CAROLYN K. DELANEY, Magistrate Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner") denying an application for Supplemental Security Income ("SSI") under Title XVI of the Social Security Act ("Act"). For the reasons discussed below, the court will deny plaintiff's motion for summary judgment and grant the Commissioner's cross-motion for summary judgment.
Plaintiff was born on June 22, 1999. AT 115. An application for supplemental security income (SSI) was filed on behalf of plaintiff on June 29, 2012 and closed on October 24, 2012. Administrative Transcript ("AT") 116. On April 8, 2013, plaintiff's mother filed a second SSI application on plaintiff's behalf, alleging disability beginning November 1, 2000, when plaintiff was less than two years old. AT 102, 199-208. Plaintiff's mother alleged that plaintiff was disabled due to behavioral and physical issues, including academic problems, possible post-traumatic stress disorder (PTSD), attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and skin disease. AT 141, 149, 214, 231, 239. In a decision dated February 17, 2015, the ALJ determined that plaintiff was not disabled under the Social Security Act.
AT 19-29.
Plaintiff argues that the ALJ committed the following errors in finding plaintiff not disabled: (1) the ALJ failed to include evidence from plaintiff's prior application for benefits; (2) the ALJ failed to fully develop the record and/or obtain the opinion of a pediatric specialist; and (3) the ALJ erred in finding less than marked limitation in three of the domain areas.
The court reviews the Commissioner's decision to determine whether (1) it is based on proper legal standards pursuant to 42 U.S.C. § 405(g), and (2) substantial evidence in the record as a whole supports it.
The record as a whole must be considered,
Plaintiff asserts that the ALJ improperly failed to include evidence from her prior application for disability benefits, which was denied on initial consideration six months prior to her second application. Plaintiff argues that the prior application required the ALJ to apply Acquiescence Ruling (AR) 97-4(9) and
Plaintiff contends that, instead of applying AR 97-4(9) as required, the ALJ ignored plaintiff's prior application and failed to determine whether the evidence overcame a presumption of non-disability.
In his decision, the ALJ wrote:
AT 22.
Defendant argues that AR 97-4(9) does not apply with respect to plaintiff's prior application, because there is no record of a "final decision" on that application, which was closed at the initial stage and not appealed.
Plaintiff asserts that, because the ALJ admitted a 2012 State agency evaluation made in connection with plaintiff's first application, he was "required to fully develop the record as to that application." (ECF No. 17 at 17.)
Disability hearings are not adversarial.
Here, as noted above, the ALJ stated that he had reviewed and considered evidence prior to the application date, but had not discussed it in detail due to its limited relevance to the disability period beginning April 8, 2013. AT 22. As to Dr. Cormier, the ALJ discussed his comprehensive mental examination of plaintiff on June 30, 2013 (AT 22; 440-445), his September 17, 2012 evaluation (AT 23, 414-42), and his June 12, 2014 evaluation (AT 23, 464-468). Defendant points out that, while plaintiff may have been scheduled for earlier appointments in 2012, there is no record that Dr. Cormier examined her on any date that year except September 17, as discussed in the decision.
While plaintiff argues that the ALJ should have discussed additional evidence pertaining to the prior application, she does not explain what ambiguous evidence triggered the duty to develop or why any failure to develop the record was not harmless error.
Related to the duty to develop, plaintiff asserts that the ALJ failed to obtain the opinion of a pediatric specialist under AR 04-1(9), interpreting
Here, the ALJ relied on the opinions of State agency medical consultants Dr. Colsky (psychiatry), Dr. Lockmiller (internal medicine), Dr. IdaHilliard (psychiatry), and Dr. Jaituni (other). AT 24, 113, 123, 136. The ALJ noted their qualifications under the applicable agency regulations and found that their opinions were "consistent with the evidence as a whole, including the treatment record, Dr. Cormier's examinations and the education records." AT 24. As this alternative to an independent specialist satisfied the requirements of AR 04-1(9), the court finds no error in this regard.
Plaintiff contends the ALJ erroneously found that plaintiff's impairments do not functionally equal a childhood listing.
In this domain area, the ALJ found less than marked limitation, explaining:
AT 27.
Plaintiff argues that this finding ignores Dr. Cormier's June 12, 2014 opinion diagnosing plaintiff with Oppositional Defiant Disorder and Shasta County psychologist Dr. Trustman's October 15, 2013 diagnosis of adjustment disorder with mixed disturbance of emotions and conduct (chronic). AT 467, 462.
