MICHAEL H. SIMON, District Judge.
Maelynn P. ("Plaintiff") seeks judicial review of the final decision of the Commissioner of the Social Security Administration ("Commissioner") denying her application for Disability Insurance Benefits ("DIB"). Because the Commissioner's decision was not based on the proper legal standards and the findings were not supported by substantial evidence, the decision is REVERSED and this case REMANDED for further proceedings.
The District Court must affirm the Commissioner's decision if it is based on the proper legal standards and the findings are supported by substantial evidence. 42 U.S.C. § 405(g); Molina v. Astrue, 673 F.3d 1104, 1110 (9th Cir. 2012). Substantial evidence is "such relevant evidence as a reasonable mind might accept as adequate to support a conclusion" and is more than a "mere scintilla" of the evidence but less than a preponderance. Id. at 1110-11 (quotation omitted). The Court must uphold the ALJ's findings if they "are supported by inferences reasonably drawn from the record[,]" even if the evidence is susceptible to multiple rational interpretations. Id. at 1110. The Court may not substitute its judgment for that of the Commissioner. Batson v. Comm'r of the Soc. Sec. Admin., 359 F.3d 1190, 1193 (9th Cir. 2004). "[A] reviewing court must consider the entire record as a whole and may not affirm simply by isolating a specific quantum of supporting evidence." Orn v. Astrue, 495 F.3d 625, 630 (9th Cir. 2007) (quotation omitted).
Plaintiff filed her application for SSI on June 4, 2013, alleging disability as of January 1, 2010.
Born in January 1966, Plaintiff was 43 years old on the initial alleged disability onset date and 49 years old at the time of the administrative hearing. AR 71. She is a high school graduate. AR 39-40, 189. Plaintiff alleges disability due to: spinal disc bulging and lower back pain, posttraumatic stress disorder ("PTSD"), shoulder pain, chronic headaches, panic attacks, anxiety, bipolar disorder, attention deficit disorder ("ADD"), and depression. AR 188.
A claimant is disabled if he or she is unable to "engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which . . . has lasted or can be expected to last for a continuous period of not less than 12 months[.]" 42 U.S.C. § 432(d)(1)(A). "Social Security Regulations set out a five-step sequential process for determining whether an applicant is disabled within the meaning of the Social Security Act." Keyser v. Comm'r Soc. Sec. Admin., 648 F.3d 721, 724 (9th Cir. 2011); see also 20 C.F.R. § 404.1520; Bowen v. Yuckert, 482 U.S. 137, 140 (1987). Each step is potentially dispositive. 20 C.F.R. § 404.1520(a)(4). The five-step sequential process asks the following series of questions:
See also Bustamante v. Massanari, 262 F.3d 949, 954 (9th Cir. 2001).
The claimant bears the burden of proof at steps one through four. Id. at 953; see also Tackett v. Apfel, 180 F.3d 1094, 1100 (9th Cir. 1999); Yuckert, 482 U.S. at 140-41. The Commissioner bears the burden of proof at step five. Tackett, 180 F.3d at 1100. At step five, the Commissioner must show that the claimant can perform 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.; see also 20 C.F.R. § 404.1566 (describing "work which exists in the national economy"). If the Commissioner fails to meet this burden, the claimant is disabled. 20 C.F.R. § 404.1520(a)(4)(v). If, however, the Commissioner proves that the claimant is able to perform other work existing in significant numbers in the national economy, the claimant is not disabled. Bustamante, 262 F.3d at 953-54; Tackett, 180 F.3d at 1099.
The ALJ performed the sequential analysis. At step one, the ALJ found Plaintiff had not engaged in substantial gainful activity since the amended alleged onset date, January 1, 2012. AR 15. At step two, the ALJ concluded that Plaintiff had the following severe impairments: cervical spine degenerative disc disease; status post-surgeries of the foot; bipolar disorder; and panic disorder. Id. At step three, the ALJ determined that Plaintiff did not have an impairment or combination of impairments that met or equaled a listed impairment. AR 16. The ALJ next assessed Plaintiff's RFC and found that she: (a) could perform light work, with occasional stooping crouching, crawling, and climbing of ladders, ropes or scaffolds; (b) was limited to at most occasional: (i) overhead reaching and exposure to vibrating tools, machines, and vehicles; (ii) exposure to hazardous conditions such as proximity to unprotected heights and moving machinery; (iii) public interaction and superficial interaction with co-workers; and (c) would not be well-suited to placement in a highly interactive or interdependent work group. AR 18.
