Freeman-Spicer v. Kijakazi ( 2024 )

1 2 UNITED STATES DISTRICT COURT 3 DISTRICT OF NEVADA 4 * * * 5 Michelle D. F.-R., Case No. 2:23-cv-00959-DJA 6 Plaintiff, 7 Order v. 8 Martin O’Malley1, Commissioner of Social 9 Security, 10 Defendant. 11 12 Before the Court is Plaintiff Michelle D. F.-R.’s brief moving for reversal and award of 13 benefits, or in the alternative, reversal and remand for further proceedings (ECF No. 10) and the 14 Commissioner’s cross motion to affirm (ECF No. 12). Plaintiff filed a reply. (ECF No. 14). 15 Because the Court finds that the administrative law judge’s (“ALJ”) residual functional capacity 16 (“RFC”) determination lacks the support of substantial evidence and that the ALJ did not give 17 clear and convincing reasons for rejecting Plaintiff’s symptom testimony, the Court grants 18 Plaintiff’s motion in part (ECF No. 10) and denies the Commissioner’s countermotion to affirm 19 (ECF No. 12). The Court finds these matters properly resolved without a hearing. LR 78-1. 20 BACKGROUND 21 I. Procedural history. 22 Plaintiff filed an application for supplemental security income on February 9, 2018. (ECF 23 No. 10 at 3). The Commissioner denied the claim by initial determination on July 10, 2019 and 24 on reconsideration on January 6, 2020. (Id.). Plaintiff requested a hearing before an ALJ on 25 February 25, 2020. (Id.). The ALJ published an unfavorable decision on March 16, 2022. (Id.). 26 Plaintiff requested that the Appeals Council review the ALJ’s decision on April 29, 2022. (Id.). 27 1 The Appeals Council denied the request for review on April 17, 2023 and on that date, the ALJ’s 2 decision became the final decision of the Commissioner. (Id.). 3 II. The ALJ decision. 4 The ALJ followed the five-step sequential evaluation process set forth in 20 C.F.R. 5 416.920(a). (AR 16). At step one, the ALJ found that Plaintiff had not engaged in substantial 6 gainful activity since February 9, 2018. (AR 17). At step two, the ALJ found that Plaintiff has 7 the following severe impairments: mental impairments alternately diagnosed as schizophrenia, 8 anxiety, obsessive compulsive disorder, panic disorder, post-traumatic stress disorder, bipolar 9 disorder, and attention hyperactive disorder. (AR 17-18). At step three, the ALJ found that the 10 Plaintiff’s impairments or combination of impairments did not meet or medically equal the 11 severity of one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (AR 18- 12 19). In making this finding, the ALJ considered Listings 12.04, 12.06, 12.08, and 12.15. (AR 18- 13 20). 14 At step four, the ALJ found that Plaintiff, 15 has the residual functional capacity to perform a full range of work at all exertional levels but with the following nonexertional 16 limitations: simple, routine, repetitive tasks; can work in a low stress job, defined as having no fixed production quotas, no hazardous 17 conditions, only occasional decision making required, and only occasional changes in the work setting; can occasionally interact 18 with coworkers and supervisors; cannot do tandem tasks; and cannot 19 directly interact with the general public. 20 (AR 21). 21 At step five, the ALJ found that Plaintiff did not have any past relevant work but that 22 Plaintiff could perform occupations such as salvage laborer, floor waxer, and industrial 23 sweeper/cleaner. (AR 23-24). Accordingly, the ALJ found that Plaintiff had not been disabled 24 since February 9, 2018 through the date of decision. (AR 24). 25 STANDARD 26 The court reviews administrative decisions in social security disability benefits cases 27 under 42 U.S.C. § 405(g). See Akopyan v. Barnhard, 296 F.3d 852, 854 (9th Cir. 2002). Section 1 made after a hearing to which he was a party, irrespective of the amount in controversy, may 2 obtain a review of such decision by a civil action…brought in the district court of the United 3 States for the judicial district in which the plaintiff resides.” The court may enter, “upon the 4 pleadings and transcripts of the record, a judgment affirming, modifying, or reversing the 5 decision of the Commissioner of Social Security, with or without remanding the case for a 6 rehearing.” Id. The Ninth Circuit reviews a decision of a District Court affirming, modifying, or 7 reversing a decision of the Commissioner de novo. Batson v. Commissioner, 359 F.3d 1190, 8 1193 (9th Cir. 2003). 9 The Commissioner’s findings of fact are conclusive if supported by substantial evidence. 