Maghan v. Commissioner of Social Security Administration ( 2020 )

1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA 8 9 Marjorie Maghan, No. CV-19-01768-PHX-MTM 10 Plaintiff, ORDER 11 v. 12 Commissioner of Social Security Administration, 13 Defendant. 14 15 Plaintiff Marjorie Maghan, on behalf of her deceased son, Luke William Maghan 16 (“Claimant”), seeks review under 42 U.S.C. § 405(g) of the final decision of the 17 Commissioner of Social Security (“the Commissioner”), which denied him disability 18 insurance benefits and supplemental security income under sections 216(i), 223(d), and 19 1614(a)(3)(A) of the Social Security Act. Because the decision of the Administrative Law 20 Judge (“ALJ”) is based on legal error, the Commissioner’s decision will be vacated and 21 remanded for further proceedings. 22 I. Background. 23 On May 26, 2015, Claimant applied for disability insurance benefits and 24 supplemental security income, alleging disability beginning June 6, 2014. After an initial 25 denial and a request for reconsideration, on January 11, 2018, he appeared with his attorney 26 and testified at a hearing before the ALJ. A vocational expert also testified. On April 30, 27 2018, the ALJ issued a decision that Claimant was not disabled within the meaning of the 28 Social Security Act. On November 2, 2018, Claimant passed away. (AR 20.) On January 1 25, 2019, the Appeals Council denied Plaintiff’s request for review of the hearing decision, 2 making the ALJ’s decision the Commissioner’s final decision. 3 II. Legal Standard. 4 The district court reviews only those issues raised by the party challenging the ALJ’s 5 decision. See Lewis v. Apfel, 236 F.3d 503, 517 n.13 (9th Cir. 2001). The court may set 6 aside the Commissioner’s disability determination only if the determination is not 7 supported by substantial evidence or is based on legal error. Orn v. Astrue, 495 F.3d 625, 8 630 (9th Cir. 2007). Substantial evidence is more than a scintilla, less than a preponderance, 9 and relevant evidence that a reasonable person might accept as adequate to support a 10 conclusion considering the record as a whole. Id. In determining whether substantial 11 evidence supports a decision, the court must consider the record as a whole and may not 12 affirm simply by isolating a “specific quantum of supporting evidence.” Id. As a general 13 rule, “[w]here the evidence is susceptible to more than one rational interpretation, one of 14 which supports the ALJ’s decision, the ALJ’s conclusion must be upheld.” Thomas v. 15 Barnhart, 278 F.3d 947, 954 (9th Cir. 2002) (citations omitted). 16 Harmless error principles apply in the Social Security Act context. Molina v. Astrue, 17 674 F.3d 1104, 1115 (9th Cir. 2012). An error is harmless if there remains substantial 18 evidence supporting the ALJ’s decision and the error does not affect the ultimate 19 nondisability determination. Id. The claimant usually bears the burden of showing that an 20 error is harmful. Id. at 1111. 21 The ALJ is responsible for resolving conflicts in medical testimony, determining 22 credibility, and resolving ambiguities. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 23 1995). In reviewing the ALJ’s reasoning, the court is “not deprived of [its] faculties for 24 drawing specific and legitimate inferences from the ALJ’s opinion.” Magallanes v. Bowen, 25 881 F.2d 747, 755 (9th Cir. 1989). 26 III. The ALJ’s Five-Step Evaluation Process. 27 To determine whether a claimant is disabled for purposes of the Social Security Act, 28 the ALJ follows a five-step process. 20 C.F.R. § 404.1520(a). The claimant bears the 1 burden of proof on the first four steps, but at step five, the burden shifts to the 2 Commissioner. Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). 3 At the first step, the ALJ determines whether the claimant is engaging in substantial 4 gainful activity. 20 C.F.R. § 404.1520(a)(4)(i). If so, the claimant is not disabled and the 5 inquiry ends. Id. At step two, the ALJ determines whether the claimant has a “severe” 6 medically determinable physical or mental impairment. § 404.1520(a)(4)(ii). If not, the 7 claimant is not disabled and the inquiry ends. Id. At step three, the ALJ considers whether 8 the claimant’s impairment or combination of impairments meets or medically equals an 9 impairment listed in Appendix 1 to Subpart P of 20 C.F.R. Pt. 404. § 404.1520(a)(4)(iii). 