DAVID H. BARTICK, Magistrate Judge.
On March 16, 2015, Plaintiff John W. Wyskiver ("Plaintiff") filed a complaint pursuant to 42 U.S.C. § 405(g) of the Social Security Act requesting judicial review of the final decision of the Commissioner of the Social Security Administration ("Commissioner" or "Defendant") regarding the denial of Plaintiff's claim for Supplemental Security Income. (ECF No. 1.) On August 7, 2015, Defendant filed an answer and the administrative record ("A.R."). (ECF Nos. 12, 13.) On October 1, 2015, Plaintiff filed a motion for summary judgment seeking reversal of Defendant's denial of benefits and remand for further administrative proceedings. (ECF No. 15.) Plaintiff contends the Administrative Law Judge ("ALJ") committed legal error by failing to satisfy the burden at step 5 of the sequential evaluation process when the ALJ determined there are a significant number of jobs that Plaintiff can perform in the national economy. On November 3, 2015, Defendant filed a cross-motion for summary judgment and an opposition to Plaintiff's motion for summary judgment. (ECF Nos. 16, 17.) On November 4, 2015, Plaintiff filed a reply and response to Defendant's filings. (ECF No. 18.) The Court took the parties' motions under submission on November 25, 2015. (ECF No. 19.)
For the reasons set forth herein, after careful consideration of the parties' motions, the administrative record, and the applicable law, the Court hereby
To qualify for disability benefits under the Social Security Act, a claimant must show two things: (1) he suffers from a medically determinable physical or mental impairment that can be expected to last for a continuous period of twelve months or more, or would result in death; and (2) the impairment renders the claimant incapable of performing the work he previously performed or any other substantial gainful employment which exists in the national economy. 42 U.S.C. §§ 423(d)(1)(A), 423(d)(2)(A). A claimant must meet both requirements to be classified as "disabled." Id.
The Commissioner makes the assessment of disability through a five-step sequential evaluation process. If an applicant is found to be "disabled" or "not disabled" at any step, there is no need to proceed further. Schneider v. Comm'r of the Soc. Sec. Admin., 223 F.3d 968, 974 (9th Cir. 2000). The five steps are:
Bustamante v. Massanari, 262 F.3d 949, 954 (9th Cir. 2001) (citing Tackett v. Apfel, 180 F.3d 1094, 1098-99 (9th Cir. 1999)).
Although the ALJ must assist the claimant in developing a record, the claimant bears the burden of proof during the first four steps, while the Commissioner bears the burden of proof at the fifth step. Tackett, 180 F.3d at 1098 & n.3 (citing 20 C.F.R. § 404.1512(d)). At step five, the Commissioner must "show that the claimant can perform some other work that exists in `significant numbers' in the national economy, taking into consideration the claimant's residual functional capacity, age, education, and work experience." Id. at 1100 (quoting 20 C.F.R. § 404.1560(b)(3)).
The Social Security Act allows unsuccessful claimants to seek judicial review of the Commissioner's final agency decision. 42 U.S.C. §§ 405(g), 1383(c)(3). The scope of judicial review is limited. The Court must affirm the Commissioner's decision unless it "is not supported by substantial evidence or it is based upon legal error." Tidwell v. Apfel, 161 F.3d 599, 601 (9th Cir. 1999) (citing Flaten v. Sec'y of Health & Human Servs., 44 F.3d 599, 601 (9th Cir. 1995)); see also Bayliss v. Barnhart, 427 F.3d 1211, 1214 n.1 (9th Cir. 2005) ("We may reverse the ALJ's decision to deny benefits only if it is based upon legal error or is not supported by substantial evidence." (citing Tidwell, 161 F.3d at 601)).