10 See 42 U.S.C. § 405(g); Ukolov v. Barnhart, 420 F.3d 1002 (9th Cir. 2005). However, the 11 Commissioner’s findings may be set aside if they are based on legal error or not supported by 12 substantial evidence. See Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1052 (9th Cir. 13 2006); Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). The Ninth Circuit defines 14 substantial evidence as “more than a mere scintilla but less than a preponderance; it is such 15 relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” 16 Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995); see also Bayliss v. Barnhart, 427 F.3d 17 1211, 1214 n.1 (9th Cir. 2005). In determining whether the Commissioner’s findings are 18 supported by substantial evidence, the court “must review the administrative record as a whole, 19 weighing both the evidence that supports and the evidence that detracts from the Commissioner’s 20 conclusion.” Reddick v. Chater, 157 F.3d 715, 720 (9th Cir. 1998); see also Smolen v. Chater, 80 21 F.3d 1273, 1279 (9th Cir. 1996). Under the substantial evidence test, findings must be upheld if 22 supported by inferences reasonably drawn from the record. Batson, 359 F.3d at 1193. When the 23 evidence will support more than one rational interpretation, the court must defer to the 24 Commissioner’s interpretation. See Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005); Flaten 25 v. Sec’y of Health and Human Serv., 44 F.3d 1453, 1457 (9th Cir. 1995). 26 DISABILITY EVALUATION PROCESS 27 The individual seeking disability benefits has the initial burden of proving disability. 1 demonstrate the “inability to engage in any substantial gainful activity by reason of any medically 2 determinable physical or mental impairment which can be expected . . . to last for a continuous 3 period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A). More specifically, the individual 4 must provide “specific medical evidence” in support of her claim for disability. 20 C.F.R. 5 § 404.1514. If the individual establishes an inability to perform her prior work, then the burden 6 shifts to the Commissioner to show that the individual can perform other substantial gainful work 7 that exists in the national economy. Reddick, 157 F.3d at 721. 8 The ALJ follows a five-step sequential evaluation process in determining whether an 9 individual is disabled. See 20 C.F.R. § 404.1520; Bowen v. Yuckert, 482 U.S. 137, 140 (1987). If 10 at any step the ALJ determines that she can make a finding of disability or non-disability, a 11 determination will be made, and no further evaluation is required. See 20 C.F.R. 12 § 404.1520(a)(4); Barnhart v. Thomas, 540 U.S. 20, 24 (2003). Step one requires the ALJ to 13 determine whether the individual is engaged in substantial gainful activity (“SGA”). 20 C.F.R. 14 § 404.1520(b). SGA is defined as work activity that is both substantial and gainful; it involves 15 doing significant physical or mental activities usually for pay or profit. Id. § 404.1572(a)-(b). If 16 the individual is engaged in SGA, then a finding of not disabled is made. If the individual is not 17 engaged in SGA, then the analysis proceeds to step two. 18 Step two addresses whether the individual has a medically determinable impairment that 19 is severe or a combination of impairments that significantly limits her from performing basic 20 work activities. Id. § 404.1520(c). An impairment or combination of impairments is not severe 21 when medical and other evidence establishes only a slight abnormality or a combination of slight 22 abnormalities that would have no more than a minimal effect on the individual’s ability to work. 23 Id. § 404.1521; see also Social Security Rulings (“SSRs”) 85-28. If the individual does not have 24 a severe medically determinable impairment or combination of impairments, then a finding of not 25 disabled is made. If the individual has a severe medically determinable impairment or 26 combination of impairments, then the analysis proceeds to step three. 27 Step three requires the ALJ to determine whether the individual’s impairments or 1 C.F.R. Part 404, Subpart P, Appendix 1. 