Simpson v. Saul, No. 2:2020cv00110 - Document 22 (E.D. Wash. 2020)

Court Description: ORDER DENYING 19 PLAINTIFF'S MOTION FOR SUMMARY JUDGMENT AND GRANTING 20 DEFENDANT'S MOTION FOR SUMMARY JUDGMENT. File Closed. Signed by Magistrate Judge Mary K. Dimke. (TR, Case Administrator)

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Simpson v. Saul Doc. 22 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1181 Page 1 of 33 1 2 FI LED I N THE U.S. DI STRI CT COURT EASTERN DI STRI CT OF WASHI NGTON 3 Dec 09, 2020 4 SEAN F. MCAVOY, CLERK 5 UNITED STATES DISTRICT COURT 6 EASTERN DISTRICT OF WASHINGTON 7 DARREN S.,1 No. 2:20-cv-00110-MKD Plaintiff, 8 vs. 9 ANDREW M. SAUL, 10 COMMISSIONER OF SOCIAL SECURITY, 11 Defendant. ORDER DENYING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ECF Nos. 19, 20 12 13 Before the Court are the parties’ cross-motions for summary judgment. ECF 14 Nos. 19, 20. The parties consented to proceed before a magistrate judge. ECF No. 15 7. The Court, having reviewed the administrative record and the parties’ briefing, 16 17 18 1 To protect the privacy of plaintiffs in social security cases, the undersigned 19 identifies them by only their first names and the initial of their last names. See 20 LCivR 5.2(c). 2 ORDER - 1 Dockets.Justia.com Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1182 Page 2 of 33 1 is fully informed. For the reasons discussed below, the Court denies Plaintiff’s 2 motion, ECF No. 19, and grants Defendant’s motion, ECF No. 20. 3 4 JURISDICTION The Court has jurisdiction over this case pursuant to 42 U.S.C. § 1383(c)(3). 5 6 STANDARD OF REVIEW A district court’s review of a final decision of the Commissioner of Social 7 Security is governed by 42 U.S.C. § 405(g). The scope of review under § 405(g) is 8 limited; the Commissioner’s decision will be disturbed “only if it is not supported 9 by substantial evidence or is based on legal error.” Hill v. Astrue, 698 F.3d 1153, 10 1158 (9th Cir. 2012). “Substantial evidence” means “relevant evidence that a 11 reasonable mind might accept as adequate to support a conclusion.” Id. at 1159 12 (quotation and citation omitted). Stated differently, substantial evidence equates to 13 “more than a mere scintilla[,] but less than a preponderance.” Id. (quotation and 14 citation omitted). In determining whether the standard has been satisfied, a 15 reviewing court must consider the entire record as a whole rather than searching 16 for supporting evidence in isolation. Id. 17 In reviewing a denial of benefits, a district court may not substitute its 18 judgment for that of the Commissioner. Edlund v. Massanari, 253 F.3d 1152, 19 1156 (9th Cir. 2001). If the evidence in the record “is susceptible to more than one 20 rational interpretation, [the court] must uphold the ALJ’s findings if they are 2 ORDER - 2 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1183 Page 3 of 33 1 supported by inferences reasonably drawn from the record.” Molina v. Astrue, 674 2 F.3d 1104, 1111 (9th Cir. 2012). Further, a district court “may not reverse an 3 ALJ’s decision on account of an error that is harmless.” Id. An error is harmless 4 “where it is inconsequential to the [ALJ’s] ultimate nondisability determination.” 5 Id. at 1115 (quotation and citation omitted). The party appealing the ALJ’s 6 decision generally bears the burden of establishing that it was harmed. Shinseki v. 7 Sanders, 556 U.S. 396, 409-10 (2009). 8 9 FIVE-STEP EVALUATION PROCESS A claimant must satisfy two conditions to be considered “disabled” within 10 the meaning of the Social Security Act. First, the claimant must be “unable to 11 engage in any substantial gainful activity by reason of any medically determinable 12 physical or mental impairment which can be expected to result in death or which 13 has lasted or can be expected to last for a continuous period of not less than twelve 14 months.” 42 U.S.C. § 1382c(a)(3)(A). Second, the claimant’s impairment must be 15 “of such severity that he is not only unable to do his previous work[,] but cannot, 16 considering his age, education, and work experience, engage in any other kind of 17 substantial gainful work which exists in the national economy.” 42 U.S.C. § 18 1382c(a)(3)(B). 19 The Commissioner has established a five-step sequential analysis to 20 determine whether a claimant satisfies the above criteria. See 20 C.F.R. § 2 ORDER - 3 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1184 Page 4 of 33 1 416.920(a)(4)(i)-(v). At step one, the Commissioner considers the claimant’s work 2 activity. 20 C.F.R. § 416.920(a)(4)(i). If the claimant is engaged in “substantial 3 gainful activity,” the Commissioner must find that the claimant is not disabled. 20 4 C.F.R. § 416.920(b). 5 If the claimant is not engaged in substantial gainful activity, the analysis 6 proceeds to step two. At this step, the Commissioner considers the severity of the 7 claimant’s impairment. 20 C.F.R. § 416.920(a)(4)(ii). If the claimant suffers from 8 “any impairment or combination of impairments which significantly limits [his or 9 her] physical or mental ability to do basic work activities,” the analysis proceeds to 10 step three. 20 C.F.R. § 416.920(c). If the claimant’s impairment does not satisfy 11 this severity threshold, however, the Commissioner must find that the claimant is 12 not disabled. Id. 13 At step three, the Commissioner compares the claimant’s impairment to 14 severe impairments recognized by the Commissioner to be so severe as to preclude 15 a person from engaging in substantial gainful activity. 20 C.F.R. § 16 416.920(a)(4)(iii). If the impairment is as severe or more severe than one of the 17 enumerated impairments, the Commissioner must find the claimant disabled and 18 award benefits. 20 C.F.R. § 416.920(d). 19 If the severity of the claimant’s impairment does not meet or exceed the 20 severity of the enumerated impairments, the Commissioner must pause to assess 2 ORDER - 4 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1185 Page 5 of 33 1 the claimant’s “residual functional capacity.” Residual functional capacity (RFC), 2 defined generally as the claimant’s ability to perform physical and mental work 3 activities on a sustained basis despite his or her limitations, 20 C.F.R. § 4 416.945(a)(1), is relevant to both the fourth and fifth steps of the analysis. 5 At step four, the Commissioner considers whether, in view of the claimant’s 6 RFC, the claimant is capable of performing work that he or she has performed in 7 the past (past relevant work). 