Bertha Elizarraras v. Nancy A. Berryhill
2:19-cv-05133
C.D. Cal.Apr 29, 2020Background
- Plaintiff filed for DIB (protective filing July 22, 2015) alleging onset May 6, 2011; last insured date December 31, 2016. Hearing held April 24, 2018.
- ALJ found severe impairments: lumbar degenerative disc disease, lumbar osteoporosis, diabetes, and hypertension. ALJ found no listed impairment met or equaled.
- ALJ assessed an RFC for light work with limitations (20 lbs occasional/10 lbs frequent; sit/stand/walk 6 hours/8; frequent pushing/pulling and ramps/stairs; occasional ladders/stoops/kneel/crawl; must avoid hazards).
- ALJ concluded Plaintiff could perform her past work as a claims adjudicator and, alternatively, other jobs existed in significant numbers; the Appeals Council denied review.
- Plaintiff challenged the ALJ’s evaluation of her subjective symptom testimony, the physician-opinion analysis, and the RFC. The district court reviewed and remanded for further administrative proceedings.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| 1. ALJ's evaluation of Plaintiff's subjective symptom testimony | ALJ failed to give specific, clear, and convincing reasons to reject Plaintiff’s testimony about pain, fatigue, and anxiety. | ALJ permissibly discounted testimony based on inconsistencies with daily activities, lack of treatment, and objective medical evidence. | Court: ALJ erred. Daily-activity finding was unsupported and non-specific; ALJ failed to consider Plaintiff’s uncontradicted explanation she could not afford mental-health treatment; objective inconsistency alone is insufficient. Testimony must be reassessed. Remand warranted. |
| 2. Evaluation of physician opinions | Plaintiff argued ALJ improperly weighed medical opinion evidence (affecting RFC). | Commissioner defended ALJ’s opinion assignments (not fully argued in district court filing). | Court did not resolve on merits; remanded so ALJ can reassess opinions after properly evaluating claimant’s testimony and the record. |
| 3. RFC determination and step‑four/five findings | RFC did not account for credited symptom testimony; step‑four/ five findings therefore unreliable. | Commissioner maintained RFC was supported by record and supported step‑four/ five findings. | Court: Because the ALJ must reassess credibility and medical-opinion evidence, RFC and vocational findings must be reevaluated on remand. |
Key Cases Cited
- Brown-Hunter v. Colvin, 806 F.3d 487 (9th Cir. 2015) (ALJ must set forth reasons permitting meaningful judicial review of credibility findings)
- Treichler v. Comm'r Soc. Sec. Admin., 775 F.3d 1090 (9th Cir. 2014) (requiring specific, clear, and convincing reasons to reject testimony absent malingering)
- Garrison v. Colvin, 759 F.3d 995 (9th Cir. 2014) (caution in relying on ordinary daily activities to discredit pain testimony)
- Orn v. Astrue, 495 F.3d 625 (9th Cir. 2007) (daily activities must be shown transferable to work to discredit testimony)
- Warre v. Comm'r Soc. Sec. Admin., 439 F.3d 1001 (9th Cir. 2006) (cannot deny benefits for failing to obtain treatment claimant cannot afford)
- Rollins v. Massanari, 261 F.3d 853 (9th Cir. 2001) (court will not second-guess reasonable ALJ credibility determinations)
- Molina v. Astrue, 674 F.3d 1104 (9th Cir. 2012) (substantial-evidence standard and harmless error principles)
- Stout v. Comm'r, Soc. Sec. Admin., 454 F.3d 1050 (9th Cir. 2006) (crediting testimony may require award of benefits only when record compels that result)