"Substantial evidence is more than a mere scintilla but less than a preponderance." Tidwell, 161 F.3d at 601 (citing Jamerson v. Chater, 112 F.3d 1064, 1066 (9th Cir. 1997)). "Substantial evidence is relevant evidence which, considering the record as a whole, a reasonable person might accept as adequate to support a conclusion." Flaten, 44 F.3d at 1457 (citing Tylitzki v. Shalala, 999 F.2d 1411, 1413 (9th Cir. 1985)). In considering the record as a whole, the Court must weigh both the evidence that supports and detracts from the ALJ's conclusions. Jones v. Heckler, 760 F.2d 993, 995 (9th Cir. 1985) (citing Vidal v. Harris, 637 F.2d 710, 712 (9th Cir. 1981); Day v. Weinberger, 522 F.2d 1154, 1156 (9th Cir. 1975)). The Court must uphold the denial of benefits if the evidence is susceptible to more than one rational interpretation, one of which supports the ALJ's decision. Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005) ("Where evidence is susceptible to more than one rational interpretation, it is the ALJ's conclusion that must be upheld." (citing Andrews v. Shalala, 53 F.3d 1035, 1039-40 (9th Cir. 1995))); Flaten, 44 F.3d at 1457 ("If the evidence can reasonably support either affirming or reversing the Secretary's conclusion, the court may not substitute its judgment for that of the Secretary." (citing Richardson v. Perales, 402 U.S. 389, 401 (1971)); Matney v. Sullivan, 981 F.2d 1016, 1019 (9th Cir. 1992)). However, even if the Court finds that substantial evidence supports the ALJ's conclusions, the Court must set aside the decision if the ALJ failed to apply the proper legal standards in weighing the evidence and reaching a conclusion. Benitez v. Califano, 573 F.2d 653, 655 (9th Cir. 1978) (quoting Flake v. Gardner, 399 F.2d 532, 540 (9th Cir. 1968)).
Section 405(g) permits the Court to enter a judgment affirming, modifying or reversing the Commissioner's decision. 42 U.S.C. § 405(g). The matter may also be remanded to the Social Security Administration for further proceedings. Id.
On September 20, 2011, Plaintiff protectively filed an application for Supplemental Security Income alleging disability beginning January 14, 2010. (A.R. at 14, 132.) Plaintiff alleged in his application that he suffered from post-traumatic stress disorder ("PTSD") and anxiety due to a December 13, 2006 home invasion robbery, nightmares, back injuries including a herniated disc, spinal stenosis causing numbness in his right leg, and human immunodeficiency virus ("HIV"). (Id. at 132.) Plaintiff alleges he became disabled on January 14, 2010. (Id.) Prior to the onset of his disability, Plaintiff worked as a funeral home director. (Id. at 80.)
After a December 29, 2011 denial at the initial determination (id. at 169-73) and a June 7, 2012 denial on reconsideration (id. at 183-87), Plaintiff filed a timely request for hearing before an ALJ. (Id. at 188.) Following an April 15, 2013 administrative hearing at which Plaintiff, a medical expert, and a vocational expert testified (id. at 77-115), ALJ James Carletti denied Plaintiff's application on June 26, 2013. (Id. at 14-23.)
At step one of the sequential evaluation process, the ALJ indicated that Plaintiff "has not engaged in substantial gainful activity since September 20, 2011, the application date." (Id. at 16.) At step two, the ALJ determined that Plaintiff suffers from the following severe impairments: HIV, degenerative disc disease of the lumbar spine, and PTSD. (Id.) At step three, the ALJ concluded that Plaintiff "does not have an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments." (Id.) Before conducting step four of the analysis, the ALJ noted that Plaintiff "has the residual functional capacity ["RFC"] to perform the full range of light work. [Plaintiff] can perform simple repetitive tasks, non-public, minimum contact with supervisors secondary to post-traumatic stress disorder, herniated disc disease of the lumbar spine and symptoms from the HIV virus." (Id. at 17.) At step four, the ALJ determined that Plaintiff "is unable to perform past relevant work as a funeral home director." (Id. at 21.) At the final step, by relying on the Medical-Vocational Guidelines, 20 C.F.R. pt. 404, subpt. P, app. 2, the ALJ found that, considering Plaintiff's age, education, work experience, and RFC, "there are jobs that exist in significant numbers in the national economy that [Plaintiff] can perform." (Id. at 22.) As a result, the ALJ concluded Plaintiff is not disabled as defined in the Social Security Act. (Id. at 23.)
Plaintiff requested review by the Appeals Counsel. The Commissioner's decision became final on January 9, 2015, when the Appeals Council denied Plaintiff's request for review of the ALJ's June 26, 2013 decision. (Id. at 1-4.)
