holding that a limitation to “one-and two-step tasks” 27 conflicts with the demands of Level Two reasoning”
How later courts described this case
- holding that a limitation to “one-and two-step tasks” 27 conflicts with the demands of Level Two reasoning”
- describing five-step sequential evaluation process
- ALJ error harmless if (1) inconsequential to the ultimate 27 || nondisability determination; or (2) ALJ’s path may reasonably be discerned 28 || despite the error
- noting such “ordinary remand rule” applies in 28 | Social Security cases
Written by the judges who cited it.
The opinion
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UNITED STATES DISTRICT COURT
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CENTRAL DISTRICT OF CALIFORNIA
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11 WALTER R.,1 Case No. 5:19-cv-00394-JC
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Plaintiff, MEMORANDUM OPINION AND
13 ORDER OF REMAND
v.
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15 ANDREW SAUL,2 Commissioner
of Social Security Administration,
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Defendant.
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18 I. SUMMARY
19 On March 1, 2019, plaintiff Walter R. filed a Complaint seeking review of
20 the Commissioner of Social Security’s denial of plaintiff’s applications for
21 benefits. The parties have consented to proceed before the undersigned United
22 States Magistrate Judge.
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1Plaintiff’s name is partially redacted to protect his privacy in compliance with Federal
25 Rule of Civil Procedure 5.2(c)(2)(B) and the recommendation of the Committee on Court
Administration and Case Management of the Judicial Conference of the United States.
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27 2Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Commissioner Andrew
Saul is hereby substituted for Acting Commissioner Nancy A. Berryhill as the defendant in this
28 action.
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1 This matter is before the Court on the parties’ cross motions for summary
2 judgment, respectively (“Plaintiff’s Motion”) and (“Defendant’s Motion”)
3 (collectively “Motions”). The Court has taken the Motions under submission
4 without oral argument. See Fed. R. Civ. P. 78; L.R. 7-15; March 5, 2019 Case
5 Management Order ¶ 5.
6 Based on the record as a whole and the applicable law, the decision of the
7 Commissioner is REVERSED AND REMANDED for further proceedings
8 consistent with this Memorandum Opinion and Order of Remand.
9 II. BACKGROUND AND SUMMARY OF ADMINISTRATIVE
10 DECISION
11 On November 16, 2015, plaintiff filed applications for Disability Insurance
12 Benefits and Supplemental Security Income, alleging disability beginning on
13 June 1, 2014, due to stenosis of the spine, sleep deprivation, neuropathy, ADHD,
14 and bipolar disorder.3 (AR 197, 204, 210, 212, 250). Plaintiff later alleged a new
15 condition, “sc[h]izoaffective bipolar nonconsildate [sic] mixed severe systematiz
16 [sic],” beginning on June 30, 2016. (AR 311). The ALJ examined the medical
17 record and heard testimony from plaintiff (who was represented by counsel) and a
18 vocational expert. (AR 38-63).
19 On May 4, 2018, the ALJ determined that plaintiff was not disabled through
20 the date of the decision. (AR 20-32). Specifically, the ALJ found: (1) plaintiff
21 suffered from the severe impairments of stenosis of the lumbar spine; neuropathy;
22 major depressive disorder; adjustment disorder; bipolar I disorder; schizoaffective
23 disorder; and anxiety (AR 22); (2) plaintiff’s impairments, considered individually
24 or in combination, did not meet or medically equal a listed impairment (AR 23);
25 (3) plaintiff retained the residual functional capacity to perform light work (20
26
27 3Plaintiff requested withdrawal of his disability claim on November 24, 2015 due to his
intent to continue working, but requested reinstatement of his claim on February 5, 2016.
28 (Administrative Record (“AR”) 215, 217).
2
1 C.F.R. §§ 404.1567(b) and 416.967(b)) with additional limitations4 (AR 25);
2 (4) plaintiff could not perform any past relevant work (AR 30); (5) plaintiff could
3 perform jobs that exist in significant numbers in the national economy, such as
4 mail sorter, bench assembler, and swatch clerk (AR 30-31); and (6) plaintiff’s
5 statements regarding the intensity, persistence, and limiting effects of subjective
6 symptoms were not entirely consistent with or supported by the evidence of record
7 (AR 28-29).
8 On January 8, 2019, the Appeals Council denied plaintiff’s application for
9 review. (AR 1-6).
10 III. APPLICABLE LEGAL STANDARDS
11 A. Administrative Evaluation of Disability Claims
12 To qualify for disability benefits, a claimant must show that he is unable “to
13 engage in any substantial gainful activity by reason of any medically determinable
14 physical or mental impairment which can be expected to result in death or which
15 has lasted or can be expected to last for a continuous period of not less than 12
16 months.” Molina v. Astrue, 674 F.3d 1104, 1110 (9th Cir. 2012) (quoting
17 42 U.S.C. § 423(d)(1)(A)) (internal quotation marks omitted); 20 C.F.R.
