- 1 2 UNITED STATES DISTRICT COURT 3 DISTRICT OF NEVADA 4 * * * 5 Robert S., Case No. 2:23-cv-01713-DJA 6 Plaintiff, 7 Order v. 8 Martin O’Malley, Commissioner of Social 9 Security, 10 Defendant. 11 12 Before the Court is Plaintiff Robert S.’s brief moving for reversal and remand for further 13 proceedings (ECF No. 16) and the Commissioner’s cross-motion to affirm (ECF No. 17). 14 Plaintiff filed a reply. (ECF No. 19). Because the Court finds that the administrative law judge 15 (“ALJ”) erred in not properly considering certain medical opinions of record, but did not err in 16 not considering certain others, the Court grants in part and denies in part Plaintiff’s motion to 17 remand (ECF No. 16) and denies the Commissioner’s cross-motion to affirm (ECF No. 17). The 18 Court finds these matters properly resolved without a hearing. LR 78-1. 19 BACKGROUND 20 I. Procedural history. 21 Plaintiff filed an application for disability and disability insurance benefits on August 24, 22 2021, alleging disability commencing January 11, 2018. (ECF No. 16 at 3). The Commissioner 23 denied the claim by initial determination on May 4, 2022. (Id.). Plaintiff requested 24 reconsideration of the initial determination on May 25, 2022, which request the Commissioner 25 denied on August 8, 2022. (Id.). Plaintiff requested a de novo hearing before an ALJ on August 26 23, 2022. (Id.). The ALJ issued a decision denying Plaintiff benefits on April 5, 2023. (Id.). 27 The Appeals Council denied Plaintiff’s request for review on August 24, 2023, making the ALJ’s 1 II. The ALJ decision. 2 The ALJ followed the five-step sequential evaluation process set forth in 20 C.F.R. 3 416.1520(a). (AR 11). At step one, the ALJ found that Plaintiff had engaged in substantial 4 gainful activity for five months in 2019, but otherwise there has been a continuous 12-month 5 period during which the Plaintiff did not engage in substantial gainful activity. (AR 12). At step 6 two, the ALJ found that Plaintiff has the following severe impairments: seizure disorder; 7 headaches; right rotator cuff disorder; right clavicle disorder; possible tear left knee; major 8 depressive disorder; and neurodevelopmental disorder. (AR 12). At step three, the ALJ found 9 that the Plaintiff’s impairments or combination of impairments did not meet or medically equal 10 the severity of one of the listed impairments in 20 C.F.R. Part 404, Subpart P, Appendix 1. (AR 11 14-17). In making this finding, the ALJ considered Listings 1.15, 1.18, 11.02, 12.04, and 12.11. 12 (AR 14-17). 13 At step four, the ALJ found that Plaintiff, 14 has the residual functional capacity to perform light work as defined in 20 CFR 1567(b) except he can occasionally climb ramps and 15 stairs, balance, stoop, kneel, crouch, and crawl. He cannot climb 16 ladders, ropes, scaffolds. He should avoid concentrated exposure to working at unprotected heights. He can occasionally push and pull 17 with the right upper extremities; and occasionally reach overhead with the right upper extremity. He is further limited to simple tasks, 18 non-public tasks. 19 (AR 17). 20 At step five, the ALJ found that Plaintiff is unable to perform any past relevant work. 21 (AR 27). But the ALJ found that Plaintiff could perform occupations such as routing clerk, 22 delivery marker, and bench assembler. (AR 29). Accordingly, the ALJ found that Plaintiff had 23 not been disabled since January 11, 2018 through the date of the decision. (AR 29). 24 STANDARD 25 The court reviews administrative decisions in social security disability benefits cases 26 under 42 U.S.C. § 405(g). See Akopyan v. Barnhard, 296 F.3d 852, 854 (9th Cir. 2002). Section 27 405(g) states, “[a]ny individual, after any final decision of the Commissioner of Social Security 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 properly evaluated the medical opinions of record. 7 A. The parties’ arguments. 8 Plaintiff argues that the ALJ failed to properly evaluate the medical opinions of record 9 because the ALJ did not consider certain portions of the medical opinions. (ECF No. 16 at 5-8). 