evidence that detracts from the Commissioner’s conclusion.” Reddick v. Chater, 157 F. 3d 715, 720 (9th Cir. 1998); see also Smolen v. Chater, 80 F.3d 1273, 1279 (9th Cir. 1996). Under the substantial evidence test, findings must be upheld if supported by inferences reasonably drawn from the record. Batson v. Comm’r, 359 F.3d 1190, 1193 (9th Cir. 2004). When the evidence supports more than one rational interpretation, the court must defer to the Commissioner’s interpretation. See Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005); Flaten v. Sec’y of Health & Human Serv., 44 F.3d 1453, 1457 (9th Cir. 1995). Thus, the issue before the Court is not whether the Commissioner could have reasonably reached a different conclusion, but whether the final decision is supported by substantial evidence. Burch, 400 F.3d at 679. It is incumbent on the ALJ to make specific findings so that the Court does not speculate as to the basis of the findings when determining if the Commissioner’s decision is supported by substantial evidence. Lewin v. Schweiker, 654 F.2d 631, 634 (9th Cir. 1981). Mere cursory findings of fact without explicit statements as to what portions of the evidence were accepted or rejected are not sufficient. Id. The ALJ’s findings “should be as comprehensive and analytical as feasible, and where appropriate, should include a statement of subordinate factual foundations on which the ultimate factual conclusions are based.” Id. A. Disability evaluation process and the ALJ decision The individual seeking disability benefits has the initial burden of proving disability. Roberts v. Shalala, 66 F.3d 179, 182 (9th Cir. 1995). To meet this burden, the individual must demonstrate the “inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected . . . to last for a continuous period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A). The individual also must provide “specific medical evidence” in support of her claim for disability. 20 C.F.R. § 404.1514. If the individual establishes an inability to perform her prior work, then the burden shifts to the Commissioner to show that the individual can perform other substantial gainful work that exists in the national economy. Reddick v. Chater, 157 F.3d 715, 721 (9th Cir. 1998). The ALJ follows a five-step sequential evaluation process in determining whether an individual is disabled. See 20 C.F.R. § 404.1520(a); Bowen v. Yuckert, 482 U.S. 137, 140 (1987). If at any step the ALJ determines that she can make a finding of disability or non-disabili
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Brenda Q.,1 Case No. 2:23-cv-01071-BNW
Plaintiff, ORDER
v.
Kilolo Kijakazi,
Defendant.
This case involves review of an administrative action by the Commissioner of Social Security denying Plaintiff’s application for disability benefits under Title XVI of the Social Security Act. The Court reviewed Plaintiff’s opening brief, in which she asks this Court to reverse the Commissioner’s decision or, in the alternative, remand for further proceedings. ECF No. 20. The Court also reviewed the Commissioner’s response and motion to remand. ECF Nos. 26, 27. Plaintiff did not file a reply. For the reasons discussed below, the Court grants in part and denies in part Plaintiff’s motion, grants the Commissioner’s motion, and remands for further proceedings. Plaintiff first filed for disability insurance benefits under Title II of the Social Security Act as well as supplemental security income under Title XVI in 2011. Administrative Record (“AR”) 141. The Administrative Law Judge (“ALJ) in that case, Barry H. Jenkins, found that Plaintiff had the residual functional capacity (“RFC”) to perform light work but that she needed a cane to ambulate. AR 146. He further found that she was not disabled. AR 152. In November of 2018, Plaintiff again applied for supplemental security income under Title XVI, alleging that she became unable to work in April of 2018. AR 409–10. The Appeals Council remanded the case. AR 214–15. On remand, Plaintiff appeared with her attorney at two