20 C.F.R. § 416.920(a)(4)(iv). If the claimant is 8 capable of performing past relevant work, the Commissioner must find that the 9 claimant is not disabled. 20 C.F.R. § 416.920(f). If the claimant is incapable of 10 performing such work, the analysis proceeds to step five. 11 At step five, the Commissioner considers whether, in view of the claimant’s 12 RFC, the claimant is capable of performing other work in the national economy. 13 20 C.F.R. § 416.920(a)(4)(v). In making this determination, the Commissioner 14 must also consider vocational factors such as the claimant’s age, education and 15 past work experience. Id. If the claimant is capable of adjusting to other work, the 16 Commissioner must find that the claimant is not disabled. 20 C.F.R. § 17 416.920(g)(1). If the claimant is not capable of adjusting to other work, analysis 18 concludes with a finding that the claimant is disabled and is therefore entitled to 19 benefits. Id. 20 2 ORDER - 5 Case 2:20-cv-00110-MKD 1 ECF No. 22 filed 12/09/20 PageID.1186 Page 6 of 33 The claimant bears the burden of proof at steps one through four above. 2 Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999). If the analysis proceeds to 3 step five, the burden shifts to the Commissioner to establish that (1) the claimant is 4 capable of performing other work; and (2) such work “exists in significant 5 numbers in the national economy.” 20 C.F.R. § 416.960(c)(2); Beltran v. Astrue, 6 700 F.3d 386, 389 (9th Cir. 2012). 7 ALJ’S FINDINGS 8 On October 17, 2016, Plaintiff applied for Title XVI supplemental security 9 income benefits alleging a disability onset date of September 21, 2015.2 Tr. 16, 69, 10 11 2 Plaintiff previously applied for supplemental security income, which resulted in a 12 favorable decision; Plaintiff was found disabled as of February 27, 2003 and 13 received benefits through 2011, when he reports his benefits ceased because his 14 family’s income exceeded the income limit, rendering him financially ineligible for 15 benefits. Tr. 16. Disability Determination Services indicated Plaintiff appeared 16 for a hearing in 2005 when he was awarded benefits, and his benefits were 17 terminated when he went to prison, Tr. 98, although Plaintiff reports he has never 18 been to prison, Tr. 39. The prior claim’s file has since been destroyed. Tr. 98. 19 Plaintiff again applied for benefits December 12, 2014, which was denied July 15, 20 2015; Plaintiff did not appeal the denial. Tr. 57-68, 71. 2 ORDER - 6 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1187 Page 7 of 33 1 165-76. The application was denied initially, and on reconsideration. Tr. 100-03; 2 Tr. 106-08. Plaintiff appeared before an administrative law judge (ALJ) on 3 January 17, 2019. Tr. 32-55. On February 8, 2019, the ALJ denied Plaintiff’s 4 claim. Tr. 13-31. 5 At step one of the sequential evaluation process, the ALJ found Plaintiff has 6 not engaged in substantial gainful activity since October 17, 2016. Tr. 18. At step 7 two, the ALJ found that Plaintiff has the following severe impairments: lumbar 8 spine degenerative disc disease, cervical spine degenerative disc disease, history of 9 laparoscopic hernia repair, and personality disorder traits (including narcissistic 10 personality disorder). Id. 11 At step three, the ALJ found Plaintiff does not have an impairment or 12 combination of impairments that meets or medically equals the severity of a listed 13 impairment. Tr. 19. The ALJ then concluded that Plaintiff has the RFC to perform 14 light work with the following limitations: 15 16 17 18 [Plaintiff] can lift and/or carry 20 pounds occasionally and ten pounds frequently; stand and/or walk for six hours; sit for six hours in an eight-hour workday, with normal breaks; frequently climb ramps or stairs; occasionally climb ladders, ropes, or scaffolds; frequently stoop and kneel; must avoid concentrated exposure to extreme cold; can have no contact with the general public; and no more than occasional contact with co-workers and supervisors. 19 Tr. 20. 20 2 ORDER - 7 Case 2:20-cv-00110-MKD 1 ECF No. 22 filed 12/09/20 PageID.1188 Page 8 of 33 At step four, the ALJ found Plaintiff has no past relevant work. Tr. 25. At 2 step five, the ALJ found that, considering Plaintiff’s age, education, work 3 experience, RFC, and testimony from the vocational expert, there were jobs that 4 existed in significant numbers in the national economy that Plaintiff could perform, 5 such as mailroom clerk, courier, and small parts assembler. Tr. 26. Therefore, the 6 ALJ concluded Plaintiff was not under a disability, as defined in the Social 7 Security Act, from the date of the application through the date of the decision. Id. 8 On January 22, 2020, the Appeals Council denied review of the ALJ’s 9 decision, Tr. 1-6, making the ALJ’s decision the Commissioner’s final decision for 10 purposes of judicial review. See 42 U.S.C. § 1383(c)(3). 11 12 ISSUES Plaintiff seeks judicial review of the Commissioner’s final decision denying 13 him supplemental security income benefits under Title XVI of the Social Security 14 Act. Plaintiff raises the following issues for review: 15 1. Whether the ALJ properly considered res judicata; 16 2. Whether the ALJ properly evaluated the medical opinion evidence; 17 3. Whether the ALJ conducted a proper step-three analysis; 18 4. Whether the ALJ properly evaluated lay witness evidence; 19 5. Whether the ALJ properly evaluated Plaintiff’s symptom claims; and 20 6. Whether the ALJ conducted a proper step-five analysis. 2 ORDER - 8 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1189 Page 9 of 33 1 ECF No. 19 at 2. 2 DISCUSSION 3 A. Res Judicata 4 Plaintiff contends the ALJ erred by not giving any res judicata effect to his 5 prior disability finding. ECF No. 19 at 9-10. “The principles of res judicata apply 6 to administrative decisions, although the doctrine is applied less rigidly to 7 administrative proceedings than to judicial proceedings.” Chavez v. Bowen, 844 8 F.2d 691, 693 (9th Cir. 1998) (citing Lyle v. Secy of Health and Human Servs., 700 9 F.2d 566, 568 n.2 (9th Cir. 1983)). Under the doctrine of res judicata, a prior, final 10 determination of nondisability bars relitigation of that claim through the date of the 11 prior decision. Lester v. Chater, 81 F.3d 821, 827 (9th Cir. 1995). Furthermore, in 12 the Ninth Circuit, a prior, final determination of nondisability “create[s] a 13 presumption that [the claimant] continued to be able to work after that date.” Id. 14 (citation and internal quotation marks omitted).3 While a previous ALJ’s findings 15 16 3 Acquiescence Ruling (AR) 97-4(9) explains how Chavez differs from the Social 17 Security Administration’s (SSA) interpretation of Social Security policy requiring 18 de novo review of claims for unadjudicated periods. The SSA applies the Chavez 19 presumption only as to claimants residing in the Ninth Circuit. AR 97-4(9), 20 available at 1997 WL 742758 at *3. 