Anderson v. O'Malley

U.S. District Court, District of Minnesota

Anderson v. O'Malley

Trial Court Opinion

                UNITED STATES DISTRICT COURT                             
                   DISTRICT OF MINNESOTA                                 


April A.,                             No. 22-cv-2719 (DLM)               

               Plaintiff,                                                

v.                                             ORDER                     

Martin J. O’Malley, Commissioner of                                      
Social Security Administration,                                          

               Defendant.                                                



    Pursuant to 
42 U.S.C. § 405
(g), Plaintiff April A. seeks judicial review of the final 
decision  of  the  Commissioner  of  Social  Security  (“Commissioner”)  denying  their 
application for benefits. This matter is before the Court on the parties’ cross-Motions 
seeking judgment on the administrative record. (Docs. 21 (Plaintiff’s memorandum), 29 
(Defendant’s memorandum).) For the reasons below, the Court denies Plaintiff’s motion, 
grants the Commissioner’s motion, and dismisses this matter with prejudice.  
                         BACKGROUND                                      
    On August 6, 2020, Plaintiff applied for Disability Insurance Benefits (“DIB”) and 

Supplemental Security Income (“SSI”), alleging disability beginning on February 4, 2019. 
(Tr.1 at 22, 292-304.) The Social Security Administration (“SSA”) denied Plaintiff’s claim 
initially and upon Plaintiff’s request for reconsideration. (Tr. at 211-15 (initial denial), 219-
226 (reconsideration).) Plaintiff then timely requested a hearing before an Administrative 
Law Judge (“ALJ”), and the ALJ held a hearing on the matter on July 7, 2021. (Tr. at 44-

88.) Plaintiff was represented by counsel, appeared at the hearing, and testified on her own 
behalf. (Id.) 2A vocational expert also testified, opining that there was a significant number 
of jobs in the national economy across three representative occupations listed in the 
Dictionary of Occupational Titles (“DOT”), each of which a person with similar limitations 
to Plaintiff could perform:  classifier (DOT 361.687-014); inspector/hand packager (DOT 

559.687-074); and small products assembler (DOT 706.684-022). (Tr. at 83-84.)  
    On July 30, 2021, Commissioner sent a notice of unfavorable decision to Plaintiff. 
(Tr. at 19-38.) The ALJ recognized that Plaintiff suffered from several severe impairments, 
including: depression; anxiety; bipolar disorder, post-traumatic stress disorder; obsessive 
compulsive disorder; gender dysphoria; obesity; traumatic brain injury (“TBI”) and/or 

post-concussion syndrome; degenerative disc disease; and a left shoulder disorder. (Tr. at 

1 The Commissioner filed the consecutively-paginated transcript of the administrative 
record on March 21, 2023. (Doc. 19.) For ease of reference, citations to the transcript will 
identify the page number listed on the lower right corner of the cited document.  
2 At the outset of the hearing, Plaintiff amended the alleged onset date of disability to April 
4, 2019. (Tr. at 48-49.)                                                  
25.) The ALJ also acknowledged that Plaintiff suffered from at least two non-severe, 
medically determinable impairments:  allergic rhinitis and celiac disorder. (Tr. at 25.) The 

ALJ  noted  that  Plaintiff’s  allergic  rhinitis  was  well  managed  with  over-the-counter 
medication; and there was no evidence of any treatment or lasting effects from Plaintiff’s 
celiac disorder. (Tr. at 25.) Finally, the ALJ acknowledged that Plaintiff suffered from 
headaches, but did not categorize them as a separate disorder because they were secondary 
to Plaintiff’s TBI/post-concussion syndrome. (Tr. at 25.)                 

    Despite these impairments, the ALJ determined that Plaintiff retained the residual 
functional  capacity  (“RFC”)3 to  perform  light  work4 with  the  following  additional 
limitations: lift and/or carry up to 20 pounds occasionally and 10 pounds frequently; stand 
and walk for up to six hours in an eight-hour workday; sit for about six hours in an eight-
hour workday; occasionally climb, balance, stoop, kneel, crouch, and crawl; no exposure 

to hazards like heights or moving parts; only reach overhead occasionally; no driving; and 
only  perform  simple,  routine  tasks  with  no  public  interaction  and  only  occasional 
interaction with supervisors and coworkers. (Tr. at 28.) The ALJ credited the testimony of 

3 “RFC is defined as the most a claimant can still do despite his or her physical or mental 
limitations.” Martise v. Astrue, 
641 F.3d 909, 923
 (8th Cir. 2011) (quoting Leckenby v. 
Astrue, 
487 F.3d 626
, 631 n.5 (8th Cir. 2007)) (cleaned up).              
4 By regulation, light work “involves lifting no more than 20 pounds at a time with frequent 
lifting or carrying of objects weighing up to 10 pounds.” 
20 C.F.R. § 404.1567
(b); see also 
20 C.F.R. § 416.967
(b). Even if the weight lifted is very little, “a job is in this category if 
it requires a good deal of walking or standing, or when it involves sitting most of the time 
with some pushing and pulling of arm or leg controls.” 
20 C.F.R. § 404.1567
(b); see also 
20 C.F.R. § 416.967
(b).                                                   
the vocational expert that there are 350,000 jobs in the national economy that Plaintiff can 
perform given these limitations. (Tr. at 33.)                             