In Dr. Cormier's June 2014 opinion, he stated: "Although her interview behavior was quite pleasant and friendly, her reported history suggested serious impairment regarding her ability to interact with classmates and teachers." AT 467. The ALJ considered this opinion, including findings by Dr. Cormier that plaintiff presented as being in a reasonably good mood and was friendly, pleasant, and talkative. AT 23. Given plaintiff's behavior at the exam, Dr. Cormier based his finding of "serious impairment" in interacting with others on plaintiff's history as reported by plaintiff and her mother. AT 465, 467. However, the ALJ found plaintiff's and her mother's statements about her impairments "not entirely credible" in unchallenged findings. AT 22, 23.
The ALJ also considered Dr. Trustman's October 2013 evaluation, noting that plaintiff "appeared very pleasant, interactive, and cooperative" at the exam. AT 22, 457. While Dr. Trustman noted plaintiff's "rather volatile mood and difficulty with self-regulation," he did not indicate any marked or extreme limitation in plaintiff's ability to interact with others. AT 462.
At the hearing, plaintiff testified that she had several friends, had no problem talking to the kids in her neighborhood, and was able to confide in close friends with little conflict. AT 55, 58-59, 68. There was evidence that plaintiff's behavior at school had improved over the past year. AT 375 ("Aja has made significant progress in this [social/emotional/behavioral] area over the past year. . . . Aja is very nice and polite to adults and to peers."), AT 393 ("She has not received any discipline referrals since attending Foothill this year."). In light of the entire record, plaintiff has not established marked limitation in this area.
In this domain area, the ALJ found less than marked limitation, explaining:
AT 26.
Plaintiff argues that the ALJ's assertion of improved concentration on medication is not supported by the record. As evidence for this improvement, the ALJ cited Dr. Cormier's June 2014 examination, which reported: "Her concentration capacity was somewhat surprisingly intact as instantiated by her ability to successfully count by serial 3's from 1 to 40 within 40 seconds, and her ability to recall six digits forwards and four digits backwards." AT 466.
The ALJ also cited an April 2014 progress note, which stated: "Client admits to being moody, impulsive, angry, poor focus & attention. Client presents very mature & articulate, good eye contact, bright affect, friendly, sociable, talkative, calm, appro. coop." AT 482. The progress note prescribed Tenex. AT 482. A later 2014 progress note stated that "Tenex has improved client's impulsivity, anxiety & focus." AT 472.
Plaintiff argues that the ALJ's findings fail to take into account plaintiff's 2013 diagnosis of ADHD and her 2015 Individual Education Plan, which noted "borderline attention/concentration skills."
The ALJ found less than marked limitation in this domain area, writing:
AT 25.
Plaintiff argues that the ALJ discounted evidence that plaintiff struggled with reading and math, and performed at four or more years below grade level academically. Testing in October 2013 indicated reading and math scores "in the average to low-average range," commensurate with plaintiff's estimated intellectual ability. AT 457. In October 2013, at age 14, plaintiff's reading score was equivalent to grade 5.1 and her math score was equivalent to grade 5.8. AT 457. Earlier that year, Dr. Cormier noted that "[h]er arithmetic reasoning skills were average . . . Her vocabulary was within normal limits." AT 443. Overall, her "general vocabulary, word usage, reported history, and ability to conceptualize suggests an individual of approximately below average intellectual functioning." AT 443. The ALJ stated in general terms that he had considered plaintiff's low-average functioning and poor grades in 2013 and 2014.
However, evidence indicated that plaintiff had improved in school since starting medication and homeschooling. The ALJ cited a July 3, 2014 progress note in which plaintiff's mother reported that plaintiff would continue to be homeschooled. AT 471. The report noted that "client's grades have improved tremendously in part to no longer having distractions from classmates and current medication regimen." AT 471.
For the reasons stated herein, IT IS HEREBY ORDERED that:
1. Plaintiff's motion for summary judgment (ECF No. 17) is denied;
2. The Commissioner's cross-motion for summary judgment (ECF No. 28) is granted; and
3. Judgment is entered for the Commissioner.
20 C.F.R. § 416.924(a)-(d).
20 C.F.R. § 416.926a(b)(1). If a child's impairments result in "marked" limitations in two domains, or an "extreme" limitation in one domain, the impairments functionally equal the listings. 20 C.F.R. § 416.926a(d).