Stanley v. O'Malley Commissioner of Social Security

District Court, N.D. California·Decided August 7, 2025·No. 3:24-cv-08776·Unknown

Opinion

SAWANYA LASHUN STANLEY, Case No. 24-cv-08776-RS Plaintiff, v. ORDER GRANTING REMAND FOR CALCULATION AND AWARD OF MARTIN O'MALLEY COMMISSIONER BENEFITS OF SOCIAL SECURITY, et al.,

Defendants.

Plaintiff Sawanya Lashun Stanley appeals the decision of the Commissioner of Social Security (“the Commissioner”) denying her disability benefits under the Social Security Act (“SSA”). An administrative law judge (“ALJ”) reviewed her application and determined she was not disabled and thus, ineligible for benefits. Plaintiff avers that, inter alia, the ALJ improperly weighed medical opinion evidence and that the Commissioner’s decision should be reversed and remanded with instructions to award benefits pursuant to 42 U.S.C. § 405(g). Defendant does not dispute that Plaintiff is entitled to judgment and some kind of remand—instead, the dispute here is whether Plaintiff’s case should be remanded for further proceedings or, instead, with instructions to award benefits. That question hinges on whether there exists any need for further record development or any doubt as to her disability. For the reasons explained below, further record development is unnecessary: her treating physicians’ opinions sufficiently establishes disability. The matter is therefore remanded for calculation and The history of this matter stretches a decade into the past. Plaintiff first filed for Title II disability benefits and Title XVI supplemental security income in 2015, at the age of 42, claiming to suffer from high blood pressure, fibromyalgia, chronic pain, muscle spasms, torn ligaments, nerve damage, depression, and anxiety beginning December 29, 2014. The SSA denied her claim initially and again on reconsideration in February 2016. An administrative law judge (“ALJ”) subsequently held a hearing and, in January 2018, issued an unfavorable decision. After Plaintiff appealed that decision, the Appeals Council remanded the case for further hearing. That hearing occurred in July 2019 before the same ALJ, and a supplemental hearing followed in December 2019. The ALJ again issued an unfavorable decision in March 2020. Plaintiff once more sought review, this time to no avail—the Appeals Council denied her request. At that point, Plaintiff appealed to a federal district court. Upon reviewing the administrative record, the district court concluded that the ALJ had erred. The error—determining that fibromyalgia is not a medically determinable impairment (when in fact, it is)—was not harmless because it “could impact other aspects of the ALJ’s decision, including evaluation of the medical opinion evidence, evaluation of Plaintiff’s credibility, medical equivalence findings, and the RFC [residual function capacity] assessment.” Sawanya S. v. Kijakazi, No. 20-cv-09302-DMR, 2022 WL 4086553, at *5 (N.D. Cal. Sept. 6, 2022). As a result, the court remanded the case to the SSA for further proceedings. In effectuating that remand, the Appeals Council consolidated an additional claim that Plaintiff filed in 2020 with her existing 2015 claim. Before a new ALJ, Plaintiff amended her alleged onset date of disability to April 1, 2015, commensurate with—in the ALJ’s words—“the date when she stopped engaging in substantial gainful activity.” Administrative Record (“AR”) 1321. The ALJ ultimately determined that Plaintiff was disabled, but only as of July 12, 2023—not prior. Key to that determination was the fact that Plaintiff worked, briefly, at various times during the claim period, and the ALJ’s finding that her mental impairments were less severe than her doctors thought. This appeal follows. Under 42 U.S.C. § 405(g), a district court has jurisdiction to review the Commissioner’s final decision denying benefits under the SSA. An ALJ’s decision to that effect must be affirmed if it is supported by substantial evidence and is free of legal error. Beltran v. Astrue, 700 F.3d 386, 388 (9th Cir. 2012). Substantial evidence is defined as “more than a mere scintilla but less than a preponderance—it is such relevant evidence that a reasonable mind might accept as adequate to support the conclusion.” Moncada v. Chater, 60 F.3d 521, 523 (9th Cir. 1995) (per curiam). In determining whether a decision is supported by substantial evidence, the court must examine the administrative record as a whole, considering all of the facts. Drouin v. Sullivan, 966 F.2d 1255, 1257 (9th Cir. 1992). If the evidence supports more than one rational interpretation, the court must defer to the ALJ’s decision. Id. at 1258. “[I]f 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 quotation marks and citation omitted). Plaintiff contends that a remand for benefits is warranted. First, she argues that the ALJ improperly weighed opinions by her treating and examining physicians, both as to her mental and physical capabilities. The ALJ next compounded that error, Plaintiff contends, by determining that she lacks credibility due to inconsistencies in the record without substantial evidence for that conclusion. Because she believes that, but for the ALJ’s errors, she would be deemed disabled, Plaintiff urges the court to remand for an award of benefits, invoking the “credit as true” rule under which such order for award may issue. The Commissioner agrees that remand is warranted in this case yet argues for further proceedings—not an award of benefits. In Defendant’s view, the record is not sufficiently clear, and Plaintiff’s disability remains so doubtful, that she cannot satisfy the credit as true rule. This argument is unpersuasive, for the reasons explained infra, so the remand in this case is with an order for the calculation and awarding of benefits. A. Standard for Evaluating Disability A person is “disabled” for the purposes of receiving Social Security benefits if she is unable to engage in any substantial gainful activity due to a medically determinable physical or mental impairment which is expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve months. 42 U.S.C. § 423(d)(1)(A). In evaluating whether a claimant is disabled, the Commissioner must follow a five-step sequential inquiry. 20 C.F.R. §§ 404.1520, 416.920; Lester v. Chater, 81 F.3d 821, 828 n.5 (9th Cir. 1995), as amended (Apr. 9, 1996) (superseded by statute on other grounds). The burden rests on the claimant to prove: (1) she is not working; (2) she has a severe medically determinable impairment that is expected to last more than twelve months; and either (3) that impairment is severe enough to meet or equal an impairment listed as a priori disabling without further vocational-medical evidence; or (4) the impairment causes such functional limitations that she cannot do her past relevant work. 20 C.F.R. § 404.1520(a)(4)(i)–(iv). If the claimant successfully proves she cannot do her past work, then the burden shifts to the Commissioner to show at step five that the claimant can perform other work that exists in significant numbers in the economy; otherwise, the claimant will be found disabled. Bray v. Comm’r of Soc. Sec. Admin.,

Stanley v. O'Malley Commissioner of Social Security, (N.D. Cal. 2025).

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