At step four, the ALJ found that Plaintiff was able to perform her past relevant work as a quality control technician. AR 25. At step five, the ALJ alternatively concluded that considering her age, education, work experience, and RFC, Plaintiff could perform the following jobs which existed in significant numbers in the national economy: agricultural sorter and final assembler. AR 26. Accordingly, the ALJ concluded that Plaintiff was not disabled within the meaning of the Act from January 1, 2012, through the date of the decision, January 4, 2017. Id.
Plaintiff contends that the ALJ erred by: (1) failing to incorporate into the RFC, and into the hypothetical questions posed to the VE, all of plaintiff's functional limitations; and (2) failing properly to evaluate the medical source opinion of treating physician Russell Harrison, M.D.
The RFC represents the most that a claimant can do despite his or her physical or mental impairments. 20 C.F.R. § 404.1545. In formulating the RFC, the ALJ must consider all medically determinable impairments, including those that are not "severe," and evaluate "all of the relevant medical and other evidence." Id. In determining a claimant's RFC and posing corresponding hypothetical questions to the VE, the ALJ is responsible for resolving conflicts in the medical testimony and translating the claimant's impairments into concrete functional limitations. Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1174 (9th Cir. 2008). Only those limitations that are supported by substantial evidence must be incorporated into the RFC and hypothetical questions to the VE. Osenbrock v. Apfel, 240 F.3d 1157, 1163-65 (9th Cir. 2001). "The [VE's] opinion about a claimant's [RFC] has no evidentiary value if the assumptions in the [decisive] hypothetical are not supported by the record." Magallanes v. Bowen, 881 F.2d 747, 756 (9th Cir. 1989) (citation omitted).
Plaintiff argues that the ALJ erroneously omitted from the RFC a limitation regarding "need[ing] a predictable work setting," as opined by reviewing physician Joshua J. Boyd, Psy.D. AR 83. The Commissioner responds that the ALJ either reasonably omitted the limitation or that to the extent the ALJ erred in omitting the limitation, the error was harmless. In support of the former, the Commissioner contends that the ALJ did not give Dr. Boyd's opinion full weight, and notes that the ALJ provided a sufficient explanation for deviating from Dr. Boyd's assessment that plaintiff was limited to simple work. AR 22; Def.'s Br. 5. The Commissioner's point is not responsive to plaintiff's argument, however. Although the ALJ provided a rationale to reject Dr. Boyd's opinion regarding simple work, the ALJ failed to provide any explanation for rejecting Dr. Boyd's opinion regarding a predictable work setting. This omission constitutes error. See Garrison v. Colvin, 759 F.3d 995, 1012 (9th Cir. 2014) ("Where an ALJ does not explicitly reject a medical opinion or set forth specific, legitimate reasons for crediting one medical opinion over another, he errs.") (citing Nguyen v. Chater, 100 F.3d 1462, 1464 (9th Cir. 1996)). Indeed, the Commissioner concedes that "the ALJ should have included this limitation or some variation of it in the [RFC] finding and the hypothetical questions to the [VE]." Def.'s Br. 6. The question, then, is whether the ALJ's error was harmless.
The Commissioner argues that the error was harmless because at step five, the ALJ identified two jobs which, by virtue of their Specific Vocational Preparation ("SVP") level, "account for a limitation to a predictable work setting." Def.'s Br. 2.
The Commissioner's argument misstates, however, SSR 85-15. It is not that unskilled work requires no more than routine work settings and usual work situations. Rather, even unskilled work requires the capacity "to deal with changes in a routine work setting." SSR 85-15, at *4 (emphasis added). Presumably, if a worker were limited to a predictable work setting, the worker would be unlikely adequately to deal with changes in even a routine work setting. In other words, had the limitation been included in the RFC and hypothetical question posed to the VE, the VE's answer likely would have been different. Therefore, the Court cannot find that the ALJ's omission was necessarily inconsequential to the non-disability decision. See Stout v. Comm'r of the Soc. Sec. Admin., 454 F.3d 1050, 1055 (9th Cir. 2006). Remand is required to address this issue.
