Jackson v. Colvin ( 2017 )


Menu:
  •                             UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF COLUMBIA
    _________________________________________
    )
    AZAR A. JACKSON, JR.,                     )
    )
    Plaintiff,                          )
    )
    v.                          )                     Case No. 16-cv-00010
    )
    CAROLYN W. COLVIN,                        )
    )
    Defendant.                          )
    _________________________________________ )
    MEMORANDUM OPINION
    I.     INTRODUCTION
    Plaintiff Azar A. Jackson, Jr., challenges a decision by the Social Security
    Administration (“SSA”) denying his applications for disability benefits. Plaintiff contends that
    (1) the Administrative Law Judge (“ALJ”) who reviewed the SSA’s denial of benefits failed to
    comply with the requirements governing such review, and (2) the Appeals Council of the Office
    of Disability Adjudication and Review erred by not addressing new, relevant medical evidence
    that Plaintiff had obtained after the administrative hearing.
    This matter is before the court on Plaintiff’s Motion for Judgment of Reversal and
    Defendant’s Motion for Judgment of Affirmance. For the reasons stated below, the court grants
    Plaintiff’s Motion and remands for further proceedings consistent with this Memorandum Opinion.
    II.    BACKGROUND
    A.      Plaintiff’s Social Security Administration Applications
    Plaintiff Azar A. Jackson, Jr., suffers from several medical conditions, including, as
    relevant here, bipolar disorder, attention-deficit hyperactivity disorder (“ADHD”), narcolepsy with
    cataplexy, and insomnia. Admin. Rec., ECF No. 9 [hereinafter A.R.], Pt. 7, ECF No. 9-6
    [hereinafter A.R. Pt. 7], at 319.1 Plaintiff filed two applications for disability benefits with the
    Social Security Administration (“SSA”): (1) an application for Disability Insurance Benefits on
    September 16, 2011, and (2) an application for Supplemental Security Income on April 24, 2012.
    A.R., Pt. 6, ECF No. 9-5 [hereinafter A.R. Pt. 6], at 173–89. In his applications, Plaintiff claimed
    that he had been unable to work since August 2011 due to several medical ailments, including
    “[m]ental problems” and “[d]epression.” Id. at 173; A.R. Pt. 7 at 217. The SSA denied both
    applications on January 6, 2012, on the ground that Plaintiff had failed to allege a compensable
    disability. Shortly thereafter, it denied his request for reconsideration. A.R., Pt. 4, ECF No. 9-3
    [hereinafter A.R. Pt. 4], at 62–105; A.R., Pt. 5, ECF No. 9-4 [hereinafter A.R. Pt. 5], at 102–05,
    109–22.
    B.       The ALJ’s Ruling
    Plaintiff requested an administrative hearing to review the SSA’s decision. A.R. Pt. 5 at
    124–26. That hearing occurred on July 8, 2014. A.R., Pt. 3, ECF No. 9-2 [hereinafter A.R. Pt. 3],
    at 40–61. At the hearing, the Administrative Law Judge (“ALJ”) received documentary evidence
    detailing the severity of Plaintiff’s disability and heard live testimony from Plaintiff and Georgette
    Gunther, a vocational expert. Id.
    The SSA uses a sequential five-step process to evaluate a disability claim, and the ALJ
    engages in that same process anew upon review. See 
    20 C.F.R. § 404.1520
    (a)(4). The inquiry
    requires that the ALJ evaluate: (1) the claimant’s current and past work activity; (2) the severity
    and duration of the claimant’s medically determinable impairments; (3) whether the impairments
    meet the requirements outlined in the SSA’s Listing of Impairments; (4) the claimant’s residual
    1
    All pin citations to the Administrative Record reflect the Bates-stamp pagination in the lower right-hand corner of
    the document.
    2
    functional capacity (“RFC”) and past relevant work experience; and (5) the claimant’s ability to
    adjust to other work that exists in the national economy. 
    Id.
