(SS) Yarnell v. Commissioner of Social Security ( 2020 )

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 EASTERN DISTRICT OF CALIFORNIA 10 11 LISA JANICE YARNELL, ) Case No.: 1:18-cv-1483- JLT ) 12 Plaintiff, ) ORDER REMANDING THE ACTION PURSUANT ) TO SENTENCE FOUR OF 42 U.S.C. § 405(g) 13 v. ) ) ORDER DIRECTING ENTRY OF JUDGMENT IN 14 ANDREW M. SAUL1 ) FAVOR OF LISA JANICE YARNELL, AND Commissioner of Social Security, ) AGAINST DEFENDANT ANDREW M. SAUL, 15 ) COMMISSIONER OF SOCIAL SECURITY Defendant. ) 16 ) 17 Lisa Janice Yarnell asserts she is entitled to a period of disability and disability insurance 18 benefits under Title II of the Social Security Act. Plaintiff seeks judicial review of the decision to deny 19 benefits, arguing the administrative law judge erred in evaluating the record. Because the ALJ erred in 20 evaluating Plaintiff’s fatigue and rejecting her statements regarding the severity of her symptoms, the 21 matter is REMANDED for further proceedings pursuant to sentence four of 42 U.S.C. § 405(g). 22 BACKGROUND 23 On October 21, 2014, Plaintiff filed her application for benefits, alleging disability beginning 24 on March 29, 2013, due to the following conditions: immune disorder; extreme weakness, including 25 “trouble standing and holding things;” fatigue; constant headaches-migraines; flu-like symptoms, 26 including nausea, vomiting, and body aches; pain and swelling in her abdomen; and depression. (Doc. 27 28 1 This action was originally brought against Nancy A. Berryhill in her capacity as then-Acting Commissioner. 1 7-7 at 2; Doc. 7-8 at 14) The Social Security Administration denied the application at the initial level 2 and upon reconsideration. (See generally Doc. 7-4) Plaintiff requested a hearing and testified before 3 an ALJ on June 8, 2017. (See Doc. 7-3 at 30, 49) The ALJ determined Plaintiff was not disabled 4 under the Social Security Act and issued an order denying benefits on August 30, 2017. (Doc. 7-3 at 5 30-38) Plaintiff filed a request for review of the decision with the Appeals Council, which denied her 6 request on August 24, 2018. (Id. at 2-4) Therefore, the ALJ’s determination became the final decision 7 of the Commissioner of Social Security. 8 STANDARD OF REVIEW 9 District courts have a limited scope of judicial review for disability claims after a decision by 10 the Commissioner to deny benefits under the Social Security Act. When reviewing findings of fact, 11 such as whether a claimant was disabled, the Court must determine whether the Commissioner’s 12 decision is supported by substantial evidence or is based on legal error. 42 U.S.C. § 405(g). The 13 ALJ’s determination that the claimant is not disabled must be upheld by the Court if the proper legal 14 standards were applied and the findings are supported by substantial evidence. See Sanchez v. Sec’y of 15 Health & Human Serv., 812 F.2d 509, 510 (9th Cir. 1987). 16 Substantial evidence is “more than a mere scintilla. It means such relevant evidence as a 17 reasonable mind might accept as adequate to support a conclusion.” Richardson v. Perales, 402 U.S. 18 389, 401 (1971) (quoting Consol. Edison Co. v. NLRB, 305 U.S. 197 (1938)). The record as a whole 19 must be considered, because “[t]he court must consider both evidence that supports and evidence that 20 detracts from the ALJ’s conclusion.” Jones v. Heckler, 760 F.2d 993, 995 (9th Cir. 1985). 21 DISABILITY BENEFITS 22 To qualify for benefits under the Social Security Act, Plaintiff must establish he is unable to 23 engage in substantial gainful activity due to a medically determinable physical or mental impairment 24 that has lasted or can be expected to last for a continuous period of not less than 12 months. 42 U.S.C. 25 § 1382c(a)(3)(A). An individual shall be considered to have a disability only if: 26 his physical or mental impairment or impairments are of such severity that he is not only unable to do his previous work, but cannot, considering his age, education, and work 27 experience, engage in any other kind of substantial gainful work which exists in the national economy, regardless of whether such work exists in the immediate area in 28 which he lives, or whether a specific job vacancy exists for him, or whether he would be hired if he applied for work. 1 42 U.S.C. § 1382c(a)(3)(B). The burden of proof is on a claimant to establish disability. Terry v. 2 Sullivan, 903 F.2d 1273, 1275 (9th Cir. 1990). If a claimant establishes a prima facie case of disability, 3 the burden shifts to the Commissioner to prove the claimant is able to engage in other substantial 4 gainful employment. Maounis v. Heckler, 738 F.2d 1032, 1034 (9th Cir. 1984). 