(SS) Urrabazo v. Commissioner of Social Security

CourtDistrict Court, E.D. California
DecidedMay 12, 2020
Docket1:19-cv-00248
StatusUnknown

This text of (SS) Urrabazo v. Commissioner of Social Security ((SS) Urrabazo 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) Urrabazo v. Commissioner of Social Security, (E.D. Cal. 2020).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 EASTERN DISTRICT OF CALIFORNIA 10

11 DAVID MALDONADO URRABAZO, ) Case No.: 1:19-cv-0248 - JLT ) 12 Plaintiff, ) ORDER REMANDING THE ACTION PURSUANT ) TO SENTENCE FOUR OF 42 U.S.C. § 405(g) 13 v. ) ) ORDER DIRECTING ENTRY OF JUDGMENT IN 14 COMMISSIONER OF SOCIAL SECURITY, ) FAVOR OF PLAINTIFF DAVID MALDONADO ) URRABAZO AND AGAINST DEFENDANT, THE 15 Defendant. ) COMMISSIONER OF SOCIAL SECURITY ) 16 )

17 David Maldonado Urrabazo asserts he is entitled to a period of disability, disability insurance 18 benefits, and supplemental security income under Titles II and XVI of the Social Security Act. Plaintiff 19 argues the administrative law judge erred in evaluating his subjective statements and determining the 20 date he became disabled. For the reasons set forth below, the matter is REMANDED for further 21 proceedings pursuant to sentence four of 42 U.S.C. § 405(g). 22 BACKGROUND 23 In January 2011, Plaintiff filed his applications for benefits, alleging disability due to right knee 24 pain, arthritis, an ACL tear, degeneration, and spurring; left knee pain; and a learning disability. (Doc. 25 8-6 at 2-16; Doc. 8-7 at 3) The Social Security Administration denied the applications at the initial 26 level and upon reconsideration. (See generally Doc. 8-4; Doc. 8-5 at 2-16) Plaintiff requested an 27 administrative hearing and testified before an ALJ on October 30, 2012. (See Doc. 8-3 at 18, 37) The 28 ALJ determined Plaintiff was not disabled and issued an order denying benefits on November 9, 2012. 1 (Id. at 18-28) Plaintiff requested review of the decision with the Appeals Council, which denied the 2 request on December 31, 2013. (Id. at 2-5) Therefore, the ALJ’s determination became the final 3 decision of the Commissioner of Social Security. 4 Plaintiff sought judicial review by filing a complaint on March 5, 2014, thereby initiating Case 5 No. 1:14-cv-00309-SKO. (Doc. 8-15 at 27, 31-33) The Court found the ALJ erred in evaluating the 6 medical record, including the opinion of Plaintiff’s treating physician. (Id. at 61-65) Therefore, the 7 Court remanded the matter “for renewed consideration” of the physician’s opinion. (Id. at 74) On 8 August 27, 2015, “the Appeals Council vacate[d] the final decision of the Commissioner of Social 9 Security and remand[ed] the case to an Administrative Law Judge for further proceedings consistent 10 with the order of the Court.” (Id. at 79) 11 Plaintiff testified at a second administrative hearing on March 3, 2016. (Doc. 8-14 at 59) The 12 ALJ issued a “partially favorable decision” on July 26, 2016. (Id. at 19) The ALJ found Plaintiff “was 13 not under a disability … at any time through December 31, 2013, the date last insured,” but became 14 disabled on December 22, 2015. (Id. at 35-36) Plaintiff submitted exceptions to the ALJ’s decision on 15 August 16, 2016. (Doc. 8-16 at 44-46) 16 On January 27, 2017, the Appeals Council found the decision from the ALJ complied with the 17 remand order from the Court. (Doc. 8-14 at 13) In addition, the Appeals Council considered Plaintiff’s 18 exceptions and found “they do not raise any significant issues that warrant the Appeals Council to 19 accept jurisdiction.” (Id.) Therefore, the decision of the ALJ became the final determination of the 20 Commissioner of Social Security. Plaintiff requested an extension of time to file a civil action, and the 21 Appeals Council granted the request on January 16, 2019. (Id. at 3) 22 STANDARD OF REVIEW 23 District courts have a limited scope of judicial review for disability claims after a decision by 24 the Commissioner to deny benefits under the Social Security Act. When reviewing findings of fact, 25 such as whether a claimant was disabled, the Court must determine whether the Commissioner’s 26 decision is supported by substantial evidence or is based on legal error. 42 U.S.C. § 405(g). The 27 ALJ’s determination that the claimant is not disabled must be upheld by the Court if the proper legal 28 standards were applied and the findings are supported by substantial evidence. See Sanchez v. Sec’y of 1 Health & Human Serv., 812 F.2d 509, 510 (9th Cir. 1987). 2 Substantial evidence is “more than a mere scintilla. It means such relevant evidence as a 3 reasonable mind might accept as adequate to support a conclusion.” Richardson v. Perales, 402 U.S. 4 389, 401 (1971) (quoting Consol. Edison Co. v. NLRB, 305 U.S. 197 (1938)). The record as a whole 5 must be considered, because “[t]he court must consider both evidence that supports and evidence that 6 detracts from the ALJ’s conclusion.” Jones v. Heckler, 760 F.2d 993, 995 (9th Cir. 1985). 7 DISABILITY BENEFITS 8 To qualify for benefits under the Social Security Act, Plaintiff must establish she is unable to 9 engage in substantial gainful activity due to a medically determinable physical or mental impairment 10 that has lasted or can be expected to last for a continuous period of not less than 12 months. 42 U.S.C. 11 § 1382c(a)(3)(A). An individual shall be considered to have a disability only if: 12 his physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work, but cannot, considering his age, education, and work 13 experience, engage in any other kind of substantial gainful work which exists in the national economy, regardless of whether such work exists in the immediate area in 14 which he lives, or whether a specific job vacancy exists for him, or whether he would be hired if he applied for work. 15

16 42 U.S.C. § 1382c(a)(3)(B). The burden of proof is on a claimant to establish disability. Terry v. 17 Sullivan, 903 F.2d 1273, 1275 (9th Cir. 1990). If a claimant establishes a prima facie case of disability, 18 the burden shifts to the Commissioner to prove the claimant is able to engage in other substantial 19 gainful employment. Maounis v. Heckler, 738 F.2d 1032, 1034 (9th Cir. 1984). 20 ADMINISTRATIVE DETERMINATION 21 To achieve uniform decisions, the Commissioner established a sequential five-step process for 22 evaluating a claimant’s alleged disability. 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4). The process 23 requires the ALJ to determine whether Plaintiff (1) is engaged substantial gainful activity, (2) had 24 medically determinable severe impairments (3) that met or equaled one of the listed impairments set 25 forth in 20 C.F.R. § 404, Subpart P, Appendix 1; and whether Plaintiff (4) had the residual functional 26 capacity to perform to past relevant work or (5) the ability to perform other work existing in significant 27 numbers at the state and national level. Id.

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(SS) Urrabazo v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ss-urrabazo-v-commissioner-of-social-security-caed-2020.