JAMES P. DONOHUE, Magistrate Judge.
Plaintiff Vincent Pedro appeals the final decision of the Commissioner of the Social Security Administration ("Commissioner") that denied his application for Supplemental Security Income ("SSI") under Title XVI of the Social Security Act, 42 U.S.C. §§ 1381-83f, after a hearing before an administrative law judge ("ALJ"). For the reasons set forth below, the Court recommends that the Commissioner's decision be REVERSED and REMANDED for further proceedings.
At the time of the administrative hearing, Plaintiff was a 40-year-old man with one year of college education. Administrative Record ("AR") at 41, 191. His past work experience includes employment as a dishwasher, mortuary assistant, and landscaper. AR at 65-66, 180. Plaintiff was last gainfully employed in June 2010. AR at 180.
In December 2011, Plaintiff filed a claim for SSI payments. AR at 152-60. Plaintiff asserts that he is disabled due to manic depression, schizophrenia, bipolar disorder, anxiety, and a right hand injury. AR at 190.
The Commissioner denied Plaintiff's claim initially and on reconsideration. AR at 95-98, 102-05. Plaintiff requested a hearing, which took place on February 20, 2013. AR at 38-71. On March 11, 2013, the ALJ issued a decision finding Plaintiff not disabled and denied benefits based on his finding that Plaintiff could perform a specific job existing in significant numbers in the national economy. AR at 19-33. After reviewing additional evidence, the Appeals Council denied Plaintiff's request for review. AR at 1-6. On June 19, 2014, Plaintiff timely filed the present action challenging the Commissioner's decision. Dkt. 1, 3.
Jurisdiction to review the Commissioner's decision exists pursuant to 42 U.S.C. §§ 405(g) and 1383(c)(3).
Pursuant to 42 U.S.C. § 405(g), this Court may set aside the Commissioner's denial of social security benefits when the ALJ's findings are based on legal error or not supported by substantial evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 (9th Cir. 2005). "Substantial evidence" is more than a scintilla, less than a preponderance, and is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Richardson v. Perales, 402 U.S. 389, 401 (1971); Magallanes v. Bowen, 881 F.2d 747, 750 (9th Cir. 1989). The ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and resolving any other ambiguities that might exist. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record as a whole, it may neither reweigh the evidence nor substitute its judgment for that of the Commissioner. Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). When the evidence is susceptible to more than one rational interpretation, it is the Commissioner's conclusion that must be upheld. Id.
As the claimant, Mr. Pedro bears the burden of proving that he is disabled within the meaning of the Social Security Act (the "Act"). Meanel v. Apfel, 172 F.3d 1111, 1113 (9th Cir. 1999) (internal citations omitted). The Act defines disability as the "inability to engage in any substantial gainful activity" due to a physical or mental impairment which has lasted, or is expected to last, for a continuous period of not less than twelve months. 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). A claimant is disabled under the Act only if his impairments are of such severity that he is unable to do his previous work, and cannot, considering his age, education, and work experience, engage in any other substantial gainful activity existing in the national economy. 42 U.S.C. §§ 423(d)(2)(A); see also Tackett v. Apfel, 180 F.3d 1094, 1098-99 (9th Cir. 1999).
The Commissioner has established a five step sequential evaluation process for determining whether a claimant is disabled within the meaning of the Act. See 20 C.F.R. §§ 404.1520, 416.920. The claimant bears the burden of proof during steps one through four. At step five, the burden shifts to the Commissioner. Id. If a claimant is found to be disabled at any step in the sequence, the inquiry ends without the need to consider subsequent steps. Step one asks whether the claimant is presently engaged in "substantial gainful activity." 20 C.F.R. §§ 404.1520(b), 416.920(b).
When the claimant's impairment neither meets nor equals one of the impairments listed in the regulations, the Commissioner must proceed to step four and evaluate the claimant's residual functional capacity ("RFC"). 20 C.F.R. §§ 404.1520(e), 416.920(e). Here, the Commissioner evaluates the physical and mental demands of the claimant's past relevant work to determine whether he can still perform that work. 20 C.F.R. §§ 404.1520(f), 416.920(f). If the claimant is able to perform his past relevant work, he is not disabled; if the opposite is true, then the burden shifts to the Commissioner at step five to show that the claimant can perform other work that exists in significant numbers in the national economy, taking into consideration the claimant's RFC, age, education, and work experience. 20 C.F.R. §§ 404.1520(g), 416.920(g); Tackett, 180 F.3d at 1099, 1100. If the Commissioner finds the claimant is unable to perform other work, then the claimant is found disabled and benefits may be awarded.
On March 11, 2013, the ALJ found:
AR at 21-33.
The only issue on appeal is whether this case should be remanded for a finding of disability, or whether it should be remanded for further proceedings. Dkt. 18; Dkt. 19.
The parties agree that the ALJ's decision should be reversed, but disagree as to the proper remedy thereafter: Plaintiff argues that further administrative proceedings would be useless and he should be found disabled by this Court. The Commissioner argues that conflicting evidence in the record creates serious doubts about whether Plaintiff is indeed disabled, and thus a finding of disability is not appropriate.
