Cobb v. Astrue ( 2011 )


Menu:
  •                             UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF COLUMBIA
    TERRI COBB,
    Plaintiff,
    v.
    MICHAEL J. ASTRUE,                                 Civil Action No. 09-00734 (BAH)
    Commissioner of Social Security,
    Defendant.
    MEMORANDUM OPINION
    Terri Cobb, the plaintiff in this action, seeks a judgment reversing the denial of her claim
    for Social Security Disability Insurance benefits by the Social Security Administration (the
    “Administration”). Complaint ¶ 4. The plaintiff’s motion for a judgment of reversal and the
    defendant’s motion for a judgment of affirmance are before the Court. After carefully
    considering the plaintiff’s complaint, the administrative record, the parties’ motions, and all
    memoranda of law and exhibits relating to those motions, the Court grants the plaintiff’s motion,
    denies the defendant’s motion, and remands this case to the Administration for the reasons
    explained below.
    I.       Factual and Procedural Background
    The plaintiff is a 45-year-old woman with a high school education and additional training
    as an electrician. Administrative Record (“A.R.”) at 58, 343. She previously worked as an
    electrician. Id. at 343. According to the plaintiff, on June 10, 2003, she was injured in a work-
    related accident when she fell from a ladder. Id.; Mem. in Supp. of Pl.’s Mot. for J. of Reversal
    (“Pl.’s Mem.”) at 2.
    On June 6, 2005, the plaintiff filed an application for disability insurance benefits
    pursuant to Title II of the Social Security Act.1 A.R. at 78. She alleged disability commencing
    August 9, 2004 based on arthritis, back and neck pain, and depression. Id. at 19, 58-60, 122-23.
    The plaintiff’s claim for disability was denied initially and denied again upon
    reconsideration. Id. at 44-47, 50-53. Thereafter, she requested a hearing before an
    Administrative Law Judge (the “ALJ”), which was held on April 2, 2008. Id. at 19. The
    plaintiff, represented by counsel, and a vocational expert testified at the hearing. Id. at 16-26.
    The ALJ denied the plaintiff’s request for benefits by decision dated July 14, 2008. Id.
    The plaintiff requested that the Appeals Council review the decision of the ALJ, but, on
    February 20, 2009, the Appeals Council determined that there was no basis for granting the
    request for review, rendering the ALJ’s decision the final decision of the Commissioner of Social
    Security. Id. at 5-8.
    On April 21, 2009, the plaintiff filed this action seeking reversal or remand of the
    Administration’s final decision denying her benefits. Her motion for judgment of reversal or
    remand was filed on January 9, 2010. The plaintiff argues that the final decision of the
    Administration “fails to be supported by substantial evidence, and is erroneous as a matter of
    law.” Pl.’s Mem. at 1. Specifically, she contends the ALJ erroneously evaluated her residual
    functional capacity, which is a mandatory assessment of the plaintiff’s capacity for work despite
    any impairment she may have. See id. at 3-13.
    1
    The complaint alleges that the plaintiff filed applications for “Social Security Disability Insurance benefits and/or
    Supplemental Security Income benefits.” Complaint ¶ 4. Supplemental Security Income (“SSI”) benefits are
    authorized under Title XVI of the Social Security Act and are distinct from, although similar to, disability insurance
    benefits under Title II. The plaintiff’s motion for judgment of reversal refers only to claims for benefits under Title
    II, see Pl.’s Mem. at 1, and the plaintiff apparently did not pursue SSI claims with the Administration. See, e.g.,
    A.R. at 15, 58, 342. Accordingly, the Court will disregard the references to SSI in the complaint.
    2
    In response to the plaintiff’s motion, the defendant moved for judgment of affirmance,
    arguing that the ALJ’s final decision is supported by substantial evidence and is in accordance
    with applicable law. See generally Def.’s Mem. for J. of Affirmance and Def.’s Opp’n to Pl.’s
    Mot. for J. of Reversal (“Def.’s Mem.”).
    Both parties’ motions are now before the Court.
    II.     Standard of Review
    The Social Security Act gives federal district courts jurisdiction over civil cases that
    challenge a final decision of the Commissioner of Social Security. 
