Cherie L. Friesth v. Carolyn W. Colvin, No. 2:2016cv03535 - Document 19 (C.D. Cal. 2017)

Court Description: MEMORANDUM OPINION AND ORDER by Magistrate Judge Karen E. Scott: For the reasons stated above, the decision of the Social Security Commissioner is REVERSED and the matter is REMANDED for further proceedings consistent with this opinion. See document for further information. (lwag)
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Cherie L. Friesth v. Carolyn W. Colvin Doc. 19 1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 CENTRAL DISTRICT OF CALIFORNIA 10 11 12 13 14 15 16 Case No. CV 16-3535-KES CHERIE L. FRIESTH, Plaintiff, MEMORANDUM OPINION AND ORDER v. NANCY A. BERRYHILL, Commissioner of Social Security, Defendant. 17 18 Plaintiff Cherie L. Friesth (“Plaintiff”) appeals the final decision of the 19 Administrative Law Judge (“ALJ”) denying her application for supplemental 20 security income (“SSI”) and Disability Insurance Benefits (“DIB”). 21 Because the ALJ erred in failing to incorporate into Plaintiff’s residual 22 functional capacity (“RFC”) limitations consistent with the ALJ’s express finding 23 that Plaintiff has “moderate” limitations in the area of concentration, persistence, 24 and pace, the Commissioner’s decision is REVERSED and the matter is 25 REMANDED for further proceedings consistent with this opinion. 26 I. 27 BACKGROUND 28 Plaintiff applied for DIB and SSI on April 12, 2016, alleging a disability 1 1 onset date of February 26, 2012. Administrative Record (“AR”) 185-186; 187-192. 2 An ALJ conducted a hearing on September 22, 2014, at which Plaintiff, who was 3 represented by an attorney, appeared and testified. AR 35-68. 4 On November 12, 2014, the ALJ issued a written decision denying Plaintiff’s 5 request for benefits. AR 19-29. The ALJ found that Plaintiff suffered from 6 medically determinable severe impairments consisting of Fibromyalgia, anxiety, 7 and depression. AR 21. Notwithstanding her impairments, the ALJ concluded that 8 Plaintiff had the RFC to perform light work with the additional limitations: no more 9 than frequent postural activities, no complex tasks or decision-making, and able to 10 perform simple to semi-skilled work. Id. 11 Based on this RFC and the testimony of a vocational expert (“VE”), the ALJ 12 found that Plaintiff could not return to her past relevant work as a registered nurse, 13 store manager or cook, but that she could find work as a retail sales clerk, cashier, 14 ticket taker or cafeteria attendant. AR 27-28. Therefore, the ALJ concluded that 15 Plaintiff is not disabled. 16 II. 17 STANDARD OF REVIEW 18 Under 42 U.S.C. § 405(g), a district court may review the Commissioner’s 19 decision to deny benefits. The ALJ’s findings and decision should be upheld if 20 they are free from legal error and are supported by substantial evidence based on 21 the record as a whole. 42 U.S.C. § 405(g); Richardson v. Perales, 402 U.S. 389, 22 401 (1971); Parra v. Astrue, 481 F.3d 742, 746 (9th Cir. 2007). 23 evidence means such relevant evidence as a reasonable person might accept as 24 adequate to support a conclusion. Richardson, 402 U.S. at 401; Lingenfelter v. 25 Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007). It is more than a scintilla, but less 26 than a preponderance. Lingenfelter, 504 F.3d at 1035 (citing Robbins v. Soc. Sec. 27 Admin., 466 F.3d 880, 882 (9th Cir. 2006)). To determine whether substantial 28 evidence supports a finding, the reviewing court “must review the administrative 2 Substantial 1 record as a whole, weighing both the evidence that supports and the evidence that 2 detracts from the Commissioner’s conclusion.” Reddick v. Chater, 157 F.3d 715, 3 720 (9th Cir. 1998). “If the evidence can reasonably support either affirming or 4 reversing,” the reviewing court “may not substitute its judgment” for that of the 5 Commissioner. Id. at 720-21. 6 “A decision of the ALJ will not be reversed for errors that are harmless.” 7 Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005). Generally, an error is 8 harmless if it either “occurred during a procedure or step the ALJ was not required 9 to perform,” or if it “was inconsequential to the ultimate nondisability 10 determination.” Stout v. Comm’r, Soc. Sec. Admin., 454 F.3d 1050, 1055 (9th Cir. 11 2006). 12 A. The Evaluation of Disability. 