10 If so, the claimant is automatically found to be disabled. Id. If not, the ALJ proceeds to step 11 four. At step four, the ALJ assesses the claimant’s residual functional capacity (RFC) and 12 determines whether the claimant is still capable of performing past relevant work. 13 § 404.1520(a)(4)(iv). If so, the claimant is not disabled and the inquiry ends. Id. If not, the 14 ALJ proceeds to the fifth and final step, where he determines whether the claimant can 15 perform any other work based on the claimant’s RFC, age, education, and work experience. 16 § 404.1520(a)(4)(v). If so, the claimant is not disabled. Id. If not, the claimant is disabled. 17 Id. 18 At step one, the ALJ found that Claimant met the insured status requirements of the 19 Social Security Act through December 31, 2019, and that he had not engaged in substantial 20 gainful activity since June 6, 2014. At step two, the ALJ found that Claimant had the 21 following severe impairments: “chronic back pain secondary to lumbago and lumbosacral 22 spondylosis without myelopathy; obesity; left hip degenerative joint disease with labral 23 tear repaired in November 2017; chronic pain syndrome; somatization disorder; major 24 depression; generalized anxiety disorder; alcohol abuse, continuous; and amphetamine and 25 opiate abuse, episodic.” (AR 194.) At step three, the ALJ determined that Claimant did not 26 have an impairment or combination of impairments that meets or medically equals an 27 impairment listed in Appendix 1 to Subpart P of 20 C.F.R. Pt. 404. At step four, the ALJ 28 found that Claimant had the RFC to perform: 1 light work as defined in 20 CFR 404.1567(b) and 416.967(b) except: occasional climbing of ramps or stairs; no climbing of ladders, ropes and 2 scaffolds; limited to performing simple, routine and repetitive tasks using judgment limited to simple and work-related decisions. 3 4 (AR 197.) 5 The ALJ further found that Claimant was unable to perform any of his past relevant 6 work. At step five, the ALJ concluded that, considering Claimant’s age, education, work 7 experience, and residual functional capacity, there are jobs that exist in significant numbers 8 in the national economy that Claimant could perform. 9 IV. Analysis. 10 Plaintiff argues the ALJ’s decision is defective for four reasons: (1) the ALJ erred 11 by failing to consider Claimant’s proper mental impairment at step three; (2) the ALJ erred 12 by failing to account for Claimant’s somatization disorder in the ALJ’s RFC determination; 13 (3) the ALJ erred by finding Claimant’s licensed psychologist, Ms. Lori Sternal LP/MA, 14 to be “not an acceptable medical source[,]” and thus discounting a diagnosis of mental 15 impairment from Ms. Sternal; and (4) the ALJ erred by failing to consider the statement of 16 Claimant’s mental health Case Manager, Jeremy Ruzic. (Doc. 13.) The Court will address 17 each argument below. 18 A. The ALJ did not Err in Evaluating Plaintiff’s Medical Impairments at 19 Step Three. 20 Plaintiff first argues that the ALJ erred by “failing to evaluate Plaintiff’s mental 21 impairment pursuant to the appropriate medical listing at step three[.]” (Doc. 13 at 5). 22 Specifically, Plaintiff argues that the ALJ erred in his evaluation at step three because he 23 “did not consider Listing 12.07[,]” which deals with somatic symptom and related 24 disorders, “at all.” (Id. at 6-7.) The Court disagrees. 25 At step three, the ALJ considers whether the claimant’s impairment or combination 26 of impairments meets or medically equals an impairment listed in Appendix 1 to Subpart 27 P of 20 C.F.R. Pt. 404. § 404.1520(a)(4)(iii).1 A claimant seeking to establish disability 28 1 Under 20 C.F.R. § 404.1525, the listing of impairments in Appendix 1 “describes for each of the major body systems impairments that we consider to be severe enough to prevent an 1 based on a mental health disorder must satisfy the following “Paragraph B” criteria: 2 Extreme limitation of one, or marked limitation of two, of the following areas of mental functioning (see 12.00F): 3 1. Understand, remember, or apply information (see 12.00E1). 4 2. Interact with others (see 12.00E2). 5 3. Concentrate, persist, or maintain pace (see 12.00E3). 6 4. Adapt or manage oneself (see 12.00E4). 7 8 20 C.F.R. § Pt. 404, Subpt. P, App. 1. 