    42 U.S.C. § 405
    (g). The
    reviewing court must uphold the decision of the Commissioner if it is based on substantial
    evidence in the record and the correct application of the relevant legal standards. Id.; Butler v.
    Barnhart, 
    353 F.3d 992
    , 999 (D.C. Cir. 2004). Substantial evidence “requires more than a
    scintilla, but can be satisfied by something less than a preponderance of the evidence.” Butler,
    
    353 F.3d at 999
     (quoting Fla. Mun. Power Agency v. FERC, 
    315 F.3d 362
    , 365-66 (D.C. Cir.
    2003)). The Court does not review the decision de novo. Davis v. Heckler, 
    566 F. Supp. 1193
    ,
    1195 (D.D.C. 1983). Although the reviewing court “must carefully scrutinize the entire record,”
    its role is “not to determine . . . whether [the plaintiff] is disabled,” but only to assess “whether
    the ALJ’s finding that she is not is based on substantial evidence and a correct application of the
    law.” Butler, 
    353 F.3d at 999
    .
    III.    Statutory and Regulatory Framework
    To qualify for disability insurance benefits under Title II of the Social Security Act, the
    plaintiff must establish that she is “disabled.” 
    42 U.S.C. § 423
    . “Disability” means the “inability
    to engage in any substantial gainful activity by reason of any medically determinable physical or
    mental impairment which can be expected to result in death or which has lasted or can be
    3
    expected to last for a continuous period of not less than 12 months.” 
    Id.
     § 423(d)(1)(A). “An
    individual shall be determined to be under a disability only if [her] physical or mental
    impairment or impairments are of such severity that [she] is not only unable to do [her] previous
    work but cannot, considering [her] age, education, and work experience, engage in any other
    kind of substantial gainful work which exists in the national economy. . . .” Id. § 423(d)(2)(A).
    The Commissioner has established a five-step sequential evaluation process for assessing
    a claimant’s alleged disability. See 
    20 C.F.R. § 404.1520
    . The claimant carries the burden of
    proof on the first four steps. Butler, 
    353 F.3d. at 997
    . First, the claimant must demonstrate that
    she is not presently engaged in “substantial gainful” work. 
    20 C.F.R. § 404.1520
    (b). Second, a
    claimant must show that she has a “severe impairment” that “significantly limits [her] physical or
    mental ability to do basic work activities.” 
    Id.
     § 404.1520(c). Third, if the claimant suffers from
    an impairment that meets or equals an impairment listed in Appendix 1 to the Commissioner’s
    regulations, she will be deemed disabled. Id. § 404.1520(d). If the claimant does not satisfy step
    three, the inquiry will proceed to the fourth step, but the Commissioner must first assess the
    claimant’s residual functional capacity (“RFC”). Id. § 404.1520(e). This capacity reflects “what
    an individual can still do despite his or her limitations.” Ross v. Astrue, 
    636 F. Supp. 2d 127
    ,
    132-33 (D.D.C. 2009). After the claimant’s RFC has been assessed, the fourth step requires the
    claimant to show that she has an impairment that prevents her from performing her “past relevant
    work.” 
    Id.
     §§ 404.1520(e)-(f). If the claimant has carried the burden on the first four steps, the
    burden shifts to the Commissioner on step five to demonstrate that the claimant is able to
    perform “other work” based on a consideration of her RFC, age, education and work experience.
    Id. § 404.1520(g); Butler, 
    353 F.3d. at 997
    . If the claimant cannot perform other work, she is
    deemed disabled.
    4
    IV.     Discussion
    The instant appeal primarily challenges the way in which the ALJ performed the residual
    functional capacity assessment that is required prior to steps four and five of the five-step
    inquiry. See Pl.’s Mem. at 3-14. The plaintiff argues that the ALJ failed to perform a proper
    RFC assessment in several respects. First, she claims that the ALJ’s RFC assessment is a “naked
    conclusion, devoid of analysis,” and that the ALJ “failed to perform a function-by-function
    assessment of the Plaintiff’s abilities to perform work-related activities, and failed to set forth a
    narrative discussion describing how the evidence supported each conclusion.” Pl.’s Mem. at 5-6.