    Plaintiff challenges several aspects of the ALJ’s decision. First, Plaintiff maintains 
that the ALJ’s RFC finding is not based on substantial evidence because it does not 
accurately and comprehensively address Plaintiff’s medical conditions. Next, Plaintiff 
asserts  that  the  ALJ’s  determination  that  there  were  jobs  available  for  Plaintiff  was 
erroneous because it was based on a faulty RFC and because it failed to account for the 

geographic location of those jobs. The Court addresses each issue in turn.  
                           ANALYSIS                                      
    This Court reviews the ALJ’s denial-of-benefits decision to determine whether it is 
supported by substantial evidence in the record as a whole, and whether the decision was 
infected by legal error. 
42 U.S.C. § 405
(g); Austin v. Kijakazi, 
52 F.4th 723, 728
 (8th Cir. 

2022). Substantial evidence means “such relevant evidence as a reasonable mind might 
accept as adequate to support a conclusion.” Biestek v. Berryhill, 
139 S. Ct. 1138, 1154
 
(2019)(cleaned up) (further citation omitted); see also Nash v. Comm’r, Soc. Sec. Admin, 
907 F.3d 1086, 1090
 (8th Cir. 2018) (characterizing “substantial evidence” as “less than a 
preponderance, but enough that a reasonable mind would find it adequate to support the 

Commissioner’s conclusions”). Courts reviewing ALJ decisions must look to the entire 
administrative record to determine whether it contains sufficient evidence to support (or 
detract from, as the case may be) the ALJ’s conclusion. Biestek, 
139 S. Ct. at 1154
; 
Grindley v. Kijakazi, 9 4th 622, 627 (8th Cir. 2021). Where substantial evidence supports 
the ALJ’s decision, the Court will not reverse, even if substantial evidence also supports a 
contrary outcome. Nash, 
907 F.3d at 1089
.                                 

                           ANALYSIS                                      
I.   SUBSTANTIAL     EVIDENCE    SUPPORTS     THE    ALJ’S   RFC          
    DETERMINATION.                                                       

    Plaintiff contends the ALJ’s RFC was not supported by substantial evidence because 
it understated the severity of both Plaintiff’s physical and mental impairments. In so doing, 
Plaintiff also challenges the ALJ’s analysis of Plaintiff’s prior administrative medical 
findings.                                                                 
    It is Plaintiff’s burden to establish that his RFC should have included greater 
limitations than imposed by an ALJ. Young v. Apfel, 
221 F.3d 1065
, 1069 n.5 (8th Cir. 
2000) (citing 
20 C.F.R. §§ 404.1520
(a), (e), (f); 404.1545-46; 404.1560-61; Bowen v. 
Yuckert, 
482 U.S. 137
, 146 n.5 (1987); Anderson v. Shalala, 
51 F.3d 777, 779
 (8th Cir. 
1995)). The question before the Court is whether a reasonable mind could accept that no 
such limitations are necessary on this record, as the ALJ found. Biestek, 
139 S. Ct. at 1154
. 

In considering this question, the Court does not substitute its own judgment for that of the 
ALJ by reweighing the evidence; instead, it must consider evidence that supports and 
detracts from the ALJ’s decision and affirm the ALJ’s decision where “it is possible to 
draw two inconsistent positions from the evidence and one of those positions represents 
the ALJ’s findings.” Milam v. Colvin, 
794 F.3d 978, 983
 (8th Cir. 2015) (quoting Perkins 

v. Astrue, 
648 F.3d 892, 897
 (8th Cir. 2011)).                            
    The  ALJ  accepted  that  Plaintiff  had  several  severe  physical  impairments  and 
imposed significant limitations in Plaintiff’s RFC based on these impairments. (Tr. at 28.) 

But Plaintiff contends the ALJ erred nonetheless, primarily by not relying more heavily on 
historical state agency medical and psychological opinions that would have supported 
further restrictions. Specifically, Plaintiff contends that while the RFC adopted a number 
of the physical restrictions suggested in the state agency medical opinions, it was error not 
to impose handling limitations consistent with Plaintiff’s gross manipulation impairments. 

(Tr. at 102-03, 158.) As for mental limitations, Plaintiff faults the ALJ for not adopting all 
workplace restrictions suggested by the state agency medical opinions that Plaintiff could 
only work in a predictable environment with no rate quota or time constraints. (Tr. at 108, 
165.)                                                                     
    By  regulation,  an  ALJ  must  consider  a  number  of  factors  in  evaluating  the 

persuasiveness  of  prior  administrative  medical  findings  but  prioritize  the  factors  of 
supportability and consistency as the most important. 
20 C.F.R. §§ 404
.1520c(a), (b)(2), 
416.920c(a),  (b)(2).  While  “supportability”  and  “consistency”  are  terms  of  art,  the 
regulations indicate that, as used in this context, the words mirror their everyday meaning: 
supportability means that a prior administrative medical finding will be considered more 

persuasive the more it is supported by objective medical evidence; consistency means that 
a prior administrative medical finding will be more persuasive if it is consistent with the 
other  medical  and  nonmedical  sources  relevant  to  Plaintiff’s  claim.  
20 C.F.R. §§ 404
.1520c(c)(1)-(2), 416.920c(c)(1)-(2). “The ALJ need not use the magic words of 
‘supportability’ and ‘consistency,’ but it must be clear they were addressed.” Diane M. W., 
No. 20-cv-2651 (SRN/ECW), 
2022 WL 4377731
, at *5 (D. Minn. Sept. 22, 2022) (citing 