10 Plaintiff points out that the ALJ considered Drs. Michael D’Adamo, Cal VanderPlate, and Marcel 11 Punton’s “Paragraph B” criteria opinions for Listings 12.06 (Anxiety and Obsessive Compulsive 12 Disorders) and 12.11 (Neurodevelopmental Disorder), 1 but did not consider the doctors’ narrative 13 explanations of those opinions. (Id.). Dr. D’Adamo explained his “Paragraph B” opinions by 14 stating that Plaintiff is best equipped for simple directions and procedures, that he needs tasks 15 which complete easily and quickly over two hour intervals, that he should not serve the public or 16 coordinate much with others, and that he needs a predictable routine. (AR 90-93). Dr. 17 VanderPlate explained his “Paragraph B” opinions by stating that Plaintiff is able to understand 18 19 1 The Social Security Regulations “Listing of Impairments” is comprised of impairments to fifteen categories of body systems that are severe enough to preclude a person from performing 20 gainful activity. Young v. Sullivan, 911 F.2d 180, 183-84 (9th Cir. 1990). For a claimant’s 21 disorders to meet or equal a Listing, the disorder must satisfy the “Paragraph A” criteria and either the “Paragraph B” or “Paragraph C” criteria. See Listing of Impairments 12.00(A)(2). The 22 “Paragraph B” criteria are the functional criteria that the Social Security Administration will assess to evaluate how a claimant’s mental disorder limits their functioning. Id. at 23 12.00(A)(2)(b). They include: (1) the ability to understand, remember, or apply information; (2) interact with others; (3) concentrate, persist, or maintain pace; and (4) adapt or manage 24 oneself. See id. 25 Dr. D’Adamo opined that Plaintiff was moderately limited in each criteria. (AR 90-93). Dr. VanderPlate opined that Plaintiff was moderately limited in the second and third criteria and 26 mildly limited in the first and fourth. (AR 118-120). Dr. Punton opined that Plaintiff was 27 moderately limited in each criteria. (AR 815-16). The ALJ found these opinions persuasive and concluded that Plaintiff was moderately limited in the first three criteria and mildly limited in the 1 and remember simple and detailed instructions; that Plaintiff can carry out simple and detailed 2 instructions, can maintain attention and concentration for two hour periods, can perform activities 3 within a schedule, can maintain attendance, and can sustain a routine without special supervision; 4 that Plaintiff is capable of interacting infrequently with the general public and can relate 5 adequately with coworkers and supervisors; and that Plaintiff can manage stress, adjust to a task 6 setting and deal with normal changes; and that Plaintiff can deal with normal work hazards. (AR 7 120-121). Dr. Punton explained his “Paragraph B” opinions by stating that Plaintiff was unable 8 to function in the open labor market. (AR 815). Plaintiff argues that, although the ALJ found the 9 doctors’ “Paragraph B” opinions to be persuasive and used them to create her “simple and non- 10 public tasks” RFC limitation, the ALJ did not explain how she arrived at the RFC considering the 11 fact that the ALJ did not address the doctors’ narrative explanations for their “Paragraph B” 12 opinions. (ECF No. 16 at 7). Plaintiff adds that the ALJ also failed to address the opinions of Dr. 13 Robert Shorr and Mr. Mark Remas, who conducted evaluations in Plaintiff’s underlying workers’ 14 compensation case. (Id. at 7-8). Plaintiff claims that Mr. Remas’ opinion—evaluating Dr. 15 Punton and Dr. Shorr’s opinions and concluding that Plaintiff would not be amenable to 16 vocational rehabilitation—is evidence that the ALJ’s failure to fully consider the medical 17 opinions was not harmless. (Id.). Plaintiff’s reasoning appears to be that if Mr. Remas reviewed 18 Dr. Punton and Dr. Shorr’s opinions and concluded that Plaintiff was not amenable to vocational 19 rehabilitation, then the ALJ, if she had properly considered both opinions, would have also 20 concluded that Plaintiff is disabled.2 21 22 2 Plaintiff also argues in a single paragraph that “[t]he ALJ also failed to properly take into account the impact of the moderate limitation in persistence and pace on [Plaintiff’s] ability to 23 perform work on a full time and consistent basis” and that the error was not harmless because “[t]he vocational expert stated that if an individual was off task in excess of 10% of the workday, 24 this individual would not sustain work in the open market.” (ECF No. 16 at 8). Plaintiff claims 25 in conclusory fashion and with no support that, “[t]his limitation is consistent with a moderate limitation in persistence and pace.” (Id.). 