    Second, she contends the ALJ’s assessment is “contradictory on its face” in that it does not
    address the plaintiff’s depression, which the ALJ had determined to be a “severe impairment.”
    Id. at 6-7. Third, the plaintiff contends the ALJ’s assessment erroneously failed to address the
    plaintiff’s deficiencies in “concentration, persistence or pace,” which the ALJ had determined to
    be “moderate.” Id. at 7. Relatedly, the plaintiff asserts that the ALJ failed to conduct a
    sufficiently detailed mental RFC assessment in general. Id. at 10-13. Fourth, the plaintiff
    objects that the ALJ failed to evaluate pertinent evidence of plaintiff’s limitations, including (1)
    an evaluation indicating the plaintiff had borderline intellectual functioning, (2) an evaluation
    indicating the plaintiff needed to avoid exposure to “extreme cold, humidity and vibration,” as
    well as “fumes, odors, dusts, gases, [and] poor ventilation,” and (3) an evaluation indicating that
    the plaintiff had moderate restrictions in the ability to stand, walk, and lift, carry, and handle
    objects. Id. at 9-10, 13-14. Finally, the plaintiff contends that the RFC assessment’s conclusion
    that the plaintiff had “limited” dominant hand usage was overly vague because it did not specify
    the limitations. Id. at 13.
    5
    In addition to her arguments based on the RFC assessment, the plaintiff also asserts that
    the hypothetical questions the ALJ posed to the vocational expert at the hearing were flawed
    because they did not include any reference to the plaintiff’s mental limitations. Id. at 7-8.
    The Court agrees that the ALJ did not properly assess the plaintiff’s RFC. Accordingly,
    the ALJ’s decision must be reversed and remanded to the Administration for further proceedings
    consistent with this Memorandum Opinion.
    A. The ALJ’s Five-Step Analysis
    In this case, the ALJ began the five-step disability inquiry correctly by considering
    whether the plaintiff was presently engaged in “substantial gainful activity.” The ALJ concluded
    that she had not engaged in such activity since August 9, 2004. A.R. at 21. Thus, the plaintiff
    satisfied the first step of the inquiry.
    At the second step, the ALJ determined that the plaintiff “has the following severe
    impairments: arthritis, back and neck pain, and depression.” Id. Apparently in support of this
    finding, although without much explanation, the ALJ set forth an eight-paragraph factual
    summary of the plaintiff’s medical history. Id. at 21-22. The medical evaluations summarized in
    this section of the decision reflected reports from six different doctors and related both to
    physical and mental conditions, including arthritis, back and neck conditions, and depression, as
    well as other medical conditions. Id. Since the ALJ determined that the plaintiff had severe
    physical and mental impairments, the second step of the inquiry was satisfied.
    The third step requires the ALJ to decide whether the claimant has an impairment that
    “meets or equals” the criteria for an impairment listed as disabling in Appendix 1 to the
    Commissioner’s regulations. 
    20 C.F.R. § 404.1520
    (d). Despite having just concluded that the
    plaintiff’s “severe impairments,” included “arthritis, back and neck pain, and depression,” the
    6
    ALJ’s decision only analyzed whether the plaintiff’s mental impairment – i.e., depression – met
    the criteria for a listed impairment. A.R. at 23. The ALJ concluded that the claimant “does not
    have an impairment or combination of impairments that meets or medically equals one of the
    listed impairments.” 
    Id.
    This conclusion does not appear to reflect a proper application of the third step of the
    inquiry, which requires the ALJ to perform a listing comparison for the relevant severe
    impairments. The ALJ had concluded that the plaintiff’s severe impairments included not just
    depression, but also arthritis and back and neck pain. 
