Opinion
C22-5676-SKV
07-18-2023
YELONDA DANIELE BOWLIN, Plaintiff, v. COMMISSIONER OF SOCIAL SECURITY, Defendant.
ORDER AFFIRMING THE COMMISSIONER'S DECISION
S. KATE VAUGHAN, UNITED STATES MAGISTRATE JUDGE
Plaintiff seeks review of the denial of her application for Supplemental Security Income. Having considered the ALJ's decision, the administrative record (AR), and all memoranda of record, the Court AFFIRMS the Commissioner's final decision and DISMISSES the case with prejudice.
BACKGROUND
Plaintiff was born in 1970, has a GED and training in customer service, and has worked as a bartender and waitress. AR 2673, 6140. Plaintiff was last gainfully employed in January 2018. AR 2672.
In March 2019, Plaintiff applied for benefits, alleging disability as of March 12, 2019. AR 2619-34. Plaintiff's application was denied initially and on reconsideration, and Plaintiff requested a hearing. AR 2553-56, 2560-63. After the ALJ conducted a hearing in March 2021 (AR), the ALJ issued a decision finding Plaintiff not disabled. AR 6128-42.
THE ALJ'S DECISION
Utilizing the five-step disability evaluation process,the ALJ found:
Step one: Plaintiff has not engaged in substantial gainful activity since the application date.
Step two: Plaintiff has the following severe impairments: congestive heart failure, fibromyalgia, hip bursitis, a left knee condition, obesity, tobacco abuse, depression disorder, anxiety disorder, bipolar disorder, and post-traumatic stress disorder.
Step three: These impairments do not meet or equal the requirements of a listed impairment.
Residual Functional Capacity: Plaintiff can perform light work with additional limitations: she can lift/carry/push/pull 20 pounds occasionally and 10 pounds frequently. She can sit, stand, and walk for six hours each. She can occasionally climb ramps and stairs, and never climb ladders, ropes, and scaffolds. She can occasionally stoop, kneel, crouch, and crawl. She cannot work at unprotected heights or around moving mechanical parts. She can occasionally operate a motor vehicle. She can have rare (between none and occasional) exposure to dust, odors, fumes, and pulmonary irritants. She can have frequent exposure to temperature extremes. She can understand, remember, and apply detailed, but not complex, instructions.
Step four: Plaintiff cannot perform past relevant work.
Step five: As there are jobs that exist in significant numbers in the national economy that Plaintiff can perform, Plaintiff is not disabled.AR 6128-42.
20 C.F.R. Part 404, Subpart P, App. 1.
The Appeals Council denied Plaintiff's request for review, making the ALJ's decision the Commissioner's final decision. AR 1-6. Plaintiff appealed the final decision of the Commissioner to this Court. Dkt. 4.
LEGAL STANDARDS
Under 42 U.S.C. § 405(g), this Court may set aside the Commissioner's denial of social security benefits when the ALJ's findings are based on harmful legal error or not supported by substantial evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 (9th Cir. 2005). As a general principle, an ALJ's error may be deemed harmless where it is “inconsequential to the ultimate nondisability determination.” Molina v. Astrue, 674 F.3d 1104, 1115 (9th Cir. 2012) (cited sources omitted). The Court looks to “the record as a whole to determine whether the error alters the outcome of the case.” Id.
Substantial evidence is “more than a mere scintilla. It means - and means only - such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Biestek v. Berryhill, 139 S.Ct. 1148, 1154 (2019) (cleaned up); Magallanes v. Bowen, 881 F.2d 747, 750 (9th Cir. 1989). The ALJ is responsible for evaluating symptom testimony, resolving conflicts in medical testimony, and resolving any other ambiguities that might exist. Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record as a whole, it may neither reweigh the evidence nor substitute its judgment for that of the Commissioner. Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). When the evidence is susceptible to more than one rational interpretation, it is the Commissioner's conclusion that must be upheld. Id.
DISCUSSION
Plaintiff argues the ALJ erred by finding at step three that she did not meet or equal a listing, and in assessing certain medical opinions. The Commissioner argues the ALJ's decision is free of harmful legal error, supported by substantial evidence, and should be affirmed.
A. The ALJ Did Not Err at Step Three
Plaintiff contends that the ALJ erred in finding that her mental impairments did not meet or equal Listing 12.04 and/or 12.06. Dkt. 16 at 5-7. The ALJ considered those listings but found that because Plaintiff's functioning is not markedly or extremely limited in any of the broad areas of functioning addressed in those listings, and because the record does not demonstrate that Plaintiff has only a minimal capacity to adapt to changes in her environment, Plaintiff did not meet or equal those listings. AR 6134-36.
At step three, the ALJ considers whether one or more of a claimant's impairments meet or medically equal an impairment listed in Appendix 1 to Subpart P of the regulations. “The listings define impairments that would prevent an adult, regardless of his age, education, or work experience, from performing any gainful activity, not just substantial gainful activity.” Sullivan v. Zebley, 493 U.S. 521, 532 (1990) (cleaned up).
Plaintiff bears the burden of proof at step three. Bowen v. Yuckert, 482 U.S. 137, 146 n.5 (1987). A mere diagnosis does not suffice to establish disability. Key v. Heckler, 754 F.2d 1545, 1549-50 (9th Cir. 1985). “‘[An impairment] must also have the findings shown in the Listing of that impairment.'” Id. at 1549-50 (quoting § 404.1525(d); emphasis added in Key). To meet a listing, an impairment “must meet all of the specified medical criteria.” Sullivan, 493 U.S. at 530 (emphasis in original). “To equal a listed impairment, a claimant must establish symptoms, signs and laboratory findings ‘at least equal in severity and duration' to the characteristics of a relevant listed impairment[.]” Tackett v. Apfel, 180 F.3d 1094, 1099 (9th Cir. 1999); § 416.926 (a). See also Sullivan, 493 U.S. at 531(to establish equivalency, claimant “must present medical findings equal in severity to all the criteria” for the listing).