     § 404.1520(a)(4)(i)–(v); see 
    42 U.S.C. § 423
    (d)(2)(A). The applicant bears the burden of proof as to the first four factors; if he meets
    each of those criteria, then the burden shifts to the SSA to satisfy the fifth factor by demonstrating
    that the applicant is able perform other work. See Jones v. Astrue, 
    647 F.3d 350
    , 352–53 (D.C.
    Cir. 2011). To carry its burden on the fifth factor, the SSA must consider the applicant’s RFC,
    age, education, and work experience in demonstrating that there are jobs in the national economy
    that the applicant can perform. See 
    id. at 353
    . “If there are not, the claimant is disabled and eligible
    for benefits.” 
    Id.
    In a ruling issued on August 13, 2014, the ALJ followed the five-step process outlined
    above and affirmed the SSA’s denial of Plaintiff’s applications. A.R. Pt. 3 at 18–34. The ALJ
    began his written decision by quickly dispensing with steps one through three, finding that:
    (1) Plaintiff had not engaged in substantial, gainful activity since August 2011; (2) Plaintiff’s
    bipolar disorder and ADHD were severe, but his narcolepsy was not severe; and (3) Plaintiff did
    not have a qualifying impairment, as defined by the Listing of Impairments. 
    Id.
     at 23–26.
    Although having found against Plaintiff at step three, the ALJ nevertheless moved to step
    four and discussed in detail Plaintiff’s past work history and RFC. The ALJ first recounted the
    medical evidence he had reviewed and the testimony he had heard. He then found that Plaintiff
    had the RFC to maintain employment that “require[d] performing only simple, one to four-step
    routine, repetitive tasks in a work environment that require[d] only occasional contact with co-
    workers and supervisors and no contact with the general public.” 
    Id.
     at 26–34. The ALJ further
    concluded that the “medical evidence” “demonstrate[d] that [Plaintiff] would be able to work full-
    time within the parameters” of that RFC (i.e., performing simple, repetitive tasks in relative
    3
    isolation). Id. at 31. Notably, in reaching his conclusion, the ALJ discounted the medical opinion
    of one of Plaintiff’s treating physicians, Dr. Julian Redditt, and did not credit Plaintiff’s own
    description of his disabilities. Specifically, the ALJ “assigned little weight” to the opinion of Dr.
    Redditt and, instead, assigned “great weight” to the opinion of Dr. Norman Kane, the SSA
    consultant who reviewed Plaintiff’s disability claim in 2012. Id. at 31–32. Additionally, the ALJ
    found that Plaintiff’s description of the severity of his disability was not credible in light of other
    record evidence, including the fact that Plaintiff had been attending acting classes during the
    alleged disability period. Id. at 31.
    Finally, the ALJ addressed step five and determined that, in light of Plaintiff’s RFC, and
    “[b]ased on the testimony of the vocational expert,” Plaintiff was “capable of making a successful
    adjustment to other work that exists in significant numbers in the national economy.” Id. at 33–
    34. The ALJ thus concluded that Plaintiff did not qualify for disability benefits and affirmed the
    SSA’s denials of benefits. Id.
    C.      Administrative Appeal
    Dissatisfied with the ALJ’s decision, Plaintiff submitted a letter to the Appeals Council of
    the Office of Disability Adjudication and Review (the “Appeals Council”) to request review. Id.
    at 17. Plaintiff also asked for time to submit additional medical evidence, including the results of
    anticipated narcolepsy tests to be performed by Plaintiff’s neurologist, Dr. Samuel Potolicchio. Id.
    The Appeals Council granted the request for additional time by letter dated October 30, 2014,
    wherein it invited Plaintiff to submit any “new and material evidence.” Id. at 8–9. Plaintiff later
    submitted additional evidence, which included: (1) two opinion letters from Dr. Potolicchio, dated
    July 24, 2014, and (2) the results of a wakefulness test performed by Dr. Potolicchio on November
    20, 2014, which found that Plaintiff had “remarkable [and] significant daytime sleepiness,
    4
    apparently not responsive to stimulant medication taken during the test.” A.R., Pt. 11, ECF No.
    9-10 [hereinafter A.R. Pt. 11], at 1368–72.