13 A person is “disabled” for purposes of receiving Social Security benefits if he 14 is unable to engage in any substantial gainful activity owing to a physical or mental 15 impairment that is expected to result in death or which has lasted, or is expected to 16 last, for a continuous period of at least 12 months. 42 U.S.C. § 423(d)(1)(A); 17 Drouin v. Sullivan, 966 F.2d 1255, 1257 (9th Cir. 1992). A claimant for disability 18 benefits bears the burden of producing evidence to demonstrate that he was 19 disabled within the relevant time period. Johnson v. Shalala, 60 F.3d 1428, 1432 20 (9th Cir. 1995). 21 B. The Five-Step Evaluation Process. 22 The ALJ follows a five-step sequential evaluation process in assessing 23 whether a claimant is disabled. 20 C.F.R. §§ 404.1520(a)(4), 416.920(a)(4); Lester 24 v. Chater, 81 F.3d 821, 828 n. 5 (9th Cir. 1996). In the first step, the Commissioner 25 must determine whether the claimant is currently engaged in substantial gainful 26 activity; if so, the claimant is not disabled and the claim must be denied. 20 C.F.R. 27 §§ 404.1520(a)(4)(i), 416.920(a)(4)(i). 28 If the claimant is not engaged in substantial gainful activity, the second step 3 1 requires the Commissioner to determine whether the claimant has a “severe” 2 impairment or combination of impairments significantly limiting his ability to do 3 basic work activities; if not, a finding of not disabled is made and the claim must be 4 denied. Id. §§ 404.1520(a)(4)(ii), 416.920(a)(4)(ii). 5 When an applicant for disability benefits claims mental impairment, the ALJ 6 must employ the “special psychiatric review technique” described in 20 C.F.R. 7 § 404.1520a to determine whether the mental impairment is “severe.” Keyser v. 8 Comm’r of Soc. Sec. Admin, 648 F.3d 721, 725 (9th Cir. 2011). As the Ninth 9 Circuit explained in Keyser, “[t]hat regulation requires those reviewing an 10 application for disability to follow a special psychiatric review technique. 20 C.F.R. 11 § 404.1520a. Specifically, the reviewer must determine whether an applicant has a 12 medically determinable mental impairment, id. § 404.1520a(b), rate the degree of 13 functional limitation for four functional areas, id. § 404.1520a(c), [and] determine 14 the severity of the mental impairment (in part based on the degree of functional 15 limitation), id. § 404.1520a(c)(1) ….” Id. at 725. “The four functional areas the ALJ 16 must 17 (3) concentration, persistence, or pace; and (4) episodes of decompensation.” Perry 18 v. Colvin, No. 3:12-CV-1506-PK, 2014 WL 3667879, at *5 (D. Or. July 22, 2014) 19 (citing 20 C.F.R. § 404.1520a(c)(3)). assess are: (1) activities of daily living; (2) social functioning; 20 If the ALJ determines that the impairment is severe, he or she will then 21 proceed to step three of the disability analysis to determine if the impairment meets 22 or is equivalent in severity to a specific listed mental disorder in the Listing of 23 Impairments (“Listing”) set forth at 20 C.F.R., Part 404, Subpart P, Appendix 1; if 24 so, disability is conclusively presumed and benefits are awarded. Id. 25 §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii). In determining whether a claimant with a 26 mental impairment meets a specific Listing, the Commissioner compares the 27 functional limitations analyzed during the “special psychiatric review technique” to 28 the limitations in the specific Listing. See Lester, 81 F.3d at 829. 4 1 If the claimant’s impairment or combination of impairments does not meet or 2 equal in severity an impairment in the Listing, the fourth step requires the 3 Commissioner to determine whether the claimant has sufficient residual functional 4 capacity (“RFC”) to perform his past work. If so, the claimant is not disabled and 5 the claim must be denied. 6 claimant has the burden of proving he is unable to perform past relevant work. 7 Drouin, 966 F.2d at 1257. If the claimant meets that burden, a prima facie case of 8 disability is established. Id. Id. §§ 404.1520(a)(4)(iv), 416.920(a)(4)(iv). The 9 If that happens or if the claimant has no past relevant work, the 10 Commissioner then bears the burden of establishing that the claimant is not 11 disabled because he can perform other substantial gainful work available in the 12 national economy. 13 determination comprises the fifth and final step in the sequential analysis. Id. 14 §§ 404.1520, 416.920; Lester, 81 F.3d at 828 n. 5; Drouin, 966 F.2d at 1257. 20 C.F.R. §§ 404.1520(a)(4)(v), 416.920(a)(4)(v). 