1 In the interest of privacy, this opinion only uses the first name and last initial of the hearings before ALJ Cynthia R. Hoover. AR 40–61, 64–80. In 2022, ALJ Hoover issued her decision, in which she found that Plaintiff had a RFC to perform light work and did not need a cane to ambulate. AR 24–28. She further found that Plaintiff was not disabled. AR 31. The Appeals Council declined to review this decision, and Plaintiff appealed to this Court. AR 1. Administrative decisions in Social Security disability-benefits cases are reviewed under 42 U.S.C. § 405(g). See Akopyan v. Barnhart, 296 F.3d 852, 854 (9th Cir. 2002). Section 405(g) provides that “[a]ny individual, after any final decision of the Commissioner of Social Security made after a hearing to which [s]he was a party, irrespective of the amount in controversy, may obtain a review of such decision by a civil action . . . brought in the district court of the United States for the judicial district in which the plaintiff resides.” The Court may enter “upon the pleadings and transcripts of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing.” 42 U.S.C. § 405(g). The Commissioner’s findings of fact are conclusive if supported by substantial evidence. See id.; Ukolov v. Barnhart, 420 F.3d 1002 (9th Cir. 2005). However, the Commissioner’s findings may be set aside if they are based on legal error or not supported by substantial evidence. See Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 2006); Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). The Ninth Circuit defines substantial evidence as “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.” Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995); see also Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 (9th Cir. 2005). In determining whether the Commissioner’s findings are supported by substantial evidence, the Court “must review the administrative record as a whole, weighing both the evidence that supports and the evidence that detracts from the Commissioner’s conclusion.” Reddick v. Chater, 157 F. 3d 715, 720 (9th Cir. 1998); see also Smolen v. Chater, 80 F.3d 1273, 1279 (9th Cir. 1996). Under the substantial evidence test, findings must be upheld if supported by inferences reasonably drawn from the record. Batson v. Comm’r, 359 F.3d 1190, 1193 (9th Cir. 2004). When the evidence supports more than one rational interpretation, the court must defer to the Commissioner’s interpretation. See Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005); Flaten v. Sec’y of Health & Human Serv., 44 F.3d 1453, 1457 (9th Cir. 1995). Thus, the issue before the Court is not whether the Commissioner could have reasonably reached a different conclusion, but whether the final decision is supported by substantial evidence. Burch, 400 F.3d at 679. It is incumbent on the ALJ to make specific findings so that the Court does not speculate as to the basis of the findings when determining if the Commissioner’s decision is supported by substantial evidence. Lewin v. Schweiker, 654 F.2d 631, 634 (9th Cir. 1981). Mere cursory findings of fact without explicit statements as to what portions of the evidence were accepted or rejected are not sufficient. Id. The ALJ’s findings “should be as comprehensive and analytical as feasible, and where appropriate, should include a statement of subordinate factual foundations on which the ultimate factual conclusions are based.” Id. A. Disability evaluation process and the ALJ decision The individual seeking disability benefits has the initial burden of proving disability. Roberts v. Shalala, 66 F.3d 179, 182 (9th Cir. 1995). To meet this burden, the individual must demonstrate the “inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected . . . to last for a continuous period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A). The individual also must provide “specific medical evidence” in support of her claim for disability. 20 C.F.R. § 404.1514. If the individual establishes an inability to perform her prior work, then the burden shifts to the Commissioner to show that the individual can perform other substantial gainful work that exists in the national economy. Reddick v. Chater, 157 F.3d 715, 721 (9th Cir. 1998). The ALJ follows a five-step sequential evaluation process in determining whether an individual is disabled. See 20 C.F.R. § 404.1520(a); Bowen v. Yuckert, 482 U.S. 137, 140 (1987). If at any step the ALJ determines that she can make a finding of disability or non-disability, a determination will be made, and no further evaluation is required. See 20 C.F.R. § 404.1520(a)(4); Barnhart v. Thomas, 540 U.S. 20, 24 (2003). Step one requires the ALJ to determine whether the individual is engaged in substantial gainful activity (“SGA”). 