When an ALJ's decision fails to provide legally sufficient reasons for rejecting evidence, then the reviewing court may consider whether a finding of disability is appropriate. Treichler v. Comm'r of Social Sec. Admin., 775 F.3d 1090, 1099-1100 (9th Cir. 2014). A finding of disability can be appropriate if the record is fully developed, such that no further proceedings would be useful, and if the evidence as a whole leaves no serious doubt that the claimant is indeed disabled. Treichler, 775 F.3d at 1101-02.
In this case, the parties agree that the ALJ erred in assessing the opinion co-authored by treating providers Lawrence McCann, LICSW, and Christine Curry, M.D., as well as the opinion of consultative examining psychologist David Mashburn, Ph.D.
For example, the ALJ discounted the credibility of Plaintiff's subjective complaints for a number of reasons (AR at 26-29), none of which are challenged by Plaintiff. See Dkt. 18 at 6 (noting that the ALJ's adverse credibility determination is not disputed by Plaintiff). As such, it is not clear that any errors related to the ALJ's assessment of the McCann/Curry opinion or the Mashburn opinion are harmful. As explained supra, note 3, at least some of the ALJ's reasons for discounting the McCann/Curry opinion are valid, and the ALJ also reasoned that because the McCann/Curry opinion and the Mashburn opinion indicate a reliance on Plaintiff's non-credible self-reporting, those opinions should be discounted. AR at 30-31. Because the Plaintiff does not dispute the ALJ's adverse credibility finding, and the opinions themselves reflect a reliance on Plaintiff's self-reported symptoms (AR at 538-42 (describing the scant records reviewed, quoting Plaintiff's descriptions of symptoms verbatim), 558 (quoting Plaintiff's statements verbatim)), the ALJ provided at least some legitimate reasons to discount the disputed opinions to some extent.
The record does not unequivocally indicate that Plaintiff is disabled, in light of the ALJ's unchallenged credibility determination, the State agency psychological opinion (AR at 87-91), and the opinion of neuropsychological examiner Gina Formea, Ph.D. (AR at 592-601). Remand for a finding of disability would be therefore inappropriate.
Plaintiff argues that in the event that this case is remanded for additional proceedings, as the Court recommends, the ALJ be instructed on remand to consider whether Plaintiff is disabled before July 10, 2014, given that a subsequent decision of the Commissioner awarded him benefits beginning on that day. Dkt. 19 at 1-2.
The Commissioner argues that the relevant period at issue is the period between the protective filing date (December 12, 2011) and the ALJ's decision (March 11, 2013); she does not directly address Plaintiff's concern regarding the period at issue on remand. Dkt. 18 at 2, 7-8. The Commissioner's position regarding the relevant period before the ALJ on remand is inconsistent with her request for a de novo hearing: the ALJ on remand is not limited to considering only the period at issue in the first ALJ decision. See Hearings, Appeals and Litigation Law Manual I-2-8-18.A, available at http://ssa.gov/OP_Home/hallex/I-02/I-2-8-18.html (last visited March 5, 2015). As requested by Plaintiff, the ALJ on remand should be directed to consider the period between Plaintiff's protective filing date (December 12, 2011) and July 9, 2014.
Objections to this Report and Recommendation, if any, should be filed with the Clerk and served upon all parties to this suit by no later than
This Report and Recommendation is not an appealable order. Thus, a notice of appeal seeking review in the Court of Appeals for the Ninth Circuit should not be filed until the assigned District Judge acts on this Report and Recommendation.
The ALJ referenced Plaintiff's marijuana and alcohol use not to suggest that his use caused or contributed to his symptoms, but to note inconsistencies in the McCann/Curry opinion. The opinion states that Plaintiff's marijuana use does not "seem to increase his psychiatric disability, and perhaps it benefits him in the ways he describes." AR at 558. The ALJ noted that, rather than confirm its potentially beneficial purposes, Mr. McCann's treatment notes instead recommended that Plaintiff discontinue his use of marijuana. See AR at 396; see also AR at 600 (another psychological opinion that Plaintiff should discontinue marijuana use). This evidence supports discounting the McCann/Curry opinion. See Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005) (rejecting physician's opinion due to discrepancy or contradiction between opinion and the physician's own notes or observations is "a permissible determination within the ALJ's province").
The ALJ also noted that although the McCann/Curry opinion states that Plaintiff "does not use alcohol" (AR at 558), the record showed that Plaintiff disclosed a week after the McCann/Curry letter was written that he did use alcohol on an ongoing basis. See AR at 473. Dr. Curry wrote, in response to his disclosure: "Clearly under-reported substance abuse could complicate his underlying psychiatric condition and resolving head injury." Id. This evidence supports discounting the McCann/Curry opinion, because it shows that the providers rendered their opinion without access to accurate information regarding Plaintiff's alcohol use. See, e.g., Oviatt v. Comm'r of Social Sec. Admin., 303 Fed. Appx. 519, 522 (9th Cir. Dec. 16, 2008).
While the ALJ is, of course, free to conduct a DA&A analysis on remand, the Court remains unconvinced that further proceedings are necessary in order to conduct such an analysis in the context of evaluating the McCann/Curry opinion.