JAMES P. DONOHUE, Chief Magistrate Judge.
Plaintiff Lee R. Hottell appeals the final decision of the Commissioner of the Social Security Administration ("Commissioner") that denied his applications for Disability Insurance Benefits ("DIB") and Supplemental Security Income ("SSI") under Titles II and XVI of the Social Security Act, 42 U.S.C. §§ 401-33 and 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 a finding of disability.
Plaintiff is a 68-year-old man with an eleventh grade education and a prior certification as a real estate agent. Administrative Record ("AR") at 98, 594. His past work experience includes employment as a real estate agent, insurance salesperson, and retail clerk. AR at 93. Plaintiff was last gainfully employed in January 2001. Id.
On October 9, 2001, Plaintiff filed applications for SSI and DIB, alleging an onset date of July 19, 2001. AR at 83-85, 271-73. Plaintiff asserts that he is disabled due to gout, arthritis, allergies, and asthma. AR at 92.
The Commissioner denied Plaintiff's claim initially and on reconsideration. AR at 45-48, 51-53, 275-78, 280-82. On February 12, 2004, the ALJ issued a decision finding Plaintiff not disabled. AR at 18-25. After reviewing additional evidence, the Appeals Council denied Plaintiff's request for review. AR at 5-9. Plaintiff requested judicial review of the ALJ's decision, and the U.S. District Court granted the parties' stipulated motion to reverse the ALJ's decision and remand the case for further administrative proceedings. AR at 377-78.
The ALJ on remand again found Plaintiff not disabled, in a decision dated August 23, 2007. AR at 517-29. The Appeals Council granted Plaintiff's request for review of the ALJ's decision, and remanded the case for further administrative proceedings. AR at 530-33. The ALJ again found Plaintiff not disabled, in a decision dated June 30, 2009. AR at 366-76. Plaintiff sought judicial review, and the U.S. District Court reversed and remanded the case for further administrative proceedings. AR at 673-74, 686-710.
The ALJ again found Plaintiff not disabled, in a decision dated June 27, 2014. AR at 659-68. On September 28, 2014, Plaintiff timely filed the present action challenging the Commissioner's most recent 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. Hottell 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 June 27, 2014, the ALJ found:
AR at 662-668.
The only issue on appeal is whether this case should be remanded for further proceedings, or for a finding of disability. Dkt. 25 at 1-2.
The Commissioner agrees that the ALJ's decision is erroneous in (1) failing to properly assess Plaintiff's non-exertional limitations; (2) failing to address the opinion of treating physician Bruce Psaty, M.D.; (3) failing to properly reevaluate the opinion of examining physician Raymond West, M.D., and treating physician Wendell Fleet, M.D.; (4) failing to properly reevaluate the step-two findings as to Plaintiff's hypertension, back condition, and arthritis; (5) assessing Plaintiff's RFC as to limitations in standing and sitting, and as to postural and nonexertional limitations; and (6) discounting the credibility of Plaintiff's subjective testimony. Dkt. 25 at 1-2. The Commissioner's brief also identifies other errors that she contends should be resolved on remand. See Dkt. 25 at 11-12. The Commissioner argues that this matter should be remanded for further administrative proceedings, rather than for a finding of disability, because the record contains conflicting medical evidence and raises serious doubt as to whether Plaintiff is disabled.
In the Ninth Circuit, courts that find harmful legal error in an ALJ's decision may remand the matter to the agency for additional administrative proceedings, or remand for a finding of disability. See Harman v. Apfel, 211 F.3d 1172, 1177-78 (9th Cir. 2000). In Harman, the Ninth Circuit explained that if (1) a court determines that an ALJ has improperly rejected certain evidence, then a remand for a finding of disability is appropriate if (2) there are no "outstanding issues that must be resolved before a determination of disability can be made," and (3) "it is clear from the record that the ALJ would be required to find the claimant disabled were [the improperly rejected] evidence credited." 211 F.3d at 1178 (quoting Smolen v. Chater, 80 F.3d 1273, 1292 (9th Cir. 1996)). The Ninth Circuit clarified that a court should first credit the improperly rejected evidence as true, and from that vantage point determine whether "outstanding issues" exist and whether the record clearly supports a finding of disability. See Benecke v. Barnhart, 379 F.3d 587, 594 (9th Cir. 2004).
In July 2014, the Ninth Circuit issued an opinion in Garrison v. Colvin, which added an additional overlay to the credit-as-true rule: even if the requirements of the Harman rule have been satisfied, the court retains "flexibility" to remand for further proceedings "when the record as a whole creates serious doubt as to whether the claimant is, in fact, disabled within the meaning of the Social Security Act." 759 F.3d 995, 1021 (9th Cir. 2014). Garrison also explained that further proceedings are not warranted simply to allow an ALJ to reconsider evidence improperly rejected in a prior decision, because such a result would be unfair and fail to incentivize proper evaluation of the case in the ALJ's first decision. 759 F.3d at 1021-22.
Just a few months later, the Ninth Circuit issued two opinions explicating the credit-astrue rule, Treichler v. Comm'r of Social Sec. Admin., 775 F.3d 1090 (9th Cir. 2014), and Burrell v. Colvin, 775 F.3d 1133 (9th Cir. 2014). Treichler's presentation of the credit-as-true rule diverges from the framework outlined in Garrison.
The Ninth Circuit panel that decided Burrell one week later relied upon Garrison to focus on whether the "record as a whole creates serious doubt as to whether [the claimant] is, in fact, disabled." 775 F.3d at 1141. The Burrell court assumed but did not decide that the Harman steps had been satisfied, but found that evidence not discussed by the ALJ raised "serious doubts" as to the plaintiff's credibility, such that a finding of disability would be inappropriate. 775 F.3d at 1141-42.
In the absence of any further guidance
The opinions of Drs. Fleet, West, and Psaty are also not entirely consistent with the ALJ's RFC assessment, and are more restrictive in some ways, and thus do not create serious doubt that Plaintiff is disabled. See AR at 131, 268, 451-52, 481, 567, 571, 575, 579, 583, 785-88. Although the Commissioner identifies the ways in which the various providers described Plaintiff's limitations differently (Dkt. 25 at 9), she cites no opinion that is consistent with the ALJ's RFC assessment or that would support a finding that Plaintiff could perform his past relevant work. Because there is no conflict in the medical opinion evidence regarding whether Plaintiff can perform his past relevant work — because all of the medical opinions indicate that Plaintiff's limitations would preclude his performance of that work in some respect — and because the vocational expert testified that Plaintiff's limited education and "extremely limited" computer skills would preclude his ability to transition to other work (AR at 873, 875-78), the Commissioner has not identified any evidence that demonstrates a material conflict or creates "serious doubts" as to whether Plaintiff is disabled.
For the foregoing reasons, the Court recommends that this case be REVERSED and REMANDED to the Commissioner for further proceedings not inconsistent with the Court's instructions. A proposed order accompanies this Report and Recommendation.
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.