Shanette Rogers v. Kilolo Kijakazi ( 2023 )


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  • USCA4 Appeal: 22-1264      Doc: 32         Filed: 03/20/2023     Pg: 1 of 18
    PUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    No. 22-1264
    SHANETTE ROGERS,
    Plaintiff – Appellant,
    v.
    KILOLO KIJAKAZI, Acting Commissioner of Social Security Administration,
    Defendant – Appellee.
    Appeal from the United States District Court for the Western District of North Carolina, at
    Charlotte. Robert J. Conrad Jr., District Judge. (3:20-cv-00206-RJC-DSC)
    Argued: December 6, 2022                                        Decided: March 20, 2023
    Before KING and AGEE, Circuit Judges, and Henry E. HUDSON, Senior United States
    District Judge for the Eastern District of Virginia, sitting by designation.
    Vacated and remanded by published opinion. Judge King wrote the opinion, in which
    Judge Agee and Senior Judge Hudson joined.
    ARGUED: George C. Piemonte, MARTIN, JONES, & PIEMONTE, PC, Charlotte, North
    Carolina, for Appellant.      David Nathaniel Mervis, SOCIAL SECURITY
    ADMINISTRATION, Baltimore, Maryland, for Appellee. ON BRIEF: Michel Phillips,
    MARTIN, JONES & PIEMONTE, PC, Charlotte, North Carolina, for Appellant.
    Samantha L. Zeiler, Special Assistant United States Attorney, Office of the General
    Counsel, SOCIAL SECURITY ADMINISTRATION, Baltimore, Maryland; Dena J. King,
    USCA4 Appeal: 22-1264   Doc: 32    Filed: 03/20/2023   Pg: 2 of 18
    United States Attorney, OFFICE OF THE UNITED STATES ATTORNEY, Charlotte,
    North Carolina, for Appellee.
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    KING, Circuit Judge:
    Plaintiff Shanette Rogers initiated this civil action under the Social Security Act in
    the Western District of North Carolina, contesting the denial of her claim for disability
    insurance benefits by the defendant Commissioner of the Social Security Administration
    (the “SSA”). Rogers has asserted that the SSA Commissioner erred in multiple ways. Her
    arguments include that, pursuant to precedents of this Court, the Commissioner should
    have accorded substantial weight to a prior determination by the Department of Veterans
    Affairs (the “VA”) that Rogers is 100% disabled, but the Commissioner instead followed
    contrary new SSA rules providing that such a determination need not be considered, much
    less given any weight. As Rogers would have it, the new SSA rules cannot — and thus do
    not — abrogate this Court’s precedents. The district court concluded, however, that the
    new SSA rules supersede our precedents and that the Commissioner acted appropriately in
    adhering to those rules. After then addressing many, but not all, of Rogers’s other
    arguments, the court affirmed the Commissioner’s decision. Rogers has appealed from the
    court’s judgment.
    As explained herein, although we agree with the district court’s conclusion as to the
    new SSA rules, we recognize that the Commissioner otherwise erred for reasons that the
    court did not address. Accordingly, we vacate the court’s judgment and remand for the
    court to further remand this matter for administrative proceedings consistent with today’s
    opinion.
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    I.
    The record reflects that Rogers, a resident of western North Carolina, has a master’s
    degree in social work that she utilized in her employment from 2000 to 2018. During an
    earlier time period, from 1988 to 1992, she served in the United States Army and was
    honorably discharged. In the course of her Army service, Rogers was sexually assaulted
    — causing, or at least contributing to, post-traumatic stress disorder (“PTSD”). Rogers
    began psychiatric treatment through the VA for chronic PTSD in May 2017, and she ceased
    working in May 2018. After initially ruling Rogers to be 70% disabled, the VA ruled her
    to be 100% disabled as of September 2018.
    In October 2018, Rogers filed her claim with the SSA for disability insurance
    benefits, alleging a disability beginning in May 2018 based on PTSD, plus depression and
    anxiety. Following a hearing conducted in October 2019, an SSA administrative law judge
    (“ALJ”) denied Rogers’s claim by a decision of December 2019. Although the ALJ
    deemed Rogers’s PTSD to be a severe impairment and found that she is unable to engage
    in past relevant work, the ALJ further found that there are other jobs that Rogers can
    perform.