2 ORDER - 9 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1190 Page 10 of 33 1 concerning a claimant’s RFC are entitled to some res judicata consideration, the 2 findings can be reconsidered by a subsequent judge upon showing of new 3 information that was not presented to the first judge. Stubbs-Danielson v. Astrue, 4 539 F.3d 1169, 1173 (9th Cir. 2008) (citing Chavez, 844 F.2d at 694). However, 5 the adjudicator is not required to presume that a prior disability has continued 6 through a non-medically related termination of benefits. Stubbs-Danielson, 539 7 F.3d at 1172 (citing Warren v. Bowen, 807 F.2d 1120 (9th Cir. 1987) (per 8 curiam)). In Stubbs-Danielson, the plaintiff received benefits until she was 9 incarcerated in 1994, which resulted in her benefits being terminated; the plaintiff 10 reapplied for benefits in 2002, after she was released. Stubbs-Danielson, 539 F.3d 11 at 1171. The Ninth Circuit held there was no basis for applying a presumption of 12 disability where a claimant’s reapplication came six years after termination of 13 benefits and more than 15 years after the prior successful application. Id. at 1173. 14 Here, Plaintiff was previously awarded benefits in 2005 and his benefits 15 were terminated in 2011. Tr. 16, 255. Plaintiff’s timeline is similar to the timeline 16 in Stubbs-Danielson, as Plaintiff’s current application was filed 11 years after his 17 prior successful application and five years after his benefits were terminated. All 18 of the medical evidence in the file relates to the time period after Plaintiff’s 19 benefits were terminated. While Plaintiff argues the 2005 decision awarding 20 benefits should be given res judicata consideration, Plaintiff re-applied for benefits, 2 ORDER - 10 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1191 Page 11 of 33 1 which was denied on July 15, 2015. Tr. 57-68. Plaintiff did not appeal the denial. 2 Res judicata may apply to initial denials where the plaintiff failed to pursue an 3 appeal and failed to present new facts in the subsequent application that 4 demonstrate the prior denial may have been unsupported. Thompson v. 5 Schweiker, 665 F.2d 936, 940 (9th Cir.1982); POMS GN 03101.160. Plaintiff does 6 not present any arguments as to why the 2015 denial should not be given res 7 judicata consideration rather than the prior ALJ decision. Like Stubbs-Danielson, 8 Plaintiff has not established that the ALJ improperly reconsidered prior findings. 9 Further, the new evidence presented new and material information not presented to 10 the first adjudicator. Plaintiff is not entitled to remand on these grounds. 11 12 B. Medical opinion Evidence Plaintiff contends the ALJ erred in considering the opinion of Brent Packer, 13 M.D. ECF No. 19 at 10. 14 There are three types of physicians: “(1) those who treat the claimant 15 (treating physicians); (2) those who examine but do not treat the claimant 16 (examining physicians); and (3) those who neither examine nor treat the claimant 17 [but who review the claimant’s file] (nonexamining [or reviewing] physicians).” 18 Holohan v. Massanari, 246 F.3d 1195, 1201-02 (9th Cir. 2001) (citations omitted). 19 Generally, a treating physician’s opinion carries more weight than an examining 20 physician’s, and an examining physician’s opinion carries more weight than a 2 ORDER - 11 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1192 Page 12 of 33 1 reviewing physician’s. Id. at 1202. “In addition, the regulations give more weight 2 to opinions that are explained than to those that are not, and to the opinions of 3 specialists concerning matters relating to their specialty over that of 4 nonspecialists.” Id. (citations omitted). 5 If a treating or examining physician’s opinion is uncontradicted, the ALJ 6 may reject it only by offering “clear and convincing reasons that are supported by 7 substantial evidence.” Bayliss v. Barnhart, 427 F.3d 1211, 1216 (9th Cir. 2005). 8 “However, the ALJ need not accept the opinion of any physician, including a 9 treating physician, if that opinion is brief, conclusory and inadequately supported 10 by clinical findings.” Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1228 11 (9th Cir. 2009) (internal quotation marks and brackets omitted). “If a treating or 12 examining doctor’s opinion is contradicted by another doctor’s opinion, an ALJ 13 may only reject it by providing specific and legitimate reasons that are supported 14 by substantial evidence.” Bayliss, 427 F.3d at 1216 (citing Lester, 81 F.3d at 83015 31). The opinion of a nonexamining physician may serve as substantial evidence if 16 it is supported by other independent evidence in the record. Andrews v. Shalala, 17 53 F.3d 1035, 1041 (9th Cir. 1995). 18 Plaintiff contends the ALJ failed to consider a September 19, 2016 opinion 19 by Dr. Packer. ECF No. 19 at 10. Specifically, Plaintiff asserts that “the record 20 shows that on September 19, 2016, examining physician Brent Packer, MD, found 2 ORDER - 12 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1193 Page 13 of 33 1 that [Plaintiff]’s physical impairments confirmed by imaging would ‘support a 2 sedentary RFC rating’ ”. Id. In support, Plaintiff cites to the disability 3 determination explanations, which contain a section that outline the medical 4 opinions contained in the medical records. ECF No. 19 at 10 (citing Tr. 77, 93). 