    On November 6, 2015, the Appeals Council denied Plaintiff’s request for review and
    affirmed the ALJ’s decision. A.R. Pt. 3 at 1–7. Although the Appeals Council acknowledged
    receipt of the new evidence and made it part of the record, the Appeals Council did not specifically
    explain why that evidence did not warrant a reversal of the ALJ’s decision. Id. at 2, 6.
    Plaintiff then filed this action, challenging the SSA’s denial of benefits. See Compl., ECF
    No. 1. This matter is now before the court on Plaintiff’s Motion for Judgment of Reversal and
    Defendant’s Motion for Judgment of Affirmance.
    III.   LEGAL STANDARD
    An unsuccessful applicant for benefits may seek review of the SSA’s decision by a federal
    district court. 
    42 U.S.C. § 405
    (g). “[T]he ‘Commissioner’s ultimate determination will not be
    disturbed if it is based on substantial evidence in the record and correctly applies the relevant legal
    standards.’” Jones, 
    647 F.3d at 355
     (quoting Butler v. Barnhart, 
    353 F.3d 992
    , 999 (D.C. Cir.
    2004)). The court must defer to the ALJ’s decisions concerning the weight given to the evidence
    and may not substitute its judgment for that of the ALJ. Butler, 
    353 F.3d at 999
    . A reviewing
    court, however, should be able to discern how the ALJ reached his decision. Simms v. Sullivan,
    
    877 F.2d 1047
    , 1050 (D.C. Cir. 1989). Ultimately, the inquiry involves determining whether “the
    ALJ . . . has analyzed all evidence and has sufficiently explained the weight he has given to
    obviously probative exhibits.” 
    Id.
     (internal quotation marks omitted). If not, the court must
    remand the case to the SSA for further proceedings. 
    Id.
     at 1050–53.
    5
    IV.    DISCUSSION
    Plaintiff urges reversal of the SSA’s denial of benefits for five reasons. First, he argues
    that the ALJ failed to adequately consider the opinion evidence of one of his treating physicians,
    Dr. Lillian Kaye. Second, he maintains that the ALJ did not give sufficient weight to another of
    his treating physicians, Dr. Julian Redditt. Third, he asserts that the ALJ did not adequately explain
    his basis for finding that Plaintiff’s testimony lacked credibility. Fourth, he contends that the ALJ
    posed flawed hypothetical questions to the vocational expert, which failed to reflect Plaintiff’s true
    medical conditions, and thereafter erroneously relied on the expert’s deficient opinion testimony.
    Pl.’s Mot for J. of Rev., ECF No. 18, Ex. 1, Mem. in Supp., ECF. No. 18-1 [hereinafter Pl.’s Mot.],
    at 9–17. Finally, Plaintiff maintains that the Appeals Council erred in affirming the ALJ’s decision
    without addressing the post-hearing evidence Plaintiff submitted concerning the scope and severity
    of his narcolepsy. 
    Id.
     at 17–24.
    Defendant counters that the ALJ adequately weighed all of the relevant medical evidence
    and provided a well-reasoned decision. Def.’s Mot. for J. of Aff., ECF No. 19 [hereinafter Def.’s
    Mot.], at 13–22. It also responds that the Appeals Council did not err by failing to address
    Plaintiff’s additional medical evidence, because that evidence was neither “new” nor “material”
    and, regardless, the Appeals Council was not required to articulate its basis for not crediting the
    new evidence. 
    Id.
     at 22–29.
    For the reasons explained below, the court agrees with Plaintiff that the ALJ erred by
    (1) failing to address Dr. Kaye’s opinion concerning the impact of Plaintiff’s narcolepsy on his
    ability to work, and (2) posing improper hypotheticals to Plaintiff’s vocational expert. As the court
    explains below, because those rulings warrant a remand and a re-evaluation of the evidence, the
    court need not reach the remaining issues.
    6
    A.      Inadequate Consideration of Dr. Kaye’s Opinions
    In the D.C. Circuit, an ALJ must abide by the “treating physician rule.” That rule provides
    that, “[b]ecause a claimant’s treating physicians have great familiarity with [his] condition, their
    reports must be accorded substantial weight.” Butler, 
    353 F.3d at 1003
     (quoting Williams v.