5 ADMINISTRATIVE DETERMINATION 6 To achieve uniform decisions, the Commissioner established a sequential five-step process for 7 evaluating a claimant’s alleged disability. 20 C.F.R. § 404.1520(a)(4), 416.920(a)(4). The process 8 requires the ALJ to determine whether Plaintiff (1) is engaged substantial gainful activity, (2) had 9 medically determinable severe impairments (3) that met or equaled one of the listed impairments set 10 forth in 20 C.F.R. § 404, Subpart P, Appendix 1; and whether Plaintiff (4) had the residual functional 11 capacity to perform to past relevant work or (5) the ability to perform other work existing in significant 12 numbers at the state and national level. Id. The ALJ must consider testimonial and objective medical 13 evidence. 20 C.F.R. §§ 404.1527, 416.927. 14 The ALJ determined, as an initial matter, that Plaintiff last met the insured status requirements 15 on December 31, 2013. (Doc. 7-3 at 32) The ALJ then proceeded to the first step of the sequential 16 evaluation and determined Plaintiff “did not engage in substantial gainful activity during the period 17 from her alleged onset date of March 29, 2013 through her date last insured.” (Id.) Second, the ALJ 18 found Plaintiff’s severe impairments included: “gastritis, irritable bowel syndrome, obesity, migraines, 19 and vitamin D deficiency.” (Id.) The ALJ noted Plaintiff also alleged “a history of Epstein Barr virus 20 and immune disorder,” but found the conditions were “not medically determinable during the period at 21 issue.” (Id. at 33) (Id. at 22) Further, the ALJ found Plaintiff’s asthma, depression, and history of lead 22 poisoning were not severe impairments. (Id.) 23 At step three, the ALJ determined Plaintiff’s impairments did not meet or medically equal a 24 Listing. (Doc. 7-3 at 34) Next, the ALJ found: “[T]hrough the date last insured, the claimant had the 25 residual functional capacity to perform the full range of light work defined in 20 CFR 404.1567(b).” 26 (Id.) With this residual functional capacity, the ALJ determined Plaintiff “was capable of performing 27 past relevant work as a manager fast food services.” (Id. at 36) Thus, the ALJ concluded at step four 28 that Plaintiff was not disabled as defined by the Social Security Act from March 29, 2013 through her 1 date last insured. (Id. at 37) 2 DISCUSSION AND ANALYSIS 3 Plaintiff argues the ALJ erred at step two by failing to evaluate her chronic fatigue syndrome. 4 (Doc. 14 at 21-25) In addition, Plaintiff contends the ALJ failed to identify clear and convincing 5 reasons to discount her testimony. (Id. at 26-28) Finally, Plaintiff contends the ALJ erred in evaluating 6 a lay witness statement. (Id. at 28) The Commissioner argues the ALJ’s decision “is supported by 7 substantial evidence and free of legal error,” and should be upheld by the Court. (Doc. 16 at 9) 8 A. Step Two Findings 9 The inquiry at step two is a de minimus screening “to dispose of groundless claims.” Smolen v. 10 Chater, 80 F.3d 1273, 1290 (9th Cir. 1996) (citing Bowen v. Yucket, 482 U.S. 137, 153-54 (1987)). The 11 purpose is to identify claimants whose medical impairment makes it unlikely they would be disabled 12 even if age, education, and experience are considered. Bowen, 482 U.S. at 153 (1987). A claimant 13 must make a “threshold showing” (1) she has a medically determinable impairment or combination of 14 impairments and (2) the impairment or combination of impairments is severe. Id. at 146-47; see also 15 20 C.F.R. § 404.1520(c). Thus, the burden of proof is on the claimant to establish a medically 16 determinable severe impairment that significantly limits her physical or mental ability to do basic work 17 activities, or the “abilities and aptitudes necessary to do most jobs.” 20 C.F.R. § 404.1521(a). 18 1. Medically determinable impairment 19 The Ninth Circuit determined that a diagnosis from an acceptable medical source is a 20 prerequisite to a finding that a medically determinable impairment exists, and symptoms by themselves 21 are not sufficient to establish such an impairment. Ukolov v. Barnhart, 420 F.3d 1002, 1005-06 (9th 22 Cir. 2005). Plaintiff reported in her “Disability Report”—submitted to the Administration in 23 December 2014— that she suffered from fatigue and extreme weakness, including “trouble standing 24 and holding things.” (Doc. 7-8 at 14) In February 2015, Plaintiff was diagnosed with Chronic Fatigue 25 Syndrome by Dr. Surinder Dhillon. (Doc. 7-24 at 12) Thus, Plaintiff’s Chronic Fatigue Syndrome was 26 a medically determinable impairment. See Ukolov, 420 F.3d at 1005-06. 