26 Defendant does not respond to this argument and Plaintiff does not provide any further argument 27 in reply. The Court only addresses well developed arguments. Kor Media Group, LLC v. Green, 294 1 The Commissioner responds that the ALJ properly considered the medical opinions. 2 (ECF No. 17 at 3-7). The Commissioner argues that the ALJ’s assessment adequately captured 3 Drs. D’Adamo and VanderPlate’s opinions because the ALJ’S RFC is consistent with the 4 restrictions they opined and nothing more was required of the ALJ than to translate Plaintiff’s 5 moderate mental impairments into specific functional limitations. (Id.). Regarding Dr. Punton’s 6 opinion that Plaintiff is unable to function on the open labor market, the Commissioner points out 7 that not everything a doctor says qualifies as a medical opinion and that Dr. Punton’s opinion on 8 this issue does not. (Id.). Plaintiff argues that Dr. Punton’s statement is more accurately a 9 statement about whether Plaintiff is disabled or unable to work, which is a statement on an issue 10 reserved for the Commissioner. (Id.). Regarding Dr. Schorr’s opinion, the Commissioner argues 11 that because Dr. Schorr simply summarized Dr. Punton’s opinion and expressed his agreement 12 with Dr. Punton’s conclusions, the ALJ properly considered Dr. Shorr’s opinion by considering 13 Dr. Punton’s opinion. (Id.). The Commissioner adds that the ALJ was under no obligation to 14 discuss the non-medical opinion of Mr. Remas. (Id.). But even if the ALJ were, the 15 Commissioner points out that Mr. Remas based his opinion on Plaintiff’s self-report and the 16 assessments from Drs. Punton and Schorr. (Id.). Because the ALJ separately found that 17 Plaintiff’s self-reports were not fully reliable, the Commissioner argues that the ALJ was free to 18 disregard Mr. Remas’ opinion. (Id.). The Commissioner adds again in conclusory fashion that 19 the ALJ otherwise considered Drs. Punton and Shorr’s opinions. (Id.). The Commissioner 20 concludes that even if the ALJ’s failure to consider Mr. Remas’ opinion was in error, that error 21 was harmless because more reliable medical evidence that the ALJ credited contradicts it. (Id.). 22 23 24 would fail because “Plaintiff offers no evidence, in the record or elsewhere, that he would be off- 25 task for more than ten percent of an eight-hour workday on account of a moderate limitation in his ability to concentrate, persist, or maintain pace.” Hugo R. v. O’Malley, No. 23-cv-1222-JES- 26 LR, 2024 WL 3597111, at 14 (S.D. Cal. July 30, 2024). Moreover, it was Plaintiff’s attorney— 27 not the ALJ—to pose the ten-percent hypothetical to the vocational expert. (AR 64-65). And “[t]he ALJ is not bound to accept as true the restrictions presented in a hypothetical question 1 Plaintiff replies that the ALJ was not permitted to simply ignore portions of Dr. Punton’s 2 report or the entirety of Dr. Schorr’s and that the ALJ’s boilerplate statement that she “did not 3 provide any articulation about the evidence that is inherently neither valuable nor persuasive” is 4 not sufficient. (ECF No. 19 at 3-5). Plaintiff adds that the Commissioner’s arguments to the 5 contrary are post hoc rationalizations about the ALJ’s reasoning. (Id.). Plaintiff asserts that the 6 Commissioner’s argument that the ALJ was not required to analyze Mr. Remas’ opinion and so 7 the failure to do so was harmless is flawed. (Id.). Plaintiff explains that the unpublished Ninth 8 Circuit case—Fryer v. Kijakazi, No. 21-36004, 2022 WL 17958630, at *3 n.1 (9th Cir. Dec. 27, 9 2022)—to which the Commissioner cites for the proposition that the ALJ is no longer required to 10 articulate his or her consideration of nonmedical evidence is “inconsistent with long-standing 11 administrative law precedent.” (Id.). 