9 Here, the record shows that the ALJ did consider Claimant’s somatization 10 symptoms while assessing Plaintiff’s other mental impairments at step three, despite failing 11 to explicitly identify Listing 12.07. (See AR 195-96.) Specifically, the ALJ provided the 12 following analysis related to Plaintiff’s somatization symptoms: 13 The claimant’s primary difficulty noted in the mental health records is a hyper-focus on pain, accompanied by pain behaviors during mental health 14 sessions. However, mental status examination findings generally indicate benign findings other than those pain behaviors. . . . The claimant’s treating 15 providers do not express any concern regarding the claimant’s ability to understand and carry out treatment recommendations. Overall, the evidence 16 supports no more than ‘moderate’ restriction concentrating, persisting or maintaining pace. 17 18 (AR 196). Further, the ALJ found that, based on Claimant’s overall symptoms, which 19 included his perceived pain, he did have a moderate restriction in function three, involving 20 concentration, persistence, and maintaining pace. 21 To the extent Plaintiff argues that the ALJ’s findings at step three would have been 22 different if the ALJ had explicitly identified Listing 12.07, that argument also fails. A 23 claimant “bears the burden of proving that. . . []he has an impairment that meets or equals 24 the criteria of an impairment listed in Appendix 1 of the Commissioner’s regulations.” 25 individual from doing any gainful activity.” 20 C.F.R. § 404.1425(a). Each listing may “include specific criteria for establishing a diagnosis, confirming the existence of an 26 impairment, or establishing that your impairment(s) satisfies the criteria of a particular listing.” 20 C.F.R. § 404.1425(c). Impairments can meet the requirements of a listing when 27 they satisfy “all of the criteria of that listing” or when they “medically equal” the criteria of a listing. Id. An impairment, however, does not meet “the criteria of a listing based only 28 on a diagnosis,” but rather the claimant must “have a medically determinable impairment(s) that satisfies all of the criteria in the listing.” 20 C.F.R. § 404.1425(d). 1 Burch v. Barnhart, 400 F.3d 676, 683 (9th Cir. 2005). The mere diagnosis of an impairment 2 listed in Appendix 1 is insufficient to sustain a finding of disability; the impairment “must 3 also have the findings shown in the Listing of that impairment.” Key v. Heckler, 754 F.2d 4 1545, 1549-50 (9th Cir. 1985) (citing 20 C.F.R. § 404.1525(d)); see also Sample v. 5 Schweiker, 694 F.2d 639, 642 (9th Cir. 1982) (“existence of emotional disorder, however, 6 is not per se disabling;” “there must be proof of the impairment’s disabling severity”). 7 Moreover, the ALJ has wide discretion in the articulation of the listing analysis. See Lewis 8 v. Apfel, 236 F.3d 503, 513 (9th Cir. 2001) (affirming an ALJ’s listing analysis, despite the 9 ALJ’s omission of necessary findings in that section of the decision, because the ALJ 10 provided sufficient reasoning elsewhere in the opinion for his conclusion). 11 Here, outside of the third factor discussed above, the ALJ found only mild or no 12 limitations in his evaluation of the other three factors (AR 196-97), and Plaintiff presents 13 no showing that those determinations by the ALJ would change even if Listing 12.07 had 14 been explicitly considered (see doc. 13). Furthermore, Plaintiff does not articulate how the 15 ALJ exceeded his considerable discretion in the articulation of the listing analysis. See 16 Lewis, 236 F.3d at 514 (rejecting a claimant’s argument that the ALJ had failed to 17 adequately explain his finding that the claimant’s impairments did not equal a listed 18 impairment because “[claimant] has offered no theory, plausible or otherwise, as how his 19 [impairments] combined to equal a listed impairment.”). Accordingly, the Court finds that 20 the ALJ did not err in his evaluation of Claimant’s mental impairments at step three. 21 B. The ALJ did not Err in his Determination of Plaintiff’s RFC. 22 Plaintiff argues that the ALJ “erred in failing to fully account for [Claimant’s] 23 somatization disorder in the RFC finding, despite finding it to be one of [Claimant’s] 24 ‘severe’ impairments.” (Doc. 13 at 11.) Specifically, Plaintiff argues that “[a]t the very 25 least, the record demonstrates that Plaintiff’s preoccupation with his pain would result in 26 him being off-task during an 8-hour workday” but “[d]espite this evidence, . . . the ALJ did 27 not include an off-task limitation in his RFC finding.” (Id. at 13.) To the extent Plaintiff 28 argues that the ALJ erred in his ultimate RFC determination, Plaintiff’s argument fails. 