27 2. Severity of Plaintiff’s impairment 28 For an impairment to be “severe,” it must “significantly limit[]” the claimant’s “ability to do 1 basic work activities.” 20 C.F.R. §§ 404.1520(c), 416.920(c). Basic work activities are “the abilities 2 and aptitudes necessary to do most jobs.” 20 C.F.R. §§ 404.1522(b), 416.922(b). Plaintiff asserts the 3 ALJ erred at step two by not addressing her diagnosis of Chronic Fatigue Syndrome, though it came 4 after her date last insured. (Doc. 14 at 21) On the other hand, the Commissioner argues Plaintiff’s 5 assertion that the ALJ should have addressed this impairment at step two fails for timeliness because 6 “[t]his diagnosis occurred more than a year after Plaintiff’s date last insured, and does not at all show 7 disability dating back to 2013.” (Doc. 16 at 4). 8 Notably, it is undisputed that the medical record establishes that Plaintiff repeatedly reported 9 fatigue in 2013 and 2014, before her diagnosis of Chronic Fatigue Syndrome. As the Commissioner 10 acknowledges, the non-examining physicians commented on Plaintiff’s reported fatigue, but found “no 11 [diagnosis] given as a reason for her fatigue complaint.” (Doc. 16 at 5, citing AR 81 and 92 [Doc. 7-4 12 at 8, 19]) Thus, it is clear the reviewing physicians were aware of at least the symptom, if not the 13 diagnosis, in reviewing the record. The ALJ, however, had the benefit of knowing Plaintiff’s ultimate 14 diagnosis with Chronic Fatigue Syndrome, yet did not address whether her fatigue affected her ability 15 to do basic work activities at step two. 16 Moreover, the ALJ did not address evidence related to Plaintiff’s fatigue elsewhere in the 17 decision, or make any findings related to the effect upon her functional limitations. Without such 18 analysis, it is not clear that the ALJ accounted for Plaintiff’s fatigue in formulating the residual 19 functional capacity at step four, which must include “all of [a claimant’s] medically determinable 20 impairments,” whether severe or not. 20 C.F.R. §§ 405.1545(a)(2), 416.945(a)(2). Thus, the Court 21 finds the ALJ erred by ignoring Plaintiff’s fatigue—and subsequent diagnosis with Chronic Fatigue 22 Syndrome—in evaluating the medical record. 23 B. Administrative Hearing Testimony 24 Plaintiff testified that she worked at Fosters Freeze for thirteen years. (Doc. 7-3 at 62) She 25 stated that as a general manager, she had the authority to hire and fire employees. (Id. at 59) Plaintiff 26 said she supervised twenty-one employees, scheduled shifts, ordered inventory, cleaned the restaurants, 27 and worked at the cash register. (Id. at 59-61) She estimated that she stood “[a]bout 10 hours” a day, 28 and lifted up to “35, 40 pounds” when putting stock away. (Id. at 60) 1 Plaintiff said her “physical abilities” caused her to no longer be able to work at Fosters Freeze. 2 (Doc. 7-3 at 62-63) She explained she planned to have a surgery and trained others “to do what [she] 3 did.” (Id. at 62) Plaintiff explained she “physically was unable to perform the lifting, and standing, and 4 bending;” but she “was able to work from home and… make phone calls.” (Id.) After working at 5 Fosters Freeze, Plaintiff began her own foot spa. (Id. at 58) 6 She stated she “became physically fatigued” in March 2013 and “kept dropping things.” (Doc. 7 7-3 at 63) Plaintiff said she could not stand or sit down, and she had swelling. (Id.) She explained that 8 she lived in a retirement community, and she “was afraid that [she] was going to injure one of the 9 clients.” (Id.) Plaintiff reported she “had somebody take over [her] area for a short time” and left her 10 equipment behind, “keeping [her] clients happy.” (Id.) However, Plaintiff said she “was not able to 11 return back to work.” (Id.) She testified that she last worked on May 7, 2013. (Id. at 57-58) 12 Plaintiff stated her walking partner “realized that [she] was having an issue,” because she “fell a 13 couple of times while [they] were walking.” (Doc. 7-3 at 64) Plaintiff said she “walked four and a half 14 miles, for a year with her [friend],” who recommended that