    Notably, the SSA ALJ acknowledged the VA’s determination that Rogers is 100%
    disabled and observed that it could “never be entitled to controlling weight.” See A.R. 19. 1
    The ALJ nonetheless gave some consideration to the VA’s determination, as the ALJ
    1
    Citations herein to “A.R. __” refer to the contents of the Administrative Record in
    these proceedings.
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    commented — without elaboration or explanation — that it was “only partly persuasive.”
    Id.   The ALJ thereby complied with the new SSA rules, under which the VA’s
    determination could have been disregarded. See 
    20 C.F.R. §§ 404.1504
    , 404.1520b(c)(1).
    But the ALJ disobeyed our precedents, as they would have required much more
    consideration and discussion of the VA’s determination and a detailed justification for not
    according it substantial weight. See DeLoatche v. Heckler, 
    715 F.2d 148
    , 150 & n.1 (4th
    Cir. 1983); Bird v. Comm’r of Soc. Sec. Admin., 
    699 F.3d 337
    , 343 (4th Cir. 2012); Woods
    v. Berryhill, 
    888 F.3d 686
    , 692 (4th Cir. 2018).
    The SSA Appeals Council denied review of the ALJ’s decision in February 2020,
    meaning that the ALJ’s decision became the SSA Commissioner’s final decision.
    Thereafter, in April 2020, Rogers initiated this action against the Commissioner in the
    Western District of North Carolina, where the parties filed cross-motions for summary
    judgment and the matter was referred to a magistrate judge. By his Memorandum and
    Recommendation of Remand of March 2021, the magistrate judge recommended reversing
    the Commissioner’s decision and remanding for further proceedings. See Rogers v.
    Comm’r of Soc. Sec., No. 3:20-cv-00206 (W.D.N.C. Mar. 23, 2021), ECF No. 18. In so
    doing, the magistrate judge addressed only Rogers’s argument with respect to the new SSA
    rules and agreed with her that the new rules cannot — and thus do not — abrogate this
    Court’s precedents.
    The magistrate judge’s recommendation drew prompt objections from the SSA
    Commissioner. By its Order of January 2022, the district court declined to adopt the
    magistrate judge’s recommendation and instead resolved to affirm the Commissioner’s
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    decision. See Rogers v. Comm’r of Soc. Sec., No. 3:20-cv-00206 (W.D.N.C. Jan. 13, 2022),
    ECF No. 23. With regard to the new SSA rules, the district court concluded that the new
    rules supersede this Court’s precedents. In reaching that conclusion, the district court
    utilized a standard enunciated by the Supreme Court in its 2005 Brand X decision: that
    “[a] court’s prior judicial construction of a statute trumps an agency construction otherwise
    entitled to Chevron deference only if the prior court decision holds that its construction
    follows from the unambiguous terms of the statute and thus leaves no room for agency
    discretion.” See Nat’l Cable & Telecomms. Ass’n v. Brand X Internet Servs., 
    545 U.S. 967
    ,
    982 (2005) (referring to Chevron, U.S.A., Inc. v. Nat. Res. Def. Council, Inc., 
    467 U.S. 837
    (1984)).
    From there, the district court approved the ALJ’s application of the new SSA rules,
    as well as the balance of the ALJ’s assessment of Rogers’s claim for disability insurance
    benefits. In its analysis, the court addressed many, but not all, of Rogers’s arguments.
    Upon the resultant entry of the court’s judgment against her, Rogers timely noted this
    appeal. We possess jurisdiction pursuant to 
    28 U.S.C. § 1291
    .
    II.
    Where a plaintiff has turned to the federal courts to contest the SSA Commissioner’s
    denial of a claim for disability insurance benefits, “a court of appeals applies the same
    standard of review as does the district court.” See Brown v. Comm’r Soc. Sec. Admin., 
    873 F.3d 251
    , 267 (4th Cir. 2017). Under that standard, the reviewing court must uphold the
    Commissioner’s decision “when an ALJ has applied correct legal standards and the ALJ’s
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    factual findings are supported by substantial evidence.” 
    Id.
     (internal quotation marks
    omitted); see 
    42 U.S.C. § 405
    (g).
    III.