Svendsen v. Kijakazi, No. 1:21-cv-1029 (CBK), 
2022 WL 2753163
, at *8 (D.S.D. July 14, 
2022); Goss v. Kijakazi, No. 4:21-cv-0663 (LPR/JJV), 
2022 WL 1511521
, at *3 (E.D. Ark. 
May 12, 2022)).                                                           
    In this case, the Court has determined that the ALJ conducted an appropriate 
evaluation of the prior administrative medical and psychological opinions. As for the 

medical findings, the ALJ largely accepted the limitations set forth in the administrative 
opinion5 because they were “consistent with” Plaintiff’s ailments and “supported . . . with 
appropriate citations to the evidence of record.” (Tr. at 31.) But as for the administrative 
opinion’s reduced-handling limitation, the ALJ found this “excessive when compared with 
only the few instances of observed slightly reduced grip strength.” (Tr. at 31.)  

    As  for  the  opinions  of  the  state  agency  psychological  consultants,  the  ALJ 
acknowledged that the opinions were supported by record evidence. But the ALJ found 
that the opinions imposed “a significant restriction that lacks consistency with the evidence 
of record,” namely, requiring a predictable workplace with no time constraints or rate 
quotas. (Tr. at 32.) According to the ALJ, such restrictions were inconsistent with evidence 

that Plaintiff was able to handle personal hygiene, prepare foods, assist with household 
chores, demonstrate adequate insight, and possess normal judgment. (Tr. at 32.) 


5 An ALJ may, as here, “accept some, but not all, of a medical opinion.” Austin, 
52 F.4th at 729
.                                                                   
    Plaintiff asserts that the ALJ did not conduct a thorough enough evaluation of these 
administrative opinions to allow a court to sufficiently review the matter. That is incorrect. 

The ALJ explained what areas of the prior administrative medical and psychological 
opinions  were  being  adopted,  what  areas  were  not,  and  why.  The  ALJ  specifically 
addressed the issues of consistency and supportability. And the ALJ’s conclusions reflect 
a careful and thoughtful consideration of which limitations were supported by the record 
as a whole. Nothing more is required analytically. And while Plaintiff may disagree with 

the ALJ’s conclusions, this Court may not reverse even if it “would have reached a different 
conclusion than the Commissioner or because substantial evidence supports a contrary 
conclusion.” Fentress v. Berryhill, 
854 F.3d 1016, 1021
 (8th Cir. 2017) (quoting Igo v. 
Calvin, 
839 F.3d 724, 728
 (8th Cir. 2016)) (cleaned up). Here, no error attached to the 
ALJ’s analysis or conclusions regarding the state administrative medical or psychological 

findings, and substantial evidence supported the ALJ’s determination of Plaintiff’s RFC. 
II.  NO  ERROR   ATTACHED    TO  THE   ALJ’S  RELIANCE  ON   THE          
    TESTIMONY OF THE VOCATIONAL EXPERT.                                  

    Plaintiff next contends that the ALJ erred by relying on the testimony of the 
vocational expert in three ways. First, because the RFC hypothetical posed to the vocational 
expert  did  not  include  all  of  Plaintiff’s  limitations,  the  vocational  expert  could  not 
accurately assess whether jobs existed which Plaintiff could perform. Second, Plaintiff 
suggests that the available jobs identified by the ALJ had a higher reasoning level than 
Plaintiff could perform even under the ALJ’s formulation of the RFC. Finally, Plaintiff 
contends that the vocational expert’s testimony about what jobs existed in the national 
economy did not answer the more salient question about whether there were jobs available 
regionally.                                                               

A.   The ALJ’s  properly  formulated RFC served as an accurate  basis for the 
    vocational expert’s opinion.                                         

    Plaintiff’s first contention is rooted in Plaintiff’s challenge to the RFC:  according 
to Plaintiff, since the RFC was incomplete, vocational evidence based on that RFC was 
also wrong. “A vocational expert’s testimony constitutes substantial evidence when it is 
based on a hypothetical that accounts for all of the claimant’s proven impairments.” Hulsey 
v. Astrue, 622, F.3d 917, 922 (8th Cir. 2010) (citing Grissom v. Barnhart, 
416 F.3d 834, 837
 (8th Cir. 2005)). As discussed above, the hypothetical posed to the vocational expert 
was based on an appropriately tailored RFC. Thus, Plaintiff’s claim of error here fails. 
 B.  The vocational expert’s opinion was properly supported.             
    Plaintiff  next  argues  that  the  jobs  identified  by  the  vocational  expert  were 
inconsistent with the hypothetical posed by the ALJ. More specifically, Plaintiff notes that 
the RFC had a limitation to simple, routine tasks, and asserts that each of the job categories 

identified by the vocational expert have a DOT reasoning level of 2, which requires more 
than the ability to complete simple, routine tasks.                       
    Level 2 reasoning “is the ability to apply commonsense understanding to carry out 
detailed but uninvolved written or oral instructions and to deal with problems involving a 
few concrete variables in or from standardized situations.” Galloway v. Kijikazi, 
46 F.4th 686
, 690 n.2 (8th Cir. 2022) (quoting DOT App. C) (cleaned up). The Eighth Circuit has 
found no direct conflict between a hypothetical involving “simple, routine and repetitive 
work activity and a vocational expert’s identification of occupations involving instructions 
that, while potentially detailed, are not complicated or intricate.” Galloway, 
46 F.4th at 690
 