18 §§ 404.1505(a), 416.905. To be considered disabled, a claimant must have an
19 impairment of such severity that he is incapable of performing work the claimant
20 previously performed (“past relevant work”) as well as any other “work which
21 exists in the national economy.” Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir.
22 1999) (citing 42 U.S.C. § 423(d)).
23
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4The ALJ also determined that plaintiff (i) could frequently climb ramps and stairs;
25 (ii) could never climb ladders, ropes or scaffolds; (iii) could frequently balance, stoop, kneel or
crouch; (iv) could occasionally crawl; (v) could have no concentrated exposure to extreme cold,
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hazards such as moving machinery or unprotected heights or pulmonary irritants such as dust,
27 gases, fumes, poor ventilation etc.; (vi) could occasionally interact with supervisors, co-workers
and the general public; (vii) required a sit-stand option, changing positions once per hour for ten
28 minutes while remaining on task; and (viii) could perform simple repetitive tasks. (AR 25).
3
1 To assess whether a claimant is disabled, an ALJ is required to use the five-
2 || step sequential evaluation process set forth in Social Security regulations. See
3 || Stout v. Commissioner, Social Security Administration, 454 F.3d 1050, 1052 (9th
4 || Cir. 2006) (describing five-step sequential evaluation process) (citing 20 C.F.R. §§
5 || 404.1520, 416.920). The claimant has the burden of proof at steps one through
6 || four —7.e., determination of whether the claimant was engaging in substantial
7 || gainful activity (step 1), has a sufficiently severe impairment (step 2), has an
8 || impairment or combination of impairments that meets or medically equals one of
9 || the conditions listed in 20 C.F.R. Part 404, Subpart P, Appendix 1 (“Listings’’)
10 || (step 3), and retains the residual functional capacity to perform past relevant work
11 || (step 4). Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005) (citation omitted).
12 || The Commissioner has the burden of proof at step five —i.e., establishing that the
13 || claimant could perform other work in the national economy. Id.
14 B. Federal Court Review of Social Security Disability Decisions
15 A federal court may set aside a denial of benefits only when the
16 || Commissioner’s “final decision” was “based on legal error or not supported by
17 || substantial evidence in the record.” 42 U.S.C. § 405(g); Trevizo v. Berryhill, 871
18 || F.3d 664, 674 (9th Cir. 2017) (citation and quotation marks omitted). The
19 || standard of review in disability cases is “highly deferential.” Rounds v.
20 || Commissioner of Social Security Administration, 807 F.3d 996, 1002 (9th Cir.
21 || 2015) (citation and quotation marks omitted). Thus, an ALJ’s decision must be
22 || upheld if the evidence could reasonably support either affirming or reversing the
23 || decision. Trevizo, 871 F.3d at 674-75 (citations omitted). Even when an ALJ’s
24 || decision contains error, it must be affirmed if the error was harmless. See
25 || Treichler v. Commissioner of Social Security Administration, 775 F.3d 1090,
26 | 1099 (9th Cir. 2014) (ALJ error harmless if (1) inconsequential to the ultimate
27 || nondisability determination; or (2) ALJ’s path may reasonably be discerned
28 || despite the error) (citation and quotation marks omitted).
Substantial evidence is “such relevant evidence as a reasonable mind might
2 || accept as adequate to support a conclusion.” Trevizo, 871 F.3d at 674 (defining
3 | “substantial evidence” as “more than a mere scintilla, but less than a
4 || preponderance’) (citation and quotation marks omitted). When determining
5 || whether substantial evidence supports an ALJ’s finding, a court “must consider the
6 || entire record as a whole, weighing both the evidence that supports and the
7 || evidence that detracts from the Commissioner’s conclusion[.]” Garrison v.
8 | Colvin, 759 F.3d 995, 1009 (9th Cir. 2014) (citation and quotation marks omitted).
9 Federal courts review only the reasoning the ALJ provided, and may not
10 || affirm the ALJ’s decision “on a ground upon which [the ALJ] did not rely.”
11 | Trevizo, 871 F.3d at 675 (citations omitted). Hence, while an ALJ’s decision need
12 || not be drafted with “ideal clarity,” it must, at a minimum, set forth the ALJ’s
13 || reasoning “in a way that allows for meaningful review.” Brown-Hunter v. Colvin,
14 || 806 F.3d 487, 492 (9th Cir. 2015) (citing Treichler, 775 F.3d at 1099).
15 A reviewing court may not conclude that an error was harmless based on
16 || independent findings gleaned from the administrative record. Brown-Hunter, 806
17 || F.3d at 492 (citations omitted). When a reviewing court cannot confidently
18 || conclude that an error was harmless, a remand for additional investigation or
19 || explanation is generally appropriate. See Marsh v. Colvin, 792 F.3d 1170, 1173
20 | (9th Cir. 2015) (citations omitted).
