Miksch v. Massanari
Miksch v. Massanari
Opinion of the Court
MEMORANDUM
Plaintiff Frank S. Miksch applied for and was denied supplemental security income and disability benefits. He challenged the Social Security Administration’s (“SSA”) decision by requesting an administrative hearing. The Administrative Law Judge (“ALJ”) determined that Miksch “has a severe impairment of the musculo-skeletal system (cervical spine),” but found that he had “the residual functional capacity to perform sedentary work with a sit/ stand option,” and denied his application for benefits. The Social Security Administration Appeals Council denied Plaintiffs
On appeal, Plaintiff argues
We have jurisdiction under 28 U.S.C. § 1291, and we remand with instructions to the district court to remand the case to the Commissioner for consideration of additional evidence.
BACKGROUND
Frank S. Miksch was born on March 7, 1960, and was 37 years old when the ALJ issued her decision on April 23, 1997. While serving in the Navy in January 1979, Miksch suffered cervical spine (neck) injuries following an automobile accident. In October 1979, while still in the Navy, Miksch fell from a ship ladder, reinjuring his neck and injuring his back and shoulder. An x-ray taken after the fall showed “a chip fx [fracture] of the anterior body of C5 and reduction of the normal cervical lordosis [curvature].”
Miksch’s condition causes him continuous pain, exacerbated by “any long standing — seated — bending lifting of weight.” He reports that “nothing really” reheves the pain. He has “lived with this condition since 1979, and it’s getting worse every-year.”
After his discharge from the Navy in 1982, Miksch has had a number of short-term temporary jobs, but no steady, full-time employment. The work history report he submitted to the ALJ listed several positions, ranging in duration from two days to several months. Miksch testified briefly about several of these positions during his administrative hearing. He stated that he had tried to hold onto his hotel desk clerk position but “couldn’t do it, even part time” because the job required prolonged standing. He also explained that his “work” as a “theatrical agent” or “talent scout” for several months in 1992 was in lieu of his payment of rent. He was homeless at the time, and a friend provided him a place to live in return for answering phones. He received no compensation.
The documentary record before the Administrative Law Judge included, among other things, x-rays, an orthopedic evaluation conducted on referral by the California Department of Social Services, Miksch’s completed questionnaires on his employment history and functional capacities, and the treating physician’s records. Miksch saw his treating physician six ' times before the date of his hearing and sought some physical therapy.
Miksch appeared for his hearing before the ALJ on December 30, 1996. Miksch represented himself and testified. He in
On April 23, 1997, before the records arrived, the ALJ issued her decision denying Miksch’s application for benefits. In her five-step evaluation, she determined that Miksch had engaged in substantial gainful activity (Step One), that Miksch has a severe impairment of the musculo-skeletal system (cervical spine) (Step Two), that Miksch’s impairment did not meet or equal an impairment listed in the regulations (Step Three), and that Miksch could perform other work, contrary to the opinion of Miksch’s treating physician (Step Five). Based at least in part on the absence of certain medical records, the ALJ found that Miksch exaggerated his complaints. The ALJ also accepted the testimony of a vocational expert who testified at the administrative hearing that there were sufficient unskilled jobs in the national economy that Miksch could perform. She then found him not disabled.
On July 7, 1998, the Social Security Administration Appeals Council denied Miksch’s request for review, leaving the ALJ’s decision standing as the Commissioner’s final decision in his case.
On September 3, 1998, Miksch filed a complaint pro se in the U.S. District Court for the Southern District of California. Miksch submitted 43 documents to the district court on March 25, 1999, which he stated were not the “sum total of all records provided by the plaintiff[.]” The documents included the results of an MRI on his spine performed on July 24, 1997, a pulmonary consultation report from the Loma Linda University Physicians Medical Group, and his treating physician’s progress notes dated May 28, July 24, August 12, October 9, and December 1, 1997. The court denied Miksch’s motion for summary judgment and granted the Commissioner’s motion on July 9, 1999. The district court did not mention, nor is there any other indication that it considered any of the records Miksch filed in that court.
STANDARD OF REVIEW
“It is settled law that a district court’s decision to affirm, reverse or modify a determination of the Social Security Administration is reviewed de novo on appeal.” Harman v. Apfel, 211 F.3d 1172, 1174 (9th Cir. 2000). We will uphold the ALJ’s decision if it is free of legal error and supported by substantial evidence. Tonapetyan v. Halter, 242 F.3d 1144, 1147 (9th Cir. 2001).
DISCUSSION
“The ALJ in a social security case has an independent duty to fully and fairly develop the record and to assure that the claimant’s interests are considered.” To-napetyan, 242 F.3d at 1150 (internal citations and quotation marks omitted).
Neither the ALJ nor the Appeals Council
REVERSED and REMANDED, with instructions.
This disposition is not appropriate for publication and may not be cited to or by the courts of this circuit except as may be provided by 9lh Cir. R. 36-3.
. Plaintiff is now represented by counsel.
. The Appeals Council also had the authority to obtain additional evidence itself or to remand the case to the ALJ to obtain the records. 20 C.F.R. § 404.976(b)(2).
. "When the evidence we receive from your treating physician or psychologist or other medical source is inadequate for us to determine whether you are disabled, we will need additional information to reach a determination or a decision. To obtain the information, we will take the following actions.
(1) We will first recontact your treating physician or psychologist or other medical source to determine whether the additional information we need is readily available. We will seek additional evidence or clarification from your medical source when the report from your medical source contains a conflict or ambiguity that must be resolved, the report does not contain all the necessary information, or does not appear to be based on medically acceptable clinical and laboratory diagnostic techniques....” 20 C.F.R. § 404.1512(e)(1).
Case-law data current through December 31, 2025. Source: CourtListener bulk data.