Charlene Bales v. Nancy Berryhill
688 F. App'x 495
| 9th Cir. | 2017Background
- Bales appeals the district court’s denial of disability benefits and SSI after SSA denial.
- The panel reviews the district court’s decision de novo and affirms.
- Bales argues new medical records should be part of the administrative record.
- The Appeals Council did not incorporate or consider the new records; it noted they did not relate to the relevant period.
- Bales challenges the ALJ’s credibility findings and the weight given to a naturopathic provider’s opinions; she also challenges determinability of mental impairment and radiculopathy.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether new medical records became part of the record | Bales contends records are part of AR. | Appeals Council did not consider or incorporate them. | Not part of the administrative record. |
| Materiality and good cause for remand | New records are material and justify remand under 42 U.S.C. § 405(g). | HALLEX does not bind; records not tied to period; no remand. | No remand; records not material. |
| ALJ credibility of claimant’s symptoms | Bales’s testimony should be fully credible. | ALJ provided specific, clear, convincing reasons to discount credibility. | Affirmed credibility assessment; reasons supported by substantial evidence. |
| Weight given to naturopathic provider | Naturopathic opinions should be given weight. | Provider is not an acceptable medical source; inconsistencies with objective evidence. | Two germane reasons supported rejection of the provider’s opinions. |
| Medical determinability and severity of mental impairment and radiculopathy | Mental impairments and radiculopathy are medically determinable and severe. | No separate severe impairments at step two; RFC accounts for limitations. | No separate step-two impairments; RFC appropriately accounts for limitations. |
Key Cases Cited
- Ghanim v. Colvin, 763 F.3d 1154 (9th Cir. 2014) (standard of review for district court decisions)
- Brewes v. Comm’r of Soc. Sec. Admin., 682 F.3d 1157 (9th Cir. 2012) (new evidence not incorporated generally not part of record)
- Moore v. Apfel, 216 F.3d 864 (9th Cir. 2000) (HALLEX not controlling; review of noncompliance limits)
- Molina v. Astrue, 674 F.3d 1104 (9th Cir. 2012) (reasons to discount credibility supported by substantial evidence)
- Tommasetti v. Astrue, 533 F.3d 1035 (9th Cir. 2008) (incongruity between opinions and medical records justifies rejection)
- Rollins v. Massanari, 261 F.3d 853 (9th Cir. 2001) (medical evidence as a factor in determining pain severity)
- Carmickle v. Comm’r, Soc. Sec. Admin., 533 F.3d 1155 (9th Cir. 2008) (harmless error rule in credibility determinations)
- Bayliss v. Barnhart, 427 F.3d 1211 (9th Cir. 2005) (RFC assessment must account for limitations supported by record)
- Bowen v. Yuckert, 482 U.S. 137 (U.S. 1987) (sequential evaluation and step-two framework)
- Mayes v. Massanari, 276 F.3d 453 (9th Cir. 2001) (burden to show materiality and good cause for remand)
