Scott v. Commissioner of Social Security

District Court, W.D. Washington·Decided May 3, 2024·No. 3:23-cv-05413·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT TACOMA CASE NO. 3:23-CV-5413-DWC Plaintiff, ORDER REVERSING AND v. REMANDING DEFENDANT’S DECISION TO DENY BENEFITS SECURITY, Defendant.

Plaintiff filed this action under 42 U.S.C. § 405(g) seeking judicial review of Defendant’s denial of her applications for supplemental security income benefits (“SSI”) and disability insurance benefits (“DIB”).1 After considering the record, the Court concludes the Administrative Law Judge (“ALJ”) erred when he failed to properly consider the medical opinion evidence. Had the ALJ properly considered the evidence, he may have included additional limitations in Plaintiff’s residual functional capacity (“RFC”). The ALJ’s error is,

1 Pursuant to 28 U.S.C. § 636(c), Federal Rule of Civil Procedure 73, and Local Rule MJR 13, the parties have consented to have this matter heard by the undersigned Magistrate Judge. See Dkt. 4. therefore, not harmless, and this matter is reversed and remanded pursuant to sentence four of 42 U.S.C. § 405(g) to the Commissioner of Social Security (“Commissioner”) for further proceedings consistent with this Order. I. Factual and Procedural History

Plaintiff filed claims for DIB and SSI on January 7, 2019. Dkt. 10, Administrative Record (“AR”) 252, 275, 439, 446. Plaintiff initially alleged disability beginning on August 12, 2013, but later amended her alleged onset date to June 24, 2016. AR 252, 275, 465. Her applications were denied at the initial level and on reconsideration. AR 249–50, 297–98. She requested a hearing before an ALJ, which took place on July 13, 2021. AR 105–44, 367–68. Plaintiff was represented by counsel at the hearing. See AR 105. The ALJ issued an unfavorable decision denying benefits on February 25, 2022. AR 61– 91. The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the final decision of the Commissioner. AR 1–7. Plaintiff appealed to this Court. See Dkts. 1, 7. II. Standard of Review

When reviewing the Commissioner’s final decision under 42 U.S.C. § 405(g), this Court may set aside the denial of social security benefits if the ALJ’s findings are based on legal error or are not supported by substantial evidence in the record. Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 (9th Cir. 2005) (citing Tidwell v. Apfel, 161 F.3d 599, 601 (9th Cir. 1999)). Substantial evidence is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Biestek v. Berryhill, 139 S. Ct. 1148, 1153 (2019) (quoting Consol. Edison Co. v. NLRB, 305 U.S. 197, 229 (1938)). “We review only the reasons provided by the ALJ in the disability determination and may not affirm the ALJ on a ground upon which he did not rely.” Garrison v. Colvin, 759 F.3d 995, 1010 (9th Cir. 2014).

III. Discussion Plaintiff contends the ALJ erred in evaluating her testimony about the severity of her symptoms, lay witness testimony from her spouse, and certain medical opinion evidence in the record, resulting in an erroneous RFC. Dkt. 18 at 2.

A. Medical Opinion Evidence Plaintiff argues the ALJ erred in failing to properly evaluate medical opinion evidence from Renee Eisenhower, Ph.D.; Jeremy Senske, Psy.D.; Kimberly Wheeler, Ph.D.; Dana Harmon, Ph.D.; Myrna Palasi, M.D.; and Laura Raykowski, ARNP. Id. at 11. The regulations regarding the evaluation of medical opinion evidence have been amended for claims filed on or after March 27, 2017. See Revisions to Rules Regarding the Evaluation of Medical Evidence, 82 Fed. Reg. 5844, 5867–68, 5878–79 (Jan. 18, 2017). Because Plaintiff filed her claim after that date, the new regulations apply. See 20 C.F.R. §§ 404.1520c, 416.920c. Under the revised regulations, ALJs “will not defer or give any specific evidentiary weight, including controlling weight, to any medical opinion(s) or prior administrative medical

finding(s). . . .” Id. §§ 404.1520c(a), 416.920c(a). Instead, ALJs must consider every medical opinion or prior administrative medical finding in the record and evaluate the persuasiveness of each one using specific factors. Id. §§ 404.1520c(a), 416.920c(a). The two most important factors affecting an ALJ’s determination of persuasiveness are the “supportability” and “consistency” of each opinion. Id. §§ 404.1520c(a), 416.920c(a). “Supportability means the extent to which a medical source supports the medical opinion by explaining the ‘relevant . . . objective medical evidence.’” Woods v. Kijakazi, 32 F.4th 785, 791– 92 (9th Cir. 2022) (quoting 20 C.F.R. § 404.1520c(c)(1)); see also 20 C.F.R. § 416.920c(c)(1). An opinion is more “supportable,” and thus more persuasive, when the source provides more

relevant “objective medical evidence and supporting explanations” for their opinion. 20 C.F.R. §§ 404.1520c(c)(1), 416.920c(c)(1). “Consistency means the extent to which a medical opinion is ‘consistent . . . with the evidence from other medical sources and nonmedical sources in the claim.’” Woods, 32 F.4th 785 at 792 (quoting 20 C.F.R. § 404.1520c(c)(2)); see also 20 C.F.R. §

416.920c(c)(2). ALJs must articulate “how [they] considered the supportability and consistency factors for a medical source’s medical opinions” when making their decision. 20 C.F.R. §§ 404.1520c(b)(2), 416.920c(b)(2). “Even under the new regulations, an ALJ cannot reject an examining or treating doctor's opinion as unsupported or inconsistent without providing an explanation supported by substantial evidence.” Woods, 32 F.4th at 792. 1. Renee Eisenhower, Ph.D. At the initial level of disability review, State agency medical consultant Dr. Renee Eisenhower provided an assessment of Plaintiff’s mental RFC. See AR 260–61, 267–69, 283–84, 290–92. Dr. Eisenhower found Plaintiff had moderate limitations in her ability to concentrate, persist, or maintain pace; mild limitations in her ability to understand, remember, or apply

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Scott v. Commissioner of Social Security, (W.D. Wash. 2024).

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