Lucero v. Berryhill
Lucero v. Berryhill
Trial Court Opinion
1 UNITED STATES DISTRICT COURT 2 DISTRICT OF NEVADA 3 JOSEPH LUCERO, Case No.: 3:19-cv-00057-WGC
4 Plaintiff, Order
5 v. Re: ECF Nos. 10, 11, 19, 22
6 ANDREW SAUL, Acting Commissioner of 7 Social Security Administration,
8 Defendant.
9
10 Plaintiff filed this action seeking judicial review of the decision of the Acting 11 Commissioner of Social Security Administration regarding his benefits applications. (ECF No. 6.) 12 At the time, the Acting Commissioner was Nancy A. Berryhill, but now the Acting Commissioner 13 is Andrew Saul. The caption has been amended to reflect this change. 14 The Acting Commissioner filed a motion to dismiss the complaint, arguing that Plaintiff's 15 request for judicial review of the Acting Commissioner's decision is untimely and equitable tolling 16 is inapplicable. (ECF No. 10.) The Acting Commissioner subsequently filed an amended motion 17 to dismiss and accompanying declaration. (ECF Nos. 11, 11-1.) The Acting Commissioner then 18 filed an errata explaining that the motions to dismiss were based on facts regarding a different 19 Social Security claimant by the same name, and indicated it would file an answer to the complaint. 20 (ECF Nos. 11, 11-1.) The Acting Commissioner did not file a motion to withdraw the motions to 21 dismiss; however, it appears that the Commissioner concedes the motions should be denied as the 22 arguments asserted do not pertain to this disability claimant. Therefore, the court recommends that 23 the motions to dismiss (ECF Nos. 10, 11) be denied. 1 Following the filling of the answer, Plaintiff filed his Motion for Reversal and/or Remand. 2 (ECF No. 19.) The Commissioner filed a Cross-Motion to Affirm and Opposition to Plaintiff's 3 Motion to Remand. (ECF Nos. 22, 23.) Plaintiff filed a reply brief. (ECF No. 24.) 4 After a thorough review, Plaintiff's motion to remand is granted, the Commissioner's cross-
5 motion is denied, and this matter is remanded to the Administrative Law Judge (ALJ) for further 6 review consistent with this Order. 7 I. BACKGROUND 8 On or around December 16, 2015, Plaintiff completed applications for disability insurance 9 benefits (DIB) under Title II of the Social Security Act and for supplemental security income (SSI) 10 under Title XVI of the Social Security Act, alleging disability beginning July 1, 2013. 11 (Administrative Record (AR) 214-222.) The applications were denied initially and on 12 reconsideration. (AR 135-138, 142-147.) 13 Plaintiff requested a hearing before an ALJ. (AR 149.) ALJ Janice Shave held a hearing on 14 January 11, 2018. (AR 35-71 .) Plaintiff, who was represented by counsel, appeared and testified
15 on his own behalf at the hearing. Testimony was also taken from a vocational expert (VE). On 16 April 5, 2018, the ALJ issued a decision finding Plaintiff not disabled. (AR 14-27.) Plaintiff 17 requested review, and the Appeals Council denied the request, making the ALJ's decision the final 18 decision of the Acting Commissioner. (AR 2-6.) 19 Plaintiff then commenced this action for judicial review under
42 U.S.C. § 405(g). Plaintiff 20 argues that the ALJ erred when she found, at step four of the sequential evaluation process, that 21 Plaintiff could perform his past relevant work as an audio technician when Plaintiff had not 22 performed that work at substantial gainful activity levels. The Acting Commissioner, on the other 23 hand, argues that Plaintiff stated in a work history report that he began working as an audio 1 technician in 1996 and was "still a member" (of the stagehand union); therefore, his work as an 2 audio technician from 1996 through 2013 was substantial gainful activity, and as such, qualifies 3 as past relevant work. 4 II. STANDARDS
5 A. Disability Process 6 After a claimant files an application for disability benefits, a disability examiner at the state 7 Disability Determination agency, working with a doctor(s), makes the initial decision on the 8 claimant's application. See