The sole issue here is whether or not the ALJ committed legal error at step five of the sequential evaluation process.
Plaintiff contends the ALJ erred by not satisfying the burden at step five of the sequential evaluation process. (ECF No. 15-1 at 3:15-7:22.) Specifically, Plaintiff contends the ALJ improperly relied on the testimony of the vocational expert when arriving at the conclusion that there are jobs that exist in significant numbers in the national economy that Plaintiff can perform. Plaintiff further contends that because the vocational expert, who had testified that Plaintiff could perform work as a "production inspector" and "assembler," had failed to provide the Dictionary of Occupational Titles ("DOT") numbers associated with those job descriptions, the ALJ's reliance on the vocational expert's testimony was legally erroneous in violation of Social Security Ruling 00-4p.
In the cross-motion for summary judgment, the Commissioner contends the ALJ properly relied on the Medical-Vocational Guidelines instead of the vocational expert's testimony. (ECF No. 16-1 at 3:20-5:5.)
"Once a claimant has established that he or she suffers from a severe impairment that prevents the claimant from doing any work he or she has done in the past, the claimant has made a prima facie showing of disability." Tackett, 180 F.3d at 1100. If the claimant successfully makes a prima facie showing of disability, at step five of the sequential evaluation process "the burden shifts to the Commissioner to show that the claimant can perform some other work that exists in `significant numbers' in the national economy, taking into consideration the claimant's residual functional capacity, age, education, and work experience." Id. (quoting 20 C.F.R. § 404.1560(b)(3)). "`[W]ork which exists in the national economy' means work which exists in significant numbers either in the region where [the claimant] lives or in several regions of the country." 42 U.S.C. § 423(d)(2)(A).
Tackett, 180 F.3d at 1099.
"The ALJ may meet his burden at step five by asking a vocational expert a hypothetical question based on medical assumptions supported by substantial evidence in the record and reflecting all the claimant's limitations, both physical and mental, supported by the record." Hill v. Astrue, 698 F.3d 1153, 1161 (9th Cir. 2012) (citing Valentine v. Comm'r. of Soc. Sec. Admin., 574 F.3d 685, 690 (9th Cir. 2009); Thomas v. Barnhart, 278 F.3d 947, 956 (9th Cir. 2002); Desrosiers v. Sec'y of Health & Human Servs., 846 F.2d 573, 578 (9th Cir. 1988) (Pregerson, J., concurring)). "The ALJ's depiction of the claimant's disability must be accurate, detailed, and supported by the medical record." Desrosiers, 846 F.2d at 578 (Pregerson, J., concurring) (citing Gamer v. Sec'y of Health & Human Servs., 815 F.2d 1275, 1279-80 (9th Cir. 1987)). "The vocational expert is then called upon to `translate[] factual scenarios in to realistic job market probabilities' by testifying, on the record, to what kinds of jobs the claimant still can perform and whether there is a sufficient number of those jobs available in the claimant's region or in several other regions of the economy to support a finding of `not disabled.'" Desrosiers, 846 F.2d at 578 (Pregerson, J., concurring) (quoting Gamer, 815 F.2d at 1280).
Alternatively, the ALJ may satisfy the step five burden of showing that a claimant can perform work by relying on the Medical-Vocational Guidelines, commonly referred to as "the grids." See 20 C.F.R. pt. 404, subpt. P, app. 2; Lockwood v. Comm'r Soc. Sec. Admin., 616 F.3d 1068, 1071 (9th Cir. 2010) (citing Tackett, 180 F.3d at 1101). The grids "present, in table form, a short-hand method for determining the availability and numbers of suitable jobs for a claimant." Lounsburry v. Barnhart, 468 F.3d 1111, 1114 (9th Cir. 2006) (citing Tackett, 180 F.3d at 1101). The grids categorize jobs based on exertional or physical strength requirements.
When a claimant suffers only exertional limitations, the ALJ must use the grids. Lounsburry, 468 F.3d at 1115; 20 C.F.R. § 404.1569a (b). On the other hand, when a claimant has only non-exertional limitations
Desrosiers, 846 F.2d at 577 (citations omitted).