1 In the Social Security context, it is a claimant’s burden to prove that he is disabled. 2 See 42 U.S.C. § 423(d)(5), Bayliss, 427 F.3d at 1217. But the ALJ is responsible for 3 establishing a claimant’s RFC, based on both medical and non-medical evidence. See 20 4 C.F.R. §§ 404.1545-404.1546; accord Social Security Ruling (SSR) 96-8p. In assessing a 5 claimant’s RFC, the ALJ must consider all of the evidence of record, including a claimant’s 6 subjective testimony, the treatment records, and the medical opinions of record. See 20 7 C.F.R. §§ 404.1520(e), 404.1545, 416.920(e), and 416.945. 8 Here, when evaluating Claimant’s RFC, the ALJ engaged in a thorough discussion 9 of Plaintiff’s medical history, records, symptom testimony, and considered all Claimant’s 10 impairments in combination. (See AR 194-214.) Notably, the ALJ meticulously described 11 and evaluated Plaintiff’s symptoms most closely associated with somatization disorder, 12 including Plaintiff’s reports of pain (AR 199-208)2, and mental health concerns (AR 208- 13 2 Citing AR 633 (April 2014 Exam – Claimant received bilateral hip injections for pain, and complained of of neck pain and headaches); AR 647-48 (February 2014 Exam – 14 Claimant described “sharp, 10/10 in severity spasms in the right side of his neck[,]” but the examining physician noted that “[h]is pain seemed way out of proportion to the description 15 of the injury[.]”); AR 1175 (June 2014 progress notes – April 2014 examination found a red mark at the base of Claimant’s thoracic spine that appeared to be chronic in nature; 16 noting that the provider, Dr. Konowalchuk entered claimant into a rehabilitation and conditioning program, the “SpineX” program); AR 638 (July 2014 Exam – Claimant 17 reported pain in his back, neck, ankle, and head. The exam notes indicate that Claimant had not followed through after being referred to a spine conditioning program for treatment 18 of chronic back pain, and Claimant had stopped attending recommended physical therapy because of “lack of motivation”); AR 640-41 (September 2014 Exam – Claimant reported 19 that instead of going to physical therapy as recommended, he did his own stretches at home and that he “does not need much therapy,” but also that “it hurts to much to get out of bed 20 and make his appointments.” Claimant’s physician advised Claimant that he was “not homebound and that there was no reason he could not make the appointments”); AR 1094 21 (September 2014 Exam Notes – Claimant continued complaints of chronic back pain, admitted to self-medicating through the use of “Lortab off the street” and “taking 22 methamphetamine to help.”); AR 643-44 (December 2014 Exam – Claimant continued complaints of chronic back pain, admitted to self-medicating through the use of “Lortab 23 off the street” and “taking methamphetamine to help;” the provider notes that review of Claimant’s prior MRIs have come back “unremarkable”); AR 1097 (December 2014 24 examination where claimant reported to have “no motivation to get out of bed” and make his appointments, and that he had failed to follow through with the referral to the pain clinic 25 for further management, but continued to complain of pain with no significant radicular symptoms); AR 677-79 & 1180-82 (January 2015 Exam – Dr. Stefan Kaiser notes 26 Claimant stated he was chemically coping with the pain, that he “reported a curious history of localized pain in his back without any corresponding objective findings,” and noted that 27 Claimant has mental health disorders that may have been exhibiting a functional overlay secondary to underlying psychological disorder, compounded by multiple illicit abuse); 28 AR 674-76 (March 2015 Exam - Records from 2013 and 2015 indicating that imaging of Plaintiff’s thoracic and lumbar spine were reasonably within normal limits, with only 1 13)3. 