Plaintiff be “checked out.” (Id.) 15 She said that in 2013, she was “very fatigued, very weak,” and “felt like [she] was being 16 poisoned.” (Doc. 7-3 at 67) She testified she “could not lift a gallon of milk” or “even lift [her] plate to 17 the cabinet,” and would “have to use both hands to lift stuff up.” (Id. at 67) She did not believe she 18 was able to lift ten pounds on a regular basis. (Id.) Plaintiff stated she “was not even able to go to the 19 grocery store.” (Id.) She explained that when she did, she had to sit down because she could not walk 20 anymore, and she “had to have somebody with [her] all of the time.” (Id. at 67-68) She said she was 21 later diagnosed with Epstein-Barr, and she did not know that her fatigue, weakness, bloating, and 22 nausea “was all part of it.” (Id. at 68) 23 1. Standards for reviewing a claimant’s statements 24 Plaintiff contends the ALJ “failed to provide specific, clear and convincing reasons to reject 25 [her] testimony” regarding the severity of her symptoms, including fatigue and pain. (Doc. 14 at 27) 26 The Commissioner argues that “[t]he ALJ appropriately found Plaintiff’s testimony not fully supported 27 by the record. (Doc. 16 at 6) 28 In evaluating a claimant’s statements, an ALJ must determine first whether objective medical 1 evidence shows an underlying impairment “which could reasonably be expected to produce the pain or 2 other symptoms alleged.” Lingenfelter v. Astrue, 504 F.3d 1028, 1035-36 (9th Cir. 2007) (quoting 3 Bunnell v. Sullivan, 947 F.2d 341, 344 (9th Cir. 1991)). Second, if there is no evidence of malingering, 4 the ALJ must make specific findings as to the claimant’s credibility by setting forth clear and 5 convincing reasons for rejecting his subjective complaints. Id. at 1036; see also Carmickle v. Comm’r 6 of Soc. Sec. Admin., 533 F.3d 1155, 1160 (9th Cir. 2008). 7 If there is objective medical evidence of an impairment, an ALJ may not discredit a claimant’s 8 testimony as to the severity of symptoms merely because it is unsupported by objective medical 9 evidence. See Bunnell v. Sullivan, 947 F.2d 341, 347-48 (9th Cir. 1991) The Ninth Circuit explained: 10 The claimant need not produce objective medical evidence of the [symptom] itself, or the severity thereof. Nor must the claimant produce objective medical evidence of the 11 causal relationship between the medically determinable impairment and the symptom. By requiring that the medical impairment “could reasonably be expected to produce” 12 pain or another symptom, the Cotton test requires only that the causal relationship be a reasonable inference, not a medically proven phenomenon. 13 14 Smolen v. Chater 80 F.3d 1273, 1282 (9th Cir. 1996) (referring to the test established in Cotton, 799 15 F.2d 1403). Further, an ALJ is directed to identify “specific reasons for the weight given to the 16 individual’s symptoms,” in a manner such that the claimant “and any subsequent reviewer can assess 17 how the adjudicator evaluated the individual’s symptoms.” Social Security Ruling2 16-3p, 2017 WL 18 5180304 (2017). 19 An ALJ may consider additional factors to assess a claimant’s statements including, for 20 example: (1) the claimant’s reputation for truthfulness, (2) inconsistencies in testimony or between 21 testimony and conduct, (3) the claimant’s daily activities, (4) an unexplained, or inadequately 22 explained, failure to seek treatment or follow a prescribed course of treatment, and (5) testimony from 23 physicians concerning the nature, severity, and effect of the symptoms of reported by a claimant. Fair 24 v. Bowen, 885 F.2d 597, 603 (9th Cir. 1989); see also Thomas v. Barnhart, 278 F.3d 947, 958-59 (9th 25 Cir. 2002) (an ALJ may consider a claimant’s reputation for truthfulness, inconsistencies between a 26 27 2 Social Security Rulings (SSRs) are “final opinions and orders and statements of policy and interpretations” issued by the Commissioner. 20 C.F.R. § 402.35(b)(1). Although they do not have the force of law, the Ninth Circuit gives 28 the Rulings deference “unless they are plainly erroneous or inconsistent with the Act or regulations.” Han v. Bowen, 882 1 claimant’s testimony and conduct, and a claimant’s daily activities). 2 2. The ALJ’s analysis of Plaintiff’s statements 3 The ALJ determined first that Plaintiff’s “medically determinable impairments could reasonably 4 be expected to cause the alleged symptoms,” including “difficulty with standing, lifting, and bending.” 