There are "strict limits" on when the Commissioner may rely on the grids. Desrosiers, 846 F.2d at 578 (Pregerson, J., concurring). An ALJ may substitute the grids for vocational expert testimony only when the grids "completely and accurately represent a claimant's limitations." Tackett, 180 F.3d at 1101. In other words, for the grids to apply, "a claimant must be able to perform the full range of jobs in a given [exertional] category." Id.; see also Burkhart, 856 F.2d at 1340 ("[T]he grids will be inappropriate where the predicate for using the grids — the ability to perform a full range of either medium, light or sedentary activities — is not present."). Because "the grids are predicated on a claimant suffering from an impairment which manifests itself by limitations in meeting the strength requirements of jobs (`exertional limitations')[,] they may not be fully applicable" when the claimant has non-exertional limitations. Lounsburry, 468 F.3d at 1115 (citing 20 C.F.R. pt. 404, subpt. P, app. 2, rule 200.00(e)). Mere allegations of a non-exertional limitation, however, do not preclude application of the grids. Rather, the non-exertional limitations must be "`sufficiently severe' so as to significantly limit the range of work permitted by the claimant's exertional limitations.'" Burkhart, 856 F.2d at 1340 (quoting Desrosiers, 846 F.2d at 577; see also Polny v. Bowen, 864 F.2d 661, 663-64 (9th Cir. 1988) ("[W]here . . . a claimant's nonexertional limitations are in themselves enough to limit his range of work, the grids do not apply, and the testimony of a vocational expert is required to identify specific jobs within the claimant's abilities.").
In Hargrove v. Astrue, No. CV 09-8553-MLG, 2010 U.S. Dist. LEXIS 42044 (C.D. Cal. April 29, 2010), the court concluded that the ALJ's reliance on the grids was inappropriate where the ALJ determined the claimant could perform medium work but, due to the claimant's mental condition (i.e., bipolar disorder), the claimant was limited to "simple routine work tasks" and "limited contact with co-workers, supervisors and the general public." Id. at *8. The court reasoned:
Hargrove, 2010 U.S. Dist. LEXIS 42044, at *8-9.
Similarly, in Castro v. Astrue, No. EDCV 09-1966-MLG, 2010 U.S. Dist. LEXIS 49970 (E.D. Cal. May 19, 2010), the ALJ concluded that the medical evidence established the claimant suffered from the severe impairments of psychotic disorder and substance abuse, and the claimant retained the RFC to perform a full range of work at all exertional levels but with the non-exertional limitation of performing simple, repetitive tasks. Id. at *8. After finding that the claimant had no past relevant work, the ALJ relied on the grids and concluded there existed jobs in significant numbers in the national economy that the claimant could perform and, as a result, a finding of "not disabled" was warranted. Id. The court reversed the Commissioner's decision and remanded for further administrative proceedings because "the ALJ erred by neglecting to obtain vocational expert testimony on the issue of whether there existed work in the national economy that [the claimant] could perform and instead relying solely on the grids." Id. at *5-6. The court reasoned that the ALJ's reliance on the grids was improper because, "while [the claimant] had an RFC to perform a full range of work at all exertional levels, her psychiatric impairments limited her to `simple, repetitive tasks,'" and "[t]he grids do not completely describe these nonexertional limitations, which would preclude her from performing the full range of work at any exertional level. As such, it was improper for the ALJ to rely on the grids at step five rather than taking vocational expert testimony." Id. at *8 (citing Tackett, 180 F.3d at 1103-04; Polny, 864 F.2d at 663-64; Burkhart, 856 F.2d at 1341 & n.4).
In the present case, the ALJ made the same error as in Hargrove and Castro. Specifically, the ALJ initially found the medical evidence established that Plaintiff suffers from the following severe impairments: HIV, degenerative disc disease of the lumbar spine, and PTSD. (A.R. at 16.) The ALJ then found that Plaintiff retained the RFC "to perform the full range of light work" with the following non-exertional limitations: "simple repetitive tasks non-public, [with] minimum contact with supervisors secondary to [PTSD], herniated disc disease of the lumbar spine and symptoms from the HIV virus." (Id. at 17.) However, these non-exertional limitations would preclude Plaintiff from performing the full range of light work. Therefore, the grids are inapplicable because they do not "completely and accurately represent [Plaintiff's] limitations." Tackett, 180 F.3d at 1101; see also Burkhart, 856 F.2d at 1340 ("[T]he grids will be inappropriate where the predicate for using the grids — the ability to perform a full range of either medium, light or sedentary activities — is not present."); Jones, 760 F.2d at 998 ("The very fact that the ALJ chose to call a vocational expert indicates his implicit assumption that [claimant's] claim could not be decided by grids alone.").