15 III. 16 That ISSUES PRESENTED 17 Issue One: Whether the ALJ properly evaluated the opinions of examining 18 physician Miles Diller, Ph.D., and non-examining physician Christal Janssen, Ph.D. 19 Issue Two: Whether the ALJ’s assessed RFC is supported by substantial 20 evidence. 21 (Dkt. 18 [Joint Stipulation or “JS”] at 4.) 22 23 24 25 26 27 28 5 1 IV. 2 DISCUSSION 3 A. Issue Two: The ALJ erred by failing to incorporate into Plaintiff’s RFC 4 limitations that adequately reflect Plaintiff’s moderate impairment in 5 concentration, persistence, and pace. 6 1. 7 Relevant Medical Evidence. a. Dr. Diller’s Opinions. 8 Dr. Miles Diller, Ph.D., conducted a mental disability evaluation at the 9 request of the state agency on August 10, 2012. AR 315-18. Dr. Diller diagnosed 10 Plaintiff with adjustment disorder and assessed a global assessment functioning 11 score of 50. AR 317. On mental examination Dr. Diller noted that Plaintiff 12 presented groomed and clean, and was cooperative with no signs of malingering. 13 AR 316. Plaintiff exhibited a sad and depressed mood and affect, and admitted to 14 passive suicidal ideation with no intent. Id. Plaintiff’s thought process was logical 15 and goal oriented, and that her speech, rate and tone were normal. Id. Memory 16 testing resulted in immediate recall of five digits forward and three digits in reverse, 17 and could remember one out of three objects after five minutes. Id. Plaintiff could 18 perform serial threes, but had more difficulty with serial sevens. AR 317. Plaintiff 19 could follow a three-step command. Id. Plaintiff reported that she has trouble 20 getting up and moving around, and therefore does not perform many daily 21 activities. She reported that she gets others to shop for her and that her daughter 22 helps her cook. Id. 23 Dr. Diller noted that no medical records were available for review, and 24 therefore it was “unknown to what extent [Plaintiff’s] self-report represents a true 25 depiction of her mental condition.” Id. Dr. Diller opined that Plaintiff appeared 26 sincere, conscientious, and disturbed by her situation. Id. Dr. Diller described 27 Plaintiff’s prognosis as fair to poor. 28 Dr. Diller provided the following functional assessment: 6 1 The claimant has a good ability to reason, a fair ability to make 2 judgments, and a fair to good ability to follow simple and complex 3 instructions. Her immediate memory and cognitive processing skills 4 are reduced and mildly impaired. Sustained concentration and 5 persistence are poor to fair at this time. Her ability to adapt to changes 6 in routine and to stress would likely be affected by her mood and by 7 any pain which she might be experiencing. She recently attempted to 8 work at a job that caused physical pain, by her report. This is 9 assuming the patient’s reports of chronic pain are true. There were no 10 medical records available to verify her condition or the likely severity 11 of her pain. This report is based on today’s interview and available 12 medical records. No medical responsibility is implied. 13 14 AR 318. b. Dr. Janssen’s Opinions. 15 Christal Janssen, Ph.D., reviewed Plaintiff’s medical records and provided 16 her psychiatric opinions concerning Plaintiff’s disability, dated August 22, 2012. 17 AR 319-337. 18 In assessing Plaintiff’s medically determinable impairments, Dr. Janssen 19 opined that Plaintiff opined that Plaintiff has moderate difficulties in maintaining 20 concentration, persistence, and pace. AR 335. In her assessment of limits on 21 Plaintiff’s mental functioning, Dr. Janssen opined that Plaintiff is moderately 22 limited in her ability to (1) maintain attention and concentration for extended 23 periods, (2) complete a normal work-day and week without interruptions from 24 psychologically based symptoms, (3) perform at a consistent pace without an 25 unreasonable number and length of rest periods, (4) accept instructions and respond 26 appropriately to criticism from supervisors, (5) respond appropriately to changes in 27 the work setting, and (6) set realistic goals or make goals independently of others. 28 AR 321-22. Dr. Janssen opined that Plaintiff had no marked limitations. Id. 7 1 In additional notes, Dr. Janssen further noted that Plaintiff had “some 2 problems” with memory and concentration. AR 323. Dr. Janssen also noted “some 3 problems” in Plaintiff’s ability to sustain concentration, persistence, and pace, and 4 to adapt to stress. Id. She noted that Plaintiff appears able to perform work where 5 interpersonal contact is routine/superficial, and that Plaintiff requires detailed 6 supervision for non-routine tasks. Id. Dr. Janssen opined that Plaintiff could 7 perform semi-skilled work. Id. She also diagnosed Plaintiff with affective disorder. 