(quoting  Moore  v.  Astrue,  
623 F.3d 599, 604
  (8th  Cir.  2010))  (cleaned  up).  And 
“[n]umerous other courts have concluded that an RFC allowing a party to perform simple, 
routine, and repetitive tasks does not prohibit the performance of jobs requiring a reasoning 
level of two.” Gustafson v. Astrue, No. 10-cv-4962 DSD/LIB, 
2011 WL 6219641
, at *7 
(D. Minn. Nov. 29, 2011) (citing cases), R. and R. adopted, No. 10-cv-4962 DSD/LIB, 

2011 WL 6218211
 (D. Minn. Dec. 14, 2011). It was not error for the ALJ to rely on 
testimony  from  the  vocational  expert  that  Plaintiff  could  perform  jobs  with  a  DOT 
reasoning level of 2.                                                     
C.   Vocational expert testimony that there were 350,000 jobs available in the 
    national  economy  was  sufficient  to  meet  the  Commissioner’s  burden  to 
    establish there was work available to Plaintiff.                     

    Finally, Plaintiff contends that there was not substantial evidence to support the 
ALJ’s conclusion that there are a significant number of jobs which Plaintiff could perform. 
The ALJ relied on the testimony of the vocational expert that there were at least 350,000 
jobs in the national economy available to a person like Plaintiff. (Tr. at 33.) Plaintiff 
acknowledges this testimony, but nonetheless asserts the real question is where those jobs 
exist, since if they are all too far away that is the same as no jobs at all.  
    According to the Social Security Act, a person is only deemed disabled if they 
cannot engage in work “which exists in the national economy.” 
42 U.S.C. § 423
(d)(2)(A). 
But as many courts have noted, “work which exists in the national economy” is a term of 
art whose meaning is not readily apparent; what it actually means is not jobs that exist 
somewhere in the country, but rather jobs interspersed throughout the country, or at least 

in the region where Plaintiff lives. See, e.g., Samantha M.A. v. O'Malley, 22-cv-3119 
(TNL), 
2024 WL 841270
, at *6-8 (D. Minn. Feb. 28, 2024); Shari B. v. Kijakazi, 22-cv-
1539 (DJF), 
2023 WL 6130679
, at *7-9 (D. Minn. Sept. 19, 2023). And as recognized in 
both Samantha M.A. and Shari B., there is an intracircuit split on whether a vocational 
expert’s testimony solely concerning the number of DOT occupations available nationwide 

will carry the Commissioner’s burden (at step five of the sequential analysis) to show that 
there are a significant number of jobs available in Plaintiff’s region:  some courts have 
found such testimony insufficient, while others have accepted that evidence of a significant 
number of jobs nationwide supports the inference that there are jobs within a claimant’s 
region, too (at least absent some indication the occupations themselves are specialized or 

geographically isolated). 
Id.
                                             
    This Court agrees that the analytical framework set forth in Samantha M.A. and 
Shari B. is appropriate and consistent with this Court’s function in reviewing SSA matters. 
As the Eighth Circuit has emphasized, courts such as this one must take a multi-factored, 
common-sense approach to determining whether the Commissioner met his burden to 

establish that there are available jobs in significant numbers. Johnson v. Chater, 
108 F.3d 178, 180
 (8th Cir. 1997); Hall v. Chater, 
109 F.3d 1255, 1258-59
 (8th Cir. 1997). And 
while it is preferable for a vocational expert to opine on the regional availability of such 
jobs, the absence of such direct evidence does not necessarily mean the Commissioner has 
failed to carry his burden. That is particularly true in a case like this, where the vocational 
expert  testified  that  there  were  350,000  jobs  available  throughout  at  least  three 

classifications,  none  of  which  appear  to  suggest  the  jobs  would  be  specialized  or 
geographically isolated. To hold that there was not substantial evidence of available jobs 
for Plaintiff despite evidence that there were 350,000 jobs available nationally would 
contradict the commonsense approach set forth by the Eighth Circuit and endorsed by other 
courts in this District.6                                                 

ORDER

    Based on the above findings, as well as the files, records, and proceedings above, 
IT IS ORDERED THAT:                                                       
    1.   Plaintiff’s Motion (Doc. 21) is DENIED; and                     
    2.   The Commissioner’s Motion (Doc. 29) is GRANTED.                 

LET JUDGMENT BE ENTERED ACCORDINGLY.                                      

DATED:    March 14, 2024                  s/Douglas L. Micko_________     
                                       DOUGLAS L. MICKO                  
                                       United States Magistrate Judge    



6 The Court acknowledges, as in Shari B., that there may be circumstances where a 
vocational expert’s testimony about the number of jobs available nationally will not be 
sufficient to carry the Commissioner’s burden. See, e.g., Shari B., 
2023 WL 6130679
, at 
*9  (testimony  of  18,000  jobs  in  the  national  economy  presented  a  “close  case”  but 
ultimately insufficient evidence to meet Commissioner’s burden). This is not such a case. 

