Roger M. Jimenez v. Carolyn W. Colvin, No. 2:2016cv02494 - Document 18 (C.D. Cal. 2016)

Court Description: MEMORANDUM OPINION AND ORDER by Magistrate Judge Rozella A. Oliver. Remand for further administrative proceedings is appropriate. On remand, the ALJ shall reassess Plaintiff's subjective allegations and either credit his testimony as true, or provide specific, clear and convincing reasons, supported by substantial evidence in the record, for discounting or rejecting any testimony. IT IS ORDERED that Judgment shall be entered REVERSING the decision of the Commissioner denying benefits, and REMANDING the matter for further proceedings consistent with this Order. IT IS FURTHER ORDERED that the Clerk of the Court serve copies of this Order and the Judgment on counsel for both parties. 3 (SEE ORDER FOR FURTHER DETAILS) (gr)

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Roger M. Jimenez v. Carolyn W. Colvin Doc. 18 1 2 12/19/16 12/19/16 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 ROGER M. JIMENEZ, 12 Plaintiff, 13 14 15 Case No. CV 16-02494-RAO v. CAROLYN W. COLVIN, Acting Commissioner of Social Security, MEMORANDUM OPINION AND ORDER Defendant. 16 17 18 I. 19 20 21 22 23 24 25 26 27 INTRODUCTION Plaintiff Roger Jimenez (“Plaintiff”) challenges the Commissioner’s denial of his application for a period of disability and disability insurance benefits (“DIB”) pursuant to Title II and his application for supplemental security income pursuant to Title XVI of the Social Security Act. For the reasons stated below, the decision of the Commissioner is REVERSED and the action is REMANDED for further proceedings consistent with this Order. II. PROCEEDINGS BELOW On January 12, 2012, Plaintiff applied for DIB alleging disability beginning August 9, 2010 (his alleged onset date (“AOD”)). (Administrative Record (“AR”) 28 Dockets.Justia.com 1 23). Plaintiff applied for supplemental security income on February 14, 2012, 2 alleging the same AOD. (AR 23.) Both applications were denied on June 1, 2012, 3 and denied again upon reconsideration on January 29, 2013. (AR 157-61, 170-75.) 4 Plaintiff filed a timely request for hearing, and a hearing was held on March 19, 5 2014. (AR 176, 53-94.) Represented by counsel, Plaintiff appeared and testified. 6 (AR 53-94.) An impartial vocational expert also testified. (AR 23, 86-92.) To 7 further develop the record, the Administrative Law Judge (“ALJ”) ordered that an 8 orthopedic consultative examination, as well as a psychological consultative 9 examination be performed. (AR 23, 92-93.) Both additional examinations were 10 performed. (AR 23.) A supplemental hearing was held on July 23, 2014, at which 11 Plaintiff appeared and testified, again represented by counsel. (AR 23, 95-108.) 12 An impartial vocational expert also appeared and testified at the supplemental 13 hearing. (AR 23, 102-08.) On August 1, 2014, the ALJ issued a decision denying 14 Plaintiff’s claim for benefits. 15 Commissioner’s final decision when the Appeals Council denied Plaintiff’s request 16 for review on February 16, 2016. (AR 1-4.) Plaintiff filed this action on April 12, 17 2016. (Dkt. No. 1.) (AR 20-33.) The ALJ’s decision became the 18 The ALJ followed a five-step sequential evaluation process to assess whether 19 Plaintiff was disabled under the Social Security Act. Lester v. Chater, 81 F.3d 821, 20 828 n.5 (9th Cir. 1995). At step one, the ALJ found that Plaintiff had not engaged 21 in substantial gainful activity since the AOD. (AR 25.) At step two, the ALJ 22 found that Plaintiff had the severe impairments of lumbar spine strain, secondary to 23 lumbar spine degenerative disc disease, hypertension, hypertensive cardiovascular 24 disease, major depression disorder, mood disorder NOS, panic disorder, and 25 chronic pain syndrome. (Id. at 26.) At step three, the ALJ found that Plaintiff “did 26 not have an impairment or combination of impairments that met or medically 27 equaled the severity of one of the listed impairments in 20 CFR Part 404, Subpart 28 P, Appendix 1.” (Id. at 26-27.) 2 1 /// Before proceeding to step four, the ALJ found that Plaintiff had the residual 2 3 functional capacity (“RFC”) to: 4 [L]ift and carry less than 10 pounds occasionally and frequently; stand and/or walk less than 2 hours in an 8-hour workday; he has no limitation for sitting, but he must periodically alternate between sitting and standing; he cannot climb, balance, kneel, crouch, crawl or stoop; constantly reach, handle, finger and feel; he is limited to unskilled simple, repetitive tasks; he can have only incidental work-related interaction with co-workers and supervisors; and he can have only brief and superficial contact with the public. 