The ALJ is responsible for resolving conflicts in the medical record, including conflicts among physicians' opinions. Carmickle v. Comm'r, Soc. Sec. Admin., 533 F.3d 1155, 1164 (9th Cir. 2008). The Ninth Circuit distinguishes between the opinions of three types of physicians: treating physicians, examining physicians, and non-examining physicians. Generally, "a treating physician's opinion carries more weight than an examining physician's, and an examining physician's opinion carries more weight than a reviewing physician's." Holohan v. Massanari, 246 F.3d 1195, 1202 (9th Cir. 2001). If a treating physician's opinion is supported by medically acceptable techniques and is not inconsistent with other substantial evidence in the record, the treating physician's opinion is given controlling weight. Id.; see also 20 C.F.R. § 404.1527(d)(2). A treating doctor's opinion that is not contradicted by the opinion of another physician can be rejected only for "clear and convincing" reasons. Ryan v. Comm'r of Soc. Sec., 528 F.3d 1194, 1198 (9th Cir. 2008). If a treating doctor's opinion is contradicted by the opinion of another physician, the ALJ must provide "specific and legitimate reasons" for discrediting the treating doctor's opinion. Id.
Treating physician Dr. Harrison opined on February 14, 2014, that plaintiff would likely miss three days per month based on the medical impairments of "bipolar, depression, and pain." AR 610.
Plaintiff also assigns error to the ALJ's rejection of Dr. Harrison's opinion that plaintiff must lie down for two hours, three to four times per week. The ALJ disregarded this assessment, finding it overly reliant on Plaintiff's unsubstantiated subjective reports. AR 24. Plaintiff argues that the medical opinion is supported by the cervical MRI of July 2012, but Dr. Harrison indicated that the limitation was due to "headaches," not a cervical spine condition. AR 609. Accordingly, as the proper arbiter of conflicts and ambiguities in the medical record, the ALJ was within his authority to reject this asserted limitation. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995); see also Chaudhry v. Astrue, 688 F.3d 661, 671 (9th Cir. 2012) (ALJ need not accept medical opinion that is brief, conclusory, or unsupported by clinical findings) (citation omitted). The ALJ did not err in assessing plaintiff's alleged need to lie down.
Within the Court's discretion under 42 U.S.C. § 405(g) is the "decision whether to remand for further proceedings or for an award of benefits." Holohan, 246 F.3d at 1210 (citation omitted). Although a court should generally remand to the agency for additional investigation or explanation, a court has discretion to remand for immediate payment of benefits. Treichler v. Comm'r of Soc. Sec. Admin., 775 F.3d 1090, 1099-1100 (9th Cir. 2014). The issue turns on the utility of further proceedings. A remand for an award of benefits is appropriate when no useful purpose would be served by further administrative proceedings or when the record has been fully developed and the evidence is insufficient to support the Commissioner's decision. Id. at 1100. A court may not award benefits punitively and must conduct a "credit-as-true" analysis on evidence that has been improperly rejected by the ALJ to determine if a claimant is disabled under the Act. Strauss v. Comm'r of Soc. Sec. Admin., 635 F.3d 1135, 1138 (9th Cir. 2011).
In the Ninth Circuit, the "credit-as-true" doctrine is "settled" and binding on this Court. Garrison, 759 F.3d at 999. The Ninth Circuit articulates the rule as follows:
Dominguez v. Colvin, 808 F.3d 403, 407-08 (9th Cir. 2015) (internal citations and quotation marks omitted).
Plaintiff does not dispute that if the ALJ's decision is not upheld, this case should be remanded for additional proceedings. See Pl.'s Br. 6; Pl.'s Reply 7. The Court agrees. On remand, the ALJ must explicitly accept or reject the limitation regarding a predictable work setting, and, if applicable, provide legally sufficient reasons for rejecting Dr. Harrison's opinion that Plaintiff's mental impairments would likely contribute to an average of three days per month of missed work.
Because the Commissioner's decision was not based on proper legal standards and not supported by substantial evidence, the decision is REVERSED, and this case REMANDED for further proceedings.