12 B. Analysis. 13 Under the applicable rules, the ALJ must “articulate how [they] considered the medical 14 opinions” and “how persuasive [they] find all of the medical opinions” by considering the 15 medical opinions’ supportability and consistency, the doctor’s relationship with the claimant and 16 specialization, and other factors. 20 C.F.R. §§ 404.1520c(a), (c), 416.920c(a), (c). A “medical 17 opinion” is defined under 20 CFR § 416.913(a)(2) as: “a statement from a medical source about 18 what you can still do despite your impairment(s) and whether you have one or more impairment- 19 related limitations or restrictions in the abilities [listed in sub-paragraph (a)(2)(i) of the 20 regulation].” With respect to mental health conditions, a medical opinion consists of: 21 “impairment-related limitations and restrictions in: .... [y]our ability to perform mental demands 22 of work activities, such as understanding; remembering; maintaining concentration, persistence, 23 or pace; carrying out instructions; or responding appropriately to supervision, co-workers, or 24 work pressures in a work setting ....” 20 CFR § 416.913(a)(2)(i)(B). Under 20 CFR 25 § 416.920(a)(3), the Commissioner “will consider all evidence in your case record when we make 26 a determination or decision whether you are disabled.” When considering severity of mental 27 impairments, the Commissioner follows a technique described in 20 CFR § 416.920a. 1 When considering medical opinions, the ALJ is specifically required to consider the two 2 most important factors, supportability and consistency. 20 C.F.R. §§ 404.1520c(b)(2), 3 416.920c(b)(2). The supportability factor requires the ALJ to consider the relevance of the 4 objective medical evidence and the supporting explanations presented by the medical source to 5 justify their opinion. 20 C.F.R. §§ 404.1520c(c)(1), 416.920c(c)(1). The consistency factor 6 involves consideration of how consistent a medical opinion is with the other record evidence. 20 7 C.F.R. §§ 404.1520c(c)(2), 416.920c(c)(2). 8 Under the 2017 regulations, “an ALJ cannot reject an examining or treating doctor’s 9 opinion as unsupported or inconsistent without providing an explanation supported by substantial 10 evidence.” Woods v. Kijakazi, 32 F.4th 785, 792 (9th Cir. 2022). On the other hand, an ALJ need 11 not provide analysis if the evidence is “neither valuable nor persuasive to the issue,” such as 12 decisions by other governmental agencies and nongovernmental entities,” and “statements on 13 issues reserved to the Commissioner.” See 20 C.F.R § 416.920b(c)(1)-(3). 14 1. Whether the ALJ erred in not articulating her consideration of Drs. D’Adamo and VanderPlate’s narrative explanations for their “Paragraph 15 B” opinions. 16 17 The Court finds that the ALJ erred by not articulating her consideration of Drs. D’Adamo 18 and VanderPlate’s narrative explanations for their “Paragraph B” opinions and that the error was 19 not harmless. As a preliminary matter, neither party adequately briefed the question of whether 20 an ALJ errs by not considering narrative explanations that physicians provide in support of their 21 “Paragraph B” findings. Nonetheless, the Court finds that the ALJ did. 22 Both Dr. D’Adamo and Dr. VanderPlate completed Mental Residual Functional Capacity 23 Assessment (“MRFCA”) worksheets in providing their opinions regarding the “Paragraph B” 24 criteria for Plaintiff. Those forms provide that “[t]he questions below help determine the 25 individual’s ability to perform sustained work activities. However, the actual mental residual 26 functional capacity assessment is recorded in the narrative discussion(s), which describes how 27 the evidence supports each conclusion.” (AR 89, 117) (emphasis added). In addressing Drs. 1 explanations regarding their “Paragraph B” opinions. (AR 25). Instead, the ALJ only addressed 2 the questions about Plaintiff’s ability to perform sustained work activities. (AR 25). 