EDMUND F. BRENNAN, Magistrate Judge.
Plaintiff seeks judicial review of a final decision of the Commissioner of Social Security ("Commissioner") denying her applications for Child Insurance Benefits ("CIB") and for Supplemental Security Income ("SSI") under Titles II and XVI of the Social Security Act. The parties' cross-motions for summary judgment are pending. For the reasons discussed below, the court grants plaintiff's motion and remands the matter for further proceedings.
Plaintiff protectively filed an application for SSI and CIB on June 9, 2010, alleging she had been disabled since March 12, 2008. Administrative Record ("AR") 120-126. Plaintiff's application was initially denied on August 25, 2010, and upon reconsideration on February 2, 2011. Id. at 70-74, 80-89. On November 10, 2011, a hearing was held before administrative law judge ("ALJ") David Blume. Id. at 44-64. Plaintiff was represented by counsel at the hearing, at which she and a vocational expert testified. Id.
On December 30, 2011, the ALJ issued a decision finding that plaintiff was not disabled under sections 223(d) and 1614(a)(3)(A) of the act.
Id. at 13-19.
Plaintiff requested that the Appeals Council review the ALJ's decision, and on October 24, 2012, the Appeals Council denied review, leaving the ALJ's decision as the final decision of the Commissioner. Id. at 1-3.
The Commissioner's decision that a claimant is not disabled will be upheld if the findings of fact are supported by substantial evidence in the record and the proper legal standards were applied. Schneider v. Comm'r of the Soc. Sec. Admin., 223 F.3d 968, 973 (9th Cir. 2000); Morgan v. Comm'r of the Soc. Sec. Admin., 169 F.3d 595, 599 (9th Cir. 1999); Tackett v. Apfel, 180 F.3d 1094, 1097 (9th Cir. 1999).
The findings of the Commissioner as to any fact, if supported by substantial evidence, are conclusive. See Miller v. Heckler, 770 F.2d 845, 847 (9th Cir. 1985). Substantial evidence is more than a mere scintilla, but less than a preponderance. Saelee v. Chater, 94 F.3d 520, 521 (9th Cir. 1996). "`It means such evidence as a reasonable mind might accept as adequate to support a conclusion.'" Richardson v. Perales, 402 U.S. 389, 401 (1971) (quoting Consol. Edison Co. v. N.L.R.B., 305 U.S. 197, 229 (1938)).
"The ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and resolving ambiguities." Edlund v. Massanari, 253 F.3d 1152, 1156 (9th Cir. 2001) (citations omitted). "Where the evidence is susceptible to more than one rational interpretation, one of which supports the ALJ's decision, the ALJ's conclusion must be upheld." Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002).
Plaintiff argues that she satisfies the "paragraph C" criteria for listing 12.05 — mental retardation. The listing "refers to significantly subaverage general intellectual functioning with deficits in adaptive functioning initially manifested during the developmental period; i.e., the evidence demonstrates or supports onset of the impairment before age 22." The listing can be met by demonstrating "[a] valid verbal, performance, or full scale IQ of 60 through 70 and a physical or other mental impairment imposing an additional and significant work-related limitation of function." Thus, plaintiff would meet the listing if (1) she has a valid IQ score between 60 and 70, (2) the evidence demonstrates or supports onset of the impairment before age 22, and (3) she has a physical or other mental impairment imposing an additional and significant work-related limitation of function. The ALJ determined that plaintiff did not meet the "paragraph C" criteria for listing 12.05 because she "does not have a valid verbal, performance, or full scale IQ of 60 through 70 and a physical or other mental impairment imposing an additional and significant work-related limitation of function." AR 16.
The Commissioner concedes that plaintiff does have impairments imposing an additional and significant work-related limitation of function, and that she actually satisfies the third requirement of listing 12.05(C). ECF No. 18 at 10. Therefore, the court need only decide whether plaintiff satisfies the first two requirements of the listing, that is, whether she has a valid IQ score between 60 and 70, and whether the evidence demonstrates or supports onset of the impairment before age 22.