5 (Doc. 7-3 at 35) However, the ALJ found Plaintiff’s “statements concerning the intensity, persistence 6 and limiting effects of these symptoms are not entirely consistent with the medical evidence and other 7 evidence in the record....” (Id.) In making this finding, the ALJ stated: 8 [T]hese statements have been found to affect the claimant’s ability to work only to the extent they can reasonably be accepted as consistent with the objective medical and other 9 evidence. The claimant alleges that she stopped working in February 2013 as an owner of a pedicure spa, but treatment records indicate that she reported that she loved her job and 10 was doing financially well in June 2013 despite her complaints (Exhibit 16F, p. 90). It also appears that she has had additional diagnoses, objective findings, and symptoms 11 after her date last insured. 12 A CT of the abdomen and pelvis in March 2013 indicated possible gastritis and diverticulosis without diverticulitis (Exhibit 3F, p. 10). In April 2013, the claimant was 13 complaining of abdominal pain bloating dysphagia heartburn nausea and vomiting (Exhibit 5F, p. 11). An EGD with biopsy indicated mild gastritis and chronic 14 inflammation with no malignancy (Exhibits 4F, p. 1; 16F, pp. 94, 98). Providers recommended a high fiber, gluten free diet with exercise (Exhibits 16F, pp. 98, 112, 115). 15 In June 2013, the claimant presented to her provider with complaints of fatigue, 16 weakness, and headaches (Exhibit 5F, pp. 4, 5). She told her provider that she had recently been treated for pneumonia (Exhibit 5F, p. 4). She also reported that she had 17 been in good health and was exercising until one and a half years prior, her symptoms had waxed and waned, and they progressively worsened (Exhibit 5F, p. 4). Her 18 provider ordered testing for possible diseases such as mononucleosis, leukemia, and vitamin D deficiency (Exhibit 5F, p. 6). Testing was negative, except for low vitamin 19 D levels and high C reactive protein (Exhibits 5F, pp. 7-10; 7F, pp. 2, 5, 6, 32, 34; 16F, p. 90). The record indicates complaints of headaches that were intermittent and 20 daily (Exhibits 7F, p. 36; 8F, p. 12). The claimant underwent occipital block for headaches at this time (Exhibit 16F, p. 92). 21 22 (Doc. 7-3 at 35-36) Plaintiff contends this analysis was insufficient to “rise to the ‘clear and 23 convincing’ standard required of the ALJ. (Doc. 14 at 27) 24 a. Inconsistent statements 25 An ALJ may consider “ordinary techniques of credibility evaluation, such as the claimant’s 26 reputation for lying, prior inconsistent statements concerning the symptoms, and other testimony by the 27 claimant that appears less than candid.” Smolen v. Chater, 80 F.3d 1273, 1284 (9th Cir. 1996). 28 In this case, the ALJ seems to imply that Plaintiff gave inconsistent statements regarding her 1 work, and that her testimony was discounted on this basis. (Doc. 7-3 at 35) It is unclear where the ALJ 2 came up with the statement about February 2013, as Plaintiff testified she stopped working in May 3 2013, which the ALJ acknowledged elsewhere in the decision. (Id. at 35, 57-58) In June 2013, 4 Plaintiff’s physician inquired about her stress, and Plaintiff responded she was “under no stress.” (Doc. 5 7-19 at 29) In addition, the treatment notes indicated Plaintiff said: “financially she is doing good she 6 loves her job she’s got good clientale (sic) with her manicurist profession with good results.” (Id.) 7 Plaintiff also testified that when she initially stopped working, she kept the foot spa open and provided 8 supplies, and “had somebody take over [her] area for a short time.” (Doc. 7-3 at 63) Given Plaintiff’s 9 testimony that she kept the business open and had another person covering her position for a period, it 10 is not clear that her statement that she stopped working in May 2013 is inconsistent with the report that 11 she loved her work in June 2013. Moreover, the ALJ did not make a specific finding that Plaintiff gave 12 inconsistent statements or lacked candor regarding her work history. Thus, Plaintiff’s statements 13 regarding her work history do not support the ALJ’s decision to give less weight to her statements 14 regarding the severity of her symptoms prior to the date last insured. 