20 C.F.R. § 404.1520(a)(4)(i). If the individual is engaged in SGA, the ALJ will make a finding of non-disability. If the individual is not engaged in SGA, then the analysis proceeds to step two. Step two addresses whether the individual has a medically determinable impairment that is severe or a combination of impairments that significantly limits her from performing basic work activities. Id. § 404.1520(a)(4)(ii). If the individual does not have a severe medically determinable impairment or combination of impairments, then the ALJ makes a finding of non- disability. If the individual has a severe medically determinable impairment or combination of impairments, then the analysis proceeds to step three. Step three requires the ALJ to determine whether the individual’s impairments or combination of impairments meets or medically equals the criteria of an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. § 404.1520(a)(4)(iii). If the individual’s impairment or combination of impairments meets or equals the criteria of a listing and the duration requirement, then the ALJ makes a finding of disability. Id. § 404.1520(d). Otherwise, the analysis proceeds to step four. However, before moving to step four, the ALJ must first determine the individual’s RFC, which is a function-by-function assessment of the individual’s ability to do physical and mental work-related activities on a sustained basis despite limitations from impairments. See 20 C.F.R. § 404.1560; see also SSR 96-8p. In making this finding, the ALJ must consider all the relevant evidence, such as all symptoms and the extent to which the symptoms can reasonably be accepted as consistent with the objective medical evidence and other evidence. 20 C.F.R. § 404.1545. To the extent that statements about the intensity, persistence, or functionally limiting effects of pain or other symptoms are not substantiated by objective medical evidence, the ALJ must make a finding on the credibility of the individual’s statements based on a consideration of the entire case record. Step four requires the ALJ to determine whether the individual has the RFC to perform her past relevant work (“PRW”). 20 C.F.R. § 404.1520(a)(4)(iv). PRW means work performed either as the individual actually performed it or as it is generally performed in the national economy within the last 15 years. The work also must have lasted long enough for the individual to learn the job and to have performed an SGA. If the individual has the RFC to perform her past work, then the ALJ makes a finding of non-disability. If the individual is unable to perform any PRW or does not have any PRW, then the analysis proceeds to step five. The fifth and final step requires the ALJ to determine whether the individual can do any other work considering her RFC, age, education, and work experience. 20 C.F.R. § 404.1520(a)(4)(v). If she can do other work, then the ALJ makes a finding of non-disability. Although the individual generally continues to have the burden of proving disability at this step, a limited burden of going forward with the evidence shifts to the Commissioner. The Commissioner is responsible for providing evidence demonstrating that other work exists in significant numbers in the economy that the individual can do. Bowen v. Yuckert, 482 U.S. 137, 141–42 (1987). Here, ALJ Hoover followed the five-step sequential evaluation process set forth in 20 C.F.R. § 404.1520(a). At step one, ALJ Hoover found that Plaintiff had been engaged in substantial gainful activity during the fourth quarter of 2019, but that there had been a continuous twelve-month period during which Plaintiff did not engage in substantial gainful activity. AR 20. Therefore, ALJ Hoover addressed her below findings to the period in which Plaintiff did not engage in substantial gainful activity. Id. At step two, ALJ Hoover concluded that Plaintiff had the following severe impairments: asthma; degenerative disc disease and other degenerative changes of the spine; anxiety and obsessive-compulsive disorders; depressive, bipolar, and related disorders; neurodevelopmental disorders; and trauma-and-stressor-related disorders. Id. At step three, ALJ Hoover found that Plaintiff does not have an impairment or combination of impairments that met or medically equaled a listed impairment in 20 C.F.R. Part 404, Subpart P, Appendix 1. Id. Before moving to step four, ALJ Hoover concluded that Plaintiff had the RFC to perform light work as defined in 20 CFR 416.967(b) except that: the claimant could lift and/or carry 20 pounds occasionally and ten pounds frequently. She could occasionally stoop, kneel, crouch, and climb ramps and stairs. She should never climb ladders, ropes, scaffolds. She could tolerate occasional exposure to pulmonary irritants and workplace hazards such as dangerous, moving machinery (such as jackhammers or chainsaws) and unprotected heights. She could understand, remember, and carry out simple tasks and maintain concentration, persistence, and pace for such work. She could tolerate occasional contact with coworkers and the public. AR 24. At step four, ALJ Hoover found that Plaintiff was capable of performing PRW as a hospital cleaner as she actually performed it. AR 28. She went on to note that “[t]his work does not require the performance of work-related activities precluded by the claimant’s residual functional capacity.” Id. At step five, ALJ Hoover found that given Plaintiff’s age, education, work experience, and RFC, there are jobs that exist in significant number in the national economy that she could perform. AR 30. ALJ Hoover concluded that a finding of “not disabled” was appropriate under the above framework. Id. A. ALJ Hoover failed to provide specific, clear, and convincing reasons to discount Plaintiff’s symptom testimony. In determining whether a claimant’s testimony regarding subjective pain or symptoms is credible, the ALJ engages in a two-step analysis. Garrison v. Colvin, 759 F.3d 995, 1014 (9th Cir. 2014). First, the ALJ must determine whether the claimant has presented objective medical evidence of an underlying impairment which could reasonably be expected to produce the pain or other symptoms alleged. Id. (internal citation and quotation omitted). If the claimant satisfies the first step of the analysis, and there is no evidence of malingering, the ALJ can reject the claimant’s testimony about the severity of their symptoms “only by offering specific, clear, and convincing reasons for doing so.” Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir. 2009) (internal citation and quotation omitted) (quoting Lingenfelter v. Astrue, 504 F.3d 1028, 1035–36 (9th Cir. 2007)). General findings are insufficient; rather, the ALJ must identify what symptom claims are being discounted and what evidence undermines these claims. Id. (quoting Lester v. Chater, 81 F.3d 821, 834 (9th Cir. 1995)); Thomas v. Barnhart, 278 F.3d 947, 958 (9th Cir. 2002) (requiring the ALJ to sufficiently explain why they discounted the claimant’s symptom claims). “The clear and convincing [evidence] standard is the most demanding required in Social Security cases.” Garrison, 759 F.3d at 1015 (quoting Moore v. Comm’r of Soc. Sec. Admin., 278 F.3d 920, 924 (9th Cir. 2002)). Here, ALJ Hoover found that, while the objective medical evidence demonstrated impairments that “could reasonably be expected to cause the alleged symptoms,” it did not corroborate the “intensity, persistence, and limiting effects” of Plaintiff’s symptom testimony. AR 26. ALJ Hoover conceded that Plaintiff experienced asthma, degenerative disc disease, obesity, various mental disorders, neurocognitive disorders, and trauma-and-stressor related disorders. AR 25. She also noted that Plaintiff was diagnosed with degenerative changes to her spine that were corroborated by medical evidence. Id. However, the ALJ found that Plaintiff “presented herself to her various examiners with unremarkable musculoskeletal and neurological symptoms, demonstrating normal gait and ambulation with no noteworthy limitations or symptoms in her back, neck, or extremities.” AR 26. Given this and other findings, the ALJ determined that the medical evidence did not support Plaintiff’s need for a cane nor that she was limited to sedentary work. See id. Plaintiff argues that ALJ Hoover erred numerous times by evaluating raw medical data herself, stating vague findings, and unfairly summarizing medical records. See ECF No. 20 at 9– 10. The Commissioner reaches the same conclusion—that ALJ Hoover erred in rejecting Plaintiff’s symptom testimony—but for different reasons. ECF No. 26 at 6–7. The Commissioner argues that ALJ Hoover did not properly analyze Plaintiff’s testimony because she did not fully discuss the type and effectiveness of Plaintiff’s treatment under 20 