NOT FOR PUBLICATION                           FILED
                    UNITED STATES COURT OF APPEALS                         MAY 31 2018
                                                                      MOLLY C. DWYER, CLERK
                                                                       U.S. COURT OF APPEALS
                           FOR THE NINTH CIRCUIT

PIXIE MECHELLE MARIE FLORES,                    No.    17-15753

                Plaintiff-Appellant,            D.C. No. 2:15-cv-02676-KJN

 v.
                                                MEMORANDUM*
NANCY A. BERRYHILL, Acting
Commissioner of Social Security,

                Defendant-Appellee.

                  Appeal from the United States District Court
                      for the Eastern District of California
                 Kendall J. Newman, Magistrate Judge, Presiding

                             Submitted May 29, 2018**

Before:      LEAVY, TROTT, and SILVERMAN, Circuit Judges

      Pixie Mechelle Marie Flores appeals the district court’s judgment affirming

the Commissioner of Social Security’s denial of Flores’s application for

supplemental security income under Title XVI of the Social Security Act. We

review de novo, Garrison v. Colvin, 

, 1010 (9th Cir. 2014), and we


      *
             This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
      **
             The panel unanimously concludes this case is suitable for decision
without oral argument. See Fed. R. App. P. 34(a)(2).
reverse and remand.

      When called upon to “[e]xplain in narrative form the sustained concentration

and persistence limitations” he observed in connection with Flores’s mental

residual functional capacity (“MRFC”), Dr. P.M. Balson responded as follows:

“Able to carry out one- and two-step instructions with adequate concentration,

persistence and pace over a normal workday/workweek.” E.C.R. Vol II, page 87;

Exhibit 3A, page 12. Because this answer was in response to a question about her

MRFC “limitations,” we read this response as limiting Flores to work requiring no

more than one- or two-step instructions.

      Because the ALJ specifically gave “substantial weight” to Dr. Balson’s

opinion, the ALJ was required either (1) to include that limitation in Flores’s

Residual Functional Capacity (RFC), or (2) to explain why he did not. See

Robbins v. Soc. Sec. Admin., 

, 883 (9th Cir. 2006) (requiring the ALJ

to account for all relevant evidence in assessing the RFC). The ALJ did not

adequately take this step. Compare Rounds v. Comm’r, Soc. Sec. Admin., 

, 1002-03 (9th Cir. 2015) (concluding that jobs requiring level 2 reasoning are

inconsistent with a limitation to one- or two-step instructions), with Zavalin v.

Colvin, 

, 847 (9th Cir. 2015) (limitation to “simple, repetitive tasks”

is consistent with level 2 reasoning). The result of this error was that the

occupations cited by the vocational expert (“VE”) and accepted by the ALJ did not


                                           2                                      17-15753
fit within the MRFC limitation described by Dr. Balson. We note that the ALJ,

who rendered his Decision on April 25, 2014, did not have the benefit of our

subsequent clarifying opinions in Rounds and Zavalin published in 2015.

      Accordingly, the ALJ’s error in failing either to include one- or two-step

instructions in the RFC or to explain why he did not could not be harmless because

the ALJ relied on VE testimony that Flores could perform jobs requiring level 2

reasoning without obtaining additional testimony as to whether those jobs were

consistent with a more restrictive limitation. See 

(explaining that a limitation to one- to two-step instructions is inconsistent with

jobs requiring level 2 reasoning as listed in the Dictionary of Occupational Titles).

      If Flores is limited to one- or two-step instructions, the ALJ must obtain

additional VE testimony as to any conflict with the Dictionary of Occupational

Titles before relying on VE testimony as to jobs requiring level 2 reasoning. See

additional evidence in the record could support the ALJ’s

exclusion of one- or two-step instructions from the RFC, we are constrained to

review only the reasoning provided by the ALJ. See Stout v. Comm’r, Soc. Sec.

Admin., 

, 1054 (9th Cir. 2006).

      We do not consider any additional issues that Flores fails to raise

specifically and distinctly in her opening brief. See Carmickle v. Comm’r, Soc.


                                           3                                    17-15753
Sec. Admin, 

, 1161 n.2 (9th Cir. 2008).

      REVERSED and REMANDED.




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