8 AR 325. 9 c. The ALJ’s Treatment of Drs. Diller and Janssen’s Opinions. 10 The ALJ gave Drs. Diller and Janssen’s opinions significant, probative 11 weight because “they are largely consistent with each other and the objective 12 medical evidence, which shows a history of complaints of anxious and depressive 13 symptoms, as well as some deficiencies in concentration, but otherwise mostly 14 normal cognitive, expressive, receptive, and social functioning.” AR 26. The ALJ 15 noted that Dr. Diller was able to examine Plaintiff and evaluate her subjective 16 complaints, while Dr. Janssen had the opportunity to review and consider the 17 relevant documentary evidence, “which lends [her] opinion additional probative 18 weight.” Id. 19 2. 20 At step two, the ALJ employed the “special psychiatric review technique” 21 described in 20 C.F.R. § 404.1520a in determining that Plaintiff has the severe 22 impairments of anxiety and depression. AR 21-22. The ALJ found that Plaintiff has 23 moderate difficulties with regard to concentration, persistence, and pace, mild 24 difficulties with regard to social functioning and daily living, and no episodes of 25 decompensation. AR 22. At step three, the ALJ then determined that, based on the 26 functional limitation findings at step two, the severity of Plaintiff’s anxiety and 27 depression did not meet the criteria of Listings 12.04 (depression) or 12.06 28 (anxiety). AR 22. Relevant ALJ Determinations. 8 1 In formulating the RFC at step four, the ALJ attempted to account for 2 Plaintiff’s functional limitations caused by her mental impairments by including the 3 following limitations: “no complex tasks or decision-making. The claimant is able 4 to perform simple to semi-skilled tasks.” Id. 5 When the ALJ asked the VE for testimony, the ALJ formulated his 6 hypothetical question with the following limitations: “she could perform simple to 7 semiskilled work, but she would need to avoid jobs requiring complex tasks or 8 decision-making.” AR 65. Based on those limitations, the VE testified that Plaintiff 9 could perform work as a retail sales clerk, cashier, ticket taker, or cafeteria 10 attendant. AR 66-67. The ALJ relied on the VE’s testimony in determining that 11 Plaintiff could perform such work, and was therefore not disabled. AR 27-28. 12 3. 13 In the RFC and hypothetical questions posed to the VE, the ALJ must include 14 all of a claimant’s restrictions. 20 C.F.R. §§ 404.1545, 416.945. When the medical 15 evidence establishes and the ALJ accepts that the claimant has moderate limitations 16 in maintaining concentration, persistence, and pace, that limitation must be 17 reflected in the Plaintiff’s RFC and in the hypothetical presented to the VE. Merely 18 limiting the claimant’s potential work to “simple, repetitive work” does not 19 sufficiently account for moderate limitations in concentration, persistence, or pace. 20 Brink v. Comm’r of Soc. Sec. Admin., 343 F. App’x 211, 212 (9th Cir. 2009) (“The 21 Commissioner’s contention that the phrase ‘simple, repetitive work’ encompasses 22 difficulties with concentration, persistence, or pace is not persuasive. Indeed, 23 repetitive, assembly-line work … might well require extensive focus or speed.”); 24 see also Lubin v. Comm’r of Soc. Sec. Admin., 507 F. App’x 709, 712 (9th Cir. 25 2013) (“Although the ALJ found that the [claimant] suffered moderate difficulties 26 in maintaining concentration, persistence, or pace, the ALJ erred by not including 27 this limitation in the residual functional capacity determination or in the 28 hypothetical question to the [VE].”). Although Brink and Lubin are unpublished Applicable Law. 9 1 decisions by the Ninth Circuit, and therefore do not establish precedent, they are 2 indicative of how the court would rule in a published decision. 