5 The explanations state that on September 19, 2016, Dr. Packer opined that 6 Plaintiff’s physical impairments, supported by imaging, would “support a 7 sedentary RFC rating.” Id. The disability analysts indicated Dr. Packer’s opinion 8 was given other weight because it was rendered prior to the adjudicative period and 9 was based on a one-time examination. Id. 10 The administrative record does not contain an opinion from Dr. Packer that 11 states Plaintiff is limited to a sedentary RFC. On September 14, 2016, Dr. Packer 12 reviewed Shawn Nixon, M.D.’s examination and opinion, and provided an opinion 13 on Plaintiff’s functioning. Tr. 402-04. Dr. Packer stated Plaintiff’s “arthritis and 14 other arthropathies” has a severity rating of three, which is a “moderate” severity 15 rating. Tr. 404, 406. Dr. Packer opined Plaintiff has no environmental restrictions; 16 moderate postural restrictions and gross/fine motor skill restrictions; and he is 17 unable to determine the severity based on the evidence of the other nonexertional 18 limitations. Tr. 403. He further opined Plaintiff is able to perform light work. Id. 19 The ALJ gave Dr. Packer’s opinion little weight. Tr. 24. Plaintiff contends Dr. 20 Packer is an examining physician, ECF No. 19 at 10, however the record does not 2 ORDER - 13 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1194 Page 14 of 33 1 contain an examination performed by Dr. Packer. As Dr. Packer is a non2 examining source, the ALJ must consider the opinion and whether it is consistent 3 with other independent evidence in the record. See 20 C.F.R. § 416.927(b),(c)(1); 4 Tonapetyan v. Halter, 242 F.3d 1144, 1149 (9th Cir. 2001); Lester, 81 F.3d at 8305 31. 6 The ALJ found Dr. Packer’s opinion is based entirely on Dr. Nixon’s report, 7 without any independent analysis. Tr. 24. The Social Security regulations “give 8 more weight to opinions that are explained than to those that are not.” Holohan, 9 246 F.3d at 1202. “[T]he ALJ need not accept the opinion of any physician, 10 including a treating physician, if that opinion is brief, conclusory and inadequately 11 supported by clinical findings.” Bray, 554 at 1228. Dr. Packer completed a 12 checkbox form, one page of which he did not complete, and did not provide any 13 explanation for his opinion nor cite to any evidence to support his opinion. Tr. 14 402-04. Dr. Packer’s opinion is based on Dr. Nixon’s report, and restates Dr. 15 Nixon’s opinion that Plaintiff is limited to light work. Tr. 403, 407. The ALJ gave 16 multiple reasons to reject Dr. Nixon’s opinion, Tr. 24, which Plaintiff does not 17 challenge. Moreover, the ALJ found Plaintiff more limited than Dr. Packer’s light 18 rating, and included additional limitations. 19 While Plaintiff contends the ALJ erred in ignoring Dr. Packer’s sedentary 20 opinion, Plaintiff points only to the disability determination explanations and does 2 ORDER - 14 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1195 Page 15 of 33 1 not point to any other documentation of Dr. Packer’s opinion. ECF No. 19 at 10, 2 ECF No. 21 at 2-3. Despite the references in the disability determination 3 explanations, there are no records in the file that contain the quote that Plaintiff’s 4 imaging would “support a sedentary RFC rating.” The summary of Dr. Packer’s 5 opinion originated from a single decision maker (SDM), Tr. 77-78, and the 6 summary appears to be inconsistent with Dr. Packer’s opinion. An ALJ may not 7 accord any weight to a non-physician SDM opinion. Morgan v. Colvin, 531 Fed. 8 App’x 793, 794-95 (9th Cir. June 21, 2013) (unpublished) (citing Program 9 Operations Manual System DI 24510.050). Plaintiff does not cite any case law 10 that requires an ALJ to address an SDM’s inaccurate summary of a medical 11 opinion. Plaintiff is not entitled to remand on these grounds. 12 13 C. Step-Three Plaintiff argues the ALJ erred by failing to analyze whether Plaintiff’s 14 fibromyalgia equaled Listing 14.09D. ECF No. 19 at 10-12. At step three, the 15 ALJ must determine if a claimant’s impairments meet or equal a listed impairment. 16 20 C.F.R. § 416.920(a)(4)(iii). The Listing of Impairments “describes each of the 17 major body systems impairments [which are considered] severe enough to prevent 18 an individual from doing any gainful activity, regardless of his or her age, 19 education or work experience.” 20 C.F.R. § 416.925. “Listed impairments are 20 purposefully set at a high level of severity because ‘the listings were designed to 2 ORDER - 15 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1196 Page 16 of 33 1 operate as a presumption of disability that makes further inquiry unnecessary.’ ” 2 Kennedy v. Colvin, 758 F.3d 1172, 1176 (9th Cir. 2013) (citing Sullivan v. Zebley, 3 493 U.S. 521, 532 (1990)). “Listed impairments set such strict standards because 4 they automatically end the five-step inquiry, before residual functional capacity is 5 even considered.” Kennedy, 758 F.3d at 1176. If a claimant meets the listed 6 criteria for disability, she will be found to be disabled. 20 C.F.R. § 7 416.920(a)(4)(iii). 8 “To meet a listed impairment, a claimant must establish that he or she meets 9 each characteristic of a listed impairment relevant to his or her claim.” Tackett, 10 180 F.3d at 1099 (emphasis in original); 20 C.F.R. § 416.925(d). “To equal a 11 listed impairment, a claimant must establish symptoms, signs and laboratory 12 findings ‘at least equal in severity and duration’ to the characteristics of a relevant 13 listed impairment . . . .” Tackett, 180 F.3d at 1099 (emphasis in original) (quoting 14 20 C.F.R. § 404.1526(a)); 20 C.F.R. § 416.926(a). “If a claimant suffers from 15 multiple impairments and none of them individually meets or equals a listed 16 impairment, the collective symptoms, signs and laboratory findings of all of the 17 claimant’s impairments will be evaluated to determine whether they meet or equal 18 the characteristics of any relevant listed impairment.” Tackett, 180 F.3d at 1099. 19 However, “ ‘[m]edical equivalence must be based on medical findings,” and “[a] 20 generalized assertion of functional problems is not enough to establish disability at 2 ORDER - 16 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1197 Page 17 of 33 1 step three.’ ” Id. at 1100 (quoting 20 C.F.R. § 404.1526(a)); 20 C.F.R. § 2 416.926(a), 3 The claimant bears the burden of establishing his impairment (or 4 combination of impairments) meets or equals the criteria of a listed impairments. 5 Burch v. Barnhart, 400 F.3d 676, 683 (9th Cir. 2005). “An adjudicator’s 6 articulation of the reason(s) why the individual is or is not disabled at a later step in 7 the sequential evaluation process will provide rationale that is sufficient for a 8 subsequent reviewer or court to determine the basis for the finding about medical 9 equivalence at step 3.” Social Security Ruling (SSR) 17-2P, 2017 WL 3928306, at 10 *4 (effective March 27, 2017). 