C.F.R. § 416.929(c)(3)(iv)– (v), nor did she address Plaintiff’s daily activities under 20 C.F.R. § 404.1529(c)(3)(i). Id. The Court has reviewed the record and agrees with the parties that ALJ Hoover did not conduct the proper analysis when considering Plaintiff’s symptom testimony. Specifically, the Court finds that she did not properly evaluate the intensity and persistence of Plaintiff’s alleged symptoms under 20 C.F.R. §§ 416.929(c) and 404.1529(c) because she failed to consider, or fully consider, evidence like daily activities or treatment. See AR 24–28. An ALJ’s error is harmless only if it is found to be “inconsequential to the ultimate non- disability determination” and if the Court “can confidently conclude that no reasonable ALJ, when [not making the same error] could have reached a different disability determination.” Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1055–56 (9th Cir. 2006). Here, the ALJ’s error is not harmless because, had she considered the other evidence under 20 C.F.R. §§ 416.929(c) and 404.1529(c), she may have accepted Plaintiff’s symptom testimony. Put differently, another ALJ crediting such testimony could have reached a different disability determination. Stout, 454 F.3d at 1055–56. Though the parties, and this Court, agree that ALJ Hoover erred, the parties disagree about how to remedy this error. ECF No. 20 at 7–11; ECF No. 26 at 6–13. Plaintiff argues that the Court should “credit her subjective complaints as true and award the benefits sought.” ECF No. 20 at 10. The Commissioner argues that a remand is necessary for the ALJ to properly address all the evidence. ECF No. 26 at 7. “Usually, if additional proceedings can remedy defects in the original administrative proceeding, a social security case should be remanded.” Garrison v. Colvin, 759 F.3d 995, 1019 (9th Cir. 2014) (internal quotations omitted) (quoting Lewin v. Schweiker, 654 F.2d 631, 635 (9th Cir. 1981)). If a court wishes to remand to award benefits, it must satisfy the credit-as-true test. Id. at 1020. Under this test, the court must show that (1) the record has been fully developed and further administrative proceedings would serve no useful purpose; (2) the ALJ has failed to provide legally sufficient reasons for rejecting evidence, whether claimant testimony or medical opinion; and (3) if the improperly discredited evidence were credited as true, the ALJ would be required to find the claimant disabled on remand. Id. (emphasis added). Here, the record has not been fully developed because the ALJ did not properly consider the type and effectiveness of Plaintiff’s treatment under 20 C.F.R. § 416.929(c)(3)(iv)–(v) and did not address Plaintiff’s daily activities under 20 C.F.R. § 404.1529(c)(3)(i). Accordingly, a remand for further proceedings would be useful for the ALJ to consider the above. B. ALJ Hoover’s RFC determination was not supported by substantial evidence, and remand for further proceedings is appropriate. Plaintiff generally argues that ALJ Hoover’s RFC determination was not supported by substantial evidence and contained legal error because she found that Plaintiff had lesser limitations than what ALJ Jenkins found. ECF No. 20 at 5, 7. Specifically, Plaintiff contends this determination is contradicted by the record and unsupported by case law. Id. The Commissioner seems to agree that ALJ Hoover’s RFC determination contains contradictions and is thus ambiguous. ECF No. 26 at 8–9. Because whether ALJ Hoover erred depends, in part, on ALJ Jenkins’ underlying decision, the Court outlines the relevant facts and law below before turning to the alleged error. The principles of res judicata apply to administrative decisions, however, the doctrine is applied less rigidly. Chavez v. Bowen, 844 F.2d 691, 693 (9th Cir. 1988) (citing Lyle v. Secretary of Health and Human Servs., 700 F.2d 566, 568 n.2 (9th Cir.1983)). When a claimant has previously been denied disability benefits, a presumption of continuing non-disability arises. Id. To overcome this presumption, the administrative law judge must prove “changed circumstances indicating a greater disability.” Id. (quoting Taylor v. Heckler, 765 F.2d 872, 875 (9th Cir. 1985) (cleaned up). During the first hearing in 2015, ALJ Jenkins asked the vocational expert a hypothetical question about a person with Plaintiff’s conditions who also required a cane to ambulate. AR 134. The