Although Plaintiff contends that she meets or equals Listings 12.04 and 12.06 (Dkt. 16 at 5-7), she does not identify the requirements of either listing nor does she persuasively explain why the record shows that she meets or equals those requirements, contrary to the ALJ's findings. See AR 6134-36. For example, Plaintiff directs the Court's attention to mental status examination findings that she believes would support a finding that her ability to concentrate is markedly impaired (Dkt. 16 at 6), but does not acknowledge that the examiner indicated that Plaintiff put forth poor effort on this examination, as the ALJ noted. See AR 2854-55, 6138. Plaintiff also contends that she has “extreme difficulty adapting to new environments” (Dkt. 16 at 6), but cites no evidence to support that assertion. Plaintiff's bald assertion is insufficient to establish that the ALJ erred in finding that Plaintiff had mild limitation in adapting and managing herself or that she did not demonstrate marginal adjustment. See AR 6135-36.
Plaintiff's cursory and incomplete step-three argument fails to establish error in the ALJ's findings as to the functional requirements of Listings 12.04 and/or 12.06. Under these circumstances, Plaintiff has failed to meet her burden to show harmful legal error in the ALJ's step-three findings.
B. The ALJ Did Not Err in Assessing the Medical Opinion Evidence
Plaintiff challenges the ALJ's finding that certain medical opinions are unpersuasive, and the Court will address each disputed opinion in turn.
1. Legal Standards
Under regulations applicable to this case,the ALJ is required to articulate the persuasiveness of each medical opinion, specifically with respect to whether the opinions are supported and consistent with the record. 20 C.F.R. § 416.920c(a)-(c). An ALJ's consistency and supportability findings must be supported by substantial evidence. See Woods v. Kijakazi, 32 F.4th 785, 792 (9th Cir. 2022).
Plaintiff's opening brief does not acknowledge the regulatory changes that occurred before the date of her application, and she relies on superseded authority in challenging the ALJ's assessment of the medical opinions. Dkt. 16 at 7-9.
2. State Agency Psychological Consultants
State agency psychological consultants opined that, inter alia, Plaintiff was limited to performing simple 1-3-step tasks. AR 2522-36, 2538-52. The ALJ found these opinions unpersuasive, noting that although the consultants cited a number of abnormal mental status findings from an examination, that examiner indicated that Plaintiff put forth poor effort during the examination. AR 6139 (citing or referencing AR 2527, 2854-55). The ALJ also found the State agency opinions inconsistent with Plaintiff's ability to follow spoken instructions, drive a car, shop in stores, handle money, read, and watch television. Id.
The ALJ properly considered the support for the State agency psychological opinions, and accurately noted that although they cited findings as support for their conclusions, those findings were obtained in the context of Plaintiff's poor effort on examination. AR 6139. This supportability finding is supported by substantial evidence in the record and is unchallenged in Plaintiff's opening brief. See Dkt. 16 at 7-8. Moreover, the ALJ reasonably found that Plaintiff's self-reported ability to drive, shop, and handle money is inconsistent with a limitation to performing 1-3-step tasks. AR 6139 (citing AR 2650-57). Because the ALJ reasonably considered the supportability and consistency of the State agency opinions, Plaintiff has failed to show error in the ALJ's assessment of those opinions.
3. Michael Roxas, M.D.
Dr. Roxas, Plaintiff's treating physician, completed a form opinion in March 2020. AR 5547-52. He opined that Plaintiff could never lift any amount of weight, and that she had other physical limitations as well. Id. The ALJ noted that as the basis for his opinion, Dr. Roxas cited only Plaintiff's diagnoses. AR 6139. The ALJ also found that Dr. Roxas's opinion was inconsistent with Plaintiff's ability to live independently in her own apartment and help care for her grandchildren. Id. For these reasons, the ALJ found Dr. Roxas's opinion unpersuasive.
Plaintiff notes, correctly, that a person need not be “a fully incapacitated ‘vegetable' to be found disabled[,]” and that her living situation and her need to care for her grandchildren do not prove that she can work. Dkt. 16 at 8. But the ALJ did not claim that Plaintiff's activities demonstrate that she can work; instead, the ALJ cited Plaintiff's activities as inconsistent with Dr. Roxas's opinion that Plaintiff can never lift any amount of weight. Such an extreme opinion is reasonably inconsistent with the evidence that Plaintiff can live alone and care for her grandchildren because both of those activities require lifting some amount of weight for some length of time. For these reasons, the ALJ's consistency finding is reasonable and supported by substantial evidence.
Moreover, the ALJ's unchallenged supportability finding is also reasonable and supported by substantial evidence. The form Dr. Roxas completed asked him to identify the clinical findings that support each of the functional limitations he identified, and he generally left those sections blank or simply listed Plaintiff's diagnoses. See AR 5547-52. The ALJ reasonably found that Dr. Roxas's failure to explain the basis for his conclusions undermined the persuasiveness of the opinion. See 20 C.F.R. § 404.1520c(c)(1) (explaining that the “supportability” factor addresses the relevance of the objective evidence presented in support of an opinion, as well as the “supporting explanations” provided by the medical source).
CONCLUSION
For the reasons set forth above, the Commissioner's final decision is AFFIRMED and this case is DISMISSED with prejudice.