Trial Court Opinion

                UNITED STATES DISTRICT COURT                             
                   DISTRICT OF MINNESOTA                                 


April A.,                             No. 22-cv-2719 (DLM)               

               Plaintiff,                                                

v.                                             ORDER                     

Martin J. O’Malley, Commissioner of                                      
Social Security Administration,                                          

               Defendant.                                                



    Pursuant to 
42 U.S.C. § 405
(g), Plaintiff April A. seeks judicial review of the final 
decision  of  the  Commissioner  of  Social  Security  (“Commissioner”)  denying  their 
application for benefits. This matter is before the Court on the parties’ cross-Motions 
seeking judgment on the administrative record. (Docs. 21 (Plaintiff’s memorandum), 29 
(Defendant’s memorandum).) For the reasons below, the Court denies Plaintiff’s motion, 
grants the Commissioner’s motion, and dismisses this matter with prejudice.  
                         BACKGROUND                                      
    On August 6, 2020, Plaintiff applied for Disability Insurance Benefits (“DIB”) and 

Supplemental Security Income (“SSI”), alleging disability beginning on February 4, 2019. 
(Tr.1 at 22, 292-304.) The Social Security Administration (“SSA”) denied Plaintiff’s claim 
initially and upon Plaintiff’s request for reconsideration. (Tr. at 211-15 (initial denial), 219-
226 (reconsideration).) Plaintiff then timely requested a hearing before an Administrative 
Law Judge (“ALJ”), and the ALJ held a hearing on the matter on July 7, 2021. (Tr. at 44-

88.) Plaintiff was represented by counsel, appeared at the hearing, and testified on her own 
behalf. (Id.) 2A vocational expert also testified, opining that there was a significant number 
of jobs in the national economy across three representative occupations listed in the 
Dictionary of Occupational Titles (“DOT”), each of which a person with similar limitations 
to Plaintiff could perform:  classifier (DOT 361.687-014); inspector/hand packager (DOT 

559.687-074); and small products assembler (DOT 706.684-022). (Tr. at 83-84.)  
    On July 30, 2021, Commissioner sent a notice of unfavorable decision to Plaintiff. 
(Tr. at 19-38.) The ALJ recognized that Plaintiff suffered from several severe impairments, 
including: depression; anxiety; bipolar disorder, post-traumatic stress disorder; obsessive 
compulsive disorder; gender dysphoria; obesity; traumatic brain injury (“TBI”) and/or 

post-concussion syndrome; degenerative disc disease; and a left shoulder disorder. (Tr. at 

1 The Commissioner filed the consecutively-paginated transcript of the administrative 
record on March 21, 2023. (Doc. 19.) For ease of reference, citations to the transcript will 
identify the page number listed on the lower right corner of the cited document.  
2 At the outset of the hearing, Plaintiff amended the alleged onset date of disability to April 
4, 2019. (Tr. at 48-49.)                                                  
25.) The ALJ also acknowledged that Plaintiff suffered from at least two non-severe, 
medically determinable impairments:  allergic rhinitis and celiac disorder. (Tr. at 25.) The 

ALJ  noted  that  Plaintiff’s  allergic  rhinitis  was  well  managed  with  over-the-counter 
medication; and there was no evidence of any treatment or lasting effects from Plaintiff’s 
celiac disorder. (Tr. at 25.) Finally, the ALJ acknowledged that Plaintiff suffered from 
headaches, but did not categorize them as a separate disorder because they were secondary 
to Plaintiff’s TBI/post-concussion syndrome. (Tr. at 25.)                 

    Despite these impairments, the ALJ determined that Plaintiff retained the residual 
functional  capacity  (“RFC”)3 to  perform  light  work4 with  the  following  additional 
limitations: lift and/or carry up to 20 pounds occasionally and 10 pounds frequently; stand 
and walk for up to six hours in an eight-hour workday; sit for about six hours in an eight-
hour workday; occasionally climb, balance, stoop, kneel, crouch, and crawl; no exposure 

to hazards like heights or moving parts; only reach overhead occasionally; no driving; and 
only  perform  simple,  routine  tasks  with  no  public  interaction  and  only  occasional 
interaction with supervisors and coworkers. (Tr. at 28.) The ALJ credited the testimony of 

3 “RFC is defined as the most a claimant can still do despite his or her physical or mental 
limitations.” Martise v. Astrue, 
641 F.3d 909, 923
 (8th Cir. 2011) (quoting Leckenby v. 
Astrue, 
487 F.3d 626
, 631 n.5 (8th Cir. 2007)) (cleaned up).              
4 By regulation, light work “involves lifting no more than 20 pounds at a time with frequent 
lifting or carrying of objects weighing up to 10 pounds.” 
20 C.F.R. § 404.1567
(b); see also 
20 C.F.R. § 416.967
(b). Even if the weight lifted is very little, “a job is in this category if 
it requires a good deal of walking or standing, or when it involves sitting most of the time 
with some pushing and pulling of arm or leg controls.” 
20 C.F.R. § 404.1567
(b); see also 
20 C.F.R. § 416.967
(b).                                                   
the vocational expert that there are 350,000 jobs in the national economy that Plaintiff can 
perform given these limitations. (Tr. at 33.)                             