5 6 7 8 9 10 11 (AR 27.) At step four, the ALJ found that Plaintiff was unable to perform past 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 relevant work. (AR 31.) At step five, the ALJ found that Plaintiff has not been under a disability from the AOD through the date of decision. (AR 32.) III. STANDARD OF REVIEW Under 42 U.S.C. § 405(g), a district court may review the Commissioner’s decision to deny benefits. A court must affirm an ALJ’s findings of fact if they are supported by substantial evidence, and if the proper legal standards were applied. Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001). “‘Substantial evidence’ means more than a mere scintilla, but less than a preponderance; it is such relevant evidence as a reasonable person might accept as adequate to support a conclusion.” Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007) (citing Robbins v. Soc. Sec. Admin., 466 F.3d 880, 882 (9th Cir. 2006)). An ALJ can satisfy the substantial evidence requirement “by setting out a detailed and thorough summary of the facts and conflicting clinical evidence, stating his interpretation thereof, and making findings.” Reddick v. Chater, 157 F.3d 715, 725 (9th Cir. 1998) (citation omitted). “[T]he Commissioner’s decision cannot be affirmed simply by isolating a specific quantum of supporting evidence. Rather, a court must consider the record 3 1 as a whole, weighing both evidence that supports and evidence that detracts from 2 the Secretary’s conclusion.” Aukland v. Massanari, 257 F.3d 1033, 1035 (9th Cir. 3 2001) (citations and internal quotations omitted). “‘Where evidence is susceptible 4 to more than one rational interpretation,’ the ALJ’s decision should be upheld.” 5 Ryan v. Comm’r of Soc. Sec., 528 F.3d 1194, 1198 (9th Cir. 2008) (citing Burch v. 6 Barnhart, 400 F.3d 676, 679 (9th Cir. 2005)); see also Robbins, 466 F.3d at 882 7 (“If the evidence can support either affirming or reversing the ALJ’s conclusion, we 8 may not substitute our judgment for that of the ALJ.”). The Court may review only 9 “the reasons provided by the ALJ in the disability determination and may not affirm 10 the ALJ on a ground upon which he did not rely.” Orn v. Astrue, 495 F.3d 625, 630 11 (9th Cir. 2007) (citing Connett v. Barnhart, 340 F.3d 871, 874 (9th Cir. 2003)). 12 IV. DISCUSSION 13 A. 14 Plaintiff argues that the ALJ erred in rejecting his symptom testimony 15 because the ALJ’s decision offered no specific reasons for rejecting Plaintiff’s 16 testimony. (Joint Stipulation (“Jt. Stip.”) at 5-11, Dkt. No. 17.) The Commissioner 17 argues that the ALJ’s adverse credibility findings are entitled to deference because 18 they are supported by substantial evidence. (Jt. Stip. at 12-14.) For the reasons set 19 forth below, the Court agrees with Plaintiff. 20 The ALJ Erred In Evaluating Plaintiff’s Subjective Complaints 1. Applicable Legal Standards 21 “In assessing the credibility of a claimant’s testimony regarding subjective 22 pain or the intensity of symptoms, the ALJ engages in a two-step analysis.” Molina 23 v. Astrue, 674 F.3d 1104, 1112 (9th Cir. 2012) (citing Vasquez v. Astrue, 572, F.3d 24 586, 591 (9th Cir. 2009)). “First, the ALJ must determine whether the claimant has 25 presented objective medical evidence of an underlying impairment which could 26 reasonably be expected to produce the pain or other symptoms alleged.” Treichler 27 v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1102 (2014) (quoting Lingenfelter, 28 504 F.3d at 1036) (internal quotation marks omitted). If so, and if the ALJ does not 4 1 find evidence of malingering, the ALJ must provide specific, clear and convincing 2 reasons for rejecting a claimant’s testimony regarding the severity of his 3 symptoms. Id. The ALJ must identify what testimony was found not credible and 4 explain what evidence undermines that testimony. Holohan v. Massanari, 246 F.3d 5 1195, 1208 (9th Cir. 2001). “[A] reviewing court should not be forced to speculate 6 as to the grounds for an adjudicator’s rejection of a claimant’s allegations of 7 disabling pain.” Bunnell v. Sullivan, 947 F.2d 341, 346 (9th Cir. 1991) (citation 8 omitted). 