20 C.F.R. §§ 404.1520(d), 404.1525, and 404.1526. If 2 the individual’s impairment or combination of impairments meet or equal the criteria of a listing 3 and the duration requirement (20 C.F.R. § 404.1509), then a finding of disabled is made. 20 4 C.F.R. § 404.1520(h). If the individual’s impairment or combination of impairments does not 5 meet or equal the criteria of a listing or meet the duration requirement, then the analysis proceeds 6 to step four. 7 Before moving to step four, however, the ALJ must first determine the individual’s RFC, 8 which is a function-by-function assessment of the individual’s ability to do physical and mental 9 work-related activities on a sustained basis despite limitations from impairments. See 20 C.F.R. 10 § 404.1520(e); see also SSR 96-8p. In making this finding, the ALJ must consider all the 11 relevant evidence, such as all symptoms and the extent to which the symptoms can reasonably be 12 accepted as consistent with the objective medical evidence and other evidence. 20 C.F.R. § 13 404.1529; see also SSR 16-3p. To the extent that statements about the intensity, persistence, or 14 functionally limiting effects of pain or other symptoms are not substantiated by objective medical 15 evidence, the ALJ must evaluate the individual’s statements based on a consideration of the entire 16 case record. The ALJ must also consider opinion evidence in accordance with the requirements 17 of 20 C.F.R. § 404.1527. 18 Step four requires the ALJ to determine whether the individual has the RFC to perform 19 her past relevant work (“PRW”). 20 C.F.R. § 404.1520(f). PRW means work performed either 20 as the individual actually performed it or as it is generally performed in the national economy 21 within the last fifteen years or fifteen years before the date that disability must be established. In 22 addition, the work must have lasted long enough for the individual to learn the job and performed 23 at SGA. 20 C.F.R. §§ 404.1560(b) and 404.1565. If the individual has the RFC to perform her 24 past work, then a finding of not disabled is made. If the individual is unable to perform any PRW 25 or does not have any PRW, then the analysis proceeds to step five. 26 Step five requires the ALJ to determine whether the individual can do any other work 27 considering her RFC, age, education, and work experience. 20 C.F.R. § 404.1520(g). If she can 1 continues to have the burden of proving disability at this step, a limited burden of going forward 2 with the evidence shifts to the Commissioner. The Commissioner is responsible for providing 3 evidence that demonstrates that other work exists in significant numbers in the national economy 4 that the individual can do. Yuckert, 482 U.S. at 141-42 5 ANALYSIS AND FINDINGS. 6 I. Whether the ALJ’s RFC is supported by substantial evidence. 7 A. The parties’ arguments. 8 Plaintiff argues that the ALJ failed to fully explain how he came up with the RFC. (ECF 9 No. 10 at 5). Plaintiff asserts that Dr. Alie Wright had the only medical opinion to articulate a 10 specific RFC and the ALJ only found her opinion somewhat persuasive. (Id. a 6-7). Plaintiff 11 specifically takes issue with the ALJ’s conclusion that Plaintiff could have “occasional” 12 interactions with coworkers and supervisors. (Id. at 8-11). Plaintiff asserts that this RFC 13 limitation is not consistent with the medical record that shows that Plaintiff can only have “brief 14 and casual” encounters with the public and coworkers and Dr. Wright’s opinion that Plaintiff 15 could respond appropriately to “non-confrontational feedback and supervision.” (Id.). Plaintiff 16 argues that “brief” encounters is not consistent with “occasional” interactions. (Id.). And Social 17 Security policy states that the ability to respond to supervision is a “basic demand” of unskilled 18 work. (Id.). Plaintiff argues that all feedback is confrontational and thus, it is impossible for 19 Plaintiff to avoid non-confrontational feedback and still respond to supervision such that she is 20 employable. (Id.). Plaintiff concludes that the ALJ’s failure to explain how he came up with the 21 RFC and to explain why he did not incorporate Dr. Wright’s opinions is not harmless because 22 none of the hypotheticals posed to the vocational expert included a limitation to only brief and 23 casual encounters with the public and coworkers and nonconfrontational feedback and 24 supervision. (Id.). 