11 Here, the ALJ found Plaintiff’s impairments did not meet or equal a listing. 12 Tr. 19-20. While Plaintiff contends the ALJ erred in failing to address whether his 13 fibromyalgia equals a listing, ECF No. 19 at 10-12, Plaintiff failed to challenge the 14 ALJ’s finding that fibromyalgia is not a severe medically determinable 15 impairment, Tr. 18-19. Thus, any challenge to the ALJ’s step two findings is 16 waived. See Carmickle v. Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1161 n.2 (9th 17 Cir. 2008) (determining Court may decline to address on the merits issues not 18 argued with specificity); Kim v. Kang, 154 F.3d 996, 1000 (9th Cir. 1998) (the 19 Court may not consider on appeal issues not “specifically and distinctly argued” in 20 the party’s opening brief). 2 ORDER - 17 Case 2:20-cv-00110-MKD 1 ECF No. 22 filed 12/09/20 PageID.1198 Page 18 of 33 Further, Plaintiff has not presented any argument as to how his fibromyalgia 2 symptoms are equal in severity to Listing 14.09D. Listing 14.09D requires 3 repeated manifestations of inflammatory arthritis, with at least two of the 4 constitutional symptoms or signs (severe fatigue, fever, malaise, or involuntary 5 weight loss) and one of the following at the marked level: 1) Limitation of 6 activities of daily living; 2) Limitation in maintaining social functioning; or 3) 7 Limitation in completing tasks in a timely manner due to deficiencies in 8 concentration, persistence, or pace. 20 C.F.R. Pt. 404, Subpt. P, App. 1, Listing 9 14.09D. Plaintiff does not present any argument as to how he has had repeated 10 manifestations of fibromyalgia symptoms that cause at least one of the listed 11 marked limitations. Plaintiff did not mention fibromyalgia at his hearing, Tr. 3212 55, Dr. Nixon’s September 2016 physical examination did not mention 13 fibromyalgia, Tr. 404, and Plaintiff did not report fibromyalgia symptoms at his 14 June 2015 nor April 2017 psychological examinations although he reported 15 multiple other physical complaints, Tr. 347-54, 480-84. Plaintiff has not met his 16 burden in demonstrating his impairment is equal in severity to Listing 14.09D. 17 Plaintiff further argues the ALJ erred by not developing the record; 18 specifically, Plaintiff contends the ALJ should have called on a medical expert to 19 develop the record, resolve any conflicts/ambiguities, and provide an opinion on 20 whether Plaintiff meets/equals a listing and his RFC. The ALJ has an independent 2 ORDER - 18 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1199 Page 19 of 33 1 duty to fully and fairly develop a record in order to make a fair determination as to 2 disability, even where, as here, the claimant is represented by counsel. Celaya v. 3 Halter, 332 F.3d 1177, 1183 (9th Cir. 2003); see also Tonapetyan, 242 F.3d at 4 1150; Crane v. Shalala, 76 F.3d 251, 255 (9th Cir. 1996). “Ambiguous evidence, 5 or the ALJ’s own finding that the record is inadequate to allow for proper 6 evaluation of the evidence, triggers the ALJ's duty to ‘conduct an appropriate 7 inquiry.’” See Tonapetyan, 242 F.3d at 1150 (quoting Smolen v. Chater, 80 F.3d 8 1273, 1288 (9th Cir. 1996)). However, Plaintiff does not point to any ambiguous 9 evidence or conflicts in the evidence requiring further development. Plaintiff is not 10 entitled to remand on these grounds. 11 12 D. Lay Witness Evidence Plaintiff challenges the ALJ’s consideration of the lay witness statement of 13 Plaintiff’s wife, Deborah S. ECF No. 19 at 12-13. An ALJ must consider the 14 statement of lay witnesses in determining whether a claimant is disabled. Stout v. 15 Comm’r Soc. Sec. Admin., 454 F.3d 1050, 1053 (9th Cir. 2006). Lay witness 16 evidence cannot establish the existence of medically determinable impairments, 17 but lay witness evidence is “competent evidence” as to “how an impairment affects 18 [a claimant's] ability to work.” Id.; 20 C.F.R. § 416.913; see also Dodrill v. 19 Shalala, 12 F.3d 915, 918-19 (9th Cir. 1993) (“[F]riends and family members in a 20 position to observe a claimant's symptoms and daily activities are competent to 2 ORDER - 19 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1200 Page 20 of 33 1 testify as to her condition.”). If a lay witness statement is rejected, the ALJ “‘must 2 give reasons that are germane to each witness.’” Nguyen v. Chater, 100 F.3d 1462, 3 1467 (9th Cir. 1996) (citing Dodrill, 12 F.3d at 919). 4 Ms. S. completed a function report on February 24, 2017. Tr. 205-12. She 5 stated Plaintiff needs a lot of breaks when he works, has difficulties with sleep, 6 needs reminders to shave and shower, takes longer to dress than normal, helps with 7 chores, caring for pets, and cooking though it causes pain and he needs breaks, he 8 can drive, walk and go places alone, he grocery shops though slowly, he watches 9 television daily and went fishing during the summer, he can walk half of a block 10 before needing a ten to fifteen minute break, his medications do not cause any side 11 effects, he has limitations in postural activities, walking, sitting, completing tasks, 12 concentrating, following instructions, getting along with others, and using his 13 hands, but he also follow instructions well, can pay attention well, and gets along 14 with authority figures well. Id. The ALJ gave Ms. S.’s statement some weight. 15 Tr. 24. 16 First, the ALJ found Ms. S. confirmed many of Plaintiff’s reported activities 17 and provided “little new information.” Tr. 24-25. Where the ALJ gives clear and 18 convincing reasons to reject a claimant’s testimony, and where a lay witness’s 19 testimony is similar to the claimant’s subjective complaints, the reasons given to 20 reject the claimant’s testimony are also germane reasons to reject the lay witness 2 ORDER - 20 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1201 Page 21 of 33 1 testimony. Valentine v. Comm'r Soc. Sec. Admin., 574 F.3d 685, 694 (9th Cir. 2 2009); see also Molina, 674 F.3d at 1114 (“[I]f the ALJ gives germane reasons for 3 rejecting testimony by one witness, the ALJ need only point to those reasons when 4 rejecting similar testimony by a different witness”). Ms. S. largely repeated 5 statements made by Plaintiff, such as Plaintiff needing breaks, having sleep issues, 6 and having problems walking more than half of a block. Tr. 40-42, Tr. 205-07. As 7 the Court finds the ALJ gave clear and convincing reasons to reject Plaintiff’s 8 symptom claims for the reasons discussed supra, the ALJ also gave germane 9 reasons to reject the lay witness testimony. 