    Shalala, 
    997 F.2d 1494
    , 1498 (D.C. Cir. 1993)). The opinion or reports of a treating physician are
    therefore “binding on the fact-finder unless contradicted by substantial evidence.” 
    Id.
     (internal
    quotation marks omitted). Accordingly, an ALJ “who rejects the opinion of a treating physician”
    must “explain his reasons for doing so.” 
    Id.
     (internal quotation marks omitted).
    Plaintiff contends that the ALJ violated the treating physician rule when he failed to
    consider the opinion evidence supplied by Plaintiff’s treating psychotherapist, Dr. Lillian Kaye.
    Pl.’s Mot. at 11. He is correct. Plaintiff provided the ALJ with a letter from Dr. Kaye, dated June
    18, 2014. A.R. Pt. 7 at 313–14. In that letter, Dr. Kaye clearly stated that she had been “providing
    psychotherapy services to [Plaintiff] since December 17, 2012.” Id. at 313. Although she
    acknowledged that Plaintiff’s narcolepsy was “relatively well-managed” at the time she was
    writing the letter, she also opined that “it seem[ed] less likely that he would be successful in a full-
    time position with a rigid structure and lack of flexibility of schedule.” Id. at 313–14. That opinion
    is important. While the ALJ found that Plaintiff “would be able to work full-time within the
    parameters” of his RFC, see A.R. Pt. 3 at 31, Dr. Kaye’s opinion was that Plaintiff’s ability to
    succeed in full-time employment was “less likely” absent meaningful accommodations, see A.R.
    Pt. 7 at 313–14. Under the treating physician rule, the ALJ was bound either to assign controlling
    weight to Dr. Kaye’s opinion or provide explicit justification for disregarding it. Butler, 
    353 F.3d at 1003
    . He did neither. Nowhere does the ALJ’s decision mention, let alone address, Dr. Kaye’s
    opinion that Plaintiff’s narcolepsy limited his ability to do full-time work. The decision does twice
    7
    mention Dr. Kaye, but it does so only to support the finding that Plaintiff’s narcolepsy was “well
    managed.” A.R. Pt. 3 at 24–25. The ALJ was not permitted, however, to rely on only one portion
    of Dr. Kaye’s opinion while disregarding the other. Instead, the ALJ was required to consider the
    opinion in its entirety, which he did not do. Cf. Jones, 
    647 F.3d at
    355–56 (holding that ALJ
    committed erred by failing to explain his reasons for rejecting the claimant’s treating physician’s
    opinion, even though the ALJ had accepted some of the physician’s conclusions).
    Defendant argues that the ALJ was not required to address Dr. Kaye’s opinion because her
    opinion is “vague,” “irrelevant,” and did not contradict the opinions of other physicians that the
    ALJ considered in making his decision. Def.’s Mot. at 17. Defendant further argues that, because
    Dr. Kaye did not provide contemporaneous treatment notes, her “retrospective opinion is, thus, a
    vocational one, [in] an area for which she has presented no credentials or identified no specific job
    to which she is referring.” 
    Id.
     Those arguments are unpersuasive. Dr. Kaye’s opinion is not
    “irrelevant”—after all, she was Plaintiff’s treating provider for the preceding 18 months—and it is
    not “vague”—she clearly explained why she held a dim view of Plaintiff’s full-time work
    prospects. Moreover, Defendant’s other reasons for discounting Dr. Kaye’s opinion are not
    relevant because those reasons were never articulated by the ALJ. Defendant cannot cure a
    deficient administrative judgment by way of post-hoc, litigation-produced justifications.
    See Jones, 
    647 F.3d at 356
     (“The treating physician rule requires an explanation by the SSA, not
    the court.”); see also Motor Vehicle Mfrs. Ass’n of the U.S., Inc. v. State Farm Mut. Auto. Ins. Co.,
    
    463 U.S. 29
    , 49–50 (1983).