    Id. at 21
    . Arthritis, for example, may
    satisfy the disability listing criteria under Listing 1.00, Musculoskeletal System, depending on
    the evidence. 20 C.F.R. Pt. 404, Subpt. P, App. 1. Thus, the ALJ should have assessed whether
    that impairment satisfied a listing. See Wells v. Astrue, No. 02-1357, 
    2009 WL 2338047
    , at *7
    n.5 (D.D.C. Jul. 30, 2009) (“When the evidence in the administrative record clearly generates an
    issue as to a particular listing and the ALJ fails to properly identify the [l]isting considered and to
    explain clearly the medical evidence of record supporting the conclusion reached[,] a remand can
    be expected to result.”) (quoting Conway ex rel. Tolen v. Astrue, 
    554 F. Supp. 2d 26
    , 35 (D.D.C.
    2008)). The failure to conduct a listing comparison may be either harmless or reversible error,
    depending on the circumstances, but the Court does not need to decide that issue here because
    the Court must remand this case on other grounds, as discussed below.2 See 
    id.
    Since the ALJ concluded that the plaintiff’s impairments did not meet the criteria of any
    listed impairment, he continued with the inquiry by determining the plaintiff’s residual
    functional capacity. The ALJ concluded the plaintiff had “the residual functional capacity to
    perform light unskilled work as defined in 
    20 C.F.R. § 404.1567
    (b) except with a sit/stand option
    and limited dominant hand usage.” A.R. at 23.
    2
    In addition, the plaintiff has not challenged this aspect of the ALJ’s decision in her appeal.
    7
    At step four, the ALJ determined that the plaintiff was unable to perform her past relevant
    work as an electrician because “[i]n her past relevant work . . . the claimant was required to lift
    and carry 50 pounds occasionally and 25 pounds frequently.” 
    Id. at 25
    . Accordingly, the ALJ
    proceeded to the fifth and final step.
    At step five, the ALJ, relying on the testimony of the vocational expert, determined that
    there are jobs that exist “for an individual with the claimant’s age, education, work experience
    and residual functional capacity,” such as sales greeter, router, and office helper. 
    Id. at 26
    .
    Therefore, the ALJ concluded that the plaintiff was not disabled.
    B.    Plaintiff’s Residual Functional Capacity
    The plaintiff has challenged the ALJ’s residual functional capacity assessment.
    The RFC assessment is a “function-by-function inquiry based on all of the relevant
    evidence of a claimant’s ability to do work and must contain a narrative discussion identifying
    the evidence that supports each conclusion.” Butler, 
    353 F.3d at 1000
     (internal quotation marks
    omitted). “In performing the RFC assessment, the ALJ must explain how he considered and
    resolved any material inconsistencies or ambiguities evident in the record, as well as the reasons
    for rejecting medical opinions in conflict with the ultimate RFC determination.” 
    Id.
     (internal
    quotation marks omitted). The ALJ must build a “logical bridge” from the evidence to his
    conclusion about the claimant’s RFC. Banks v. Astrue, 
    537 F. Supp. 2d 75
    , 84 (D.D.C. 2008);
    see also Lane-Rauth v. Barnhart, 
    437 F. Supp. 2d 63
    , 67 (D.D.C. 2006) (remanding case where
    ALJ merely listed all the evidence without explaining which evidence led him to his conclusion
    or why he discounted contrary pieces of evidence).
    In assessing the RFC, the ALJ must follow the framework set forth by the Administration
    in SSR 96-8p, Assessing Residual Functional Capacity in Initial Claims (the “SSA RFC
    8
    Ruling”). 
    1996 WL 374184
     (S.S.A. July 2, 1996); Ross, 
    636 F. Supp. 2d at 132-33
    ; Butler, 
    353 F.3d at 1000-03
     (finding reversible error in ALJ’s conclusions where the ALJ did not, inter alia,
    make the determinations required by the SSA RFC Ruling). Among other requirements, the SSA
    RFC Ruling directs the ALJ to consider the functions in paragraphs (b), (c), and (d) of 
    20 C.F.R. § 404.1545
    , which include physical abilities (such as sitting, standing, walking, lifting, carrying,
    pushing, pulling, or other physical functions like reaching, handling, stooping or crouching),
    mental abilities (such as understanding, remembering, carrying out instructions, and responding
    appropriately to supervision, co-workers, and work pressures), and other abilities affected by
    impairments. 