15 b. Objective medical evidence 16 In general, “conflicts between a [claimant’s] testimony of subjective complaints and the 17 objective medical evidence in the record” can constitute “specific and substantial reasons that 18 undermine . . . credibility.” Morgan v. Comm’r of Social Sec. Admin., 169 F.3d 595, 600 (9th Cir. 19 1999). The Ninth Circuit explained, “While subjective pain testimony cannot be rejected on the sole 20 ground that it is not fully corroborated by objective medical evidence, the medical evidence is still a 21 relevant factor in determining the severity of the claimant’s pain and its disabling effects.” Rollins v. 22 Massanari, 261 F.3d 853, 857 (9th Cir. 2001); see also Burch v. Barnhart, 400 F.3d 676, 681 (9th Cir. 23 2005) (“Although lack of medical evidence cannot form the sole basis for discounting pain testimony, it 24 is a factor that the ALJ can consider in his credibility analysis”). Because the ALJ did not base the 25 decision solely on the fact that the medical record did not support the degree of symptoms alleged by 26 Plaintiff, the objective medical evidence was a relevant factor evaluating her subjective complaints. 27 If an ALJ cites the medical evidence, it is not sufficient for the ALJ to simply state that the 28 testimony is contradicted by the record. Holohan v. Massanari, 246 F.3d 1195, 1208 (9th Cir. 2001) 1 (“general findings are an insufficient basis to support an adverse credibility determination”). Rather, an 2 ALJ must “specifically identify what testimony is credible and what evidence undermines the 3 claimant’s complaints.” Greger v. Barnhart, 464 F.3d 968, 972 (9th Cir. 2006); see also Dodrill v. 4 Shalala, 12 F.3d 915, 918 (9th Cir. 1993) (an ALJ must identify “what evidence suggests the 5 complaints are not credible”). Here, the ALJ failed to identify the portions of Plaintiff's testimony he 6 believed were inconsistent with the medical record. Rather, the ALJ provided only a summary of the 7 medical record from the relevant period. (See Doc. 7-3 at 35-36) 8 As the Ninth Circuit explained, “summariz[ing] the medical evidence supporting [the] RFC 9 determination... is not the sort of explanation or the kind of ‘specific reasons’ [the Court] must have in 10 order to ... ensure that the claimant's testimony was not arbitrarily discredited.” See, e.g., Brown-Hunter 11 v. Colvin, 806 F.3d 487, 494 (9th Cir. 2015). Consequently, “the observations an ALJ makes as part of 12 the summary of the medical record are not sufficient to establish clear and convincing reasons for 13 rejecting a Plaintiff's credibility.” Argueta v. Colvin, 2016 U.S. Dist. LEXIS 102007 at *44 (E.D. Cal. 14 Aug. 3, 2016). 15 In Brown-Hunter, the claimant argued the ALJ failed to provide clear and convincing reasons 16 for rejecting her symptom testimony. Id., 806 F. 3d at 491. The district court identified inconsistencies 17 in the ALJ’s summary of the medical record that it gave rise to reasonable inferences about Plaintiff's 18 credibility. Id. On appeal, the Ninth Circuit determined the ALJ failed to identify the testimony she 19 found not credible and did not link that testimony to support the adverse credibility determination. Id. at 20 493. The Court explained that even if the district court’s analysis was sound, the analysis could not cure 21 the ALJ’s failure. Id. at 494. Likewise, here, the ALJ offered no more than a summary of the medical 22 evidence and did not identify the testimony he found was not credible. Because the ALJ failed to link 23 the findings in the medical record to Plaintiff’s testimony—or otherwise reject the functional 24 limitations to which Plaintiff testified—the ALJ made an error the Court is unable to cure. See Greger, 25 464 F.3d at 972; Brown-Hunter, 806 F.3d at 494. 26 C. Lay Witness Statement 27 Carla LaLonde, Plaintiff’s friend and neighbor completed a “Function Report – Adult – Third 28 Party” on December 30, 2014. (Doc. 7-8 at 32) The ALJ must consider such statements from 1 “nonmedical sources” in evaluating the severity of a claimant’s symptoms. 20 C.F.R. § 404.1513(a)(4); 2 Merrill v. Apfel, 224 F.3d 1083, 1085 (9th Cir. 2000) (“an ALJ, in determining a claimant's disability, 3 must give full consideration to the testimony of friends and family members”). To discount the 4 testimony of a lay witness, the ALJ must give specific, germane reasons for rejecting the opinion of 5 each witness. Dodrill v. Shalala, 12 F.3d 915, 919 (9th Cir. 1993); Bruce v. Astrue, 557 F.3d 1113, 6 1115 (9th Cir. 2009). For example, an ALJ can reject lay witness testimony to the extent that it conflicts 7 with other testimony, the record of the claimant’s activity, and the medical evidence. Bayliss v. 8 Barnhart, 427 F.3d 1211, 1218 (9th Cir. 2005); Lewis v. Apfel, 236 F.3d 503, 512 (9th Cir. 2001). 