20 C.F.R. §§ 404.900(a)(1); 416.1400(a)(1). If the agency denies the 9 claim initially, the claimant may request reconsideration of the denial, and the case is sent to a 10 different disability examiner for a new decision. See
20 C.F.R. §§ 404.900(a)(2), 416.1400(a)(2). 11 If the agency denies the claim on reconsideration, the claimant may request a hearing and the case 12 is sent to an ALJ who works for the Social Security Administration. See 20 C.F.R. 13 §§ 404.900(a)(3), 416.1400(a)(3). The ALJ issues a written decision after the hearing. See 14
20 C.F.R. § 404.900(a)(3). If the ALJ denies the claim, the claimant may request review by the
15 Appeals Council. See
20 C.F.R. §§ 404.900(a)(4), 416.1400(a)(4). If the Appeals Council 16 determines there is merit to the claim, it generally remands the case to the ALJ for a new hearing. 17 If the Appeals Council denies review, the claimant can file an action in the United States District 18 Court. See
42 U.S.C. § 405(g);
20 C.F.R. §§ 404.900(a)(5), 416.1400(a)(5). 19 B. Five-Step Evaluation of Disability 20 Under the Social Security Act, "disability" is the inability to engage "in any substantial 21 gainful activity by reason of any medically determinable physical or mental impairment which can 22 be expected to result in death or which has lasted or can be expected to last for a continuous period 23 of not less than 12 months." 42 U.S.C. § 1382c(a)(3)(A). A claimant is disabled if his or her 1 physical or mental impairment(s) are so severe as to preclude the claimant from doing not only his 2 or her previous work but also, any other work which exists in the national economy, considering 3 his age, education and work experience. 42 U.S.C. § 1382c(a)(3)(B). 4 The Commissioner has established a five-step sequential process for determining whether
5 a person is disabled.
20 C.F.R. §404.1520and § 416.920; see also Bowen v. Yuckert,
482 U.S. 6137, 140-41 (1987). In the first step, the Commissioner determines whether the claimant is engaged 7 in "substantial gainful activity"; if so, a finding of nondisability is made and the claim is denied. 8
20 C.F.R. § 404.152(a)(4)(i), (b); § 416.920(a)(4)(i); Yuckert, 482 U.S. at 140. If the claimant is 9 not engaged in substantial gainful activity, the Commissioner proceeds to step two. 10 The second step requires the Commissioner to determine whether the claimant's 11 impairment or combination of impairments are "severe."
20 C.F.R. § 404.1520(a)(4)(ii), (c) and 12 § 416.920(a)(4)(ii), (c); Yuckert, 482 U.S. at 140-41. An impairment is severe if it significantly 13 limits the claimant's physical or mental ability to do basic work activities. Id. If the claimant has 14 an impairment(s) that is severe, the Commissioner proceeds to step three.
15 In the third step, the Commissioner looks at a number of specific impairments listed in 16 20 C.F.R. Part 404, Subpart P, Appendix 1 (Listed Impairments) and determines whether the 17 claimant's impairment(s) meets or is the equivalent of one of the Listed Impairments. 20 C.F.R. 18 § 404.1520(a)(4)(iii), (d) and § 416.920(a)(4)(iii), (d). The Commissioner presumes the Listed 19 Impairments are severe enough to preclude any gainful activity, regardless of age, education or 20 work experience.
20 C.F.R. § 404.1525(a), § 416.925(a). If the claimant's impairment meets or 21 equals one of the Listed Impairments, and is of sufficient duration, the claimant is conclusively 22 presumed disabled.
20 C.F.R. § 404.1520(a)(4)(iii), (d), § 416.920(a)(4)(iii), (d). If the claimant's 23 1 impairment is severe, but does not meet or equal one of the Listed Impairments, the Commissioner 2 proceeds to step four. Yuckert, 482 U.S. at 141. 3 At step four, the Commissioner determines whether the claimant can still perform "past 4 relevant work."