2 Plaintiff argues that the ALJ’s discussion of Plaintiff’s symptoms alone is 3 insufficient, and that the ALJ was required to “provide a logical bridge between his finding 4 that Plaintiff’s somatization disorder is a severe impairment” and “failing to fully account 5 for this impairment in his RFC finding.” (Doc. 13 at 13-14.) In support of his position, 6 Plaintiff relies on the Ninth Circuit’s decision in Brown-Hunter v. Colvin, 806 F.3d 487, 7 492 (9th Cir. 2015), (doc. 13 at 13), which states: 8 [A]lthough we will not fault the agency merely for explaining its decision with ‘less than ideal clarity,’. . . we still demand that the agency set forth the 9 reasoning behind its decisions in a way that allows for meaningful review. A 10 minimal signs of degeneration and no stenosis); AR 1188 (March 2015 Exam - Dr. Kaiser explaining to Claimant that his essentially normal imaging findings did not explain the 11 intensity of Claimant’s pain behaviors). 3 Citing AR 678 & 1182 (January 2015 Exam – Claimant described chronic depression and 12 using amphetamines to improve his ambition); AR 640-41 (September 2014 Exam - Claimant reported depression, and self-medicating to help his back); AR 643 (December 13 2014 Exam – Indicating that Claimant’s antidepressant medication had been discontinued due to lack of improvement); AR 703-11 (February 2015 Diagnostic Assessment Standard 14 Exam Session Information – discussing Claimant’s mental health issues and symptoms including depression, anxiety, learning disability, excessive sleep, self-isolation, and low 15 self-esteem; noting that Claimant had been receiving mental health therapy through Adult Rehabilitative and Mental Health Services (ARMHS); evaluating Claimant’s ability to 16 function through both clinical and self- assessments); AR 723 (June 2015 Progress Note – noting that Claimant had shown up late for his appointment, after drinking, and that 17 Claimant believed “medical issues prevent [Claimant] from benefiting from psychotherapy,” and placed hold on further psychotherapy appointments until Claimant 18 was “more able to focus and apply self”); AR 727-45 (March-April 2015 Psychotherapy Progress Notes – detailing Claimant’s lack of motivation and failure to complete 19 “homework” from therapy); AR 773-782 (July-August 2015 Mental Status Examinations with Jason Nelson, CNP – diagnosing Claimant with major depressive disorder); AR 832 20 (December 2015 Emergency Room Visit – Claimant called 911, self-reporting suicidal ideation, and was found by law enforcement “near the water’s edge with his pockets filled 21 with rocks” and a BAC of 0.113; Claimant reported that “he has been suicidal for 2 years secondary to uncontrolled chronic back pain despite treatment”; Claimant was admitted to 22 an acute mental health unit for monitoring); AR 838-41 (December 2015 Discharge Summary – describing Claimant as vague and avoidant during his stay in the acute mental 23 health unit, and “spent most of his time lying in bed with his head covered often heard to be snoring”); AR 851-59 (June-August 2016 Medication Checks with Dr. Jason Nelson – 24 Claimant’s subjective responses to questionnaire were indicative of severe depression, and Claimant reported most of his symptoms were a result of his chronic pain); AR 886-93 25 (January 2017 Diagnostic Assessment Update – diagnosing Claimant with inter alia Somatic Symptom Disorder, and recommending Claimant receive ARMHS services and 26 case management); AR 1478 (December 2017 Exam with Dr. Erik Sather – Claimant reported severe depressive symptoms, pain, and anxiety; Claimant agreed to retry 27 medication he had previously stopped taking); AR 1633-34 (January 2018 Follow Up Call with Dr. Sather – Claimant’s medications increased) AR 1670-71 (January 2018 - Claimant 28 referred to Pain Rehabilitation specialist for February 2018 appointment – no indication that Claimant ever attended). 1 clear statement of the agency's reasoning is necessary because we can affirm the agency's decision to deny benefits only on the grounds invoked by the 2 agency. Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1054 (9th Cir. 2006). 3 Brown-Hunter, 806 F.3d at 492. But Brown-Hunter is inapposite. In that case, the Court 4 found legal error where an ALJ had discounted a claimant’s symptom testimony after 5 providing only a conclusory finding and a summation of the medical record. See id. at 494 6 (finding legal error where the ALJ “simply stated her non-credibility conclusion and then 7 summarized the medical evidence supporting her RFC determination. This is not the sort 8 of explanation or the kind of ‘specific reasons’ we must have in order to review the ALJ’s 9 decision meaningfully, so that we may ensure that the claimant’s testimony was not 10 arbitrarily discredited.”). But here, unlike in Brown-Hunter, Plaintiff is not challenging the 11 weight afforded by the ALJ to Claimant’s symptom testimony. 