25 The Commissioner responds that Plaintiff’s argument is simply asking the Court to 26 reweigh and accept a different interpretation of the evidence because the ALJ reasonably 27 translated and incorporated Dr. Wright’s findings into the RFC. (ECF No. 12 at 5). The 1 responsible for translating clinical findings into an RFC. (Id. at 5-6). The Commissioner also 2 points out that Plaintiff has taken Dr. Wright’s actual findings out of context. (Id.). Dr. Wright 3 found that Plaintiff could “interact appropriately in brief, casual encounters with the public and 4 coworkers and respond appropriately to non-confrontational feedback and supervision, and the 5 working environment should limit continuous prolonged contact with others.” (Id.) (citing AR 6 273). The Commissioner thus argues that Dr. Wright “concluded that Plaintiff’s limitations with 7 others, including coworkers, fell somewhere on the spectrum from ‘brief and casual’ to 8 ‘continuous [and] prolonged.’” (Id.). So, the ALJ reasonably translated the opinion to his 9 “occasional” interaction RFC limitation. (Id.). The Commissioner adds that Plaintiff’s argument 10 that she could not work in any capacity because she might someday come into contact with a 11 supervisor using a confrontational style of leadership defies logic. (Id. at 6-7). And while Social 12 Security regulations do state that the basic demands of unskilled work include the ability to 13 “respond appropriately to supervision,” only a “substantial loss” of that ability would constitute a 14 disability. (Id.). And Plaintiff has not shown that a limitation to occasional interaction with 15 supervisors constitutes a substantial loss of her ability to respond appropriately to supervision. 16 (Id.). The Commissioner concludes that, because the ALJ did not err in formulating the RFC, he 17 also did not err in not presenting Dr. Wright’s opinions to the vocational expert as a hypothetical. 18 (Id. at 8). 19 Plaintiff replies and reiterates that the ALJ’s translation of the evidence into an RFC is not 20 reasonable. (ECF No. 14 at 4-5). Plaintiff asserts that the ALJ’s RFC fails to consider Dr. 21 Wright’s opined limitations and thus, was in error. (Id.). Because Plaintiff lacks the ability to 22 respond appropriately to coworkers and supervisions—basic work activities—Plaintiff asserts that 23 the ALJ’s error was not harmless and the Court should thus reverse and award benefits or, 24 alternatively, remand for additional vocational testimony. (Id.). 25 B. Analysis. 26 The regulations provide that the ALJ must assess all the evidence, including the 27 claimant’s and others’ descriptions of the limitations, and medical reports, to determine what 1 and 416.945(a)(3). “The ALJ is responsible for translating and incorporating clinical findings 2 into a succinct RFC.” Rounds v. Comm’r of Soc. Sec. Admin., 807 F.3d 996, 1006 (9th Cir. 2015) 3 (citing Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1174 (9th Cir. 2008)). While the ALJ is 4 responsible for determining the RFC, the RFC must be supported by substantial evidence. “The 5 ALJ must set out in the record his reasoning and the evidentiary support for his interpretation of 6 the medical evidence.” Tackett v. Apfel, 180 F.3d 1094, 1102 (9th Cir. 1999) (citation omitted). 7 Moreover, “the ALJ must use ‘some medical evidence of the claimant’s ability to function in the 8 workplace’ in order to make a proper RFC assessment; ‘[t]he ALJ may not simply draw his own 9 inferences about [the claimant’s] functional ability from medical reports.’” Koch v. Kijakazi, 4 10 F.4th 656, 667 (8th Cir. 2021) (quoting Combs v. Berryhill, 878 F.3d 642, 646 (8th Cir. 2017), 11 and citing Hutsell v. Massanari, 259 F.3d 707, 712 (8th Cir. 2001)); see also POMS § DI 12 24510.001(A)(1) (“The RFC assessment [] is based primarily on medical evidence”). Courts in 13 other circuits have held that when an ALJ rejects the expert opinions in the record and instead 14 relies on his own judgment in determining a claimant’s RFC, the ALJ’s decision is unsupported 15 by substantial evidence. See Holtan v. Kijakazi, No. 2:22-cv-01222-VCF, 2023 WL 2424648, at 16 *2-3 (D. Nev. Mar. 9, 2023) (compiling cases). 17 1. The ALJ erred in not explaining how he reached the “occasional” encounter RFC. 18 19 The Court finds that the ALJ erred in not explaining how he reached his RFC given Dr. 20 Wright’s opinion that Plaintiff could interact appropriately only in brief, casual encounters with 21 the public and coworkers. Plaintiff has pointed to persuasive authority standing for the 22 proposition that “brief” encounters are not the same as “occasional” encounters. See, e.g., 23 Kimberly R. v. Kijakazi, No. 2:21-cv-47, 2022 WL 406384, at *6 (N.D. Inc. Feb. 10, 2022); 24 Bishton v. Kijakazi, 2021 WL 5564309, at *8 (N.D. Ind. Nov. 29, 2021); see SSR 83-10, 1983 25 WL 31251, at *5 (stating that “occasionally” means “from very little up to one-third of the time”). 26 And Defendant has not rebutted this argument. 27 Having established that “occasional” and “brief” are meaningfully different, Plaintiff 1 Wright’s opinion that Plaintiff could only function with “brief” encounters. The Court agrees. 