vocational expert found that such a person could perform sedentary work and would not be able to work as an office helper, mail clerk, or housekeeper. AR 135. Ultimately, ALJ Jenkins found that Plaintiff could perform light work with some exceptions, including the need of a cane to ambulate. AR 146. He further found that Plaintiff was not disabled. AR 152. In her 2022 decision, ALJ Hoover first rebutted the presumption of non-disability by finding “changed circumstances indicating [a] greater disability” because the musculoskeletal listings regarding spine impairments had changed. AR 18. ALJ Hoover went on to find that Plaintiff could perform light work with some exceptions, which did not include the need of a cane to ambulate. This RFC determination differed from ALJ Jenkins’ previous finding. AR 24. In determining Plaintiff’s RFC, ALJ Hoover considered the findings of state-agency consultants, Dr. Chahal and Dr. Mohan, and found them persuasive and that the assessments were “consistent with the objective medical evidence.” AR 28. She cited Exhibits B2A/10-12 and B4A/9-11. Id. In these exhibits, both Dr. Chahal and Dr. Mohan note: “[Claimant] alleges similar allegations as prior claim. There has been no significant change in circumstances. ALJ decision adopted—RFC prepared.” AR 167, 184. Therefore, there are two main inconsistencies in ALJ Hoover’s decision. First, ALJ Hoover rebutted the presumption of non-disability because she found a changed circumstance, however, she also found the prior administrative medical findings of Drs. Chahal and Mohan persuasive, in which they found no change in circumstances. Second, ALJ Hoover found that Plaintiff did not need a cane to ambulate, however, she relied on the medical findings of Drs. Chahal and Mohan in making this determination. In their findings, the doctors adopted ALJ Jenkins’ RFC—in which Plaintiff did require a cane to ambulate. In light of these inconsistencies, Plaintiff argues that ALJ Hoover “erred by failing to assess an RFC assessment that had a greater limitation than ALJ Jenkins.” ECF No. 20 at 7. She also contends that ALJ Hoover found certain medical opinions persuasive, but then reached a conclusion that contradicted them. Id. at 5–6. The Commissioner seemingly agrees with both points. ECF No. 26 at 8–9. He notes how ALJ Hoover found that Plaintiff had shown changed circumstances indicating greater disability but then assessed an RFC that is less restrictive than what ALJ Jenkins assessed. Id. He further points out that ALJ Hoover relied on medical opinions that adopted ALJ Jenkins’s RFC assessment but then diverted from those opinions and the previous RFC without explaining why. Id. at 9. The Court considers whether ALJ Hoover erred below. 1. ALJ Hoover erred when she reached a contradictory conclusion, and such error was not harmless. “Evidence from state agency consultant physicians must be treated as expert opinion evidence; thus, the ALJ may not ignore these opinions and must explain the weight given to these opinions in their decisions.” Bain v. Astrue, 319 F. App’x 543, 546 (9th Cir. 2009) (internal quotations omitted) (quoting SSR 96–6p). Here, ALJ Hoover does address these opinions and explains why she finds them persuasive. AR 28. However, her explanation is not supported by substantial evidence because these doctors’ medical findings contradict her RFC determination, as discussed above. Thus, because ALJ Hoover failed to adequately explain why she found an RFC that differed from medical findings that she said were persuasive, her determinations are not supported by substantial evidence. See Lucero v. Saul, No. CV 20-518 KK, 2021 WL 2589130, at *16 (D.N.M. June 24, 2021). An ALJ’s error is harmless only if it is found to be “inconsequential to the ultimate non- disability determination” and if the Court “can confidently conclude that no reasonable ALJ, when [not making the same error] could have reached a different disability determination.” Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1055–56 (9th Cir. 2006). Here, the error is not inconsequential because ALJ Hoover decided the medical findings were persuasive, and if she followed them, could have reached a different disability determination. Likewise, another ALJ, crediting the assessments of Drs. Chahal and Mohan, could have found that Plaintiff was disabled. The ALJ’s contradictory record, therefore, was not harmless. 