    Among the contentions of error raised by Rogers in these court proceedings are that
    the ALJ failed to apply correct legal standards by (1) adhering to the new SSA rules and
    failing to accord substantial weight to the VA’s disability determination, and (2) omitting
    other significant evidence from the ALJ’s analysis of Rogers’s ability to work. For the
    reasons explained below, we reject the first of those arguments (as did the district court),
    but we agree with the second (which the district court did not address).
    A.
    1.
    a.
    We begin with Rogers’s argument regarding the new SSA rules. As background,
    this Court concluded in our 1983 DeLoatche precedent that an SSA ALJ committed legal
    error by, inter alia, failing to discuss in his decision a state agency’s prior disability
    determination. See DeLoatche v. Heckler, 
    715 F.2d 148
    , 150 (4th Cir. 1983). That
    conclusion was based on the proposition that an ALJ “must present [the reviewing court]
    with findings and determinations sufficiently articulated to permit meaningful judicial
    review.” 
    Id.
     It was also based on the separate proposition that another governmental
    agency’s disability determination — though not binding on the SSA — “is entitled to
    consideration.” 
    Id.
     at 150 & n.1. In other words, DeLoatche recognized that another
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    governmental agency’s disability determination must be considered by the SSA, and thus
    that such a disability determination must be discussed in the ALJ’s decision so that there
    can be appropriate court review.
    As detailed in our 2012 Bird precedent, the SSA’s own directives subsequently
    became consistent with those articulated in DeLoatche. See Bird v. Comm’r of Soc. Sec.
    Admin., 
    699 F.3d 337
    , 343 (4th Cir. 2012). Specifically, SSA rules provided that another
    agency’s disability determination “is not binding on the SSA.” 
    Id.
     (citing, inter alia, then-
    existing version of 
    20 C.F.R. § 404.1504
    ). But concomitantly, an internal ruling issued by
    the SSA in 2006 — Social Security Ruling No. 06-03p — required consideration of “all
    record evidence relevant to a disability determination, including decisions by other
    agencies.” 
    Id.
     That Social Security Ruling instructed that “another agency’s disability
    determination ‘cannot be ignored and must be considered.’” 
    Id.
     (quoting Social Security
    Ruling No. 06-03p, 
    71 Fed. Reg. 45,593
    , 45,596 (Aug. 9, 2006)). 2
    In Bird, which involved a disability determination by the VA, we expanded on
    DeLoatche — and the SSA’s then-existing directives — by establishing “the precise weight
    that the SSA must afford to a VA disability rating.” See Bird, 
    699 F.3d at 343
    . Our analysis
    of that issue encompassed both a survey of relevant opinions of our sister courts of appeals
    and a comparison of the SSA’s and the VA’s respective decision-making processes. 
    Id.
    2
    As we have explained, Social Security Rulings “are interpretations by the [SSA]
    of the Social Security Act” that “do not carry the force of law but are binding . . . on ALJs
    when they are adjudicating [SSA] cases.” See Dowling v. Comm’r of Soc. Sec. Admin.,
    
    986 F.3d 377
    , 387 n.9 (4th Cir. 2021) (internal quotation marks omitted).
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    Based on our perception that “the purpose and evaluation methodology of [the SSA and
    VA] programs are closely related,” we concluded that “a disability rating by one of the two
    agencies is highly relevant to the disability determination of the other agency.” 
    Id.
    Accordingly, we held “that, in making a disability determination, the SSA must give
    substantial weight to a VA disability rating.” 
    Id.
     We allowed, however, that “an ALJ may
    give less weight to a VA disability rating when the record before the ALJ clearly
    demonstrates that such a deviation is appropriate.” 
    Id.
    Finally, in our 2018 Woods precedent, we extended Bird’s holding to a North
    Carolina agency’s disability determination, as we also saw a close relationship between the
    purpose and evaluation methodology of the SSA program and the state program. See
    Woods v. Berryhill, 
    888 F.3d 686
    , 692 (4th Cir. 2018). We thereby concluded that the SSA
    must accord substantial weight to the North Carolina agency’s determination unless the
    record before the ALJ clearly shows that some lesser weight is appropriate. 
    Id.
     And we
    elaborated that “in order to demonstrate that it is appropriate to accord less than substantial
    weight to [a disability determination by the North Carolina agency], an ALJ must give
    persuasive, specific, valid reasons for doing so that are supported by the record.” 
