Tometczak v. Kijakazi

CourtDistrict Court, E.D. Washington
DecidedOctober 20, 2021
Docket4:20-cv-05078
StatusUnknown

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

Bluebook
Tometczak v. Kijakazi, (E.D. Wash. 2021).

Opinion

1 Oct 20, 2021

2 SEAN F. MCAVOY, CLERK 3 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 4

5 MICHAELA T.,1 No. 4:20-cv-5078-EFS

6 Plaintiff, ORDER GRANTING PLAINTIFF’S 7 v. SUMMARY-JUDGMENT MOTION AND DENYING DEFENDANT’S 8 KILOLO KIJAKAZI, Acting SUMMARY-JUDGMENT MOTION Commissioner of Social Security,2 9

Defendant. 10 11

12 Plaintiff Michaela T. appeals the denial of benefits by the Administrative 13 Law Judge (ALJ). Because the ALJ erred when evaluating Plaintiff’s symptom 14 testimony, the medical opinions, and the listings, the Court grants Plaintiff’s 15 Motion for Summary Judgment, ECF No. 19, and denies the Commissioner’s 16 Motion for Summary Judgment, ECF No. 20. 17

18 1 To protect the privacy of the social-security Plaintiff, the Court refers to her by 19 first name and last initial or as “Plaintiff.” See LCivR 5.2(c). 20 2 On July 9, 2021, Ms. Kijakazi became the Acting Commissioner of Social Security. 21 She is therefore substituted for Andrew Saul as Defendant. Fed. R. Civ. P. 25(d); 42 22 U.S.C. § 405(g). 23 1 I. Five-Step Disability Determination 2 A five-step sequential evaluation process is used to determine whether an

3 adult claimant is disabled.3 Step one assesses whether the claimant is engaged in 4 substantial gainful activity.4 If the claimant is engaged in substantial gainful 5 activity, benefits are denied.5 If not, the disability evaluation proceeds to step two.6 6 Step two assesses whether the claimant has a medically severe impairment 7 or combination of impairments that significantly limit the claimant’s physical or 8 mental ability to do basic work activities.7 If the claimant does not, benefits are 9 denied.8 If the claimant does, the disability evaluation proceeds to step three.9

10 Step three compares the claimant’s impairment or combination of 11 impairments to several recognized by the Commissioner as so severe as to preclude 12 substantial gainful activity.10 If an impairment or combination of impairments 13 14

15 3 20 C.F.R. §§ 404.1520(a), 416.920(a). 16 4 Id. §§ 404.1520(a)(4)(i), 416.920(a)(4)(i). 17 5 Id. §§ 404.1520(b), 416.920(b). 18 6 Id. §§ 404.1520(b), 416.920(b). 19 7 Id. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). 20 8 Id. §§ 404.1520(c), 416.920(c). 21 9 Id. §§ 404.1520(c), 416.920(c). 22 10 Id. §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii). 23 1 meets or equals one of the listed impairments, the claimant is conclusively 2 presumed to be disabled.11 If not, the disability evaluation proceeds to step four.

3 Step four assesses whether an impairment prevents the claimant from 4 performing past work by determining the claimant’s residual functional capacity 5 (RFC).12 If the claimant can perform past work, benefits are denied.13 If not, the 6 disability evaluation proceeds to step five, which assesses whether the claimant 7 can perform other substantial gainful work—work that exists in significant 8 numbers in the national economy—considering the claimant’s RFC, age, education, 9 and work experience.14 If so, benefits are denied. If not, benefits are granted.15

10 The claimant has the initial burden of establishing she is entitled to 11 disability benefits under steps one through four.16 At step five, the burden shifts to 12 the Commissioner to show the claimant is not entitled to benefits.17 13 14