2 The ALJ analyzed each of the state agency medical consultants’ opinions, but only Dr. Wright 3 provided an RFC opinion. (AR 23, 231-239, 240-255, 256-276). The ALJ found that Dr. 4 Wright’s opinion was supported and “generally consistent with the medical evidence.” (AR 23). 5 But the ALJ only found Dr. Wright’s opinion “somewhat persuasive” without further explanation. 6 (AR 23). And without this explanation, it is unclear why the ALJ then assessed Plaintiff to have a 7 less restrictive RFC. The ALJ then used the RFC to propose hypotheticals to the vocational 8 expert, which hypotheticals the vocational expert then used to determine whether jobs existed in 9 the national economy that Plaintiff could perform such that the ALJ considered Plaintiff to not be 10 disabled. (AR 226). This means that the error was not harmless and the Court remands the case 11 for further proceedings on this issue. 12 2. The ALJ erred in not addressing a limitation regarding Plaintiff’s interactions with supervisors. 13 14 The ALJ’s RFC does not contain any limitations regarding Plaintiff’s ability to interact 15 with supervisors despite Dr. Wright’s opinion that Plaintiff would be able to respond 16 appropriately to non-confrontational feedback and supervision. “A claimant’s ability to interact 17 with supervisors is a work-related mental ability that is critical to all work, and the ALJ must 18 adequately address it in the RFC.” Tonya T. v. Kijakazi, No. 2:22-cv-01215-BNW, 2023 WL 19 7404075, at *4 (D. Nev. Nov. 8, 2023) (citing Bennett v. Berryhill, No. 1:16-cv-00399-LF, 2017 20 WL 5612154, at *7-8 (D.N.M. Nov. 21, 2017)). Again, although the ALJ found Dr. Wright’s 21 opinions only somewhat persuasive, the ALJ also found that Dr. Wright’s opinion was supported 22 and consistent with the record. (AR 23). And the ALJ did not otherwise explain why a limitation 23 on Plaintiff’s ability to interact with supervisors was not necessary. Because the ability to 24 respond appropriately to supervision and coworkers is included within the mental abilities needed 25 for any job, an RFC providing for greater restrictions—i.e., with the “nonconfrontational” 26 qualifier—on these abilities may have resulted in a finding of disability. See POMS DI 27 25020.010(B)(2)(c); see Tonya T., 2023 WL 7404075, at *5. As a result, the error is not harmless II. Whether the ALJ failed to articulate clear and convincing reasons for discounting 1 Plaintiff’s subjective complaints. 2 A. The parties’ arguments. 3 4 Plaintiff argues that the ALJ did not specifically identify the testimony he found to not be 5 credible or explain what evidence undermines that testimony. (ECF No. 10 at 11-16). Plaintiff 6 argues that the ALJ’s discussion of her drug use and noncompliance with treatment does not 7 suffice to undermine her testimony because she has a mental illness. (Id.). She explains that, 8 because she has a mental impairment, the ALJ cannot use her poor judgment in seeking 9 rehabilitation as a reason to discount her credibility. (Id.). She claims that the error is not 10 harmless because proper evaluation of her claims would have lead to a different result. (Id.). 11 The Commissioner responds that the ALJ was not required to accept Plaintiff’s testimony 12 regarding her symptoms and was entitled to determine that her inconsistent testimony weighed 13 against her credibility. (ECF No. 12 at 8-11). The Commissioner argues that the ALJ properly 14 pointed to Plaintiff’s inconsistent statements regarding her drug use to discount her testimony. 15 (Id.). The Commissioner adds that it was proper for the ALJ to point to inconsistencies between 16 Plaintiff’s statements and her propensity to seek medical treatment, but then frequently leave, 17 sometimes against medical advice, when she did not get her way. (Id.). The Commissioner also 18 argues that it was proper for the ALJ to consider Plaintiff’s tendency to use the emergency 19 department for instances when she was not experiencing an emergency—for example, as a place 20 to eat and sleep rather than for medical treatment—to undermine her testimony. (Id.). The ALJ 21 also used Plaintiff’s drug seeking behavior to undermine her testimony, which the Commissioner 22 asserts was appropriate under Ninth Circuit cases holding that inconsistent statements regarding 23 drug use can support an ALJ’s finding that a lack of candor carries over to a person’s descriptions 24 of their symptoms. (Id. at 12) (citing Thomas v. Barnhart, 278 F.3d 947, 959 (9th Cir. 2002) and 25 Coleman v. Saul, 979 F.3d 751, 756 (9th Cir. 2020)). The Commissioner adds that the ALJ 26 properly pointed to Plaintiff’s noncompliance with medication, which caused a deterioration in 27 her symptoms, as a reason for discounting her subjective testimony. (Id. at 13-14). 