    Id.
    (internal quotation marks omitted) (relying on persuasive authority from other circuits).
    b.
    Meanwhile, in early 2017, the SSA had broadly revised its rules regarding the
    evaluation of medical evidence, with those new rules being applicable to claims filed on or
    after March 27, 2017. See Revisions to Rules Regarding the Evaluation of Medical
    Evidence, 
    82 Fed. Reg. 5844
     (Jan. 18, 2017), amended by 
    82 Fed. Reg. 15,132
     (Mar. 27,
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    2017). 3 The new rules were expressly adopted pursuant to the SSA Commissioner’s
    statutory authority, see 
    42 U.S.C. § 405
    (a), and following formal notice-and-comment
    proceedings.
    Relevant here, the new rules identify “[d]ecisions by other governmental agencies
    and nongovernmental entities” as evidence that “is inherently neither valuable nor
    persuasive to the issue of whether you are disabled or blind under the [Social Security]
    Act.” See 
    20 C.F.R. § 404
    .1520b(c)(1). The new rules thus provide — contrary to our
    DeLoatche, Bird, and Woods precedents — that the SSA “will not provide any analysis
    about how we considered such evidence in our determination or decision.”                
    Id.
    § 404.1520b(c).
    The SSA provided a lengthy explanation of the new rules, reflecting the SSA’s view
    that the purpose and evaluation methodology of its program actually are not closely related
    to the purpose and evaluation methodology of other programs, including the VA’s. See 82
    Fed. Reg. at 5848. 4 The new rules themselves expound:
    3
    Although our 2018 Woods precedent post-dated the new SSA rules, Woods
    involved a claim filed before March 27, 2017, to which the new rules undisputedly did not
    apply. See 
    888 F.3d at
    691 n.1. Insofar as the new rules were addressed in Woods, we
    suggested that the new rules indeed apply to claims filed on or after March 27, 2017. See
    
    id.
    4
    In support of the new rules, the SSA proffered the following four reasons for no
    longer requiring consideration of the disability determination of another governmental
    agency or nongovernmental entity:
    (1) the [Social Security] Act’s purpose and specific eligibility requirements
    for disability and blindness differ significantly from the purpose and
    eligibility requirements of other programs; (2) the other agency or entity’s
    (Continued)
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    Other governmental agencies and nongovernmental entities — such as the
    Department of Veterans Affairs, the Department of Defense, the Department
    of Labor, the Office of Personnel Management, State agencies, and private
    insurers — make disability, blindness, employability, Medicaid, workers’
    compensation, and other benefits decisions for their own programs using
    their own rules. Because a decision by any other governmental agency or a
    nongovernmental entity about whether you are disabled, blind, employable,
    or entitled to any benefits is based on its rules, it is not binding on us and is
    not our decision about whether you are disabled or blind under our rules.
    Therefore, in claims filed on or after March 27, 2017, we will not provide
    any analysis in our determination or decision about a decision made by any
    other governmental agency or a nongovernmental entity about whether you
    are disabled, blind, employable, or entitled to any benefits.
    See 
    20 C.F.R. § 404.1504
     (citation omitted).
    Coinciding with the implementation of the new rules, the SSA withdrew its Social
    Security Ruling No. 06-03p, which had instructed — consistent with this Court’s
    precedents — that the disability determination of another agency “cannot be ignored and
    must be considered.” See Recission of Social Security Rulings 96-2p, 96-5p, and 06-3p,
    
    82 Fed. Reg. 15,263
     (Mar. 27, 2017), amended by 
    82 Fed. Reg. 16,869
     (Apr. 6, 2017).
    decision may not be in the record or may not include any explanation of how
    the decision was made, or what standards applied in making the decision;
    (3) our adjudicators generally do not have a detailed understanding of the
    rules other agencies or entities apply to make their decisions; and (4) over
    time Federal courts have interpreted and applied our rules and Social Security
    Ruling [No.] 06-03p differently in different jurisdictions.
    See 82 Fed. Reg. at 5848. With particular regard to disability determinations by the VA,
    the SSA discussed an internal study demonstrating that nearly one-third of “individuals
    with a VA rating of 100%” were denied benefits by the SSA because of differences
    between “our rules and the VA’s disability standards.” Id. at 5849. According to the SSA,
    that data “supports our conclusion that [VA] ratings alone are neither inherently valuable
    nor persuasive in our disability evaluation because they give us little substantive
    information to consider.” Id.