    20 C.F.R. § 404.1545
    ; SSA RFC Ruling at, *1. In cases involving allegations of
    medical symptoms, the RFC assessment should contain “thorough discussion and analysis of the
    objective medical and other evidence.” SSA RFC Ruling, at *7. In cases involving mental
    impairments, the ruling requires a “more detailed” assessment of the claimant’s particular mental
    abilities than that required at step three, which is focused on broad categories designed to assess
    a mental impairment’s severity. 
    Id. at *4
    .
    In this case, the ALJ concluded that “the claimant has the residual functional capacity to
    perform light unskilled work as defined in 
    20 C.F.R. § 404.1567
    (b) except with a sit/stand option
    and limited dominant hand usage.” A.R. at 23. The ALJ failed, however, to provide a logical
    explanation for this conclusion and did not conduct the type of analysis required by the SSA
    RFC Ruling. See 
    id. at 23-25
    . Instead, the ALJ’s RFC assessment consists of extremely generic
    and abstract declarations. See 
    id.
     The assessment does not contain analysis or citations of
    specific facts in the record that relate to claimant’s functional abilities. Indeed, the assessment
    does not specifically mention any of the plaintiff’s alleged symptoms, evaluating doctors, or
    9
    medical conditions. Nor does the decision distinguish in any way between the plaintiff’s mental
    and physical impairments or capacities.
    The RFC assessment in its current form impedes effective judicial review. See Butler,
    
    353 F.3d at 1002
    . For example, the RFC assessment generically asserts that “[a]lthough the
    claimant has received treatment for the allegedly disabling impairment(s), that treatment has
    been essentially routine and/or conservative in nature.” A.R. at 24. The ALJ does not provide
    any further details about the treatments or impairments being referenced in this conclusion. The
    ALJ notes that “[t]he doctor apparently relied quite heavily on the subjective report of symptoms
    and limitations provided by the claimant, and seemed to uncritically accept as true most, if not
    all, of what the claimant reported.” Id. at 25. Yet the ALJ inexplicably does not identify the
    particular doctor, symptoms, or limitations being referenced in that conclusion. As noted above,
    the ALJ’s decision had previously cited medical reports from six different doctors. Id. at 21-22.
    Similarly, the ALJ states, “As for the opinion evidence, the doctor’s opinion is without
    substantial support from the other evidence of record, which obviously renders it less
    persuasive.” Id. at 25. Again, the ALJ does not identify the doctor, opinion, or condition being
    referenced. Such abstract conclusions that lack any indication of the evidence to which they
    pertain fail to provide the necessary “logical bridge,” Lane-Rauth, 
    437 F. Supp. 2d at 67
    , and
    “thorough discussion and analysis,” SSA RFC Ruling, at *7, that the RFC assessment must
    include.
    The ALJ’s conclusions about the plaintiff’s testimony are also inscrutable. The ALJ
    stated that “[t]he description of the symptoms and limitations which the claimant has provided
    throughout the record has generally been inconsistent and unpersuasive.” A.R. at 24. Yet the
    ALJ does not explain or identify the inconsistencies he observed. The Court notes that the
    10
    plaintiff’s claims in the record actually appear to be relatively consistent, at least at a general
    level. For example, in a visit to Dr. Chester A. DiLallo on July 8, 2003, the plaintiff complained,
    inter alia, of injury to her neck, shoulders, and back as a result of her work accident. Id. at 316.
    In a medical report prepared by Dr. Chee-Hahn Hung on August 18, 2005, that doctor also noted
    the plaintiff’s claims of pain in her shoulder, back, and neck. Id. at 225. “[T]he ALJ must
    explain how he considered and resolved any ‘material inconsistencies or ambiguities’ evident in
    the record . . . .” Butler, 
    353 F.3d at 1000
     (quoting the SSA RFC Ruling at *7). The ALJ also
    justified his RFC conclusion by citing “the claimant’s generally unpersuasive appearance and
    demeanor while testifying at the hearing,” A.R. at 24, without providing any further elaboration.