9 To determine whether a claimant’s testimony is credible regarding the 10 severity of his symptoms, the ALJ may consider, among other factors: “(1) ordinary 11 techniques of credibility evaluation, such as the claimant’s reputation for lying, 12 prior inconsistent statements concerning the symptoms, and other testimony by the 13 claimant that appears less than candid; (2) unexplained or inadequately explained 14 failure to seek treatment or to follow a prescribed course of treatment; and (3) the 15 claimant’s daily activities.” Smolen v. Chater, 80 F.3d 1273, 1284 (9th Cir. 1996) 16 (citations omitted). 17 2. Discussion 18 “After careful consideration of the evidence,” the ALJ found that Plaintiff’s 19 “medically determinable impairments could reasonably be expected to cause the 20 alleged symptoms;” but found that Plaintiff’s “statements concerning the intensity, 21 persistence and limiting effects of these symptoms are not entirely credible for the 22 reasons explained in this decision.” (AR 28.) However, having found that Plaintiff 23 had “presented objective medical evidence of an underlying impairment which 24 could reasonably be expected to produce the pain or other symptoms alleged,” the 25 ALJ’s decision supplied no reasons for discrediting Plaintiff’s subjective 26 complaints. In the absence of any reasons for discrediting Plaintiff’s testimony and 27 the failure to point to any facts in the record to support the ALJ’s conclusion, the 28 ALJ’s decision deprives this court of meaningful appellate review of its credibility 5 1 determination. This was reversible error. See, e.g., Orn v. Astrue, 495 F.3d 625, 2 635 (9th Cir. 2007) (the ALJ “must cite the reasons why the claimant’s testimony is 3 unpersuasive” (quotations and brackets omitted)). 4 The Commissioner’s argument that, because Plaintiff “fled” a psychological 5 consultative examination, as noted in the ALJ’s decision, Plaintiff’s symptom 6 testimony was not credible, is not supported by the record. First, the ALJ did not 7 find that Plaintiff “fled” an examination; instead, the decision recites that 8 “[plaintiff] opted not to finish the June 1, 2012 psychological [consultative 9 examination] ordered by the State Agency.” (AR 26.) Second, the Commissioner’s 10 argument is not a reasonable reading of the ALJ’s decision. The decision’s 11 reference to Plaintiff’s opting-out of the psychological consultative examination 12 reads as part of the relevant procedural history regarding Plaintiff’s medical 13 evaluations, not as part of an explanation for the ALJ’s determination that Plaintiff 14 was not credible. Accordingly, the Court rejects the Commissioner’s argument. 15 B. Remand For Further Administrative Proceedings 16 Because further administrative review could remedy the ALJ’s error, remand 17 for further administrative proceedings, rather than an award of benefits, is 18 warranted here. See Brown-Hunter v. Colvin, 806 F.3d 487, 495 (9th Cir. 2015) 19 (remanding for an award of benefits is appropriate in rare circumstances). Before 20 ordering remand for an award of benefits, three requirements must be met: (1) the 21 Court must conclude that the ALJ failed to provide legally sufficient reasons for 22 rejecting evidence; (2) the Court must conclude that the record has been fully 23 developed and further administrative proceedings would serve no useful purpose; 24 and (3) the Court must conclude that if the improperly discredited evidence were 25 credited as true, the ALJ would be required to find the claimant disabled on 26 remand. Id. (citations omitted). Even if all three requirements are met, the Court 27 retains flexibility to remand for further proceedings “when the record as a whole 28 6 1 creates serious doubt as to whether the claimant is, in fact, disabled within the 2 meaning of the Social Security Act.” Id. (citation omitted). 3 Here, remand for further administrative proceedings is appropriate. On 4 remand, the ALJ shall reassess Plaintiff’s subjective allegations and either credit his 5 testimony as true, or provide specific, clear and convincing reasons, supported by 6 substantial evidence in the record, for discounting or rejecting any testimony. 7 V. CONCLUSION 8 IT IS ORDERED that Judgment shall be entered REVERSING the decision 9 of the Commissioner denying benefits, and REMANDING the matter for further 10 11 12 proceedings consistent with this Order. IT IS FURTHER ORDERED that the Clerk of the Court serve copies of this Order and the Judgment on counsel for both parties. 13 14 15 16 DATED: December 19, 2016 ROZELLA A. OLIVER UNITED STATES MAGISTRATE JUDGE 17 18 19 NOTICE 20 THIS DECISION IS NOT INTENDED FOR PUBLICATION IN WESTLAW, LEXIS/NEXIS, OR ANY OTHER LEGAL DATABASE. 21 22 23 24 25 26 27 28 7

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