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    Under the new rules, however, the SSA will yet “consider all of the supporting evidence
    underlying the other governmental agency or nongovernmental entity’s decision that we
    receive as evidence in your claim.” See 
    20 C.F.R. § 404.1504
    .
    2.
    At bottom, if our DeLoatche, Bird, and Woods precedents remain controlling as to
    SSA claims (like Rogers’s) filed on or after March 27, 2017, the SSA ALJ was required to
    consider and thus also discuss the VA’s determination that Rogers is 100% disabled. See
    DeLoatche, 
    715 F.2d at
    150 & n.1. In such a situation, the ALJ was obliged to accord
    substantial weight to the VA’s disability determination unless the record before the ALJ
    clearly showed that some lesser weight was appropriate. See Bird, 
    699 F.3d at 343
    . And
    the ALJ could demonstrate the appropriateness of according some lesser weight only by
    stating persuasive, specific, and valid reasons for doing so that found support in the record.
    See Woods, 
    888 F.3d at 692
    . If, however, the new SSA rules abrogate our precedents as to
    claims filed on or after March 27, 2017, the ALJ was not required to consider — much less
    discuss or accord any weight to — the VA’s disability determination. See 
    20 C.F.R. §§ 404.1504
    , 404.1520b(c)(1). Rather, the ALJ merely had to consider any evidence
    underlying the VA’s disability determination that Rogers submitted in support of her SSA
    claim. 
    Id.
     § 404.1504.
    Consequently, we are called upon to decide today whether our precedents or the
    new SSA rules apply to claims filed on or after March 27, 2017. As did the district court,
    we look to the Supreme Court’s 2005 Brand X decision to resolve that issue. See Nat’l
    Cable & Telecomms. Ass’n v. Brand X Internet Servs., 
    545 U.S. 967
     (2005). Specifically,
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    we utilize the standard outlined in Brand X for determining whether “[a] court’s prior
    judicial construction of a statute trumps an agency construction.” 
    Id. at 982
    .
    Pursuant to the Brand X standard, we must assess whether our precedents “hold[]
    that [their] construction follows from the unambiguous terms of the [Social Security Act]
    and thus leaves no room for agency discretion.” See 
    545 U.S. at 982-83
     (emphasizing that
    “[o]nly a judicial precedent holding that the statute unambiguously forecloses the agency’s
    interpretation, and therefore contains no gap for the agency to fill, displaces a conflicting
    agency construction”). Quite clearly, our precedents do not so hold. And that makes sense,
    in that the Act itself does not address how or even if the SSA must deal with another
    agency’s disability determination.
    Next, then, we assess under the Brand X standard whether the new SSA rules are
    “otherwise entitled to Chevron deference.” See Brand X, 
    545 U.S. at 982
     (referring to
    Chevron, U.S.A., Inc. v. Nat. Res. Def. Council, Inc., 
    467 U.S. 837
     (1984)). Where, as here,
    “the statute is silent or ambiguous with respect to the specific issue,” Chevron identifies
    “the question for the court” as being “whether the agency’s answer is based on a
    permissible construction of the statute.” See 
    467 U.S. at 843
    .
    Of utmost significance to the Chevron inquiry, Congress has expressly granted the
    SSA Commissioner “exceptionally broad” rule-making authority. See Schweiker v. Gray
    Panthers, 
    453 U.S. 34
    , 43 (1981). The Commissioner’s statutory authority includes the
    power to adopt rules (like the new SSA rules) regarding “the nature and extent of the proofs
    and evidence . . . in order to establish the right to benefits.” See 
    42 U.S.C. § 405
    (a). As
    such, “our review is limited to determining whether the [new rules] exceeded the
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    [Commissioner’s] statutory authority and whether they are arbitrary and capricious.” See
    Sullivan v. Zebley, 
    493 U.S. 521
    , 528 (1990) (internal quotation marks omitted). The new
    rules would exceed the Commissioner’s statutory authority if, inter alia, they are
    “manifestly contrary to the statute.” See 
    id. at 528, 541
     (quoting Chevron, 
    467 U.S. at 844
    ). But if the new rules are neither outside the Commissioner’s statutory authority nor
    arbitrary and capricious, we must accord those rules “controlling weight.” See id. at 528
    (quoting Chevron, 
    467 U.S. at 844
    ).