    Accordingly, the court finds that the ALJ erred in neglecting to address Dr. Kaye’s opinion
    on the effect of Plaintiff’s narcolepsy on his ability to engage in full-time work.
    8
    B.      Questioning of the Vocational Expert
    The court also finds that the ALJ posed factually deficient hypothetical questions to
    Plaintiff’s vocational expert. An ALJ may rely on a vocational expert’s answers to hypothetical
    questions about the claimant’s ability to do certain types of work. Butler, 
    353 F.3d at
    1005–06.
    The ALJ, however, “must accurately describe the claimant’s physical impairments in any question
    posed to the expert.” 
    Id. at 1005
    . Deficiencies in the ALJ’s description of the claimant’s condition
    “undermine the foundation for the expert’s ultimate conclusion that there are alternative jobs” the
    claimant is capable of performing. 
    Id. at 1006
    ; see also Williams, 
    997 F.2d at 1499
    .
    Here, the ALJ did not, as required, incorporate Plaintiff’s medical conditions into his
    hypothetical questions. The ALJ had the following exchange with Plaintiff’s vocational expert,
    Georgette Gunther, at the hearing:
    Q:      Ms. Gunther, I’d like to begin by posing some hypotheticals
    to you. For the sake of these hypotheticals, please assume an
    individual who’s between the ages of 34 and 37, who’s got a high
    school degree and some college, without the attainment of any
    college degree, and past work experience such as you’ve testified to
    the Claimant having. If one were to assume that a person with that
    background had the ability to perform a full range of light work,
    provided that such work not require performing more than simple,
    one to four step routine, repetitive tasks in a work environment
    where there would only be occasional contact with co-workers and
    supervisors, and no contact with the general public, given those
    limitations would that person be capable of performing any of the
    past work done by the Claimant?
    A:      No past work, Your Honor.
    Q:     Would there be other work for an individual with that
    background and those limitations?
    A:      Yes. . . .
    Q:      For the second hypothetical, what would generally be
    considered to be an acceptable amount of daily time off task such
    that the individual would still remain competitively employable?
    9
    A:     That is not in the DOT. In my opinion, Your Honor, they
    need to be on task 85 percent of the workday.
    Q:      For the third hypothetical, what’s generally considered to be
    an acceptable number of missed days of work per month such that
    the individual would remain competitively employable?
    A:     Also not in the DOT. In my opinion, no more than one
    absence per month.
    Q:      For the fourth hypothetical, if this same hypothetical
    individual were unable to perform simple, one to four step routine,
    repetitive tasks, would there be any work available for them?
    A:     No, Your Honor.
    A.R. Pt. 3 at 47–48. As the quoted text shows, the ALJ did not mention, let alone describe, any of
    Plaintiff’s claimed disabilities in any hypothetical that he posed to Gunther. That deficiency in
    questioning was a mistake.
    Defendant’s arguments to the contrary are unavailing. See Def.’s Mot. at 21–22. First,
    Defendant asserts that the ALJ did not incorporate Plaintiff’s medical limitations into the
    hypothetical questions because he found that those limitations were not supported by the evidence.
    That argument is a nonstarter because the ALJ never offered an explanation for not incorporating
    Plaintiff’s medical conditions into his hypotheticals. See Jones, 
    647 F.3d at 356
    . Second,
    Defendant insists that the ALJ’s questioning was proper because it “accurately reflected all of the
    elements” of Plaintiff’s RFC. That contention also is misplaced because the D.C. Circuit rejected
    that very argument in Butler. There, the court found that the ALJ’s hypothetical questions were
    “defective” because they omitted significant aspects of the claimant’s medical condition, even
    though the questions incorporated a description of the claimant’s RFC. See Butler, 
    353 F.3d at
    1005–06 (citing Simms v. Sullivan, 
    877 F.2d 1047
    , 1053 (D.C. Cir. 1989)). That holding squarely
    applies here. Therefore, the court finds that the ALJ committed error by posing incomplete
    10
    hypothetical questions to Plaintiff’s vocational expert and then relying on her answers in making
    his decision. 