The ALJ did not expressly find that the IQ score was invalid, but suggested that the score was inconsistent with plaintiff's work history, and gave little weight to Dr. Regazzi's findings:
AR 15, 18-19 (citations to record omitted). While the ALJ plainly rejected Dr. Regazzi's medical opinions as to the nature of plaintiff's impairments, it is not so clear whether he also disregarded the IQ score as invalid, which is the threshold question here. See Thresher v. Astrue, 283 F. App'x 473, 475 & n.6 (9th Cir. 2008) ("while the ALJ pointed to the level of [plaintiff's] functioning, she did not find that the [IQ] score was invalid, and the listing does not speak to functioning — it speaks only to the IQ score itself").
The ALJ's brief explanation as to why plaintiff does not satisfy the criteria of 12.05(C) could be interpreted as rejecting the IQ score as invalid, as it plainly states "claimant does not have a valid verbal, performance, or full scale IQ of 60 through 70 and a physical or other mental impairment imposing an additional and significant work-related limitation of function." AR 16. Again, however, the ALJ's decision does not unequivocally state that the IQ score was invalid. In the reasoning that followed, the ALJ was silent as to the IQ score and focused solely on plaintiff's level of functioning. See id. (noting that plaintiff's "restrictions on the activities of daily living and social functioning are mild, restrictions on her capacity to concentration, persistence and pace are moderate" and her impairments "are not significantly intense, persistent nor limiting so as to impose substantial work-related limitations of function"). The court cannot assume, nor would it have been proper, for the ALJ to silently disregard the low IQ score because of other evidence in the record regarding plaintiff's level of functioning. See Gomez v. Astrue, 695 F.Supp.2d 1049, 1057 (C.D. Cal. 2010) ("an ALJ should not find that `other evidence' renders an IQ invalid without explaining how that evidence impacts the validity of the score"); id. ("the ALJ cannot disregard a valid IQ simply because other evidence in the record could support a finding of nondisability in the absence of such a score").
The ALJ's decision on the issue is made even more ambiguous by his implicit acceptance of the IQ score as valid in finding that plaintiff had not met the "paragraph B" criteria of listing 12.05:
AR 16; see also id. at 13 (agreeing that plaintiff has borderline intellectual functioning).
For these reasons, the record is ambiguous as to whether plaintiff has a valid verbal, performance, or full scale IQ of 60 through 70 and it was error to not properly evaluate whether plaintiff's mental impairment satisfied the "paragraph C" criteria of section 12.05. See Gomez, 695 F. Supp. 2d at 1061. Accordingly, remand is appropriate so that the ALJ may properly consider whether plaintiff satisfied the requirements of Listing 12.05(C). See Thresher, 283 F. App'x 473, 475 (remanding case so that the ALJ could consider whether plaintiff met Listing 12.05(C) and noting it was unclear "whether the ALJ came to grips with the specific requirements of the section when she issued her decision"); Flores v. Astrue, No. CV 11-10714-MAN, 2013 U.S. Dist. LEXIS 5367 (C.D. Cal. Jan. 11, 2013) (remanding case where ALJ's decision provided "absolutely no guidance as to how the ALJ wrestled with these [12.05(C)] issues").
Based on the foregoing, it is hereby ORDERED that:
Lester v. Chater, 81 F.3d 821, 828 n.5 (9th Cir. 1995).
The claimant bears the burden of proof in the first four steps of the sequential evaluation process. Yuckert, 482 U.S. at 146 n.5. The Commissioner bears the burden if the sequential evaluation process proceeds to step five. Id.
A claimant may be entitled to Disabled Child's Insurance Benefits "on the earnings record of an insured person who is entitled to old-age or disability benefits or who has died if — (1) You are the insured person's child, based upon a relationship described in §§ 404.355 through 404.359; (2) You are dependent on the insured, as defined in §§ 404.360 through 404.365; (3) You apply; (4) You are unmarried; and (5) You are under age 18; you are 18 years old or older and have a disability that began before you became 22 years old; or you are 18 years or older and qualify for benefits as a full-time student as described in § 404.367." 20 C.F.R. § 404.350(a).