21] 1V. DISCUSSION
22 Plaintiff contends that the ALJ erred in accepting the vocational expert’s
23 || testimony that plaintiff could perform other work. (Plaintiff’s Motion at 5-11).
24 || Specifically, plaintiff argues that (1) the ALJ’s residual functional capacity
25 || assessment limiting plaintiff to simple repetitive tasks conflicts with the State
26 || agency opinion limiting plaintiff to “simple one to two step (unskilled) tasks,”
27 || which the ALJ failed to explain (Plaintiff's Motion at 6-7); (2) the ALJ failed to
28 || resolve a conflict between the Dictionary of Occupational Titles and the testimony
1 of the vocational expert regarding the alternative work of bench assembler
2 (Plaintiff’s Motion at 7-8); and (3) the alternative work identified by the
3 vocational expert are Reasoning Level 2 and 3 jobs, which conflicts with a
4 limitation to simple one to two step (unskilled) tasks (Plaintiff’s Motion at 8-9).
5 The Court agrees that a remand is warranted.
6 A. Pertinent Law
7 In order to evaluate whether a claimant is able to adjust to other work that
8 exists in significant numbers at step five, an ALJ must first determine the
9 claimant’s residual functional capacity (“RFC”). RFC represents “the most [a
10 claimant] can still do despite [his] limitations.” 20 C.F.R. §§ 404.1545(a)(1),
11 416.945(a)(1). When assessing RFC, an ALJ must evaluate “on a function-
12 by-function basis” how particular impairments affect a claimant’s abilities to
13 perform basic physical, mental, or other work-related functions. SSR 96-8p at *1
14 (citing, in part, 20 C.F.R. §§ 404.1545, 416.945). An ALJ must consider all
15 relevant evidence in the record, including medical records, lay evidence, and the
16 effects of a claimant’s subjective symptoms (e.g., pain), that may reasonably be
17 attributed to a medically determinable impairment. Robbins v. Social Security
18 Administration, 466 F.3d 880, 883 (9th Cir. 2006) (citations omitted); see 20
19 C.F.R. §§ 404.1545(a)(1), 416.945(a)(1) (residual functional capacity is assessed
20 “based on all of the relevant evidence in [the] case record”). If an RFC assessment
21 conflicts with an opinion from a medical source, the ALJ “must explain why the
22 opinion was not adopted.” SSR 96-8p; see also Vincent v. Heckler, 739 F.2d
23 1393, 1394-95 (9th Cir. 1984) (an ALJ must explain the rejection of
24 uncontroverted medical evidence, as well as significant probative evidence).
25 B. Pertinent Facts
26 On April 18, 2016, K.J. Loomis, DO, Psychiatrist, a State agency medical
27 consultant, opined that plaintiff “is capable of understanding, remembering and
28 carrying out simple one to two step (unskilled) tasks;” “maintain[ing]
6
1 concentration, persistence and pace throughout a normal workday/workweek as
2 related to simple/unskilled tasks;” “interact[ing] adequately with coworkers and
3 supervisors but may have difficulty dealing with the demands of general public
4 contact;” and “mak[ing] adjustments and avoid[ing] hazards in the workspace.”
5 (AR 76).
6 On July 13, 2016, L.O. Mallare, MD, a State agency medical consultant,
7 affirmed Dr. Loomis’s opinion on reconsideration, finding plaintiff capable of
8 simple repetitive tasks with limited public contact. (AR 107).
9 The ALJ gave “great weight” to the opinions of Dr. Loomis and Dr.
10 Mallare, finding them “consistent with the other evidence of record as a whole.”
11 (AR 28).
12 C. Analysis
13 Here, the relevant question is whether there is an inconsistency between Dr.
14 Loomis’s limitation to “simple one to two step (unskilled) tasks” and the ALJ’s
15 RFC assessment limiting plaintiff to “simple repetitive tasks,” and if so, whether
16 the ALJ was required to address such inconsistency.
17 A limitation to “simple one to two step (unskilled) tasks” and a limitation to
18 “simple repetitive tasks” are not the same. See, e.g., Perez v. Berryhill, 2018 WL
19 1918539, at *2 (C.D. Cal. Apr. 23, 2018) (finding limitation to “simple 1-2 step
20 tasks” and “simple, routine tasks” “not equivalent”); Garcia v. Colvin, 2016 WL
21 6304626, at *6 (C.D. Cal. Oct. 27, 2016) (noting a “material difference between
22 ‘simple, repetitive tasks’ and ‘easy 1, 2 step directions’”). A limitation to “simple
23 one to two step (unskilled) tasks” is more restrictive, as such a limitation is
24 typically consistent with Level One reasoning jobs, and a limitation to “simple
25 repetitive tasks” is typically consistent with Level Two reasoning jobs. See
26 Rounds, 807 F.3d at 1003 (holding that a limitation to “one-and two-step tasks”
27 conflicts with the demands of Level Two reasoning”); Abrew v. Astrue, 303 F.