    Plaintiff challenges several aspects of the ALJ’s decision. First, Plaintiff maintains 
that the ALJ’s RFC finding is not based on substantial evidence because it does not 
accurately and comprehensively address Plaintiff’s medical conditions. Next, Plaintiff 
asserts  that  the  ALJ’s  determination  that  there  were  jobs  available  for  Plaintiff  was 
erroneous because it was based on a faulty RFC and because it failed to account for the 

geographic location of those jobs. The Court addresses each issue in turn.  
                           ANALYSIS                                      
    This Court reviews the ALJ’s denial-of-benefits decision to determine whether it is 
supported by substantial evidence in the record as a whole, and whether the decision was 
infected by legal error. 
42 U.S.C. § 405
(g); Austin v. Kijakazi, 
52 F.4th 723, 728
 (8th Cir. 

2022). Substantial evidence means “such relevant evidence as a reasonable mind might 
accept as adequate to support a conclusion.” Biestek v. Berryhill, 
139 S. Ct. 1138, 1154
 
(2019)(cleaned up) (further citation omitted); see also Nash v. Comm’r, Soc. Sec. Admin, 
907 F.3d 1086, 1090
 (8th Cir. 2018) (characterizing “substantial evidence” as “less than a 
preponderance, but enough that a reasonable mind would find it adequate to support the 

Commissioner’s conclusions”). Courts reviewing ALJ decisions must look to the entire 
administrative record to determine whether it contains sufficient evidence to support (or 
detract from, as the case may be) the ALJ’s conclusion. Biestek, 
139 S. Ct. at 1154
; 
Grindley v. Kijakazi, 9 4th 622, 627 (8th Cir. 2021). Where substantial evidence supports 
the ALJ’s decision, the Court will not reverse, even if substantial evidence also supports a 
contrary outcome. Nash, 
907 F.3d at 1089
.                                 

                           ANALYSIS                                      
I.   SUBSTANTIAL     EVIDENCE    SUPPORTS     THE    ALJ’S   RFC          
    DETERMINATION.                                                       

    Plaintiff contends the ALJ’s RFC was not supported by substantial evidence because 
it understated the severity of both Plaintiff’s physical and mental impairments. In so doing, 
Plaintiff also challenges the ALJ’s analysis of Plaintiff’s prior administrative medical 
findings.                                                                 
    It is Plaintiff’s burden to establish that his RFC should have included greater 
limitations than imposed by an ALJ. Young v. Apfel, 
221 F.3d 1065
, 1069 n.5 (8th Cir. 
2000) (citing 
20 C.F.R. §§ 404.1520
(a), (e), (f); 404.1545-46; 404.1560-61; Bowen v. 
Yuckert, 
482 U.S. 137
, 146 n.5 (1987); Anderson v. Shalala, 
51 F.3d 777, 779
 (8th Cir. 
1995)). The question before the Court is whether a reasonable mind could accept that no 
such limitations are necessary on this record, as the ALJ found. Biestek, 
139 S. Ct. at 1154
. 

In considering this question, the Court does not substitute its own judgment for that of the 
ALJ by reweighing the evidence; instead, it must consider evidence that supports and 
detracts from the ALJ’s decision and affirm the ALJ’s decision where “it is possible to 
draw two inconsistent positions from the evidence and one of those positions represents 
the ALJ’s findings.” Milam v. Colvin, 
794 F.3d 978, 983
 (8th Cir. 2015) (quoting Perkins 

v. Astrue, 
648 F.3d 892, 897
 (8th Cir. 2011)).                            
    The  ALJ  accepted  that  Plaintiff  had  several  severe  physical  impairments  and 
imposed significant limitations in Plaintiff’s RFC based on these impairments. (Tr. at 28.) 

But Plaintiff contends the ALJ erred nonetheless, primarily by not relying more heavily on 
historical state agency medical and psychological opinions that would have supported 
further restrictions. Specifically, Plaintiff contends that while the RFC adopted a number 
of the physical restrictions suggested in the state agency medical opinions, it was error not 
to impose handling limitations consistent with Plaintiff’s gross manipulation impairments. 

(Tr. at 102-03, 158.) As for mental limitations, Plaintiff faults the ALJ for not adopting all 
workplace restrictions suggested by the state agency medical opinions that Plaintiff could 
only work in a predictable environment with no rate quota or time constraints. (Tr. at 108, 
165.)                                                                     
    By  regulation,  an  ALJ  must  consider  a  number  of  factors  in  evaluating  the 

persuasiveness  of  prior  administrative  medical  findings  but  prioritize  the  factors  of 
supportability and consistency as the most important. 
20 C.F.R. §§ 404
.1520c(a), (b)(2), 
416.920c(a),  (b)(2).  While  “supportability”  and  “consistency”  are  terms  of  art,  the 
regulations indicate that, as used in this context, the words mirror their everyday meaning: 
supportability means that a prior administrative medical finding will be considered more 

persuasive the more it is supported by objective medical evidence; consistency means that 
a prior administrative medical finding will be more persuasive if it is consistent with the 
other  medical  and  nonmedical  sources  relevant  to  Plaintiff’s  claim.  
20 C.F.R. §§ 404
.1520c(c)(1)-(2), 416.920c(c)(1)-(2). “The ALJ need not use the magic words of 
‘supportability’ and ‘consistency,’ but it must be clear they were addressed.” Diane M. W., 
No. 20-cv-2651 (SRN/ECW), 
2022 WL 4377731
, at *5 (D. Minn. Sept. 22, 2022) (citing 