2. Remand is proper because Plaintiff’s arguments rely on ALJ Hoover’s contradictory findings. The parties disagree as to the effect this error has on the proceedings. While the Commissioner argues the error creates ambiguity that necessitates further proceedings, Plaintiff argues that this Court should award her benefits because ALJ Hoover should have found that Plaintiff was disabled under Distasio2 and Cooper.3 ECF No. 26 at 7; ECF No. 20 at 6. Specifically, Plaintiff argues that ALJ Hoover was required to find Plaintiff disabled under grid rule 20 C.F.R. Part 404, Subpt. P, Rule 201.04 because the only jobs available consistent with Plaintiff’s RFC were sedentary jobs, and because Plaintiff was 51-years old at the time of the 2022 decision. ECF No. 20 at 6. Here, the Court cannot conclude that ALJ Hoover was required to find Plaintiff disabled under a grid rule because Plaintiff’s arguments rest on ALJ Hoover’s contradictory findings.4 In short, Plaintiff contends that her RFC is limited to sedentary work under Distasio and Cooper because ALJ Hoover relied on medical findings that adopted ALJ Jenkins’ RFC. The Court will not consider these arguments because, as discussed above, the record is unclear as to whether ALJ Hoover actually adopted ALJ Jenkins’ RFC, and the Court is remanding the case for her to clarify this point. Moreover, the Court finds that remand for further proceedings—not to award benefits—is appropriate because the credit-as-true test is not satisfied. See Garrison v. Colvin, 759 F.3d 995, 1019 (9th Cir. 2014). The test is not satisfied because, under factor one (in which the court must show that the record has been fully developed and further administrative proceedings would serve no useful purpose), the Court finds that the record has not been fully
2 Distasio v. Shalala, 47 F.3d 348 (9th Cir. 1995). 3 Cooper v. Sullivan, 880 F.2d 1152 (9th Cir. 1989). 4 Plaintiff’s argument is attenuated, but the Court will do its best to relay her chain of logic here. At the hearing in 2015, the vocational expert testified that if Plaintiff required a cane to ambulate, she could not do light work. AR 134–35. Still, ALJ Jenkins found that Plaintiff needed a cane to ambulate and could perform light work. In Distasio, the Ninth Circuit found that the “testimony of the vocational expert belied the ALJ’s finding that the combination of [the plaintiff’s] exertional and non-exertional limitations did not limit him to sedentary work.” 47 F.3d at 350. And in Cooper, the Ninth Circuit found that the ALJ must accept a finding of disability if dictated by the grids. 880 F.2d at 1157. Plaintiff uses these cases to argue that the vocational expert’s testimony in 2015 belied ALJ Jenkins’ RFC finding of light work, and that he should have found that Plaintiff was limited to sedentary work. See ECF No. 20 at 6. She goes on to argue that because ALJ Hoover relied on medical findings that adopted ALJ Jenkins’ RFC, Distasio should further apply to ALJ Hoover’s determination. See id. Finally, Plaintiff concludes that because she was allegedly limited to sedentary work, the grid mandates a finding of disability based on her age, education, and skills. See id. The Court is not persuaded by this argument. The Court will not find that ALJ Hoover adopted ALJ Jenkins’ RFC when it is ambiguous as to whether she adopted it. Moreover, the Court is remanding this case for ALJ Hoover to resolve the contradiction between the medical findings she relies on and her RFC conclusion. 1 developed as to whether ALJ Hoover agrees with Drs. Chahal and Mohan that ALJ Jenkins’ RFC should apply. See id. Moreover, the Court finds that further administrative proceedings would be useful for ALJ Hoover to clarify her RFC finding and the weight she affords Drs. Chahal and Mohan. IV. CONCLUSION IT IS THEREFORE ORDERED that Plaintiff’s motion for reversal, or in the alternative, remand (ECF No. 20) is GRANTED IN PART AND DENIED IN PART. The Court denies Plaintiffs motion as to her request for an award of benefits but grants it as to her alternative request for remand. IT IS FURTHER ORDERED that the Commissioner’s motion to remand (ECF No. 26) isGRANTED. IT IS FURTHER ORDERED that the Clerk of Court is kindly directed to enter judgment in favor of Plaintiff and close this case. DATED this 8 day of August, 2024. ZK awoken BRENDA WEKSLER UNITED STATES MAGISTRATE JUDGE 13