1 Plaintiff replies that the ALJ merely summarized the evidence in rejecting her testimony, 2 which was improper, and did not make any affirmative finding of malingering. (ECF No. 14 at 5- 3 6).2 Plaintiff adds that the Commissioner’s brief is an attempt to make post hoc rationalizations 4 about the ALJ’s decision when the ALJ did not adequately explain what evidence undermined 5 Plaintiff’s testimony. (Id.). 6 B. Analysis. 7 The ALJ must make two findings before the ALJ can find a claimant’s pain or symptom 8 testimony not credible. 42 U.S.C. § 423(d)(5)(A) (explaining that “[a]n individual’s statement as 9 to pain or other symptoms shall not alone be conclusive evidence of disability” absent additional 10 findings). “First, the ALJ must determine whether the claimant has presented objective medical 11 evidence of an underlying impairment ‘which could reasonably be expected to produce the pain 12 or other symptoms alleged.’” Lingenfelter v. Astrue, 504 F.3d 1028, 1036 (9th Cir. 2007) 13 (quoting Bunnell v. Sullivan, 947 F.2d 341, 344 (9th Cir. 1991)). Second, if the claimant has 14 produced that evidence, and the ALJ has not determined that the claimant is malingering, the ALJ 15 must provide “specific, clear and convincing reasons for” rejecting the claimant’s testimony 16 regarding the severity of the claimant’s symptoms. Smolen v. Chater, 80 F.3d 1273, 1281 (9th 17 Cir. 1996). 18 Because the “grounds upon which an administrative order must be judged are those upon 19 which the record discloses that its action was based,” the agency must explain its reasoning. 20 Securities and Exchange Commission v. Chenery Corp., 318 U.S. 80, 87 (1943); Treichler, 775 21 F.3d 1090, 1101 (9th Cir. 2014). The Ninth Circuit thus requires the ALJ to “specifically identify 22 the testimony [from a claimant] she or he finds not to be credible and ... explain what evidence 23 24 2 Plaintiff also argues that the ALJ failed to confront her during her testimony regarding the inconsistencies in her medical record. (ECF No. 14 at 6-7). Plaintiff relies on non-social security 25 administrative cases for the proposition that the ALJ was required to confront Plaintiff with these inconsistencies in order to use them to discount her testimony. But Plaintiff does not explain how 26 these other administrative cases translate to the social security context. Additionally, Plaintiff 27 raises this argument for the first time in reply, depriving the Commissioner of the chance to respond. In any event, because the Court finds that remand is appropriate on other grounds, it 1 undermines the testimony.” Treichler, 775 F.3d at 1102 (citing Bunnell, 947 F.2d at 346 and 2 Holohan v. Massanari, 246 F.3d 1195, 1208 (9th Cir. 2001)). That means “[g]eneral findings are 3 insufficient.” Lester v. Chater, 81 F.3d 821, 834 (9th Cir. 1995) (superseded on other grounds); 4 see Holohan, 246 F.3d at 1208 (concluding “that the ALJ’s credibility determination was 5 erroneous” because it was based on the ALJ’s characterization of “the ‘record in general’”). 6 An ALJ must specifically identify the testimony he finds not credible and why. Treichler, 7 775 F.3d at 1102-1103. “An ALJ’s vague allegation that a claimant’s testimony is not consistent 8 with the objective medical evidence, without any specific findings in support of that conclusion is 9 insufficient for our review.” Id. (internal quotations omitted). “Although the ALJ’s analysis need 10 not be extensive, the ALJ must provide some reasoning in order for us to meaningfully determine 11 whether the ALJ’s conclusions were supported by substantial evidence.” Id. 12 Here, the Court finds that the ALJ erred in discounting Plaintiff’s subjective testimony. 13 The ALJ took the first step of determining that Plaintiff presented objective medical evidence of 14 her impairments which could reasonably be expected to produce the symptoms alleged. (AR 22). 