    Rogers has not offered a cogent basis for withholding Chevron deference from the
    new SSA rules, and we perceive none. The new rules are a type that Congress empowered
    the SSA Commissioner to adopt, they are not manifestly contrary to any provision of the
    Social Security Act, and they do not strike us as arbitrary and capricious in any way.
    Notably, it matters not that the new rules constitute a reversal of prior SSA directives, for
    as Brand X explains, “[a]gency inconsistency is not a basis for declining to analyze the
    agency’s interpretation under the Chevron framework.” See 
    545 U.S. at 981
    . So long as
    “the agency adequately explains the reasons for a reversal of policy” — as the SSA plainly
    has done here — “change is not invalidating, since the whole point of Chevron is to leave
    the discretion provided by the ambiguities of a statute with the implementing agency.” 
    Id.
    (internal quotation marks omitted).
    In these circumstances, we are constrained to conclude under Brand X that our
    precedents do not trump the new SSA rules. That is, we agree with the district court that
    the new rules supersede our precedents and thus apply to claims filed on or after March 27,
    2017. We also must agree that the SSA ALJ applied correct legal standards and committed
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    no error in adhering to the new rules and declining to accord substantial weight to the VA’s
    determination that Rogers is 100% disabled. 5
    B.
    We therefore turn to Rogers’s other contentions of error. In so doing, we focus on
    her meritorious argument that the SSA ALJ failed to apply correct legal standards by
    omitting significant evidence — beyond the VA’s disability determination — from the
    analysis of her ability to work. That argument relates to the ALJ’s assessment of Rogers’s
    residual functional capacity, rendered in the course of the SSA’s five-step evaluation
    process. See 
    20 C.F.R. § 416.920
    (a)(4). The residual functional capacity finding informed
    the ALJ’s step-four conclusion that Rogers could no longer perform her past work, as well
    as the ALJ’s step-five conclusion that Rogers could nonetheless perform other work. See
    Mascio v. Colvin, 
    780 F.3d 632
    , 634-36 (4th Cir. 2015). 6
    5
    To be clear, the new SSA rules addressed herein, see 
    20 C.F.R. §§ 404.1504
    ,
    404.1520b(c)(1), are among many that the SSA implemented for claims filed on or after
    March 27, 2017. By today’s opinion, we do not consider or decide the validity of any of
    the other new rules.
    6
    In Mascio, we summarized the SSA’s five-step evaluation process under 
    20 C.F.R. § 416.920
    (a)(4) as follows:
    [T]he ALJ asks at step one whether the claimant has been working; at step
    two, whether the claimant’s medical impairments meet the regulations’
    severity and duration requirements; at step three, whether the medical
    impairments meet or equal an impairment listed in the regulations; at step
    four, whether the claimant can perform her past work given the limitations
    caused by her medical impairments; and at step five, whether the claimant
    can perform other work.
    (Continued)
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    A claimant’s residual functional capacity “is ‘the most’ the claimant ‘can still do
    despite’ physical and mental limitations that affect her ability to work.” See Mascio, 
    780 F.3d at 635
     (quoting 
    20 C.F.R. § 416.945
    (a)(1)). An ALJ’s residual functional capacity
    assessment is guided by 
    20 C.F.R. § 416.945
     and Social Security Ruling No. 96-8p. That
    Social Security Ruling directs the ALJ to evaluate the claimant’s “ability to do sustained
    work-related physical and mental activities in a work setting on a regular and continuing
    basis,” meaning “8 hours a day, for 5 days a week, or an equivalent work schedule.” See
    Social Security Ruling No. 96-8p, 
    61 Fed. Reg. 34,474
    , 34,475 (July 2, 1996). The ALJ’s
    “assessment must include a discussion of the individual’s abilities on that basis,” and must
    be “based on all of the relevant evidence in the case record.” 
    Id. at 34,475-76
    .