3 This was in error because “when the ALJ gives substantial weight3 to a medical opinion, 4 the ALJ is required to incorporate into the ultimate RFC only the narrative portion of the 5 MRFCA.” John G. v. Berryhill, No. 3:17-cv-01076-AC, 2018 WL 3202000, at *6 (D. Or. June 6 28, 2018) (emphasis added) (citing Rounds v. Comm’r Soc. Sec. Admin., 807 F.3d 996, 1005-06 7 (9th Cir. 2015) and noting that in that case, the Ninth Circuit found that the ALJ did not err in 8 omitting a supervisory limitation where a physician checked a relevant box in the MRFCA 9 worksheet but did not include the limitations in the narrative functional capacity assessment). 10 The requirement of the ALJ to address the narrative portions of the MRFCA is also included in 11 the Programs Operations Manual System (“POMS”), an internal Social Security Administration 12 document that does not have the force of law, but that the Ninth Circuit has recognized as 13 persuasive authority. Israel v. Astrue, 494 Fed.Appx. 794, 797 n.1 (9th Cir. 2012). According to 14 the POMS “[i]t is the narrative written by the [psychological consultant] that adjudicators use 15 as the assessment of MRFC.” POMS DI 25020.010(B)(1) (emphasis in original). So, the Court 16 finds that the ALJ erred by not considering the narratives that Drs. D’Adamo and VanderPlate 17 provided in support of their “Paragraph B” criteria opinions. 18 The ALJ’s error was not harmless. An error is harmless where it is nonprejudicial to the 19 claimant or irrelevant to the ALJ’s ultimate disability conclusion. Stout v. Commissioner, 454 20 F.3d 1050, 1055 (9th Cir. 2006). Here, it appears that the error is relevant to the ALJ’s ultimate 21 disability conclusion because the only mental RFC limitation that the ALJ assessed was to limit 22 Plaintiff to “simple tasks, non-public tasks.” (AR 17). But the ALJ’s RFC does not address Dr. 23 D’Adamo’s opined limitations that Plaintiff “needs tasks which complete easily and quickly over 24 two hour intervals,” and requires a “predictable routine.” (AR 91, 93). Nor does it address Dr. 25 26 3 John G. v. Berryhill applied the pre-2017 standard for analyzing medical opinions that provided 27 great deference to treating or examining physicians. John G., 2018 WL 3202000, at *3. While the ALJ applied the post-2017 standard here, the Court finds that the John G. court’s analysis is 1 VanderPlate’s opinions that Plaintiff could only “maintain attention and concentration for two 2 hour periods,” and can only “perform activities within a schedule.” (AR 121). This matters 3 because the ALJ ultimately presented her RFC to the vocational expert, who determined that 4 Plaintiff could perform certain jobs consistent with that RFC and was thus not disabled. The 5 Court thus grants Plaintiff’s motion for remand on this issue. 6 2. Whether the ALJ erred in not considering Dr. Punton’s opinion that Plaintiff is “unable to function in the open labor market.” 7 8 The Court finds that Dr. Punton’s statement that Plaintiff is “unable to function in the 9 open labor market” to be an opinion on an issue reserved for the Commissioner such that the ALJ 10 did not err by not considering it. Under 20 C.F.R. § 404.1520b(c)(3), statements regarding 11 whether a claimant is disabled, able to work, or able to perform regular or continuing work are the 12 types of statements that are neither valuable nor persuasive and on which the Commissioner “will 13 not provide an analysis.” Dr. Punton’s statement fits squarely within this category and Plaintiff 14 offers no argument about why it does not. So, the Court finds that the ALJ did not err in not 15 considering it. 16 3. Whether the ALJ erred in not addressing Dr. Shorr’s opinion. 17 The Court finds that the ALJ erred in not addressing Dr. Shorr’s opinion. Again, both 18 parties provide little legal analysis to support their arguments. The Commissioner’s argument is 19 particularly lacking because the Commissioner simply states that, because the ALJ considered Dr. 20 Punton’s opinion, which opinion Dr. Shorr summarized and agreed with, the ALJ reasonably 21 considered Dr. Shorr’s opinion. (ECF No. 17 at 5). But the Commissioner provides no authority 22 for this statement. 