3 In Lee v. Colvin, 80 F. Supp. 3d 1137, 1151 (D. Or. 2014), the district court 4 followed Brink and Lubin to conclude that because the ALJ accepted that claimant 5 had moderate restrictions as to concentration, persistence, and pace, she erred in 6 failing “to address these specific restrictions in claimant’s RFC and in her 7 hypothetical questions” to the VE. Id. at 1150. Specifically, the ALJ’s hypothetical 8 questions only inquired about jobs for someone who can “understand, remember, 9 and carry out only simple instructions that can be learned by demonstration” with 10 “little variance in assigned tasks from day to day.” Id. at 1151. The district court 11 determined that this hypothetical “did not address limitations regarding persistence 12 or pace,” because “the jobs identified by [the VE] (auto detailer, scrap metal sorter, 13 and agricultural produce packer) may still require ‘extensive focus or speed,’ 14 similar to the repetitive, assembly-line work described in Brink. Id. 15 Numerous unpublished district court opinions have also followed Brink and 16 Lubin to find error when the ALJ finds that a claimant has moderate limitation in 17 maintaining concentration, persistence, or pace at step two, but attempts to account 18 for this in the RFC only by limiting the claimant to simple, repetitive work. See 19 e.g., Sanchez v. Colvin, 2016 U.S. Dist. LEXIS 58817, at *12-13 (C.D. Cal. May 3, 20 2016); Willard v. Colvin, 2016 U.S. Dist. LEXIS 6670, at *9 (C.D. Cal. Jan. 20, 21 2016); Woodward v. Colvin, 2015 U.S. Dist. LEXIS 163171, at *24-26 (C.D. Cal. 22 Dec. 4, 2015) (“mild to moderate difficulty in maintaining concentration, 23 persistence, or pace” was not adequately accounted for by limitations to “simple 24 and repetitive unskilled work”); Bentancourt v. Astrue, 2010 U.S. Dist. LEXIS 25 125435, at *9-10 (C.D. Cal. Nov. 27, 2010). 26 The Brink and Lubin line of cases are distinguishable from the line of cases 27 relying on Stubbs-Danielson v. Astrue, 539 F.3d 1169, 1173 (9th Cir. 2008), in 28 which the ALJ never made a finding that the claimant had moderate limitations in 10 1 concentration, persistence, or pace. Rather, a physician identified claimant as 2 having “slow pace in thought and action,” but found she was still able to “follow 3 three-step instructions.” Id. at 1171. The ALJ “translated” the physician’s 4 conclusions regarding pace and mental limitations into a restriction to “simple 5 tasks,” and the Ninth Circuit found that the ALJ’s translation adequately 6 incorporated the medical evidence concerning claimant’s impairments. Id. at 1174. 7 As a general rule, the Ninth Circuit held that an “assessment of a claimant 8 adequately captures restrictions related to concentration, persistence, or pace where 9 the assessment is consistent with the restrictions identified in the medical 10 testimony.” Id. 11 Some district courts have extended Stubbs-Danielson’s reasoning to cases in 12 which the ALJ did find moderate restrictions in concentration, persistence, and pace 13 while employing the “special psychiatric review technique” described in 20 C.F.R. 14 § 404.1520a, but assessed an RFC only restricting the plaintiff to simple, routine 15 tasks. Those courts note that “the special analysis for mental disorders, which 16 includes an assessment of concentration, persistence, and pace, is a severity 17 analysis [performed at step two] which is distinct from the functional analysis at 18 step five of the sequential evaluation.” Phillips v. Colvin, 61 F. Supp. 3d 925, 940 19 (N.D. Cal. 2014). Therefore, “the relevant question is whether the medical evidence 20 supports a particular RFC finding” with regard to concentration, persistence, and 21 pace. Id. See e.g., Wilder v. Comm’r of Soc. Sec. Admin., 545 F. App’x 638, 639 22 (9th Cir. 2013) (unpublished) (ALJ did not err by failing to include the step two 23 finding that plaintiff had moderate difficulties in maintaining concentration, 24 persistence, and pace because “the medical evidence in this record does not support 25 any work-related limitation in [plaintiff’s] ability to sustain concentration, 26 persistence, or pace.”); Bordeaux v. Comm’r of Soc. Sec. Admin., 2013 WL 27 4773577, at *13 (D. Or. Nov. 18, 2013) (“the ALJ did not err in omitting from the 28 RFC assessment the specific [concentration, persistence, and pace] finding set out 11 1 in the special technique … a careful review of the medical evidence and the ALJ’s 2 decision supports the conclusion that the ALJ’s RFC adequately account for … the 3 “less than substantial limitations in concentration, persistence and pace at simple 4 work activities” identified by Dr. Logue.”); Mitchell v. Comm’r of Soc. Sec. 5 Admin., 2013 WL 5372852, at *5 (E.D. Cal. Sept. 25, 2013), aff’d sub nom., 6 Mitchell v. Colvin, 642 F. App’x 731 (9th Cir. 2016) (“the special analysis for 7 mental disorders … is a severity analysis which is distinct from the functional 8 analysis at step five of the sequential evaluation.”) (citing Hoopai v. Astrue, 499 9 F.3d 1071, 1076 (9th Cir. 2007)). 