20 C.F.R. § 404.1520(a)(4)(iv), (e), (f) and § 416.920(a)(4)(iv), (e), (f). Past
5 relevant work is that which a claimant performed in the last 15 years, which lasted long enough 6 for him or her to learn to do it, and was substantial gainful activity.
20 C.F.R. § 404.1565(a) and 7 § 416.920(a). 8 In making this determination, the Commissioner assesses the claimant's residual functional 9 capacity (RFC) and the physical and mental demands of the work previously performed. See id.; 10
20 C.F.R. § 404.1520(a)(4)(v), § 416.920(a)(4)(v); see also Berry v. Astrue,
622 F.3d 1228, 1231 11 (9th Cir. 2010). RFC is what the claimant can still do despite his or her limitations. 20 C.F.R. 12 § 404.1545 and § 416.945. In determining the RFC, the Commissioner must assess all evidence, 13 including the claimant's and others' descriptions of the limitation(s), and medical reports, to 14 determine what capacity the claimant has for work despite his or her impairments. 20 C.F.R.
15 § 404.1545(a)(3) and 416.945(a)(3). 16 A claimant can return to previous work if he or she can perform the "actual functional 17 demands and job duties of a particular pat relevant job" or "[t]he functional demands and job duties 18 of the [past] occupation as generally required by employers throughout the national economy." 19 Pinto v. Massanari,
249 F.3d 840, 845(9th Cir. 2001) (internal quotation marks and citation 20 omitted). 21 If the claimant can still do past relevant work, then he or she is not disabled. 20 C.F.R. 22 § 404.1520(f) and § 416.920(f); see also Berry, 62 F.3d at 131. 23 1 If, however, the claimant cannot perform past relevant work, the burden shifts to the 2 Commissioner to establish at step five that the claimant can perform other work available in the 3 national economy.
20 C.F.R. §§ 404.1520(e), 416.920(e); see also Yuckert, 482 U.S. at 141-42, 4 144. This means "work which exists in significant numbers either in the region where such
5 individual lives or in several regions of the country." Gutierrez v. Comm'r of Soc. Sec. Admin., 740
6 F.3d 519, 528 (9th Cir. 2014). If the claimant cannot do the work he or she did in the past, the 7 Commissioner must consider the claimant's RFC, age, education, and past work experience to 8 determine whether the claimant can do other work. Yuckert, 482 U.S. at 141-42. The 9 Commissioner may meet this burden either through the testimony of a VE or by reference to the 10 Grids. Tackett v. Apfel,
180 F.3d 1094, 1100(9th Cir. 1999). 11 If at step five the Commissioner establishes that the claimant can do other work which 12 exists in the national economy, then he or she is not disabled.
20 C.F.R. § 404.1566(b), 13 § 416.966(b). Conversely, if the Commissioner determines the claimant unable to adjust to any 14 other work, the claimant will be found disabled.
20 C.F.R. § 404.1520(g), § 416.920(g); see also
15 Lockwood, 616 F.3d at 1071; Valentine v. Comm'r of Soc. Sec. Admin.,
574 F.3d 685, 689(9th Cir. 16 2009). 17 C. Judicial Review & Substantial Evidence 18 The court must affirm the ALJ's determination if it is based on proper legal standards and 19 the findings are supported by substantial evidence in the record. Gutierrez, 740 F.3d at 522 (citing 20
42 U.S.C. § 405(g)). "Substantial evidence is 'more than a mere scintilla but less than a 21 preponderance; it is such relevant evidence as a reasonable mind might accept as adequate to 22 support a conclusion."
Id.at 523-24 (quoting Hill v. Astrue,
698 F.3d 1153, 1159(9th Cir. 2012)). 23 1 To determine whether substantial evidence exists, the court must look at the record as a 2 whole, considering both evidence that supports and undermines the ALJ's decision. Gutierrez, 740 3 F.3d at 524 (citing Mayes v. Massanari,
276 F.3d 453, 459(9th Cir. 2001)). The court "'may not 4 affirm simply by isolating a specific quantum of supporting evidence.'" Garrison v. Colvin, 759
5 F.3d 995, 1009(9th Cir. 2014) (quoting Lingenfelter v. Astrue,
504 F.3d 1028, 1035(9th Cir. 6 2007)). "'The ALJ is responsible for determining credibility, resolving conflicts in medical 7 testimony, and for resolving ambiguities.'"