10 Second, the ALJ found Ms. S. is not an impartial medical source. Tr. 25. 11 “The fact that a lay witness is a family member cannot be a ground for rejecting his 12 or her testimony. To the contrary, testimony from lay witnesses who see the 13 claimant every day is of particular value.” Smolen, 80 F.3d at 1289 (internal 14 citations omitted). While the ALJ may not reject Ms. S.’ statement solely because 15 she is not an impartial source, any error is harmless as the ALJ gave other germane 16 reasons to reject her statement. See Molina, 674 F.3d at 1115. Plaintiff is not 17 entitled to remand on these grounds. 18 19 E. Plaintiff’s Symptom Claims Plaintiff faults the ALJ for failing to rely on reasons that were clear and 20 convincing in discrediting his symptom claims. ECF No. 19 at 13-17. An ALJ 2 ORDER - 21 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1202 Page 22 of 33 1 engages in a two-step analysis to determine whether to discount a claimant’s 2 testimony regarding subjective symptoms. SSR 16–3p, 2016 WL 1119029, at *2. 3 “First, the ALJ must determine whether there is objective medical evidence of an 4 underlying impairment which could reasonably be expected to produce the pain or 5 other symptoms alleged.” Molina, 674 F.3d at 1112 (quotation marks omitted). 6 “The claimant is not required to show that [the claimant’s] impairment could 7 reasonably be expected to cause the severity of the symptom [the claimant] has 8 alleged; [the claimant] need only show that it could reasonably have caused some 9 degree of the symptom.” Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir. 2009). 10 Second, “[i]f the claimant meets the first test and there is no evidence of 11 malingering, the ALJ can only reject the claimant’s testimony about the severity of 12 the symptoms if [the ALJ] gives ‘specific, clear and convincing reasons’ for the 13 rejection.” Ghanim, 763 F.3d at 1163 (citations omitted). General findings are 14 insufficient; rather, the ALJ must identify what symptom claims are being 15 discounted and what evidence undermines these claims. Id. (quoting Lester, 81 16 F.3d at 834; Thomas v. Barnhart, 278 F.3d 947, 958 (9th Cir. 2002) (requiring the 17 ALJ to sufficiently explain why it discounted claimant’s symptom claims)). “The 18 clear and convincing [evidence] standard is the most demanding required in Social 19 Security cases.” Garrison, 759 F.3d at 1015 (quoting Moore v. Comm’r of Soc. 20 Sec. Admin., 278 F.3d 920, 924 (9th Cir. 2002)). 2 ORDER - 22 Case 2:20-cv-00110-MKD 1 ECF No. 22 filed 12/09/20 PageID.1203 Page 23 of 33 Factors to be considered in evaluating the intensity, persistence, and limiting 2 effects of a claimant’s symptoms include: 1) daily activities; 2) the location, 3 duration, frequency, and intensity of pain or other symptoms; 3) factors that 4 precipitate and aggravate the symptoms; 4) the type, dosage, effectiveness, and 5 side effects of any medication an individual takes or has taken to alleviate pain or 6 other symptoms; 5) treatment, other than medication, an individual receives or has 7 received for relief of pain or other symptoms; 6) any measures other than treatment 8 an individual uses or has used to relieve pain or other symptoms; and 7) any other 9 factors concerning an individual’s functional limitations and restrictions due to 10 pain or other symptoms. SSR 16-3p, 2016 WL 1119029, at *7; 20 C.F.R. § 11 416.929(c). The ALJ is instructed to “consider all of the evidence in an 12 individual’s record,” to “determine how symptoms limit ability to perform work13 related activities.” SSR 16-3p, 2016 WL 1119029, at *2. 14 The ALJ found that Plaintiff’s medically determinable impairments could 15 reasonably be expected to cause some of the alleged symptoms, but that Plaintiff’s 16 statements concerning the intensity, persistence, and limiting effects of his 17 symptoms were not entirely consistent with the evidence. Tr. 21. 18 1. Improvement with Treatment 19 The ALJ found Plaintiff’s symptom claims were inconsistent with his 20 improvement with treatment. Tr. 21-23. The effectiveness of treatment is a 2 ORDER - 23 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1204 Page 24 of 33 1 relevant factor in determining the severity of a claimant’s symptoms. 20 C.F.R. § 2 416.929(c)(3) (2011); Warre v. Comm’r of Soc. Sec. Admin., 439 F.3d 1001, 1006 3 (9th Cir. 2006) (determining that conditions effectively controlled with medication 4 are not disabling for purposes of determining eligibility for benefits); Tommasetti 5 v. Astrue, 533 F.3d 1035, 1040 (9th Cir. 2008) (recognizing that a favorable 6 response to treatment can undermine a claimant’s complaints of debilitating pain or 7 other severe limitations). 8 First, the ALJ noted that Plaintiff’s back and neck pains appeared to improve 9 by the relevant period. Tr. 21-22. While Plaintiff complained of back and neck 10 pain prior to relevant adjudicative period, and Plaintiff used opioids to treat his 11 pain prior to the relevant period, Plaintiff discontinued opioids by the end of 2015 12 and continued only with tramadol and gabapentin. Tr. 21 (citing Tr. 358). The 13 ALJ found Plaintiff’s back impairment appeared to be stable by his application 14 date, as demonstrated by imaging and examinations. Tr. 22 (citing Tr. 360, 399, 15 768-69, 773). Plaintiff’s provider suggested he try low-impact exercise and swim 16 therapy, and he was found to not be a candidate for injection treatment. Tr. 769. 17 Plaintiff’s back impairment was described as not warranting surgical intervention, 18 and Plaintiff reported in January 2018 that his back and neck pain was stable. Tr. 19 22 (citing Tr. 916, 932). 20 2 ORDER - 24 Case 2:20-cv-00110-MKD 1 ECF No. 22 filed 12/09/20 PageID.1205 Page 25 of 33 Second, Plaintiff’s hernia surgery occurred prior to the application date and 2 appeared to be successful. Tr. 22 (citing Tr. 369, 371). Plaintiff had a 3 laparoscopic hernia repair in February 2016. Tr. 22 (citing Tr. 374). During his 4 visits with his primary care in 2016, Plaintiff did not mention any post-surgical 5 complaints. Tr. 22 (citing Tr. 380-83). While Plaintiff argues the ALJ did not find 6 Plaintiff had improvement over time, ECF No. 19 at 14-15, the ALJ set forth an 7 analysis of Plaintiff’s improvement as discussed herein. On this record, the ALJ 8 reasonably concluded that Plaintiff’s impairments when treated were not as 9 limiting as Plaintiff claimed. This finding is supported by substantial evidence and 10 was a clear and convincing reason to discount Plaintiff’s symptoms complaints. 