23 To the contrary, the regulations provide that ALJs “will articulate in [their] determination 24 or decision how persuasive [they] find all of the medical opinions…” 20 C.F.R. §§ 404.1520c(b), 25 416.920c(b) (emphasis added). To the extent that the Commissioner argues that the ALJ was free 26 to disregard Dr. Shorr’s opinion because Dr. Shorr made it in a workers’ compensation 27 proceeding, “the ALJ may not disregard a physician’s medical opinion simply because it was 1 terminology used in such proceedings.” Booth v. Barnhart, 181 F.Supp.2d 1099, 1105 (C.D. Cal. 2 2002) (citing Coria v. Heckler, 750 F.2d 245, 247 (3d Cir. 1984)). “The purpose for which 3 medical reports are obtained does not provide a legitimate basis for rejecting them.” Lester v. 4 Chater, 81 F.3d 821, 832 (9th Cir. 1995) (superseded on other grounds). “[T]he ALJ must 5 evaluate medical opinions couched in state workers’ compensation terminology just as he or she 6 would evaluate any other medical opinion.” Booth, 181 F.Supp.2d at 1105-06 (collecting cases). 7 Here, the ALJ did not address Dr. Shorr’s opinion at all other than citing to it at the end of 8 a single sentence: “Because of the upper extremity symptoms, the claimant underwent EMG and 9 nerve conduction studies on February 5, 2018 and this revealed a slight bilateral median sensory 10 neuropathy distal to the wrist (16F/49).” (AR 21). Otherwise, the ALJ does not mention Dr. 11 Shorr’s opinion or cite to it. So, the Court finds that the ALJ erred. And because the ALJ did not 12 even mention Dr. Shorr’s opinion, the Court cannot confidently conclude that the error was 13 harmless. See Marsh v. Covin, 792 F.3d 1170, 1173-74 (9th Cir. 2015). The Court thus grants 14 Plaintiff’s motion for remand on this issue. 15 4. Whether the ALJ erred in not addressing Mr. Remas’ opinion. 16 The Court finds that the ALJ did not err in not addressing Mr. Remas’ opinion. The Ninth 17 Circuit has not decided in a published opinion whether an ALJ must discuss non-medical sources 18 in their decisions under the new, 2017 regulations. But it has discussed the issue in a non- 19 published decision. In Fryer v. Kijakazi, the Ninth circuit noted that “[i]t is an open question 20 whether ALJs are still required to consider lay witness evidence under the revised regulations, 21 although it is clear they are no longer required to articulate it in their decisions.” Fryer v. 22 Kijakazi, No. 21-36004, 2022 WL 17958630, at *3 n.1 (9th Cir. 2022) (unpublished). In any 23 event, however, Plaintiff asserts that the opinion the ALJ failed to consider was Mr. Remas’ 24 opinion that Plaintiff would be unable to compete for employment in the open labor market. 25 (ECF No. 16 at 8). But the ALJ’s failure to consider that opinion, even if it was in error, was 26 harmless because that opinion is of the type reserved to the Commissioner. See 20 C.F.R. 27 § 404.1520b(c)(3). As a result, Mr. Remas’ opinion was neither valuable nor persuasive and the 1 IT IS THEREFORE ORDERED that Plaintiff’s motion for remand (ECF No. 16) is 2 granted in part and denied in part. It is granted in part regarding Plaintiff’s request that the 3 Court remand the case on the issues of the ALJ’s failure to consider Drs. D’Adamo and 4 VanderPlate’s narrative explanations of the “Paragraph B” criteria and the ALJ’s failure to 5 consider Dr. Schorr’s opinion. It is denied in all other respects. 6 IT IS FURTHER ORDERED that this case be remanded for further proceedings: 7 (1) for the ALJ to articulate how she considered Drs. D’Adamo and VanderPlate’s narrative 8 explanations of the “Paragraph B” criteria; and (2) for the ALJ to articulate how she considered 9 Dr. Shorr’s opinion. 10 IT IS FURTHER ORDERED that the Commissioner’s cross motion to affirm (ECF No. 11 17) is denied. The Clerk of Court is kindly directed to enter judgment accordingly and close this 12 case. 13 14 DATED: September 30, 2024 15 DANIEL J. ALBREGTS 16 UNITED STATES MAGISTRATE JUDGE 17 18 19 20 21 22 23 24 25 26 27
Document Info
Docket Number: 2:23-cv-01713
Filed Date: 9/30/2024
Precedential Status: Precedential
Modified Date: 11/2/2024