The Commissioner argues that "the ALJ permissibly concluded that Plaintiff's non-exertional limitations were not sufficiently severe to require vocational expert testimony." (ECF No. 16-1 at 4:2-3.) The Commissioner cites to Razey v. Heckler, 785 F.2d 1426 (9th Cir. 1986), and Odle v. Heckler, 707 F.2d 439, 440 (9th Cir. 1983), in support of the contention that "the ALJ reasonably found that Plaintiff's limitations in social interactions and to simple, repetitive (i.e. unskilled work) did not significantly affect his vocational capabilities." (ECF No. 16-1 at 4:20-22.) However, both cases serve to reinforce that the ALJ's reliance of the grids was improper. In Razey, the Ninth Circuit recognized that "[t]he regulations do not . . . preclude the use of the grids when a nonexertional limitation is alleged. They explicitly provide for the evaluation of claimants asserting both exertional and nonexertional limitations." 785 F.2d at 1430 (citing 20 C.F.R. pt. 404, subpt. P, app. 2, rule 200.00(e)). However, in that case the Appeals Council found the medical evidence was insufficient to support the claimant's assertion of non-exertional limitations (i.e., that he suffered a reduced pain threshold due to his psychiatric disorder) and, thus, the Appeals Council properly concluded that the claimant's alleged "nonexertional limitations did not so affect [his] residual capacity that the use of the grids was inappropriate." Id. Similarly, in Odle, the claimant's alleged non-exertional limitations (i.e., deafness, dizziness, and drug dependence) "were found not to significantly limit [the claimant's] exertional capabilities." 707 F.2d at 440.
Here, in contrast, and contrary to the Commissioner's assertion, the ALJ did not conclude that Plaintiff's non-exertional limitations do not significantly limit his vocational capabilities. Rather, the non-exertional limitations, which resulted from Plaintiff's severe impairments of PTSD, degenerative disc disease, and HIV, limit Plaintiff to simple repetitive tasks in a non-public setting with minimum contact with supervisors. These findings are inconsistent with the ability to perform a full range of light work. Accordingly, the ALJ's reliance on the grids was insufficient to meet the Commissioner's burden at step five. The ALJ should have instead relied on the testimony of a vocational expert. See Aukland v. Massanari, 257 F.3d 1033, 1037 (9th Cir. 2001) (ALJ required to obtain testimony from a vocational expert where the claimant suffered from severe back pain amounting to a "significant non-exertional limitation."). These errors warrant remand for further administrative proceedings.
The Court has "discretion to remand for further proceedings or to award benefits." Marcia v. Sullivan, 900 F.2d 172, 176 (9th Cir. 1990) (citing Winans v. Bowen 853 F.2d 643, 647 (9th Cir. 1987)). Remand is the appropriate remedy "[i]f additional proceedings can remedy defects in the original administrative proceeding." Id. at 176 (quoting Lewin v. Schweiker, 654 F.2d 631, 635 (9th Cir. 1981)).
Here, the ALJ committed legal error when he relied on the grids rather than on the testimony of a vocational expert at step five of the sequential evaluation process. Therefore, remand is appropriate. On remand, the ALJ cannot solely rely on the grids to complete step five of the sequential analysis. See Tackett, 180 F.3d at 1101-02 (citing Desrosiers, 846 F.2d at 577 (Pregerson, J., concurring)). Additionally, the ALJ must inquire about the DOT numbers before relying on the vocational expert's testimony. See Massachi, 486 F.3d at 1153.
After a thorough review of the record in this matter and based on the foregoing analysis, this Court
This Report and Recommendation of the undersigned Magistrate Judge is submitted to the United States District Judge assigned to this case, pursuant to the provisions of 28 U.S.C. § 636(b)(1) and Civil Local Rule 72.1(d).
IT IS HEREBY ORDERED that
IT IS FURTHER ORDERED that any reply to the objections shall be filed and served