Karen Lambert v. Andrew Saul
980 F.3d 1266
| 9th Cir. | 2020Background
- Karen Lambert had been found disabled in 2005 due to rheumatoid arthritis and received benefits; the SSA concluded in a continuing disability review that her disability ended on January 1, 2015.
- Lambert testified at an ALJ hearing that she continues to suffer debilitating pain, limited mobility, and daily-activity restrictions; she submitted treating records and records of surgeries and injections.
- State-agency medical consultants concluded Lambert could perform substantial work (including extended walking/standing); the ALJ gave those consultant opinions little weight.
- The ALJ found Lambert unable to perform past relevant work but capable of modified light work, and he rejected Lambert’s symptom testimony as not entirely consistent with the record.
- Appeals Council denied review; district court affirmed the ALJ; Lambert appealed to the Ninth Circuit.
- The Ninth Circuit held (1) there is no presumption of continuing disability because the SSA’s post-1984 interpretive rule is reasonable and entitled to Chevron/Brand X deference, but (2) the ALJ erred by failing to provide specific, clear, and convincing reasons for discounting Lambert’s testimony and remanded for further proceedings.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether a prior finding of disability creates a presumption that disability continues in a continuing-disability review | Lambert: prior 2005 disability creates a presumption of continuing disability that the SSA must overcome | SSA/Saul: the 1984 Reform Act and SSA implementing rules/preamble foreclose any presumption; ALJ acted correctly without applying one | No presumption; SSA’s interpretation that determinations must be neutral is reasonable and gets Chevron/Brand X deference, displacing prior judge-made presumption (Patti/Bellamy) |
| Whether the ALJ gave legally sufficient reasons to reject Lambert’s symptom testimony | Lambert: ALJ failed to identify which testimony was discredited and did not explain evidence undermining it | Saul: ALJ explained inconsistencies between her reports, treatment, and medical evidence | ALJ erred—must identify specific testimony disbelieved and give specific, clear, convincing reasons; error not harmless; remand required |
Key Cases Cited
- Patti v. Schweiker, 669 F.2d 582 (9th Cir. 1982) (announced a presumption of continuing disability)
- Bellamy v. Secretary of Health & Human Servs., 755 F.2d 1380 (9th Cir. 1985) (applied presumption in benefit-termination context)
- Chevron U.S.A., Inc. v. Natural Res. Def. Council, 467 U.S. 837 (1984) (agency statutory interpretation deferential framework)
- Nat’l Cable & Telecomms. Ass’n v. Brand X Internet Servs., 545 U.S. 967 (2005) (prior judicial construction yields to reasonable agency interpretation unless statute unambiguous)
- Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090 (9th Cir. 2014) (standard for reviewing ALJ credibility determinations)
- Brown-Hunter v. Colvin, 806 F.3d 487 (9th Cir. 2015) (ALJ must identify specific testimony discredited and explain which evidence undermines it)
- Warren v. Bowen, 804 F.2d 1120 (9th Cir. 1986) (interpreting post-1984 statutory/regulatory framework on presumption question)