Id.(quoting Andrews v. Shalala,
53 F.3d 1035, 1039 8 (9th Cir. 1995)). "If the evidence can reasonably support either affirming or reversing, 'the 9 reviewing court may not substitute its judgment' for that of the Commissioner." Gutierrez, 740 10 F.3d at 524 (quoting Reddick v. Chater,
157 F.3d 715, 720-21 (9th Cir. 1996)). That being said, "a 11 decision supported by substantial evidence will still be set aside if the ALJ did not apply proper 12 legal standards." Id. (citing Bray v. Comm'r of Soc. Sec. Admin.,
554 F.3d 1219, 1222(9th Cir. 13 2009); Benton v. Barnhart,
331 F.3d 1030, 1035(9th Cir. 2003)). In addition, the court will "review 14 only the reasons provided by the ALJ in the disability determination and may not affirm the ALJ
15 on a ground upon which he did not rely." Garrison, 759 F.3d at 1010 (citing Connett v. Barnhart, 16
340 F.3d 871, 874(9th Cir. 2003)). 17 III. DISCUSSION 18 A. ALJ's Findings in this Case 19 At step one, the ALJ found Plaintiff met the insured status requirements through 20 December 31, 2018. In addition, the ALJ determined that while Plaintiff had worked after the 21 alleged disability onset date, he had not engaged in substantial gainful activity. (AR 19.) 22 /// 23 1 At step two, the ALJ concluded Plaintiff had the following severe impairments: obesity, 2 scoliosis, degenerative disc disease of the lumbar and cervical spine, sleep apnea, and chronic 3 obstructive pulmonary disease. (AR 19.) 4 At step three, the ALJ determined Plaintiff did not have an impairment or combination of
5 impairments that met or medically equaled the severity of one of the Listed Impairments. (AR 22- 6 23.) 7 At step four, the ALJ assessed Plaintiff as having the RFC to perform light work as defined 8 in
20 C.F.R. §§ 404.1567(b), 416.967(b), except: he could lift a maximum of 20 pounds 9 occasionally and could lift and carry a maximum of 10 pounds frequently; he could stand and walk 10 six hours in an eight-hour workday; he needs to alternate between sitting and standing or walking 11 at approximately 30-minute intervals—changing positions would take one minute with no off-task 12 behavior; he is never able to climb ladders, ropes or scaffolds, or crawl; he is occasionally able to 13 stoop, kneel, and crouch; he is occasionally able to climb stairs with a railing and ramps; he is 14 frequently able to balance; he is never able to walk on uneven surfaces; he must avoid concentrated
15 exposure to extreme cold, unprotected heights, and hazardous or moving machinery. (AR 23-26.) 16 The ALJ then concluded Plaintiff was able to perform his past relevant work as an audio 17 technician as generally performed. The ALJ determined that this work was performed within 18 15 years of the date of the decision, for a sufficient length of time to learn and provide average 19 performance, and at the level of substantial gainful activity. As such, the ALJ found Plaintiff was 20 not disabled from July 1, 2013, through the date of the decision. (AR 26.) 21 B. Past Relevant Work & Substantial Gainful Activity 22 To reiterate, at step four, past relevant work is considered, and if a claimant can perform 23 past relevant work, he or she will be found not disabled.
20 C.F.R. § 404.1520(e), § 416.920(e). 1 Past relevant work is that which a claimant performed in the last fifteen years, which lasted long 2 enough for him or her to learn to do it, and was substantial gainful activity.
20 C.F.R. § 404.1565(a) 3 and § 416.920(b)(1); Lewis v. Apfel,
236 F.3d 503, 515(9th Cir. 2001). 4 “Substantial gainful activity is work activity that is both substantial and gainful.” 20 C.F.R.