9 The ALJ addressed the lay witness statement from Ms. LaLonde and gave it “little weight,” 10 stating: 11 Ms. Lalonde reported that the claimant was her walking partner, but she said the claimant could not work, was in constant pain, and had no energy (Exhibit 4E p.6). She 12 also reported that the claimant helped care for a dog, she wore sweatpants, did not fix her hair, and she was depressed because of her limitations (Exhibit 4E p. 7). The 13 claimant prepared fresh food, did laundry and some light cleaning throughout the day, drove, shopped in stores, and was able to handle her finances (Exhibit 4E pp. 8-9). 14 However, she was no longer able to take walks, or even walk around the block (Exhibit 4E p. 10). She was no longer social and had withdrawn because she did not feel well 15 (Exhibit 4E p. 10). Ms. Lalonde said the claimant could walk 1/2 block, her attention varied, and she was able to follow instructions well (Exhibit 4E p. 11). She did not 16 handle stress or changes in routine well (Exhibit 4E p. 12). I have considered this report, but I give it little weight, as it was completed one year after the claimant’s last 17 insured, and is not necessarily relevant to the period at issue. 18 (Doc. 7-3 at 36) Plaintiff asserts the ALJ erred with this analysis and failed to identify “a germane 19 reason to discount Ms. LaLonde’s testimony.” (Doc. 14 at 28) 20 Plaintiff observes that Ms. LaLonde reported being friends with Plaintiff “for the previous six 21 years” and seeing Plaintiff daily. (Doc. 14 at 28-29) Plaintiff argues, “The ALJ’s reasoning that Ms. 22 LaLonde’s statements did ‘not necessarily’ relate to the period at issue is an assumption and contrary to 23 Ms. LaLonde’s testimony.” (Id. at 29) Plaintiff notes she “testified at [the] administrative hearing that 24 it was her walking partner (Ms. LaLonde) that urged her to see a doctor due to the onset of intense 25 fatigue causing falls.” (Id.) In addition, Plaintiff observes that “[t]he ALJ did not make any inquiry at 26 the administrative hearing as to the duration and frequency of Ms. LaLonde’s contact with Ms. Yarnell 27 during the relevant time period.” (Id.) According to Plaintiff, “Without more, the ALJ’s incorrect 28 assumption – and absent any supporting evidence – does not constitute a specific, germane reason 1 sufficient to disregard Ms. LaLonde’s probative statements.” (Id.) 2 On the other hand, the Commissioner argues the ALJ did not err in addressing the statement 3 from Ms. LaLonde. (Doc. 16 at 9) The Commissioner asserts, “whether Plaintiff was disabled by 4 December 31, 2013 is legally dispositive, thus, the ALJ is rational in finding that Ms. LaLonde’s 5 remote-in-time statements—which do not separate out any time period—to be of diminished relevance 6 in light of the overall record.” (Id., citing Weetman v. Sullivan, 877 F.2d 20, 22 (9th Cir. 1989)). In 7 addition, the Commissioner notes that “Plaintiff faults the ALJ for not asking about Ms. LaLonde at the 8 hearing, but points to no such legal obligation.” (Id.) 9 Significantly, a review of Ms. LaLonde’s statement reveals that it is written in the present tense, 10 which indicates Ms. LaLonde was addressing Plaintiff’s current level of functioning in December 11 2014. For example, Ms. LaLonde wrote Plaintiff “is in constant pain [and] has no energy.” (Doc. 7-8 12 at 32) She also noted Plaintiff “tries to clean, feed her husband [and] animals,” and was caring for her 13 husband who “is recovering from prostrate surgery.” (Id. at 33) Further, Ms. LaLonde indicated 14 Plaintiff “doesn’t dress up anymore [and] just wears sweats.” (Id. at 33) Plaintiff “was very active in 15 sports” and “is not able to do anything”—but does not indicate when the change to Plaintiff becoming 16 inactive, occurred. (Id.) Because Ms. LaLonde addresses Plaintiff’s current level of functioning in 17 December 2014—approximately a year after her date last insured—without any indication that Plaintiff 18 had the same level of functioning for a year or more, the ALJ did not err by giving the report little 19 weight because it was “not necessarily relevant to the period at issue.” See Owens v. Colvin, 2013 WL 20 1914407 (W.D. Wash. Apr. 3, 2013) (finding an ALJ did not err in giving less weight to an opinion that 21 “was not offered during the relevant period” and was “offered in the present tense”). 