12 Instead, the Court need only review whether the ALJ considered the combined effect 13 of “all medically determinable impairments.” See 42 U.S.C. § 423(d)(2)(B) (“In 14 determining whether an individual’s physical or mental impairment or impairments are of 15 a sufficient medical severity. . . , the Commissioner of Social Security shall consider the 16 combined effect of all of the individual's impairments without regard to whether any such 17 impairment, if considered separately, would be of such severity.”); Orn, 495 F.3d at 630 18 (“because [claimant] had a severe medically determinable impairment, ‘all medically 19 determinable impairments must be considered in the remaining steps of the sequential 20 analysis.’”). The ALJ’s comprehensive discussion of the record, including his detailed 21 summary of Plaintiff’s symptoms most closely associated with somatization disorder, 22 makes clear that the ALJ considered all medically determinable impairments in his 23 determination of Plaintiff’s RFC. (See AR 193-216). 24 C. The ALJ did Err in Classifying Ms. Sternal as a Non-Acceptable 25 Medical Source. 26 Plaintiff next argues that the ALJ improperly weighed the medical opinion of Ms. 27 Lori Sternal, LP MA. Specifically, Plaintiff argues that “[t]he ALJ erred in classifying LP 28 Sternal as a non-acceptable medical source; this classification is erroneous.” (Doc. 13 at 1 14.)4 Defendant concedes that the ALJ’s classification of Ms. Sternal was “incorrect,” but 2 contends that it “is not a basis for finding reversible error.” (Doc. 18 at 18.) The Court 3 disagrees. 4 Defendant argues the error is harmless because “the ALJ considered Plaintiff’s other 5 mental impairments and considered the entire constellation of psychological symptoms . . . 6 in determining [Claimant’s RFC].’ (AR 195).” (Doc. 18 at 19.) 7 Any error by the ALJ’s categorizing Ms. Sternal as not an acceptable medical source for purposes of establishing diagnosis of antisocial personality 8 disorder, was harmless, given that the ALJ considered all of Plaintiff’s psychological symptoms – whether linked to the antisocial personality 9 disorder diagnosis or not – in assessing Plaintiff’s RFC (AR 195; see generally AR 194-214; see also AR 681-683 (treatment providers finding 10 that Plaintiff was malingering antisocial behavior in May 2013)). See Tommasetti v. Astrue, 533 F.3d 1035, 1038 (9th Cir. 2008) (the court will not 11 reverse an ALJ’s decision for harmless error, which exists when it is clear from the record that “the ALJ”s error was inconsequential to the ultimate 12 nondisability determination”) (citations omitted). As discussed in Argument B, the ALJ found that Plaintiff had only mild limitation in interacting with 13 others and was not precluded from mentally performing simple routine tasks and making only simple work-related decisions. 14 15 (Doc. 18 at 19.) Defendant’s argument is not persuasive. 16 It is undisputed that the ALJ’s improper classification of Ms. Sternal resulted in the 17 ALJ concluding that antisocial personality disorder is not a medically determinable 18 impairment of Claimant. (See AR 195 (“Ms. Sternal is not an acceptable medical source 19 for the purposes of [t]he diagnosis of antisocial personality disorder” and “the evidence 20 does not support this is diagnosed elsewhere.”).) 21 What is more, the Court cannot measure what impact the ALJ’s erroneous 22 classification had on the weight given to her medical opinions in this action. As stated by 23 Plaintiff, “the ALJ gave no obvious consideration to LP Sternal’s status as a legitimate 24 acceptable medical source when he evaluated her opinion in accordance with 20 C.F.R. § 25 4 Ms. Sternal first treated Claimant on February 12, 2015. (AR 703). Ms. Sternal continued 26 treating Claimant until at least June 2015 (AR 723), and completed a Diagnostic Assesment Update in January2017 (AR 886-93). Ms. Sternal’s extensive notes cover Claimant’s prior 27 physical, family, and mental health history. (AR 703-23). Ultimately, Ms. Sternal diagnosed Claimant with the following clinical disorders: major depressive disorder 28 recurrent moderate, alcohol dependence, cannabis dependence, amphetamine dependence, opioid abuse, and antisocial personality disorder. (AR 886-93). 