11 2. Activities of Daily Living 12 The ALJ found Plaintiff’s symptom claims were inconsistent with his 13 activities of daily living. Tr. 22-23. The ALJ may consider a claimant’s activities 14 that undermine reported symptoms. Rollins, 261 F.3d at 857. If a claimant can 15 spend a substantial part of the day engaged in pursuits involving the performance 16 of exertional or non-exertional functions, the ALJ may find these activities 17 inconsistent with the reported disabling symptoms. Fair, 885 F.2d at 603; Molina, 18 674 F.3d at 1113. “While a claimant need not vegetate in a dark room in order to 19 be eligible for benefits, the ALJ may discount a claimant’s symptom claims when 20 the claimant reports participation in everyday activities indicating capacities that 2 ORDER - 25 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1206 Page 26 of 33 1 are transferable to a work setting” or when activities “contradict claims of a totally 2 debilitating impairment.” Molina, 674 F.3d at 1112-13. 3 The ALJ noted Plaintiff reported ongoing involvement in construction work 4 for friends in September 2016. Tr. 22 (citing Tr. 393-94). Plaintiff reported 5 continuing to fish, and described his only difficulty was casting, but did not report 6 difficulty sitting. Tr. 23 (citing Tr. 348). Plaintiff has reported being independent 7 in most of his personal care, cleaning, and other household chores, though he needs 8 to take breaks, and he reported being able to drive and go shopping with his wife 9 without the use of an electric chair in the store during store trips that take an hour, 10 though he needs to walk slow and to go to the car if he is in too much pain. Tr. 11 216, 349. He also reported caring for pets, helping prepare meals, and watching 12 television. Tr. 214. Plaintiff argues his activities are not inconsistent with his 13 allegations, and that the ALJ erroneously stated Ms. S. confirmed Plaintiff fished, 14 and pointed to Ms. S.’ report that Plaintiff does not fish anymore, ECF No. 19 at 15 15-16, Tr. 210. However, Ms. S. also stated Plaintiff fished in the summer, Tr. 16 209. Plaintiff argues there is no evidence of ongoing construction work because 17 the cited reference to the work was one month prior to the application for benefits, 18 ECF No. 19 at 15, however Plaintiff alleged disability beginning September 21, 19 2015, yet Plaintiff reported “working hard on his feet for the past couple of weeks” 20 and working at least four to six hours per day in June 2016, Tr. 831, and he then 2 ORDER - 26 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1207 Page 27 of 33 1 reported performing construction work for family in friends in September 2016, Tr. 2 835. Plaintiff’s activities, particularly his ability to engage in construction work 3 after his alleged onset date, demonstrates a higher level of functioning than 4 alleged. On this record, the ALJ reasonably concluded that Plaintiff’s symptom 5 claims were inconsistent with his activities of daily living. This finding is 6 supported by substantial evidence and was a clear and convincing reason to 7 discount Plaintiff’s symptoms complaints. 8 3. Objective Medical Evidence 9 The ALJ found Plaintiff’s symptom claims were inconsistent with the 10 objective medical evidence. Tr. 21-23. An ALJ may not discredit a claimant’s 11 symptom testimony and deny benefits solely because the degree of the symptoms 12 alleged is not supported by objective medical evidence. Rollins v. Massanari, 261 13 F.3d 853, 857 (9th Cir. 2001); Bunnell v. Sullivan, 947 F.2d 341, 346-47 (9th Cir. 14 1991); Fair v. Bowen, 885 F.2d 597, 601 (9th Cir. 1989); Burch, 400 F.3d at 680. 15 However, the objective medical evidence is a relevant factor, along with the 16 medical source’s information about the claimant’s pain or other symptoms, in 17 determining the severity of a claimant’s symptoms and their disabling effects. 18 Rollins, 261 F.3d at 857; 20 C.F.R. § 416.929(c)(2). 19 Here, the ALJ found that Plaintiff’s reported symptoms were not as severe as 20 he claimed. Tr. 21-23. First, the ALJ found the objective evidence did not support 2 ORDER - 27 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1208 Page 28 of 33 1 Plaintiff’s reported severity of his back impairment. Tr. 21-22. Plaintiff stopped 2 taking opioids for his back pain prior to the relevant period. Tr. 21 (citing Tr. 3 358). Imaging showed his back impairment was stable. Tr. 22 (citing Tr. 399). 4 Although Plaintiff had some abnormalities on examination in October, including 5 limited range of motion due to pain, the provider noted Plaintiff exhibited 6 overreaction with multiple Waddell signs. Tr. 22 (citing Tr. 768-69). In 7 September 2016, an examination demonstrated Plaintiff had normal strength and 8 reflexes and a negative straight leg raise, he had improved range of motion when 9 distracted, and the provider noted that Plaintiff’s chronic pain lacked many 10 objective findings. Tr. 22, 836-37. In April 2017, Plaintiff continued to complain 11 of back pain and muscle spasms and had decreased range of motion, but remained 12 off narcotics, and had normal strength, reflexes, and gait. Tr. 22 (citing Tr. 855). 13 In August 2018, Plaintiff’s back impairment was described by a provider as 14 nothing that would warrant surgical intervention. Tr. 932. While Plaintiff alleges 15 an inability to sit longer than 20 to 25 minutes, the ALJ noted there are no 16 complaints in the medical records about such limitations during the relevant time 17 period. Tr. 22. 18 Second, while Plaintiff alleges disability in part due to a hernia, Tr. 199, the 19 ALJ found Plaintiff’s hernia was resolved through surgery. Tr. 22. Plaintiff had a 20 laparoscopic hernia repair in February 2016, Id. (citing Tr. 374), and did not 2 ORDER - 28 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1209 Page 29 of 33 1 complain of any issues at his port-surgery appointments, Tr. 22 (citing Tr. 380-83). 