Stewart v. Commissioner of Social Security

District Court, W.D. Washington·Decided March 9, 2020·No. 2:19-cv-01434·Unknown

Opinion

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5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 LETITIA S., 8 Plaintiff, CASE NO. C19-1434-BAT 9 v. ORDER REVERSING THE 10 COMMISSIONER’S DECISION COMMISSIONER OF SOCIAL SECURITY, 11 Defendant. 12

13 INTRODUCTION 14 Plaintiff appeals the ALJ’s decision that she is no longer disabled, contending the ALJ 15 erred in (1) finding medical improvement occurred; (2) assessing certain medical opinions; and 16 (3) assessing the lay statements. Dkt. 12 at 1. As discussed below, the Court REVERSES the 17 Commissioner’s final decision and REMANDS the matter for further administrative proceedings 18 under sentence four of 42 U.S.C. § 405(g). 19 BACKGROUND 20 Plaintiff was found disabled as of October 22, 2007, in a decision by ALJ Helen Francine 21 Strong (“ALJ Strong”) dated June 23, 2010. Tr. 85-89. An anonymous tip led to a disability 22 fraud investigation of Plaintiff in October 2011, and Plaintiff was subsequently notified the 23 agency required additional information about her conditions or her benefits would cease. See Tr. 1 148-55, 262-90. Plaintiff failed to appear for multiple consultative examinations, and the agency 2 subsequently notified Plaintiff the lack of information to support her receipt of disability benefits 3 would result in her benefits being terminated as of November 1, 2011. Tr. 148-55. 4 Plaintiff requested a hearing with a disability hearing officer and subsequently appeared for

5 a consultative examination, which the disability hearing officer relied upon to find in September 6 2012 that Plaintiff was no longer disabled as of November 1, 2011, due to medical improvement. 7 Tr. 115-26. Plaintiff requested an ALJ hearing (Tr. 31-80), and ALJ Robert P. Kingsley (“ALJ 8 Kingsley”) subsequently found in April 2014 she was not disabled as of November 1, 2011. Tr. 9 12-24. Plaintiff sought judicial review, and the U.S. District Court for the Western District of 10 Washington reversed and remanded ALJ Kingsley’s decision, with instructions to consider the 11 impairments at the time of ALJ Strong’s decision to determine whether medical improvement 12 occurred. Tr. 929-42. 13 On remand, ALJ S. Andrew Grace (“the ALJ”) held a hearing in August 2017 (Tr. 854- 14 94), and subsequently again found Plaintiff’s disability ended on November 1, 2011. Tr. 750-68.

15 THE ALJ’S DECISION 16 The continuing disability review process is similar to the five-step sequential evaluation 17 process, with additional determinations regarding whether there has been medical improvement 18 and whether the medical improvement is related to the ability to work. Compare 20 C.F.R. § 19 416.920 with 20 C.F.R. § 404.994. 20 Under the sequential continuing disability process, the ALJ must first determine whether 21 the claimant’s impairments or combination of impairments meet or medically equal the severity 22 of an impairment listed in 20 C.F.R. Part 404, Subpt. P, App. 1. Here, the ALJ found Plaintiff’s 23 1 impairments do not currently meet or equal a listing, and therefore the ALJ’s inquiry continued. 2 Tr. 752-54. 3 The ALJ next considers whether medical improvement has occurred, as shown by a 4 decrease in medical severity of an impairment. Here, the ALJ found medical improvement

5 occurred on November 1, 2011, and therefore the ALJ’s inquiry continued. Tr. 754-56. 6 The ALJ must next determine whether the medical improvement is related to the ability to 7 work. Here, the ALJ found Plaintiff’s medical improvement is related to her ability to work. Tr. 8 756. 9 If medical improvement is related to the ability to work, the ALJ must then determine 10 whether all of the claimant’s impairments in combination are severe. Here, the ALJ found 11 Plaintiff did continue to have severe impairments after November 1, 2011. Tr. 756-57. 12 If the claimant’s impairments are severe, the ALJ must assess the claimant’s residual 13 functional capacity (“RFC”) and determine whether the claimant has demonstrated an inability to 14 perform past relevant work. Here, the ALJ assessed Plaintiff’s RFC and found she did not have

15 any past relevant work, so he proceeded to the final step to consider whether, given her RFC and 16 considering her age, education, and past work experience, Plaintiff can perform other work. Tr. 17 757-66. The ALJ found Plaintiff can perform other work, and was therefore not disabled as of 18 November 1, 2011. Tr. 766-68. 19 DISCUSSION 20 A. Medical Improvement 21 Plaintiff assigns error to the ALJ’s finding of medical improvement. First, she argues 22 ALJ Grace erred in finding medical improvement without access to the evidence considered by 23 ALJ Strong in finding Plaintiff disabled in 2010 in the “comparison point decision” (“CPD”). 1 According to Plaintiff, a finding of medical improvement necessarily depends on a comparison of 2 the evidence underlying the CPD with the evidence available at the time of the continuing 3 disability review. Dkt. 12 at 9-10. 4 Plaintiff cites no cases supporting her position, and the Commissioner cites no cases in

5 contradiction, but the Court is aware of several non-binding cases supporting Plaintiff’s argument. 6 See, e.g., Veino v. Barnhart, 312 F.3d 578, 587 (2d Cir. 2002) (“In the absence of the early 7 medical records, the administrative record lacks a foundation for a reasoned assessment of 8 whether there is substantial evidence to support the Commissioner’s finding that [the claimant’s] 9 1997-1998 condition represents an ‘improvement.’); Byron v. Heckler, 742 F.2d 1232, 1236 (10th 10 Cir. 1984) (“In order for evidence of improvement to be present, there must also be an evaluation 11 of the medical evidence for the original finding of disability.”); Vaughn v. Heckler, 727 F.2d 12 1040, 1043 (11th Cir. 1984) (holding that the ALJ erred by focusing only on the current evidence 13 of the claimant’s impairments and without an evaluation of the medical evidence underlying the 14 CPD, finding that “[w]ithout such a comparison, no adequate finding of improvement could be

15 rendered” (emphasis in original)); Newmiller v. Colvin, 2016 WL 3034670, at *3-4 (C.D. Cal. 16 May 2016) (holding that the ALJ has an “affirmative duty to compare prior medical evidence with 17 current medical findings”); Medina v. Colvin, 2015 Wl 5448498, at *11-12 (N.D. Cal. Aug. 21, 18 2015) (“[The Social Security Act] does not authorize an ALJ to find medical improvement 19 without making a comparison of prior and current medical evidence. A termination decision is 20 not ‘legally proper and supported by substantial evidence when the CPD evidence is absent from 21 the record.’ (quoting Spratt v. Colvin, 2014 WL 2153933 at *5 (W.D. Okla. May 20, 2014))). 22 These authorities are consistent with the plain language of the regulations, and persuade 23 the Court the ALJ’s finding of medical improvement must be based on a comparison of the 1 CPD’s medical evidence with the current medical evidence pertaining to the continuing disability 2 review. See 20 C.F.R. § 416.994(b)(2)(i) (“Medical improvement . . .

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