    With respect to her residual functional capacity, Rogers presented evidence to the
    ALJ that her abilities fluctuate during her menstrual cycle, such that “her functioning [is]
    drastically worse during [menstruation], as it remind[s] her of being raped during her time
    in the Army.” See Br. of Appellant 46 (explaining that “Rogers’s flashbacks and anxiety
    [are] worst [when she menstruates], and that is when she [is] especially prone to abandon
    routine household chores and isolate herself”). Rogers’s medical records reflect that “her
    menstrual cycle continues to be a trigger for her”; that her “[f]lashbacks [have become]
    more intense and more frequent, especially during [menstruation]”; and that menstruation
    See 
    780 F.3d at 634
     (italics added). We also explained that “[i]f the first three steps do not
    lead to a conclusive determination, the ALJ then assesses the claimant’s residual functional
    capacity.” 
    Id. at 635
    . The ALJ subsequently “use[s] the residual functional capacity
    finding at steps four and five.” 
    Id. at 636
    .
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    “is alarming to her,” in that she “associate[s] the si[ght] of blood with [her] rape that
    happened in the Army.” See A.R. 252, 264, 289 (internal quotation marks omitted).
    Strikingly, however, the ALJ’s decision omitted any mention of the menstrual cycle
    evidence. Moreover, the ALJ found therein that Rogers can adequately sustain work
    activities throughout an eight-hour workday, without addressing the possibility that her
    abilities will be different on some days than others. See, e.g., A.R. 16 (finding that Rogers
    can work while consistently being “off task less than 10% of an eight-hour workday” and
    maintaining concentration for more “than 2-hour segments of an eight-hour workday”). As
    such, the ALJ either wholly ignored the menstrual cycle evidence, or the ALJ considered
    and discounted that evidence for reasons that were not explained.
    Of course, to the extent that the VA’s disability determination relied on the
    menstrual cycle evidence, the new SSA rules required the SSA ALJ to consider that
    evidence. See 
    20 C.F.R. § 404.1504
    . In any event, the ALJ was compelled by Social
    Security Ruling No. 96-8p to consider the menstrual cycle evidence, as it obviously is
    relevant to Rogers’s ability to do sustained work-related activities on a regular and
    continuing basis. And because of the significance of that evidence, it should have been
    addressed in the ALJ’s decision so that there could be appropriate judicial review. See
    Thomas v. Berryhill, 
    916 F.3d 307
    , 312 (4th Cir. 2019) (concluding that an SSA ALJ erred
    by failing “to discuss what appears to be a substantial portion of the record,” regardless of
    whether the ALJ was ultimately “[r]ight or wrong” in deciding not to credit that evidence);
    see also Dowling v. Comm’r of Soc. Sec. Admin., 
    986 F.3d 377
    , 388-89 (4th Cir. 2021)
    17
    USCA4 Appeal: 22-1264      Doc: 32         Filed: 03/20/2023     Pg: 18 of 18
    (recognizing similar error resulting from ALJ’s failure to address “considerable” and
    “relevant evidence”).
    Simply put, by omitting the menstrual cycle evidence from the residual functional
    capacity assessment as to Rogers, the ALJ’s decision “is sorely lacking in the analysis
    needed for us to review meaningfully [the ALJ’s] conclusions.” See Mascio, 
    780 F.3d at 636-37
    . That legal error alone demands further administrative proceedings. See 
    id. at 637
    (explaining that “[b]ecause we are left to guess about how the ALJ arrived at his
    conclusions on [the claimant’s] ability to perform relevant functions . . . , remand is
    necessary”). 7
    IV.
    Pursuant to the foregoing, we vacate the judgment of the district court and remand
    for the court to further remand this matter for administrative proceedings consistent with
    our decision herein.
    VACATED AND REMANDED
    7
    As previously indicated, Rogers’s argument concerning the menstrual cycle
    evidence is one of many contentions of error she has raised in these proceedings — and
    one that the district court did not address. We emphasize that we mean no criticism of the
    district court, for although the SSA Commissioner has conceded (and we agree) that such
    argument was preserved below, it was much more clearly presented in this appeal. We
    also underscore that we have not considered any of Rogers’s other arguments, including
    that the ALJ erred in failing to account for Rogers’s emotional support dog in the residual
    functional capacity assessment and the related analysis of her ability to work. The
    Commissioner should not interpret our silence on those issues as an opinion that no other
    error occurred.
    18