22 Further, Plaintiff fails to show the ALJ had a duty to obtain additional information related to the 23 lay witness statement. As noted by the Commissioner, Plaintiff has not cited authority to support this 24 duty, and the Court has located none. To the contrary, courts have rejected the argument that an ALJ 25 has an obligation to seek additional information regarding lay witness testimony. See, e.g., Bracken v. 26 Astrue, 140 Soc. Sec. Rep. Service 180, 2009 WL 542214 at *10 (C.D. Cal. Mar. 3, 2009) (disagreeing 27 with the plaintiff’s assertion that “the ALJ failed to properly develop the record when he failed to 28 ascertain additional information regarding the lay witness testimony”); Tushner v. Astrue, 2012 WL 1 1481493 (Dist. Or. Apr. 27, 2012) (“Plaintiff cites to no authority, and this Court is not aware of any, 2 that requires an ALJ to elicit additional information from a lay witness in order to fully and fairly 3 develop the record”). 4 Consequently, the Court finds the ALJ identified a proper, germane reason for giving “little 5 weight” to the statement from Ms. LaLonde, and Plaintiff fails to show the ALJ erred in evaluating the 6 lay witness evidence. 7 D. Remand is Appropriate 8 The decision whether to remand a matter pursuant to sentence four of 42 U.S.C. § 405(g) or to 9 order immediate payment of benefits is within the discretion of the district court. Harman v. Apfel, 10 211 F.3d 1172, 1178 (9th Cir. 2000). Except in rare instances, when a court reverses an administrative 11 agency determination, the proper course is to remand to the agency for additional investigation or 12 explanation. Moisa v. Barnhart, 367 F.3d 882, 886 (9th Cir. 2004) (citing INS v. Ventura, 537 U.S. 13 12, 16 (2002)). Generally, an award of benefits is directed when: 14 (1) the ALJ has failed to provide legally sufficient reasons for rejecting such evidence, (2) there are no outstanding issues that must be resolved before a determination of 15 disability can be made, and (3) it is clear from the record that the ALJ would be required to find the claimant disabled were such evidence credited. 16 17 Smolen v. Chater, 80 F.3d 1273, 1292 (9th Cir. 1996). In addition, an award of benefits is directed 18 where no useful purpose would be served by further administrative proceedings, or where the record is 19 fully developed. Varney v. Sec’y of Health & Human Serv., 859 F.2d 1396, 1399 (9th Cir. 1988). The 20 Ninth Circuit explained that “where the ALJ improperly rejects the claimant’s testimony regarding 21 [her] limitations, and the claimant would be disabled if [her] testimony were credited,” the testimony 22 can be credited as true, and remand is not appropriate. Lester, 81 F.3d at 834. 23 Importantly, courts retain flexibility in crediting testimony as true, and may remand for further 24 proceedings to address a claimant’s statements regarding the severity of her symptoms. See, e.g., 25 Bunnell, 947 F.2d at 348 (affirming the district court’s order remanding for further proceedings where 26 the ALJ failed to explain with sufficient specificity the basis for rejecting the claimant’s testimony); 27 Byrnes v. Shalala, 60 F.3d 639, 642 (9th Cir. 1995) (remanding the case “for further proceedings 28 evaluating the credibility of [the claimant's] subjective complaints …”). Because the findings of the 1 ALJ are insufficient to determine whether Plaintiff's statements regarding the severity of her 2 symptoms—and her reported fatigue— prior to her date last insured should be credited as true, the 3 matter should be remanded for the ALJ to re-evaluate the evidence. 4 CONCLUSION AND ORDER 5 For the reasons set for above, the Court finds the ALJ erred in evaluating the record related to 6 Plaintiff’s fatigue and statements regarding the severity of her symptoms, and the administrative 7 decision should not be upheld by the Court. See Sanchez, 812 F.2d at 510. Thus, the Court ORDERS: 8 1. The matter is REMANDED pursuant to sentence four of 42 U.S.C. § 405(g) for further 9 proceedings consistent with this decision; and 10 2. The Clerk of Court is DIRECTED to enter judgment in favor of Plaintiff Lisa Janice 11 Yarnell, and against Defendant Andrew M. Saul, Commissioner of Social Security. 12 13 IT IS SO ORDERED. 14 Dated: March 19, 2020 /s/ Jennifer L. Thurston 15 UNITED STATES MAGISTRATE JUDGE 16 17 18 19 20 21 22 23 24 25 26 27 28