(SS) Macias v. Commissioner of Social Security

District Court, E.D. California·Decided April 2, 2025·No. 2:23-cv-01983·Unknown

Opinion

1 2 3 4 5 6 7 10 11 ANDREA MACIAS, No. 2:23-cv-1983-SCR 12 Plaintiff, 13 v. ORDER SECURITY, 15 Defendant. 16

17 18 Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security 19 (“Commissioner”), denying her application for disability insurance benefits (“DIB”) under 20 Title II of the Social Security Act, 42 U.S.C. §§ 401-34, and for Supplemental Security Income 21 (“SSI”) under Title XVI of the Social Security Act (“the Act”), 42 U.S.C. §§ 1381-1383f.1 The 22 parties agree that the ALJ erred in the administrative proceedings below, but disagree on the 23 remedy. For the reasons that follow, the Court will GRANT IN PART both cross-motions for 24 summary judgment, and remand for further proceedings.

25 1 DIB is paid to disabled persons who have contributed to the Disability Insurance Program, and who suffer from a mental or physical disability. 42 U.S.C. § 423(a)(1); Bowen v. City of New 26 York, 476 U.S. 467, 470 (1986). SSI is paid to financially needy disabled persons. 42 U.S.C. § 1382(a); Washington State Dept. of Social and Health Services v. Guardianship Estate of 27 Keffeler, 537 U.S. 371, 375 (2003) (“Title XVI of the Act, § 1381 et seq., is the Supplemental Security Income (SSI) scheme of benefits for aged, blind, or disabled individuals, including 28 children, whose income and assets fall below specified levels . . .”). 2 Plaintiff protectively applied for DIB on July 17, 2019 and for SSI on July 22, 2019. 3 Administrative Record (“AR”) 15.2 The disability onset date for both applications was alleged to 4 be July 11, 2018. AR 15. The applications were disapproved initially on September 9, 2019 and 5 on reconsideration on December 17, 2019. AR 15. On October 16, 2020, ALJ Vincent Misenti 6 presided over the first telephonic hearing on Plaintiff’s challenge to the disapprovals. AR 30- 7 57 (transcript). Plaintiff appeared with counsel and testified at the hearing with the assistance of a 8 Spanish interpreter. AR 15, 31, 34-35. A vocational expert (“VE”) also testified. AR 15, 31, 50. 9 On November 4, 2020, the ALJ issued an unfavorable decision, finding Plaintiff “not 10 disabled” under Sections 216(i) and 223(d) of Title II of the Act, 42 U.S.C. §§ 416(i), 423(d), and 11 Section 1614(a)(3)(A) of Title XVI of the Act, 42 U.S.C. § 1382c(a)(3)(A). AR 15-24 (decision), 12 24-29 (exhibit list). The Appeals Council denied Plaintiff’s request for review. 13 On June 28, 2021, Plaintiff challenged the denial in Macias v. Commissioner of Social 14 Security, Case No. 2:21-cv-1136-JDP. On February 17, 2022, pursuant to the parties’ stipulation, 15 the matter was remanded to the Commissioner for reevaluation of the medical record and 16 Plaintiff’s maximum residual functional capacity (“RFC”). AR 993, 995, 997-98. After 17 obtaining additional evidence from a VE, the ALJ presided over a second telephonic hearing on 18 January 12, 2023. AR 939-54 (transcript). Plaintiff appeared with counsel and testified with the 19 assistance of a Spanish interpreter. AR 939-40, 946. A VE also testified. AR 940, 950. 20 On February 24, 2023, the ALJ issued an unfavorable decision, again finding Plaintiff 21 “not disabled” under the relevant statutes (the “Second ALJ Decision”). AR 919-32 (decision), 22 933-38 (exhibit list). The Appeals Council denied Plaintiff’s request for review, leaving the 23 ALJ’s decision as the final decision of the Commissioner. AR 907-09 (decision). 24 Plaintiff filed this action on September 13, 2023. ECF No. 1. The parties consented to the 25 jurisdiction of the magistrate judge. ECF Nos. 7, 12. The parties’ cross-motions for summary 26 judgment, based upon the Administrative Record filed by the Commissioner, have been fully 27 briefed. ECF Nos. 18 (Plaintiff’s motion), 24 (Commissioner’s motion), 25 (Plaintiff’s reply).

28 2 The AR is electronically filed as ECF Nos. 11-1 and 11-2 (AR 1 to AR 1178). 1 The Commissioner believes that remand pursuant to sentence four of 42 U.S.C. § 405(g) is 2 appropriate. ECF No. 24 at 4. 4 Plaintiff was born in 1974, and was, at 43 years old, deemed a younger individual under 5 the regulations as of the alleged disability onset date. AR 199, 931; see 20 C.F.R §§ 404.1563(c), 6 416.963(c) (same). Plaintiff has a GED and can communicate in English. AR 201, 203, 931. 7 She worked at different restaurants from October 2007 to September 2008, from October 2008 to 8 July 2019, and from July 2014 to February 2017. AR 203. She also worked at one medical office 9 from June 2016 to June 2017, and another from June 2017 to February 2018. AR 203. Plaintiff’s 10 asserted conditions include third degree burns on her neck, trunk, chest, and right arm; skin grafts, 11 lack of mobility, and pain in the upper body; depression; and anxiety. AR 202. 13 The Commissioner’s decision that a claimant is not disabled will be upheld “if it is 14 supported by substantial evidence and if the Commissioner applied the correct legal standards.” 15 Howard ex rel. Wolff v. Barnhart, 341 F.3d 1006, 1011 (9th Cir. 2003). “‘The findings of the 16 Secretary as to any fact, if supported by substantial evidence, shall be conclusive . . ..’” Andrews 17 v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995) (quoting 42 U.S.C. § 405(g)). 18 Substantial evidence is “more than a mere scintilla,” but “may be less than a 19 preponderance.” Molina v. Astrue, 674 F.3d 1104, 1111 (9th Cir. 2012). “It means such relevant 20 evidence as a reasonable mind might accept as adequate to support a conclusion.” Richardson v. 21 Perales, 402 U.S. 389, 401 (1971) (internal quotation marks omitted). “While inferences from 22 the record can constitute substantial evidence, only those ‘reasonably drawn from the record’ will 23 suffice.” Widmark v. Barnhart, 454 F.3d 1063, 1066 (9th Cir. 2006) (citation omitted). 24 Although this court cannot substitute its discretion for that of the Commissioner, the court 25 nonetheless must review the record as a whole, “weighing both the evidence that supports and the 26 evidence that detracts from the [Commissioner’s] conclusion.” Desrosiers v. Secretary of HHS, 27 846 F.2d 573

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