JAMES P. DONOHUE, Chief Magistrate Judge.
Plaintiff Ronald James Fisher appeals the final decision of the Commissioner of the Social Security Administration ("Commissioner") that denied his application for Disability Insurance Benefits ("DIB") under Title II of the Social Security Act, 42 U.S.C. §§ 401-33, after a hearing before an administrative law judge ("ALJ"). For the reasons set forth below, the Court REVERSES the Commissioner's decision and REMANDS for further administrative proceedings.
Plaintiff is a 55-year-old man with a ninth-grade education and a GED. Administrative Record ("AR") at 13-14. His past work experience includes employment as a residential and commercial painter. AR at 392. Plaintiff was last gainfully employed in June 2010. Id.
In April 2014, Plaintiff filed an application for DIB, alleging an onset date of June 8, 2010.
The Commissioner denied Plaintiff's claim initially and on reconsideration. AR at 1. Plaintiff requested a hearing, which took place on July 23, 2015. AR at 1-67. On August 17, 2015, the ALJ issued a decision finding Plaintiff not disabled and denied benefits based on his finding that Plaintiff could perform a specific job existing in significant numbers in the national economy. AR at 78-89. Plaintiff's administrative appeal of the ALJ's decision was denied by the Appeals Council, AR at 68-73, making the ALJ's ruling the "final decision" of the Commissioner as that term is defined by 42 U.S.C. § 405(g). On December 23, 2016, Plaintiff timely filed the present action challenging the Commissioner's decision. Dkt. 1.
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. Fisher 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 August 17, 2015, the ALJ found:
AR at 80-89.
The principal issue on appeal is whether the ALJ erred in assessing certain medical opinions. Dkt. 12 at 1.
Plaintiff argues that the ALJ erred in discounting opinions provided by treating and examining providers in connection with his state worker's compensation claim. See AR at 86 (ALJ's decision grouping all of these opinions together). The ALJ discounted these opinions for the same reasons: the ALJ found the opinions to be "inconsistent with the claimant's longitudinal treatment history, the objective clinical findings, and the claimant's documented daily activities set forth above." AR at 86. Plaintiff challenges the ALJ's assessment with respect to the July 27, 2012 opinion of Alexandr Chatilo, M.D.
As a matter of law, more weight is given to a treating physician's opinion than to that of a non-treating physician because a treating physician "is employed to cure and has a greater opportunity to know and observe the patient as an individual." Magallanes, 881 F.2d at 751; see also Orn v. Astrue, 495 F.3d 625, 631 (9th Cir. 2007). A treating physician's opinion, however, is not necessarily conclusive as to either a physical condition or the ultimate issue of disability, and can be rejected, whether or not that opinion is contradicted. Magallanes, 881 F.2d at 751. If an ALJ rejects the opinion of a treating or examining physician, the ALJ must give clear and convincing reasons for doing so if the opinion is not contradicted by other evidence, and specific and legitimate reasons if it is. Reddick v. Chater, 157 F.3d 715, 725 (9th Cir. 1988). "This can be done by setting out a detailed and thorough summary of the facts and conflicting clinical evidence, stating his interpretation thereof, and making findings." Id. (citing Magallanes, 881 F.2d at 751). The ALJ must do more than merely state his/her conclusions. "He must set forth his own interpretations and explain why they, rather than the doctors', are correct." Id. (citing Embrey v. Bowen, 849 F.2d 418, 421-22 (9th Cir. 1988)). Such conclusions must at all times be supported by substantial evidence. Reddick, 157 F.3d at 725.
The opinions of examining physicians are to be given more weight than non-examining physicians. Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995). Like treating physicians, the uncontradicted opinions of examining physicians may not be rejected without clear and convincing evidence. Id. An ALJ may reject the controverted opinions of an examining physician only by providing specific and legitimate reasons that are supported by the record. Bayliss, 427 F.3d at 1216.
Opinions written by practitioners other than an "acceptable medical source" may be discounted if an ALJ provides "reasons that are germane to each witness." Dodrill, 12 F.3d at 919.
The Court agrees with Plaintiff that the ALJ erred in discounting the challenged medical opinions. Although the ALJ referenced records indicating that Plaintiff could lift 30-40 pounds occasionally and 20-25 pounds frequently, the challenged opinions found that Plaintiff could lift less weight and the ALJ did not explain why he credited the less restrictive opinions over the more restrictive opinions. AR at 87. Likewise, although the ALJ referenced unspecified "objective clinical findings" that were inconsistent with the discounted opinions, most of the opinions themselves reference objective clinical findings based on examination and testing. AR at 86, 770-71, 782-83, 1014-17. Thus, this line of reasoning does not provide a specific, legitimate basis to discount the challenged opinions.
The ALJ also emphasized that Plaintiff testified that he could occasionally lift 20 pounds with his (dominant) right arm, but this testimony is consistent with Ms. Lientz's testing, and therefore also consistent with Dr. Manoso's opinion, which referenced Ms. Lientz's testing. See AR at 783, 1019. Therefore, this reasoning does not provide a legitimate basis to discount the opinions of Ms. Lientz or Dr. Manoso.
The ALJ also references Plaintiff's self-reported "unrestricted" daily activities in 2011, as well as his ability to cook simple meals, wash dishes, shop, golf, play basketball, and pressure wash a roof. AR at 87. Plaintiff argues that his activities in 2011 are not relevant to whether he is disabled between September 29, 2012, and March 31, 2013, and the Commissioner does not address this argument, instead citing primarily portions of the record that pre-date the adjudicated period. Dkt. 13 at 9 (citing AR at 557, 639, 643, 670, 701). The Commissioner did cite a record that post-dates the adjudicated period, which mentions Plaintiff's ability to swim and use a hot tub (Dkt. 13 at 9 (citing AR at 885)), but it is not reasonable to find that swimming an unspecified distance for an unknown length of time or sitting in a hot tub is inconsistent with any particular limitation indicated in the challenged opinions. For these reasons, the Court finds that the ALJ has not identified activities that are inconsistent with the opinions with respect to Plaintiff's abilities during the adjudicated period.
The Commissioner addresses other opinions of record, but Plaintiff did not assign error to the ALJ's assessment of those opinions. Dkt. 13 at 11-14. Because the Court finds error in the ALJ's assessment of the opinions challenged by Plaintiff, the Court directs the ALJ to reconsider those opinions on remand.
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.
To the extent that the Commissioner directs the Court's attention to other opinions authored by Dr. Chatilo (Dkt. 13 at 5 (citing AR at 755)), the relevance of other opinions to this argument is unclear, because the issue is whether the ALJ erred in discounting the July 27, 2012 opinion.