    The D.C. Circuit has explained that an ALJ’s credibility evaluation of a claimant’s complaints of
    painful symptoms “must contain specific reasons for the finding on credibility, supported by the
    evidence in the case record, and must be sufficiently specific to make clear to the individual and
    to any subsequent reviewers the weight the adjudicator gave to the individual’s statements and
    reasons for that weight.” Butler, 
    353 F.3d at 1005
     (quoting SSR 96-7p, Evaluation of Symptoms
    in Disability Claims: Assessing the Credibility of An Individual’s Statements, 
    1996 WL 374186
    ,
    at *2 (SSA July 2, 1996)).
    The plaintiff has asserted that the RFC assessment is “contradictory on its face” because
    it does not address the plaintiff’s depression, which the ALJ had determined to be a “severe
    impairment.” Pl.’s Mem. at 6-7. In fact, it is hard to tell which impairments – mental or physical
    – the RFC assessment addressed at all because it does not mention any symptoms or impairments
    in particular. In one paragraph, the ALJ addresses, in an abstract way, limitations on the
    claimant’s “daily activities,” concluding that these unspecified limitations are “considered to be
    outweighed by the other factors discussed in this decision.” A.R. at 24. Perhaps this paragraph
    11
    is intended to relate to the plaintiff’s depression since restrictions on activities of daily living are
    one factor to be considered in evaluating whether a claimant meets the listing for depression; the
    Court cannot be certain. If the discussion of “daily activities” is indeed intended to relate the
    plaintiff’s mental RFC, it is hard to understand why the ALJ’s assessment did not also address
    the plaintiff’s deficiencies in “concentration, persistence or pace.” See Pl.’s Mem. at 7. In
    considering whether the plaintiff met the listing for depression, the ALJ had specifically
    determined that the plaintiff had “moderate difficulties in concentration, persistence, or pace,”
    but only “mild restriction” in activities of daily living. See id.; A.R. at 23. Thus, the plaintiff’s
    confusion is well founded. Since it is unclear to what extent the RFC assessment addressed the
    plaintiff’s mental impairments at all, the assessment also plainly fails to provide the “more
    detailed” analysis of the plaintiff’s mental abilities required by the SSA RFC ruling. SSA RFC
    Ruling, at *4.
    In short, the RFC assessment does not make clear the logical basis for the ALJ’s
    conclusion that “the claimant has the residual functional capacity to perform light unskilled work
    as defined in 
    20 C.F.R. § 404.1567
    (b) except with a sit/stand option and limited dominant hand
    usage.” A.R. at 23. See Lane-Rauth, 
    437 F. Supp. 2d at 67
     (requiring a “logical bridge” to the
    ALJ’s conclusions). In addition to providing an inadequate rationale for his conclusion, the
    wording of the ALJ’s decision is also too generic to enable the Court to determine what evidence
    was credited and what evidence was rejected. See 
    id.
     (“While the ALJ need not articulate his
    reasons for rejecting every piece of evidence, he must at least minimally discuss a claimant’s
    evidence that contradicts the Commissioner’s position.”) (quoting Godbey v. Apfel, 
    238 F.3d 803
    , 808 (7th Cir. 2000)). The D.C. Circuit’s comments in Butler v. Barnhart apply here:
    The ALJ’s reasoning is not simply ‘spare’ . . . it is missing. . . .The judiciary can
    scarcely perform its assigned review function, limited though it is, without some
    12
    indication not only of what evidence was credited, but also whether other
    evidence was rejected rather than simply ignored.
    Butler, 
    353 F.3d at 1002
     (internal quotation marks, citations, and alterations omitted).
    Unlike the ALJ’s decision, the defendant’s motion for judgment of affirmance does
    provide an analysis of the medical evidence relating to the plaintiff’s conditions, with specific
    reference to particular doctors, treatments, symptoms, and conclusions about the plaintiff’s
    functional capacities. See generally Def.’s Mem. The defendant argues that the facts in the
    record, as recited in the defendant’s legal memorandum, indicate that there was “substantial
    evidence” supporting the ALJ’s finding that the plaintiff was not disabled. Id. at 15-16. The
    function of this Court, however, “is to review the determinations actually made by the ALJ, not
    to engage in these determinations for him.” Ross, 
    636 F. Supp. 2d at
    133 (citing SEC v. Chenery
    Corp., 
    332 U.S. 194
    , 196 (1947)); see also Butler, 
    353 F.3d at
    1002 n.5. Further, the ALJ’s
    decision must not only be supported by substantial evidence, it must also rest on a correct
    application of the law. See Butler, 
    353 F.3d at 999
    . Here, the law requires the Administration to
    comply with the process set forth in the SSA RFC Ruling. Ross, 
    636 F. Supp. 2d at 132
    ; see also
    
    42 U.S.C. § 405
    (g) (authorizing reviewing court to assess compliance with the relevant
    Administration regulations).