    Id.
    C.      Consideration of Plaintiff’s New Medical Evidence on Remand
    Having concluded that the ALJ made two missteps, the court will remand this case for
    further proceedings.    An open question remains, however, as to the type of remand and,
    specifically, whether the SSA must consider Plaintiff’s additional, post-hearing evidence on
    remand.
    Section 405(g), which governs judicial review of final SSA decisions, authorizes two types
    of remands: those pursuant to sentence four of that section and those pursuant to sentence six of
    that section. Melkonyan v. Sullivan, 
    501 U.S. 89
    , 97–98 (1991). Under sentence four of § 405(g),
    a district court is authorized to enter “a judgment affirming, modifying, or reversing the decision
    of the Commissioner, with or without remanding the cause for a rehearing.” 
    42 U.S.C. § 405
    (g).
    Under the sentence six of § 405(g), the district court may “order additional evidence to be taken
    before the Commissioner of Social Security, but only upon a showing that there is new evidence
    which is material and that there is good cause for the failure to incorporate such evidence into the
    record in a prior proceeding.” Id.
    Thus, the two types of remands are “entirely different” from one another. Sullivan v.
    Finkelstein, 
    496 U.S. 617
    , 629 (1990). The “fourth sentence directs the entry of a final, appealable
    judgment even though the judgment may be accompanied by a remand order,” 
    id. at 626
    , while,
    under sentence six, the district court “does not rule in any way as to the correctness of the
    administrative determination,” Melkonyan, 
    501 U.S. at 98
    . “Rather, the court remands because
    new evidence has come to light that was not available to the claimant at the time of the
    administrative proceeding and that evidence might have changed the outcome of the prior
    11
    proceeding.” 
    Id.
     After a sentence six remand is completed, the SSA “must return to the district
    court to ‘file with the court any such additional or modified findings of fact and decision, and a
    transcript of the additional record and testimony upon which his action in modifying or affirming
    was based.’” 
    Id.
     (quoting 
    42 U.S.C. § 405
    (g)). Thus, unlike a sentence four remand, a sentence
    six remand is not a final, appealable judgment. Instead, the district court retains jurisdiction over
    the case.
    At a minimum, this case requires a remand under sentence four so that the ALJ can address
    the deficiencies discussed in this opinion. The D.C. Circuit has not addressed whether, on a
    sentence four remand, a district court may order the SSA to consider new evidence. See Jones,
    
    647 F.3d at
    357 n.2. It has held, however, that when the ALJ makes a clear error and the claimant
    comes forward with new and material evidence, a district court may remand the case under both
    sentence four and sentence six, thus extinguishing the court’s jurisdiction but also ensuring that
    the new evidence is considered by the SSA. See 
    id.
     at 355–59. In Jones, after finding that the ALJ
    had violated the treating physician’s rule, the court remanded under sentence four, so that the ALJ
    could “explain what weight he attaches to the [treating physician’s] conclusions, or if he attaches
    none, his reason therefor.” 
    Id. at 357
     (internal quotation marks omitted). The court simultaneously
    ordered remand under sentence six for the SSA to consider new evidence that the claimant obtained
    after he had filed suit in district court. See 
    id.
     at 357–59.
    The court follows that precedent here. The court remands to the SSA under sentence four
    of Section 405(g) so that the ALJ may (1) consider what weight to give to Dr. Kaye’s opinion and
    thus properly apply the treating physician rule, and (2) pose hypothetical questions that sufficiently
    incorporate Plaintiff’s medical conditions, including those conditions as described by Plaintiff’s
    treating physicians.
    12
    The court also remands under sentence six of Section 405(g) for the SSA to consider the
    evidence that Plaintiff acquired after his hearing; namely, the two opinion letters from
    Dr. Potolicchio and the results of Plaintiff’s wakefulness test. A sentence six remand has three
    requirements. There must be “[1] new evidence [2] which is material and [3] [the claimant must
    demonstrate] good cause for the failure to incorporate such evidence into the record in a prior
    proceeding.” 