15 But the ALJ did not provide specific, clear, and convincing reasons for then rejecting Plaintiff’s 16 testimony. The ALJ did not identify the testimony he found to not be credible and did not explain 17 what evidence undermines that testimony. Instead, the ALJ outlined her medical history—not her 18 testimony—and then outlined Plaintiff’s records showing noncompliance, drug seeking 19 behaviors, and misuse of the emergency department. (AR 23). Although the ALJ explained why 20 he found Plaintiff’s testimony to be unreliable in general, and referenced certain portions of that 21 testimony, he did not conduct any analysis. The ALJ did not point out which specific portions of 22 Plaintiff’s testimony he found to be uncredible and which portions that Plaintiff’s inconsistencies 23 undermined. The Court thus remands for the ALJ to further develop his reasons for rejecting 24 Plaintiff’s testimony. 25 III. Remand for further proceedings, not for an award of benefits, is appropriate here. 26 When evaluating whether this case presents the “rare” circumstances justifying a reversal 27 and remand for payment, the Court normally applies a three-step test. Treichler, 775 F.3d at 1 sufficient reasons for rejecting evidence, whether claimant testimony or medical opinion. Id. at 2 1100-01. Second, if the ALJ has erred, the Court determines whether the record has been fully 3 developed, whether there are outstanding issues that must be resolved before a determination of 4 disability can be made, and whether further administrative proceedings would be useful. Id. at 5 1101. Administrative proceedings are generally useful where the record has not been fully 6 developed, there is a need to resolve conflicts and ambiguities, or the presentation of further 7 evidence may prove enlightening in light of the passage of time. Id. Where there is conflicting 8 evidence, and not all essential factual issues have been resolved, a remand for an award of 9 benefits is inappropriate. Id. Third, if the Court finds that no outstanding issues remain and 10 further proceedings would not be useful, the Court may find the relevant testimony credible as a 11 matter of law and then determine whether the record, taken as a whole, leaves “not the slightest 12 uncertainty as to the outcome of the proceeding.” Id. But even when all three elements are 13 satisfied, the decision whether to remand a case is in the Court’s discretion. Id. at 1101-1102. 14 Here, the Court declines to reverse and remand for payment of benefits because this case 15 does not constitute the rare and extreme circumstances that would justify it. As a preliminary 16 matter, Plaintiff did not brief the analysis the Court must undertake in determining whether a 17 reversal and award of benefits is appropriate. But even if she did, at the second step of the 18 analysis, there are significant outstanding issues that must be resolved before a determination of 19 disability can be made. Those include further explanation of the RFC and a more detailed 20 analysis regarding the inconsistencies between Plaintiff’s testimony and her medical records. 21 There is thus conflicting evidence in the record regarding Plaintiff’s ability to interact with 22 coworkers and supervisors and regarding her credibility such that an award for benefits would be 23 inappropriate. Further administrative proceedings would be vital to resolving these issues and 24 this is not the case where the record, taken as a whole, leaves not the slightest uncertainty as to 25 the outcome of the proceeding. The Court thus remands these issues to the agency for further 26 proceedings. 27 1 IT IS THEREFORE ORDERED that Plaintiff’s motion for reversal and/or remand 2 (ECF No. 10) is granted in part and denied in part. It is granted in part regarding Plaintiff’s 3 request that the Court remand the case for further proceedings. It is denied in part regarding 4 Plaintiff’s request that the Court reverse and remand the case for payment of benefits. 5 IT IS FURTHER ORDERED that this case be remanded for further proceedings: 6 (1) for the ALJ to further articulate the assessment he conducted to determine Plaintiff’s RFC that 7 she only occasionally interact with coworkers and supervisors; (2) for the ALJ to articulate why 8 Plaintiff’s RFC does not include any limitations regarding Plaintiff’s ability to interact with 9 supervisors considering Dr. Wright’s opinion that Plaintiff would be able to respond to 10 nonconfrontational feedback and supervision; and (3) for the ALJ to specifically identify the pain 11 and symptom testimony he found not to be credible and explain what evidence undermines that 12 testimony. 13 IT IS FURTHER ORDERED that the Commissioner’s cross motion to affirm (ECF No. 14 12) is denied. The Clerk of Court is kindly directed to enter judgment accordingly and close this 15 case. 16 17 DATED: May 20, 2024 18 DANIEL J. ALBREGTS 19 UNITED STATES MAGISTRATE JUDGE 20 21 22 23 24 25 26 27