(SS) Sexton v. Commissioner of Social Security

CourtDistrict Court, E.D. California
DecidedMay 10, 2022
Docket1:21-cv-00379
StatusUnknown

This text of (SS) Sexton v. Commissioner of Social Security ((SS) Sexton v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
(SS) Sexton v. Commissioner of Social Security, (E.D. Cal. 2022).

Opinion

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4 5 6 7 8 UNITED STATES DISTRICT COURT 9 EASTERN DISTRICT OF CALIFORNIA 10 11 12 KATHY RUTH SEXTON Case No. 1:21-cv-00379-EPG 13 Plaintiff, FINAL JUDGMENT AND ORDER REGARDING PLAINTIFF’S SOCIAL 14 v. SECURITY COMPLAINT 15 COMMISSIONER OF SOCIAL (ECF Nos. 1, 19). SECURITY, 16 Defendant. 17 18 19 20 This matter is before the Court on Plaintiff’s complaint for judicial review of an 21 unfavorable decision by the Commissioner of the Social Security Administration regarding her 22 application for disability insurance benefits. The parties have consented to entry of final judgment 23 by the United States Magistrate Judge under the provisions of 28 U.S.C. § 636(c) with any appeal 24 to the Court of Appeals for the Ninth Circuit. (ECF No. 14). 25 Plaintiff presents the following issues: 26 1. The ALJ failed to properly evaluate the medical opinion evidence consistent with Agency authority and Ninth Circuit precedent, in particular regarding 27 Plaintiff’s standing/walking limitations and hand and arm use limitations. 28 described above, but also specifically so in failing to consider Plaintiff’s stellar 2 work history.

3 3. The decision in this case, by . . . Appeals Council AAJs who derive their authority from the Commissioner that was not constitutionally appointed, is 4 constitutionally defective, requiring remand. 5 (ECF No. 19, p. 3). Having reviewed the record, administrative transcript, the briefs of the 6 parties, and the applicable law, the Court finds as follows: 7 I. ANALYSIS 8 A. Evaluation of Opinions of Dr. Ramayya and Dr. Sirakoff 9 Plaintiff argues that the ALJ did not properly evaluate the medical opinions of Dr. 10 Ramayya and Dr. Sirakoff under the pertinent legal authority. (ECF No. 19, p. 14). As an initial 11 matter, the parties agree that this claim is governed by the agency’s “new” regulations concerning 12 how ALJs must evaluate medical opinions for claims filed on or after March 27, 2017.1 20 C.F.R. 13 §§ 404.1520c, 416.920c; (ECF No. 19, p. 13; ECF No. 20, p. 11). The regulations set 14 “supportability” and “consistency” as “the most important factors” when determining the 15 opinions’ persuasiveness. 20 C.F.R. §§ 404.1520c(b)(2), 416.920c(b)(2). 16 While case authority preceding the new regulations required an ALJ to provide clear and 17 convincing or specific and legitimate reasons for rejecting certain medical opinions, Ryan v. 18 Comm’r of Soc. Sec., 528 F.3d 1194, 1198 (9th Cir. 2008), Plaintiff does not argue that these 19 articulation standards still apply with the passage of the new regulations, nor could she in light of 20 the Ninth Circuit’s recent decision in Woods v. Kijakazi, No. 21-35458, 2022 WL 1195334 (9th 21 Cir. Apr. 22, 2022). 22 The revised social security regulations are clearly irreconcilable with our caselaw 23 according special deference to the opinions of treating and examining physicians on account of their relationship with the claimant. See 20 C.F.R. § 404.1520c(a) 24 (“We will not defer or give any specific evidentiary weight, including controlling weight, to any medical opinion(s) . . ., including those from your medical 25 sources.”). Our requirement that ALJs provide “specific and legitimate reasons” 26 for rejecting a treating or examining doctor’s opinion, which stems from the special weight given to such opinions . . . is likewise incompatible with the revised 27 regulations. Insisting that ALJs provide a more robust explanation when

28 1 Plaintiff applied for benefits on August 24, 2017. those sources—contrary to the revised regulations. 2 Id. at *6 (internal citation omitted). Accordingly, under the new regulations, “the decision to 3 discredit any medical opinion, must simply be supported by substantial evidence.” Id. at *1. 4 “Substantial evidence means more than a scintilla but less than a preponderance.” Thomas v. 5 Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). It is “relevant evidence which, considering the 6 record as a whole, a reasonable person might accept as adequate to support a conclusion.” Id. 7 In conjunction with this requirement, “[t]he agency must ‘articulate . . . . how persuasive’ 8 it finds ‘all of the medical opinions’ from each doctor or other source, 20 C.F.R. § 404.1520c(b), 9 and ‘explain how [it] considered the supportability and consistency factors’ in reaching these 10 findings, id. § 404.1520c(b)(2).” Woods, 2022 WL 1195334, at *6. 11 Supportability means the extent to which a medical source supports the medical opinion by explaining the “relevant . . . objective medical evidence.” Id. 12 § 404.1520c(c)(1). Consistency means the extent to which a medical opinion is 13 “consistent . . . with the evidence from other medical sources and nonmedical sources in the claim.” Id. § 404.1520c(c)(2). 14 Id. 15 1. Dr. Ramayya’s Opinion 16 Plaintiff challenges the ALJ’s assessment of the medical opinions of Dr. Ramayya and Dr. 17 Sirakoff. The ALJ concluded that Dr. Ramayya’s opinion was less persuasive, explaining as 18 follows: 19 Second, the undersigned considered the opinion of Dr. Aruna S. Ramayya, M.D., 20 the claimant’s own medical source and primary care physician who has treated the claimant for twenty-four years (6F). She opined that the claimant would be off task 21 more than twenty-five percent of her workday and she could maintain attention 22 and concentration for less than fifteen minutes before needing a break (6F/7). The claimant would be absent more than four days a month as the result of her 23 impairments or treatment (6F/5). The claimant could lift and/or carry less than ten pounds (6F/8). The claimant could sit, stand, or walk for one hour in a normal 24 workday and would need to sit and stand at will (6F/8). Dr. Ramayya opined that 25 the claimant would need to recline throughout the day for twenty minutes each time (6F/8). The claimant must use a cane and a walker to ambulate more than one 26 or two blocks (6F/8-9). The claimant can frequently reach, handle, finger, feel, push, and pull with her bilateral upper extremities (6F/9). She can frequently use 27 foot controls with her bilateral lower extremities (6F/9). The claimant could rarely 28 balance, stoop, and rotate her head and neck, but never kneel, crouch, or crawl claimant could never ladders, ropes, or scaffolds (6F/10). She could never work at 2 unprotected heights and rarely work around moving mechanical parts (6F/10). The claimant could occasionally operate a vehicle, be exposed to humidity, wetness, 3 pulmonary irritants, temperature extremes, and vibrations (6F/10). 4 The undersigned finds Dr. Ramayya’s opinion less persuasive. Dr. Ramayya did not indicate on the form the specific findings she relied on when making her 5 decision. Her exam findings also do not support her opinion because her physical 6 findings are normal and her psychiatric findings are based solely on the claimant’s subjective statements (2F; 9F). Dr. Ramayya based her opinion on the claimant’s 7 subjective statements and the imaging studies. The evidence of the claimant’s stable exam findings, conservative treatment, and overall normal gait, range of 8 motion, and motor strength in all her joints is inconsistent with Dr. Ramayya’s 9 opinion overall.

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(SS) Sexton v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ss-sexton-v-commissioner-of-social-security-caed-2022.