28 App’x 567, 569 (9th Cir. 2008) (finding no conflict between ALJ’s determination
7
1 || that claimant could complete “simple tasks” and vocational expert’s testimony that
2 || claimant could perform jobs requiring Level Two reasoning); Grigsby v. Astrue,
3 || 2010 WL 309013, at *2 (C.D. Cal. Jan. 22, 2010) (“Level 2 reasoning jobs may be
4 || simple, but they are not limited to one-or two-step instructions. The restriction to
5 || jobs involving no more than two-step instructions is what distinguishes Level 1
6 || reasoning from Level 2 reasoning.”); see also Perez, 2018 WL 1918539, at *2;
7 || Garcia, 2016 WL 6304626, at *6. Thus, the ALJ’s RFC limitation to simple
8 || repetitive tasks 1s inconsistent with Dr. Loomis’s limitation to “simple one to two
9 || step (unskilled) tasks,” which the ALJ rejected without explanation.
10 Defendant argues that it was not error for the ALJ to choose Dr. Mallare’s
11 opinion that plaintiff could perform simple repetitive tasks over Dr. Loomis’s
12 | opinion that plaintiff could perform “simple one to two step (unskilled) tasks.”
13 || (Defendant’s Motion at 3). The problem with this argument is that the ALJ gave
14 | both opinions “significant weight” and did not appear to recognize any difference
15 | between Dr. Loomis’s limitations and Dr. Mallare’s limitations. Given that the
16 || RFC conflicted with Dr. Loomis’s opinion, the ALJ was required to explain why
17 || he rejected the limitation to “simple one to two step (unskilled) tasks.” See SSR
18 || 96-8p.
19 The ALJ’s failure to explain the conflict was not harmless. The vocational
20 || expert testified that plaintiff could perform the jobs of mail sorter, a Level Three
21 || reasoning job, bench assembler, and swatch clerk, Level Two reasoning jobs. (AR
22 || 59; DICOT Nos. 209.687-026, 706.684-022, 222.587-050). None of these jobs is
23 || consistent with “simple one to two step (unskilled) tasks.” See Rounds, 807 F.3d
24 | at 1003. Accordingly, a remand is warranted. See Jones v. Berryhill, 2018 WL
25 || 3689560, at *3 (C.D. Cal. July 31, 2018) (remanding where ALJ failed to explain
26 || why RFC assessment for “simple, routine tasks” did not account for State agency
27 || opinion that claimant could understand, remember, and carry out two-step
28 || commands, despite ALJ’s apparent acceptance of the opinion); Perez, 2018 WL
1 || 1918539, at *3 (remanding where ALJ failed to explain why RFC assessment for
2 || “simple, routine tasks” did not account for State agency opinion that claimant was
3 || limited to one and two-step instruction work, despite ALJ’s apparent acceptance of
4 || the opinion); Garcia, 2016 WL 6304626, at *7 (remanding where ALJ failed to
5 || explain rejection of State agency opinion that plaintiff was limited to “easy 1, 2
6 || step directions” and ALJ “conflated that specific limitation into [an RFC for]
7 || “simple repetitive tasks”); see also Wilson v. Colvin, 2017 WL 1861839, at *6
8 | (N.D. Cal. May 9, 2017) (“Following Rounds, a number of district courts in this
9 || Circuit have reversed ALJ decisions imposing a ‘simple, repetitive tasks’ RFC
10 || limit where the ALJs fail to address and distinguish conclusions by doctors that
11 | claimants can perform one-and-two step instructions.” (collecting cases)).°
CONCLUSION
13 For the foregoing reasons, the decision of the Commissioner of Social
14 || Security is REVERSED and this matter is REMANDED for further administrative
15 || action consistent with this Opinion.°
16 LET JUDGMENT BE ENTERED ACCORDINGLY.
17
18 | DATED: December 18, 2019
19
20 IS
Honorable Jacqueline Chooljian
21 UNITED STATES MAGISTRATE JUDGE
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23 °The Court need not, and has not adjudicated plaintiffs other challenges to the ALJ’s
24 || decision, except insofar as to determine that a reversal and remand for immediate payment of
5 benefits would not be appropriate.
5
6 °When a court reverses an administrative determination, “the proper course, except in rare
circumstances, is to remand to the agency for additional investigation or explanation.”
27 || Immigration & Naturalization Service v. Ventura, 537 U.S. 12, 16 (2002) (citations and
quotations omitted); Treichler, 775 F.3d at 1099 (noting such “ordinary remand rule” applies in
28 | Social Security cases) (citations omitted).