    While the Court must defer to the ALJ’s determination of facts supported by substantial
    evidence, the Court cannot understand the basis for the ALJ’s conclusions based on the decision
    in its current form. Lane-Rauth, 
    437 F. Supp. 2d at 68
    . “While the court need not remand in
    search of a perfectly drafted opinion, where the ALJ’s decision leaves the reviewing court with
    reservations as to whether an issue was fully addressed, the court should reverse.” 
    Id.
     (quoting
    Samuel v. Barnhart, 
    316 F. Supp. 2d 768
    , 774 (E.D. Wis. 2004)). The current form of the ALJ’s
    decision precludes effective judicial review and does not indicate that the ALJ followed the
    13
    analytical framework set forth by the Administration in the SSA RFC Ruling. Accordingly, the
    Court must remand this case to the Administration.3
    C. The Vocational Expert’s Testimony
    The plaintiff also argues that, at step five, the ALJ improperly relied on the vocational
    expert’s testimony to establish that the plaintiff could perform other work. The plaintiff
    contends the ALJ’s hypothetical questions to the expert were deficient because they failed to
    include any reference to the plaintiff’s mental limitations, such as her moderate difficulties in
    concentration, persistence, or pace. Pl.’s Mem. at 7. Since the Court has already determined that
    the ALJ improperly assessed the plaintiff’s RFC, the ALJ’s findings at step five necessarily must
    be reversed as well. See Ray v. Astrue, 
    718 F. Supp. 2d 65
    , 77 (D.D.C. 2010). Therefore, the
    Court need not consider whether the alleged deficiencies in the ALJ’s hypothetical questions
    here would amount to an independent reversible error. Even so, to provide guidance on remand,
    the Court notes that the D.C. Circuit has instructed that “[d]eficiencies in the ALJ’s description
    of the claimant’s condition ‘undermine the foundation for the expert’s ultimate conclusion that
    there are alternative jobs’ that the claimant is capable of performing.” Butler, 
    353 F.3d at 1006
    (quoting Simms v. Sullivan, 
    877 F.2d 1047
    , 1053 (D.C. Cir. 1989)). Accordingly, the Court
    advises that, on remand, the ALJ should include relevant limitations found to be supported by
    record evidence in any hypothetical questions posed to a vocational expert.
    3
    The Court need not reach the plaintiff’s more specific objections about the RFC assessment’s consideration of
    particular record evidence since it is remanding this case based on the ALJ’s failure to provide an adequate rationale
    for the RFC assessment. As explained above, the general rule is that “the ALJ must explain how he considered and
    resolved any material inconsistencies or ambiguities evident in the record, as well as the reasons for rejecting
    medical opinions in conflict with the ultimate RFC determination.” Butler, 
    353 F.3d at 1000
     (internal quotation
    marks omitted). “While the ALJ need not articulate his reasons for rejecting every piece of evidence, he must at
    least minimally discuss a claimant’s evidence that contradicts the Commissioner’s position.” Lane-Rauth, 
    437 F. Supp. 2d at 67
    .
    14
    V.      Conclusion
    The Court grants the plaintiff’s motion for a judgment of reversal, denies the defendant’s
    motion for a judgment of affirmance, and remands this case to the Administration for further
    proceedings consistent with this memorandum opinion because the ALJ did not articulate an
    adequate basis for his conclusions regarding the plaintiff’s residual functional capacity.
    Date: March 17, 2011
    /s/ Beryl A. Howell
    BERYL A. HOWELL
    United States District Judge
    15