1 404.1527.” (Doc. 13 at 15.) Thus, despite Defendant’s contention to the contrary, the Court 2 cannot rely on the fact that the ALJ found that Claimant had only mild limitations 3 interacting with others, and was not precluded from mentally performing simple routine 4 tasks (doc. 18 at 19); the ALJ made those findings in the context of an opinion where the 5 ALJ did not consider the Ms. Sternal to be an acceptable medical source. Any speculation 6 by the Court as to what the ALJ may have found if he had properly classified Ms. Sternal 7 as an acceptable medical source would constitute an improper post hoc rationalization of 8 the ALJ’s opinion. The ALJ’s failure to properly classify Ms. Sternal as an acceptable 9 medical source is reversable error. See Bray v. Comm'r of Soc. Sec. Admin., 554 F.3d 1219, 10 1225 (9th Cir. 2009) (“Long-standing principles of administrative law require us to review 11 the ALJ’s decision based on the reasoning and factual findings offered by the ALJ – not 12 post hoc rationalizations that attempt to intuit what the adjudicator may have been 13 thinking.”). 14 Accordingly, the Court finds that the ALJ erred by classifying Ms. Sternal as a non- 15 acceptable medical source. 16 D. The ALJ Did Not Err in Failing to Consider Mr. Ruzic’s Statement. 17 Lastly, the ALJ did not err in giving little weight to the statement of Jeremy Ruzic, 18 Claimant’s case manager through the Human Development Center. Under 20 C.F.R. § 19 404.1520, the Social Security Administration states it “will consider all evidence in your 20 case record when we make a determination or decision whether you are disabled.” 20 21 C.F.R. § 404.1520. Consequently, “[i]n making a determination of disability, the ALJ must 22 develop the record and interpret the medical evidence.” Howard ex rel. Wolff v. Barnhart, 23 341 F.3d 1006, 1012 (9th Cir. 2003). “However, in interpreting the evidence and 24 developing the record, the ALJ does not need to ‘discuss every piece of evidence.’” Id. 25 (quoting Black v. Apfel, 143 F.3d 383, 386 (8th Cir. 1998)). “[T]he ALJ is not required to 26 discuss evidence that is neither significant nor probative.” Id. Here, Mr. Ruzic’s statement 27 is neither significant nor probative. Accordingly, the ALJ did not err in discounting Mr. 28 Ruzic’s opinion. 1} V. Remand. 2 “When the ALJ denies benefits and the Court finds error, the Court ordinarily must 3 || remand to the agency for further proceedings before directing an award of benefits.” Leon v. Berryhill, 880 F.3d 1041, 1045 (9th Cir. 2017). Under a “rare exception” to this rule, the 5 || Court may remand for an immediate award of benefits after conducting a three-part inquiry: 6 First, the Court asks whether the ALJ failed to provide legally sufficient reasons for rejecting evidence, whether claimant testimony or medical 7 opinion. Next, the Court determines whether there are outstanding issues that must be resolved before a disability determination can be made, and whether 8 further administrative proceedings would be useful. When these first two conditions are satisfied, [the Court] will then credit the discredited testimony 9 as true for the purpose of determining whether, on the record taken as a 10 whole, there is no doubt as to disability. 11 || /d. (internal quotation marks and citations omitted). “Where an ALJ makes a legal error, || but the record is uncertain and ambiguous, the proper approach is to remand the case to the 13 || agency.” /d. (quotation marks omitted). 14 The Court will remand for further proceedings because there is uncertainty in the 15 || record. The ALJ provided a thorough and detailed opinion as to why Claimant was not || disabled under the Social Security Act, but the ALJ failed to properly classify one of || Plaintiffs treating medical sources as an acceptable medical source. On remand the ALJ 18 || must reweigh the properly credited, conflicting evidence. See Carmickle vy. Comm'r, Soc. Sec. Admin., 533 F.3d 1155, 1164 (9th Cir. 2008). 20 IT IS ORDERED that the ALJ’s decision be vacated and remanded for further || proceedings consistent with this opinion. The Clerk is directed to terminate this case. 22 Dated this 27th day of May, 2020. 23 24 Wr Aek V- [Morris Po Honorable Michael T. Morrissey 25 United States Magistrate Judge 26 27 28 -12-