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Albarran v. Commissioner of Social Security Administration

United States District Court, D. Arizona

October 24, 2018

Lydia Albarran, Plaintiff,
Commissioner of Social Security Administration, Defendant.



         Plaintiff Lydia Albarran seeks review under 42 U.S.C. § 405(g) of the final decision of the Commissioner of Social Security, which denied her disability insurance benefits and supplemental security income under §§ 216(i) and 223(d) of the Social Security Act. The Court finds that the administrative law judge's (“ALJ”) decision is based on reversible legal error and will remand for an award of benefits.

         I. Background.

         Plaintiff is a 35 year old female who previously worked as a customer complaint clerk, a loan officer, and an electrologist. A.R. 69. Plaintiff applied for disability insurance benefits and supplemental security income on November 26, 2013, alleging disability beginning on August 1, 2012. A.R. 75-76 (initial disability onset date of September 1, 2011); A.R. 44 (amending disability onset date). On May 19, 2016, Plaintiff and a vocational expert testified at a hearing before an ALJ. A.R. 41. On June 23, 2016, the ALJ issued a decision that Plaintiff was not disabled within the meaning of the Social Security Act. A.R. 24-34. This became the Commissioner's final decision when the Appeals Council denied Plaintiff's request for review on October 4, 2017. A.R. 1-6.

         II. Legal Standard.

         The Court reviews only those issues raised by the party challenging the ALJ's decision. See Lewis v. Apfel, 236 F.3d 503, 517 n.13 (9th Cir. 2001). The Court may set aside the determination only if it is not supported by substantial evidence or is based on legal error. Orn v. Astrue, 495 F.3d 625, 630 (9th Cir. 2007). Substantial evidence is more than a scintilla, less than a preponderance, and relevant evidence that a reasonable person might accept as adequate to support a conclusion. Id. In determining whether substantial evidence supports a decision, the Court must consider the record as a whole and may not affirm simply by isolating a “specific quantum of supporting evidence.” Id. (citation omitted). As a general rule, “[w]here the evidence is susceptible to more than one rational interpretation, one of which supports the ALJ's decision, the ALJ's conclusion must be upheld.” Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002).

         Harmless error principles apply in the Social Security context. Molina v. Astrue, 674 F.3d 1104, 1115 (9th Cir. 2012). An error is harmless if there remains substantial evidence supporting the ALJ's decision and the error does not affect the ultimate nondisability determination. Id. “The burden is on the party claiming error to demonstrate not only the error, but also that it affected [her] substantial rights.” Ludwig v. Astrue, 681 F.3d 1047, 1054 (9th Cir. 2012).

         III. The ALJ's Five-Step Evaluation Process.

         To determine whether a claimant is disabled for purposes of the Social Security Act, the ALJ follows a five-step process. 20 C.F.R. § 404.1520(a). The claimant bears the burden of proof on the first four steps, and the burden shifts to the Commissioner at step five. Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). To establish disability, the claimant must show that (1) she is not currently working, (2) she has a severe impairment, and (3) this impairment meets or equals a listed impairment or (4) her residual functional capacity (“RFC”) prevents her performance of any past relevant work. If the claimant meets her burden through step three, the Commissioner must find her disabled. If the inquiry proceeds to step four and the claimant shows that she is incapable of performing past relevant work, the Commissioner must show at step five that the claimant is capable of other work suitable for her RFC, age, education, and work experience. 20 C.F.R. § 404.1520(a)(4).

         At step one, the ALJ found that Plaintiff met the insured status requirements of the Social Security Act through September 30, 2016, and she has not engaged in substantial gainful employment since September 1, 2011. A.R. 26. At step two, the ALJ determined that Plaintiff has the following severe impairments: dysfunction of the major joints, fibromyalgia, and anxiety disorders. Id. At step three, the ALJ found that Plaintiff does not have an impairment that meets the severity of one of the listed impairments. A.R. 27. At step four, the ALJ found Plaintiff has the RFC to perform sedentary work with some limitations, but she could not perform her past relevant work. A.R. 29-33. At step five, the ALJ concluded, considering Plaintiff's age, education, work experience, and RFC, that she was able to perform other work that exists in significant numbers in the national economy, such as document preparer, cashier, or call-out operator. A.R. 34.

         IV. Analysis.

         Plaintiff makes two arguments: (1) the ALJ erred by rejecting the opinion of Plaintiff's treating physician, and (2) the ALJ erroneously discredited Plaintiff's symptom testimony. Doc. 11 at 9-25.

         A. Medical Opinion Evidence.

         The Commissioner is responsible for determining whether a claimant meets the statutory definition of disability and need not credit a physician's conclusion that the claimant is “disabled” or “unable to work.” 20 C.F.R. § 404.1527(d)(1). But the Commissioner generally must defer to a physician's medical opinion, such as statements concerning the nature or severity of the claimant's impairments, what the claimant can do, and the claimant's physical or mental restrictions. § 404.1527(a)(1), (c).

         In determining how much deference to give a physician's medical opinion, the Ninth Circuit distinguishes between the opinions of treating physicians, examining physicians, and non-examining physicians. See Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995). Generally, an ALJ should give the greatest weight to a treating physician's opinion and more weight to the opinion of an examining physician than a non-examining physician. See Andrews v. Shalala, 53 F.3d 1035, 1040-41 (9th Cir. 1995); see also 20 C.F.R. § 404.1527(c)(1)-(6) (listing factors to be considered when evaluating opinion evidence, including length of examining or treating relationship, frequency of examination, consistency with the record, and support from objective evidence).

         The ALJ must provide clear and convincing reasons for rejecting the uncontradicted opinion of a treating or examining physician. Lester, 81 F.3d at 830. Under this standard, the ALJ may reject a treating or examining physician's opinion if it is “conclusory, brief, and unsupported by the record as a whole or by objective medical findings, ” Batson v. Comm'r Soc. Sec. Admin., 359 F.3d 1190, 1195 (9th Cir. 2004) (citation omitted), or if there are significant discrepancies between the physician's opinion and her clinical records, Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005).

         When a treating or examining physician's opinion is contradicted by another doctor, it can only be rejected for “specific and legitimate reasons that are supported by substantial evidence in the record.” Lester, 81 F.3d at 830-31. To satisfy this requirement, the ALJ must set out “a detailed and thorough summary of the facts and conflicting clinical evidence, stating his interpretation thereof, and making findings.” Revels v. Berryhill, 874 F.3d 648, 654 (9th Cir. 2017) (quotation marks and citation omitted). Under either standard, “[t]he ALJ must do more than state conclusions. He must set forth his own ...

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