5 § 404.1572. “Substantial work activity is work activity that involves doing significant physical or 6 mental activities.”
20 C.F.R. § 404.1572(a). “Gainful work activity is work activity that you do for 7 pay or profit.”
20 C.F.R. § 404.1572(b). 8 The ALJ identified Plaintiff's past relevant work as: (1) stage technician, Dictionary of 9 Occupational Titles (DOT) 692.261-014; and (2) audio technician, DOT 194.262-010. In 10 comparing Plaintiff's RFC with the physical and mental demands of the past relevant work and VE 11 testimony, the ALJ concluded that Plaintiff could perform his past relevant work as an audio 12 technician as generally performed under the DOT (but not as he actually performed it). (AR 26.) 13 Plaintiff filled out a work history report that stated he worked as an advanced audio visual 14 technician and was a member of the stagehand union since 1996. (AR 276.) Plaintiff testified that
15 he had done audio visual work his whole adult life (since 1988). Plaintiff also testified, however, 16 that he had previously performed a heavier type of work involving set up and tear down of 17 equipment for shows, and more recently he was only running the equipment and not doing the 18 former type of work. (AR 43-50.) The VE testified regarding Plaintiff's work history that he 19 previously work as a stage technician (DOT 692.261-014), and the more recent work he was 20 performing was as an audio technician (DOT 194.262-010). (AR 65.) Therefore, according to the 21 VE's testimony, the work he was performing his entire adult life does not all fall into the audio 22 technician occupation under the DOT. 23 1 Plaintiff is correct that the ALJ found at step one that Plaintiff had worked since his alleged 2 disability onset date, but this more recent work activity did not rise to the level of substantial 3 gainful activity. (AR 19.) This contradicts the ALJ's finding at step four that Plaintiff could perform 4 his past relevant work as an audio technician because to be past relevant work it must have been
5 at the substantial gainful activity level. In Bray v. Commissioner of Social Security Administration, 6
554 F.3d 1219, the Ninth Circuit indicated in a footnote that when the ALJ found that the claimant 7 worked as a grocery store clerk for less than 6 months and lost her job and that did not amount to 8 substantial gainful activity, then the ALJ could not consider the claimant's time as a grocery store 9 clerk as past relevant work given that past relevant work must involve substantial gainful activity. 10 Bray,
554 F.3d at 1221, n. 1 (citing
20 C.F.R. § 505.1560(b)(1)); see also Tran v. Astrue, No. 11 SACV 08-1336-CT,
2009 WL 1043917, at *3 (C.D. Cal. Apr. 16, 2009) ("a step-one conclusion 12 that a job does not amount to 'substantial gainful activity' precludes its use as 'past relevant work' 13 at step four.") (citing Bray). Here, the ALJ did not resolve the inconsistency between her findings 14 at steps one and four. As a result, substantial evidence does not support the ALJ's conclusion that
15 Plaintiff's past relevant work included work as an audio technician. Nor did the ALJ make any 16 alternative findings that Plaintiff could perform other work available in significant numbers in the 17 national economy at step five to support a finding of non-disability. 18 Therefore, this matter is remanded so that they ALJ may resolve the inconsistency at step 19 four, if possible, or further develop the record and make specific findings as to whether Plaintiff 20 can perform other work available in significant numbers in the national economy at step five. 21 IV. CONCLUSION 22 (1) The motion to dismiss (ECF No. 10) and amended motion to dismiss (ECF No. 11) are 23 DENIED; 1 (2) Plaintiff's motion (ECF No. 19) is GRANTED, and this matter is REMANDED to the 2 ALJ for further review consistent with this Order; 3 (3) The Commissioner's cross-motion (ECF No. 22) is DENIED; and 4 (4) The Clerk shall ENTER JUDGMENT accordingly.
5 Dated: January 23, 2020. 6 _________________________________ William G. Cobb 7 United States Magistrate Judge
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Reference
- Status
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