10 4. Analysis. 11 This case is more similar to Brink and its progeny than Stubbs-Danielson. 12 Here, the ALJ accepted medical testimony regarding Plaintiff’s moderate 13 limitations in maintaining concentration, persistence, and pace, but failed to 14 incorporate into the RFC the specific limitations the medical opinions identified. 15 The ALJ’s finding that Plaintiff is limited to “no complex tasks or decision-making 16 … able to perform simple to semi-skilled tasks,” while more verbose, is in reality a 17 single limitation to “simple to semi-skilled” work. The limitation to avoid complex 18 tasks and decision-making is merely an elaboration of the types of tasks Plaintiff 19 cannot do if she can only perform “simple” tasks. 20 The ALJ gave significant, probative weight to the opinions of Drs. Diller and 21 Janssen. AR 26. Dr. Diller opined that Plaintiff’s immediate memory and cognitive 22 processing skills are reduced and mildly impaired, and that sustained concentration 23 and persistence are poor to fair. AR 318. Dr. Janssen opined that Plaintiff’s 24 moderate limitations in concentration, persistence, and pace would affect her ability 25 to maintain attention and concentration for extended periods, to complete a normal 26 work-day and week without interruptions from psychologically based symptoms, 27 and to perform at a consistent pace without an unreasonable number and length of 28 rest periods. AR 321-22. The ALJ’s RFC limiting Plaintiff to simple to semi-skilled 12 1 work with no complex tasks does not adequately address the restrictions Drs. Diller 2 and Janssen assessed with regard to Plaintiff’s ability to maintain concentration, 3 persistence, and pace. 4 This error was not harmless. The VE testified that based on the ALJ’s 5 incomplete hypothetical questions, Plaintiff could perform work as a retail sales 6 clerk, cashier, ticket taker, or cafeteria attendant. AR 66-67. The jobs identified by 7 the VE would likely require Plaintiff to manage lines of customers at an efficient 8 pace. For example, a ticket taker needs to be able to collect admission tickets, 9 examine them to verify authenticity, refuse admittance to patrons for a variety of 10 reasons, and count and record the number of tickets collected. See DOT 344.666- 11 010. Those tasks could require sustained concentration and the ability to work at a 12 consistent pace. A cafeteria attendant may need to serve food at a consistent pace, 13 as well as maintain the concentration needed to quickly and efficiently spot, clear, 14 and set empty tables. See DOT 311.677-010. Without the benefit of the VE’s 15 testimony on such matters, it is unclear to this Court whether moderate limitations 16 on Plaintiff’s ability to maintain concentration for extended periods or work at a 17 consistent pace would render her ineligible to perform these jobs. 18 B. Remand for further proceedings is appropriate. 19 When an ALJ errs in denying benefits, the Court generally has discretion to 20 remand for further proceedings. See Harman v. Apfel, 211 F.3d 1172, 1175-78 (9th 21 Cir. 2000) (as amended). Here, remand for further proceedings is appropriate, 22 because the ALJ accepted medical-opinion evidence of Plaintiff’s moderate 23 limitation in maintaining concentration, persistence, and pace but failed to 24 adequately incorporate it into her RFC. On remand, the ALJ must add limitations to 25 the RFC that adequately account for Plaintiff’s moderate limitations in maintaining 26 concentration, persistence, and pace and elicit further testimony from the VE 27 concerning whether the same jobs previously identified (or others) would still be 28 available in sufficient numbers given the additional restrictions. 13 1 Because the Court finds that the ALJ’s failure to account adequately for 2 Plaintiff’s moderate limitations in the area of concentration, persistence, and pace 3 warrants remand, the Court does not reach Plaintiff’s other claim of error. Upon 4 remand, the ALJ may wish to consider them. 5 V. 6 CONCLUSION 7 For the reasons stated above, the decision of the Social Security 8 Commissioner is REVERSED and the matter is REMANDED for further 9 proceedings consistent with this opinion. 10 LET JUDGMENT BE ENTERED ACCORDINGLY. 11 12 13 14 DATED: March 7, 2017 ____________________________________ KAREN E. SCOTT United States Magistrate Judge 15 16 17 18 19 20 21 22 23 24 25 26 27 28 14