15 11 Id. §§ 404.1520(d), 416.920(d). 16 12 Id. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). 17 13 Id. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). 18 14 Id. §§ 404.1520(a)(4)(v), 416.920(a)(4)(v); Kail v. Heckler, 722 F.2d 1496, 1497–98 19 (9th Cir. 1984). 20 15 20 C.F.R. §§ 404.1520(g), 416.920(g). 21 16 Parra v. Astrue, 481 F.3d 742, 746 (9th Cir. 2007). 22 17 Id. 23 1 II. Factual and Procedural Summary 2 Plaintiff filed Title 2 and 16 disability applications.18 Her claims were denied

3 initially and upon reconsideration.19 An administrative hearing was held by video 4 before ALJ Jesse Shumway.20 5 When denying Plaintiff’s disability claims, the ALJ found: 6 • Plaintiff met the insured status requirements through June 30, 2017. 7 • Step one: Plaintiff had not engaged in substantial gainful activity 8 since July 15, 2013, the alleged onset date. 9 • Step two: Plaintiff had the following medically determinable severe

10 impairments: obesity and lumbar degenerative disc disease. 11 • Step three: Plaintiff did not have an impairment or combination of 12 impairments that met or medically equaled the severity of one of the 13 listed impairments. 14 • RFC: Plaintiff had the RFC to perform light work except: 15 she requires a sit/stand option, at will; she can perform all postural activities only occasionally; and she cannot have 16 concentrated exposure to vibration or hazards (unprotected heights, moving mechanical parts, etc.). 17 • Step four: Plaintiff was not capable of performing past relevant work. 18 19

20 18 AR 209–27. 21 19 AR 140–53. 22 20 AR 30–71. 23 1 • Step five: considering Plaintiff’s RFC, age, education, and work 2 history, Plaintiff could perform work that existed in significant

3 numbers in the national economy, such as office helper, mail clerk, 4 and ticket seller.21 5 When assessing the medical-opinion evidence, the ALJ gave: 6 • great weight to the examining opinion of Philip Gibson, Ph.D. and the 7 reviewing opinion of Gordon Hale, M.D., and 8 • little weight to the reviewing opinions of Robert Smiley, M.D., Bruce 9 Eather, Ph.D., and Kristine Harrison, Psy.D.22

10 The ALJ also found Plaintiff’s medically determinable impairments could 11 reasonably be expected to cause some of the alleged symptoms, but her statements 12 concerning the intensity, persistence, and limiting effects of those symptoms were 13 inconsistent with the medical evidence and other evidence.23 14

15 21 AR 12–29. 16 22 AR 22. The ALJ stated that he gave “[g]reat weight” to the “State medical 17 consultants’ physical opinions.” AR 22. However, only Dr. Hale—not Debra Cowan, 18 SDM—was qualified to offer a medical opinion. There is no evidence in the record 19 that Ms. Cowan was qualified to offer a medical opinion. See AR 86, 95 (SDM); 20 20 C.F.R. § 404.1502 (defining who is an acceptable medical source; an SDM, a single 21 decision maker, is not included in this definition). 22 23 AR 20–22. 23 1 Plaintiff requested review of the ALJ’s decision by the Appeals Council, 2 which denied review.24 Plaintiff timely appealed to this Court.

3 III. Standard of Review 4 A district court’s review of the Commissioner’s final decision is limited.25 The 5 Commissioner’s decision is set aside “only if it is not supported by substantial 6 evidence or is based on legal error.”26 Substantial evidence is “more than a mere 7 scintilla but less than a preponderance; it is such relevant evidence as a reasonable 8 mind might accept as adequate to support a conclusion.”27 Moreover, because it is 9 the role of the ALJ—and not the Court—to weigh conflicting evidence, the Court

10 upholds the ALJ’s findings “if they are supported by inferences reasonably drawn 11 from the record.”28 The Court considers the entire record.29 12 13

14 24 AR 1–9. 15 25 42 U.S.C.

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Tometczak v. Kijakazi, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tometczak-v-kijakazi-waed-2021.