    42 U.S.C. § 405
    (g). “The first and third requirements for a sentence six remand are
    satisfied when there is new ‘evidence not in existence or available to the claimant at the time of
    the administrative proceeding.’” Jones, 
    647 F.3d at
    357–358 (quoting Sullivan, 
    496 U.S. at 626
    ).
    As to the second requirement, new evidence is “material” only if the claimant shows that the new
    evidence “might have changed the outcome of the prior proceeding.” Melkonyan, 
    501 U.S. 89
     at
    98. Here, the first and third requirements are met because the evidence presented by Plaintiff to
    the Appeals Council was not “in existence or available to [Plaintiff] at the time of the
    administrative proceeding.” Sullivan, 
    496 U.S. at 626
    ; see also Jones, 
    647 F.3d at 357
     (finding
    that evidence was new because it was not “available, or even in existence, at the time of the ALJ
    hearing”).
    And the new evidence is material. Dr. Potolicchio has treated Plaintiff’s narcolepsy since
    October 2013. A.R. Pt. 11 at 1368. In two July 24, 2014, letters, Dr. Potolicchio explained that,
    notwithstanding a drug regimen, “[Plaintiff] still has bouts of persistent sleepiness during the day”
    and Plaintiff has difficulty waking up in the morning, resulting in frequent tardiness to his daily
    obligations. 
    Id.
     at 1368–69. Because of these conditions, Dr. Potolicchio recommended an
    accommodation of a 30 to 45-minute nap in a quiet area during the day and an organized morning
    work schedule. In addition, the November 2014 wakefulness test determined that Plaintiff “was
    unable to maintain wakefulness” for extended periods, a result that Dr. Potolicchio described as
    13
    “remarkable for significant daytimes sleepiness, apparently not responsive to stimulant medication
    taken during the test.” Id. at 1372. This new evidence “might have changed the outcome of the
    prior proceeding,” particularly when weighed alongside the opinion of Dr. Kaye and answers to
    properly posed hypothetical questions to Plaintiff’s vocational expert. Melkonyan, 
    501 U.S. at 98
    .
    It might have caused, among other things, the ALJ to draw different conclusions about the impact
    of Plaintiff’s narcolepsy on his ability to do full-time work, credit Plaintiff’s description of the
    effects of his narcolepsy, and give greater weight to the opinions of Plaintiff’s treating physicians.
    The new evidence therefore meets the requirements of a sentence six remand.
    Separate and apart from a sentence six remand, the SSA’s own regulations contemplate
    that Plaintiff would be able to present the medical evidence in further proceedings before the SSA.
    “When a Federal court remands a case to the Commissioner for further consideration . . . [a]ny
    issues relating to [the] claim may be considered by the administrative law judge whether or not
    they were raised in the administrative proceedings leading to the final decision in [the] case.” 
    20 C.F.R. § 404.983
    . Thus, even if the court remanded this matter only under sentence four, the SSA
    still would be required to consider Plaintiff’s additional evidence concerning his narcolepsy. See
    Shamsian v. Barnhart, 51 Fed. App’x. 692, 693 (9th Cir. 2002) (citing 
    20 C.F.R. § 404.983
    );
    Hollins v. Massanari, 49 Fed. App’x. 533, 536 (6th Cir. 2002) (same). 2
    2
    On remand, Plaintiff also will be able to argue anew that Dr. Redditt’s opinions are entitled to “great weight” and
    that his testimony is credible. See 
    20 C.F.R. § 404.983
    ; Pl.’s Mot. at 12. For that reason, the court need not reach
    Plaintiff’s contentions that the ALJ wrongly discounted both Dr. Redditt’s medical opinion and Plaintiff’s own
    testimony.
    14
    V.     CONCLUSION
    For the foregoing reasons, the court grants Plaintiff’s Motion for Judgment of Reversal
    and denies Defendant’s Motion for Judgment of Affirmance. The court hereby remands the case
    to the SSA for further proceedings consistent with this Memorandum Opinion.
    A separate Order accompanies this Memorandum Opinion.
    Dated: April 27, 2017                             Amit P. Mehta
    United States District Judge
    15