Svendsen v. Kijakazi, No. 1:21-cv-1029 (CBK), 
2022 WL 2753163
, at *8 (D.S.D. July 14, 
2022); Goss v. Kijakazi, No. 4:21-cv-0663 (LPR/JJV), 
2022 WL 1511521
, at *3 (E.D. Ark. 
May 12, 2022)).                                                           
    In this case, the Court has determined that the ALJ conducted an appropriate 
evaluation of the prior administrative medical and psychological opinions. As for the 

medical findings, the ALJ largely accepted the limitations set forth in the administrative 
opinion5 because they were “consistent with” Plaintiff’s ailments and “supported . . . with 
appropriate citations to the evidence of record.” (Tr. at 31.) But as for the administrative 
opinion’s reduced-handling limitation, the ALJ found this “excessive when compared with 
only the few instances of observed slightly reduced grip strength.” (Tr. at 31.)  

    As  for  the  opinions  of  the  state  agency  psychological  consultants,  the  ALJ 
acknowledged that the opinions were supported by record evidence. But the ALJ found 
that the opinions imposed “a significant restriction that lacks consistency with the evidence 
of record,” namely, requiring a predictable workplace with no time constraints or rate 
quotas. (Tr. at 32.) According to the ALJ, such restrictions were inconsistent with evidence 

that Plaintiff was able to handle personal hygiene, prepare foods, assist with household 
chores, demonstrate adequate insight, and possess normal judgment. (Tr. at 32.) 


5 An ALJ may, as here, “accept some, but not all, of a medical opinion.” Austin, 
52 F.4th at 729
.                                                                   
    Plaintiff asserts that the ALJ did not conduct a thorough enough evaluation of these 
administrative opinions to allow a court to sufficiently review the matter. That is incorrect. 

The ALJ explained what areas of the prior administrative medical and psychological 
opinions  were  being  adopted,  what  areas  were  not,  and  why.  The  ALJ  specifically 
addressed the issues of consistency and supportability. And the ALJ’s conclusions reflect 
a careful and thoughtful consideration of which limitations were supported by the record 
as a whole. Nothing more is required analytically. And while Plaintiff may disagree with 

the ALJ’s conclusions, this Court may not reverse even if it “would have reached a different 
conclusion than the Commissioner or because substantial evidence supports a contrary 
conclusion.” Fentress v. Berryhill, 
854 F.3d 1016, 1021
 (8th Cir. 2017) (quoting Igo v. 
Calvin, 
839 F.3d 724, 728
 (8th Cir. 2016)) (cleaned up). Here, no error attached to the 
ALJ’s analysis or conclusions regarding the state administrative medical or psychological 

findings, and substantial evidence supported the ALJ’s determination of Plaintiff’s RFC. 
II.  NO  ERROR   ATTACHED    TO  THE   ALJ’S  RELIANCE  ON   THE          
    TESTIMONY OF THE VOCATIONAL EXPERT.                                  

    Plaintiff next contends that the ALJ erred by relying on the testimony of the 
vocational expert in three ways. First, because the RFC hypothetical posed to the vocational 
expert  did  not  include  all  of  Plaintiff’s  limitations,  the  vocational  expert  could  not 
accurately assess whether jobs existed which Plaintiff could perform. Second, Plaintiff 
suggests that the available jobs identified by the ALJ had a higher reasoning level than 
Plaintiff could perform even under the ALJ’s formulation of the RFC. Finally, Plaintiff 
contends that the vocational expert’s testimony about what jobs existed in the national 
economy did not answer the more salient question about whether there were jobs available 
regionally.                                                               

A.   The ALJ’s  properly  formulated RFC served as an accurate  basis for the 
    vocational expert’s opinion.                                         

    Plaintiff’s first contention is rooted in Plaintiff’s challenge to the RFC:  according 
to Plaintiff, since the RFC was incomplete, vocational evidence based on that RFC was 
also wrong. “A vocational expert’s testimony constitutes substantial evidence when it is 
based on a hypothetical that accounts for all of the claimant’s proven impairments.” Hulsey 
v. Astrue, 622, F.3d 917, 922 (8th Cir. 2010) (citing Grissom v. Barnhart, 
416 F.3d 834, 837
 (8th Cir. 2005)). As discussed above, the hypothetical posed to the vocational expert 
was based on an appropriately tailored RFC. Thus, Plaintiff’s claim of error here fails. 
 B.  The vocational expert’s opinion was properly supported.             
    Plaintiff  next  argues  that  the  jobs  identified  by  the  vocational  expert  were 
inconsistent with the hypothetical posed by the ALJ. More specifically, Plaintiff notes that 
the RFC had a limitation to simple, routine tasks, and asserts that each of the job categories 

identified by the vocational expert have a DOT reasoning level of 2, which requires more 
than the ability to complete simple, routine tasks.                       
    Level 2 reasoning “is the ability to apply commonsense understanding to carry out 
detailed but uninvolved written or oral instructions and to deal with problems involving a 
few concrete variables in or from standardized situations.” Galloway v. Kijikazi, 
46 F.4th 686
, 690 n.2 (8th Cir. 2022) (quoting DOT App. C) (cleaned up). The Eighth Circuit has 
found no direct conflict between a hypothetical involving “simple, routine and repetitive 
work activity and a vocational expert’s identification of occupations involving instructions 
that, while potentially detailed, are not complicated or intricate.” Galloway, 
46 F.4th at 690
 