2 Third, the ALJ found the objective evidence was inconsistent with Plaintiff’s 3 allegations of limitations due to neck pain. Tr. 22. While Plaintiff complained of 4 neck pain in September 2016, he moved his neck and shoulders rapidly and with 5 fairly good range of motion when distracted, but demonstrated significant pain 6 behavior during testing. Tr. 393-94. Plaintiff’s December 2016 cervical imaging 7 showed only mild findings. Tr. 471. Third, the ALJ found Plaintiff’s allegations 8 of limitations due to mental impairments was not supported by the objective 9 evidence. Tr. 23. The ALJ noted Plaintiff did not receive any regular formal 10 mental health treatment. Tr. 23. At both consultative examinations, Plaintiff was 11 not diagnosed with any conditions except cannabis use and alcohol use disorders. 12 Tr. 23 (citing Tr. 347-54, 480-84). While Plaintiff offers an alternative 13 interpretation of the evidence, the ALJ reasonably concluded that the objective 14 medical evidence is not consistent with Plaintiff’s complaints of disabling 15 symptoms. This finding is supported by substantial evidence and was a clear and 16 convincing reason, along with the other reasons offered, to discount Plaintiff’s 17 symptoms complaints. 18 4. Lack of Mental Health Treatment 19 The ALJ found Plaintiff’s symptom claims were inconsistent with his lack of 20 mental health treatment. Tr. 23. An unexplained, or inadequately explained, 2 ORDER - 29 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1210 Page 30 of 33 1 failure to seek treatment or follow a prescribed course of treatment may be 2 considered when evaluating the claimant’s subjective symptoms. Orn, 495 F.3d at 3 638. And evidence of a claimant’s self-limitation and lack of motivation to seek 4 treatment are appropriate considerations in determining the credibility of a 5 claimant’s subjective symptom reports. Osenbrock v. Apfel, 240 F.3d 1157, 11656 66 (9th Cir. 2001); Bell-Shier v. Astrue, 312 F. App’x 45, *3 (9th Cir. 2009) 7 (unpublished opinion) (considering why plaintiff was not seeking treatment). 8 Although Plaintiff alleges disability in part due to depression and anxiety, 9 Tr. 199, the ALJ found Plaintiff has not received any formal ongoing mental health 10 treatment. Tr. 23. Plaintiff did not seek counseling, nor did he require emergency 11 intervention or inpatient treatment for psychiatric symptoms. Id. Plaintiff does not 12 offer any explanation for his lack of mental health treatment. On this record, the 13 ALJ reasonably concluded that Plaintiff’s lack of mental health treatment is not 14 consistent with Plaintiff’s complaints of disabling symptoms. This finding is 15 supported by substantial evidence and was a clear and convincing reason to 16 discount Plaintiff’s symptoms complaints. Plaintiff is not entitled to remand on 17 these grounds. 18 19 F. Step-Five Plaintiff argues the ALJ erred at step five. ECF No. 19 at 17-18. At step 20 five of the sequential evaluation analysis, the burden shifts to the Commissioner to 2 ORDER - 30 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1211 Page 31 of 33 1 establish that 1) the claimant can perform other work, and 2) such work “exists in 2 significant numbers in the national economy.” 20 C.F.R. § 416.960(c)(2); Beltran, 3 700 F.3d at 389. In assessing whether there is work available, the ALJ must rely 4 on complete hypotheticals posed to a vocational expert. Nguyen, 100 F.3d at 1467. 5 The ALJ’s hypothetical must be based on medical assumptions supported by 6 substantial evidence in the record that reflects all of the claimant’s limitations. 7 Osenbrook, 240 F.3d at 1165. The hypothetical should be “accurate, detailed, and 8 supported by the medical record.” Tackett, 180 F.3d at 1101. 9 The hypothetical that ultimately serves as the basis for the ALJ’s 10 determination, i.e., the hypothetical that is predicated on the ALJ’s final RFC 11 assessment, must account for all the limitations and restrictions of the claimant. 12 Bray, 554 F.3d at 1228. As discussed above, the ALJ’s RFC need only include 13 those limitations found credible and supported by substantial evidence. Bayliss, 14 427 F.3d at 1217 (“The hypothetical that the ALJ posed to the VE contained all of 15 the limitations that the ALJ found credible and supported by substantial evidence 16 in the record.”). “If an ALJ’s hypothetical does not reflect all of the claimant’s 17 limitations, then the expert’s testimony has no evidentiary value to support a 18 finding that the claimant can perform jobs in the national economy.” Id. However, 19 the ALJ “is free to accept or reject restrictions in a hypothetical question that are 20 not supported by substantial evidence.” Greger v. Barnhart, 464 F.3d 968, 973 2 ORDER - 31 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1212 Page 32 of 33 1 (9th Cir. 2006). Therefore, the ALJ is not bound to accept as true the restrictions 2 presented in a hypothetical question propounded by a claimant’s counsel if they are 3 not supported by substantial evidence. Magallanes v. Bowen, 881 F.2d 747, 7564 57 (9th Cir. 1989); Martinez v. Heckler, 807 F.2d 771, 773 (9th Cir. 1986). A 5 claimant fails to establish that a step five determination is flawed by simply 6 restating argument that the ALJ improperly discounted certain evidence, when the 7 record demonstrates the evidence was properly rejected. Stubbs-Danielson, 539 8 F.3d at 1175-76. 9 Plaintiff’s argument is based entirely on the assumption that the ALJ erred in 10 considering the opinion evidence and Plaintiff’s symptom claims. For reasons 11 discussed throughout this decision, the ALJ’s consideration of Plaintiff’s symptom 12 claims and consideration of the lay and medical opinion evidence are legally 13 sufficient and supported by substantial evidence. Thus, the ALJ did not err in 14 assessing the RFC or finding Plaintiff capable of performing work existing in the 15 national economy. 16 17 CONCLUSION Having reviewed the record and the ALJ’s findings, the Court concludes the 18 ALJ’s decision is supported by substantial evidence and free of harmful legal error. 19 Accordingly, IT IS HEREBY ORDERED: 20 2 1. Plaintiff’s Motion for Summary Judgment, ECF No. 19, is DENIED. ORDER - 32 Case 2:20-cv-00110-MKD ECF No. 22 filed 12/09/20 PageID.1213 Page 33 of 33 1 2. Defendant’s Motion for Summary Judgment, ECF No.20, is GRANTED. 2 3. The Clerk’s Office shall enter JUDGMENT in favor of Defendant. 3 The District Court Executive is directed to file this Order, provide copies to 4 counsel, and CLOSE THE FILE. 5 DATED December 9, 2020. 6 s/Mary K. Dimke MARY K. DIMKE UNITED STATES MAGISTRATE JUDGE 7 8 9 10 11 12 13 14 15 16 17 18 19 20 2 ORDER - 33

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