(quoting  Moore  v.  Astrue,  
623 F.3d 599, 604
  (8th  Cir.  2010))  (cleaned  up).  And 
“[n]umerous other courts have concluded that an RFC allowing a party to perform simple, 
routine, and repetitive tasks does not prohibit the performance of jobs requiring a reasoning 
level of two.” Gustafson v. Astrue, No. 10-cv-4962 DSD/LIB, 
2011 WL 6219641
, at *7 
(D. Minn. Nov. 29, 2011) (citing cases), R. and R. adopted, No. 10-cv-4962 DSD/LIB, 

2011 WL 6218211
 (D. Minn. Dec. 14, 2011). It was not error for the ALJ to rely on 
testimony  from  the  vocational  expert  that  Plaintiff  could  perform  jobs  with  a  DOT 
reasoning level of 2.                                                     
C.   Vocational expert testimony that there were 350,000 jobs available in the 
    national  economy  was  sufficient  to  meet  the  Commissioner’s  burden  to 
    establish there was work available to Plaintiff.                     

    Finally, Plaintiff contends that there was not substantial evidence to support the 
ALJ’s conclusion that there are a significant number of jobs which Plaintiff could perform. 
The ALJ relied on the testimony of the vocational expert that there were at least 350,000 
jobs in the national economy available to a person like Plaintiff. (Tr. at 33.) Plaintiff 
acknowledges this testimony, but nonetheless asserts the real question is where those jobs 
exist, since if they are all too far away that is the same as no jobs at all.  
    According to the Social Security Act, a person is only deemed disabled if they 
cannot engage in work “which exists in the national economy.” 
42 U.S.C. § 423
(d)(2)(A). 
But as many courts have noted, “work which exists in the national economy” is a term of 
art whose meaning is not readily apparent; what it actually means is not jobs that exist 
somewhere in the country, but rather jobs interspersed throughout the country, or at least 

in the region where Plaintiff lives. See, e.g., Samantha M.A. v. O'Malley, 22-cv-3119 
(TNL), 
2024 WL 841270
, at *6-8 (D. Minn. Feb. 28, 2024); Shari B. v. Kijakazi, 22-cv-
1539 (DJF), 
2023 WL 6130679
, at *7-9 (D. Minn. Sept. 19, 2023). And as recognized in 
both Samantha M.A. and Shari B., there is an intracircuit split on whether a vocational 
expert’s testimony solely concerning the number of DOT occupations available nationwide 

will carry the Commissioner’s burden (at step five of the sequential analysis) to show that 
there are a significant number of jobs available in Plaintiff’s region:  some courts have 
found such testimony insufficient, while others have accepted that evidence of a significant 
number of jobs nationwide supports the inference that there are jobs within a claimant’s 
region, too (at least absent some indication the occupations themselves are specialized or 

geographically isolated). 
Id.
                                             
    This Court agrees that the analytical framework set forth in Samantha M.A. and 
Shari B. is appropriate and consistent with this Court’s function in reviewing SSA matters. 
As the Eighth Circuit has emphasized, courts such as this one must take a multi-factored, 
common-sense approach to determining whether the Commissioner met his burden to 

establish that there are available jobs in significant numbers. Johnson v. Chater, 
108 F.3d 178, 180
 (8th Cir. 1997); Hall v. Chater, 
109 F.3d 1255, 1258-59
 (8th Cir. 1997). And 
while it is preferable for a vocational expert to opine on the regional availability of such 
jobs, the absence of such direct evidence does not necessarily mean the Commissioner has 
failed to carry his burden. That is particularly true in a case like this, where the vocational 
expert  testified  that  there  were  350,000  jobs  available  throughout  at  least  three 

classifications,  none  of  which  appear  to  suggest  the  jobs  would  be  specialized  or 
geographically isolated. To hold that there was not substantial evidence of available jobs 
for Plaintiff despite evidence that there were 350,000 jobs available nationally would 
contradict the commonsense approach set forth by the Eighth Circuit and endorsed by other 
courts in this District.6                                                 

ORDER

    Based on the above findings, as well as the files, records, and proceedings above, 
IT IS ORDERED THAT:                                                       
    1.   Plaintiff’s Motion (Doc. 21) is DENIED; and                     
    2.   The Commissioner’s Motion (Doc. 29) is GRANTED.                 

LET JUDGMENT BE ENTERED ACCORDINGLY.                                      

DATED:    March 14, 2024                  s/Douglas L. Micko_________     
                                       DOUGLAS L. MICKO                  
                                       United States Magistrate Judge    



6 The Court acknowledges, as in Shari B., that there may be circumstances where a 
vocational expert’s testimony about the number of jobs available nationally will not be 
sufficient to carry the Commissioner’s burden. See, e.g., Shari B., 
2023 WL 6130679
, at 
*9  (testimony  of  18,000  jobs  in  the  national  economy  presented  a  “close  case”  but 
ultimately insufficient evidence to meet Commissioner’s burden). This is not such a case. 

Reference

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