Opinion

Daniel Brian Vigil v. Kilolo Kijakazi

Court
District Court, C.D. California
Filed
Aug 31, 2021
Cited by
0 cases
Authority
More cited than 18.0%

“the decision of whether to remand for further proceedings 12 turns upon the likely utility of such proceedings”

How later courts described this case

  • “the decision of whether to remand for further proceedings 12 turns upon the likely utility of such proceedings”
  • “Unless the district court 26 concludes that further administrative proceedings would serve no useful purpose, it 27 may not remand with a direction to provide benefits.”

Written by the judges who cited it.

The opinion

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8 UNITED STATES DISTRICT COURT

9 CENTRAL DISTRICT OF CALIFORNIA

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11 DANIEL V.,1 Case No. 8:20-cv-01352-GJS

12 Plaintiff

MEMORANDUM OPINION AND

13 v. ORDER

14 KILOLO KIJAKAZI, Acting

Commissioner of Social Security,2

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16 Defendant.

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I. PROCEDURAL HISTORY

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Plaintiff filed a complaint against the Commissioner of the Social Security

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Administration (“Commissioner” or “Defendant”) seeking review of the

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Commissioner’s denial of Plaintiff’s application for Disability Insurance Benefits

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(“DIB”). The parties filed consents to proceed before the undersigned United States

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Magistrate Judge [Dkts. 11, 12] and briefs addressing the disputed issues in the case

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[Dkt. 16 (“Pltf.’s Br.”), Dkt. 17 (“Def.’s Br.”), and Dkt. 18 (Pltf.’s Reply).]. The

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Court has taken the parties’ briefing under submission without oral argument. For

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1 In the interest of privacy, this Order uses only the first name and the initial of the last name

27 of the non-governmental party.

2 Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Kilolo Kijakazi, the Acting

28 Commissioner of Social Security, is hereby substituted as the defendant.

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2 further proceedings.

3 II. ADMINISTRATIVE DECISION UNDER REVIEW

4 On January 27, 2017, Plaintiff filed an application for DIB alleging that he

5 became disabled as of February 13, 2013. [Dkt. 13, Administrative Record (“AR”)

6 15, 218-219.] The Commissioner denied his claim initially on April 14, 2017 and

7 upon reconsideration on May 25, 2017. [AR 128-133.] On May 22, 2019, a hearing

8 was held before Administrative Law Judge (“ALJ”) Diana Coburn. [AR 68-96.]

9 On July 30, 2019, the ALJ issued a decision denying Plaintiff’s claim. [AR 15-32.]

10 Applying the five-step sequential evaluation process, the ALJ found that

11 Plaintiff was not disabled. See 20 C.F.R. §§ 416.920(b)-(g)(1). At step one, the

12 ALJ agreed that Plaintiff has not engaged in substantial gainful activity since

13 February 13, 2013. [AR 17.] At step two, the ALJ found that Plaintiff suffered

14 from the following severe impairments: status post head trauma with post-traumatic

15 stress disorder (“PTSD”); depression; anxiety; obesity; and degenerative joint

16 disease of the left wrist status post history of left ulnar osteotomy. [AR 18 (citing

17 20 C.F.R. § 416.920(c).] Next, the ALJ determined that Plaintiff did not have an

18 impairment or combination of impairments that meets or medically equals the

19 severity of one of the listed impairments. [AR 18.]

20 The ALJ found that Plaintiff had the residual functional capacity (RFC) to

21 perform medium work limited as follows:

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he can frequently handle with his left, non-dominant hand;

23 he is limited to simple, routine tasks; he is limited to

simple work-related decisions; he can occasionally

24 manage changes in the work setting; he is limited to

occasional decision-making; he can have occasional

25 contact with supervisors and coworkers; and he can have

no contact with the general public.

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27 [AR 22.] Applying this RFC, the ALJ found that Plaintiff is unable to perform his

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2 (DOT # 920.587-018, unskilled SVP2) and assembler (DOT # 732.684-018) and,

3 thus, is not disabled.3 [AR 31-32.]

4 Plaintiff requested review of the ALJ’s decision, and the Appeals Council

5 denied review. [AR 1-9.] This action followed.

6 III. GOVERNING STANDARD

7 Under 42 U.S.C. § 405(g), the Court reviews the Commissioner’s decision to

8 determine if: (1) the Commissioner’s findings are supported by substantial evidence;

9 and (2) the Commissioner used correct legal standards. See Carmickle v. Comm’r

10 Soc. Sec. Admin., 533 F.3d 1155, 1159 (9th Cir. 2008); Hoopai v. Astrue, 499 F.3d

11 1071, 1074 (9th Cir. 2007). Substantial evidence is “such relevant evidence as a

12 reasonable mind might accept as adequate to support a conclusion.” Richardson v.

13 Perales, 402 U.S. 389, 401 (1971) (internal citation and quotations omitted); see

14 also Hoopai, 499 F.3d at 1074.

IV. DISCUSSION

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16 Plaintiff’s sole contention is that the ALJ’s RFC failed to correctly reflect the

17 opinions of the two state agency psychological consultants, Paula Kresser, Ph.D.,

18 and Heather Hernandez, Ph.D. [Pltf.’s Br. at 5.] The question is whether an

19 inconsistency exists between Drs. Kresser and Hernandez’s opinions that Plaintiff

20 retained the ability to perform “simple and 2 step tasks in a low stress environment”

21 and the ALJ’s RFC assessment limiting Plaintiff to “simple, routine tasks” and, if

22 so, whether that inconsistency was required to be addressed by the ALJ. As

23 discussed below, the Court agrees with Plaintiff that an inconsistency exists and that

24 the ALJ failed to explain why she rejected Dr. Kresser and Dr. Hernandez’s

25 limitation to two-step instruction work.

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27 3 Both positions require Level Two reasoning on the GED scale. See DOT, App. C, (4th ed.

rev. 1991), available at DOT App’x C, 1991 WL 688702 (GED levels include a score for

28 reasoning ability that is required to perform the job, ranging from Levels 1-6 (low to high)).

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2 mental residual functional capacity assessment on April 13, 2017. [AR 103-107.]

3 Dr. Kresser opined that Plaintiff suffered from “cognitive disorders and some

4 personality changes consistent with a traumatic brain injury.” [AR 104.] With

5 regard to Plaintiff’s mental abilities, Dr. Kresser opined that Plaintiff is “not

6 significantly limited” in his ability to remember locations and work-like procedures

7 or in his ability to understand, remember, and carry out very short and simple

8 instructions. [AR 105.] However, Plaintiff had moderate limitations in his ability to

9 understand, remember, and carry out detailed instructions. Specifically, Dr. Kresser

10 stated that Plaintiff “retains the ability for simple and 2 step tasks in a low stress

11 environment with minimal or superficial interaction with others.” [AR 107.] On

12 June 15, 2017, Dr. Hernandez affirmed Dr. Kresser’s opinion on reconsideration.

13 [AR 120.]

14 The ALJ gave “great weight” to both Dr. Kresser and Dr. Hernandez’s

15 opinions as consistent with the overall record. [See AR 27-28.] However, the

16 ALJ’s RFC did not account for Dr. Kresser and Dr. Hernandez’s opinion that

17 Plaintiff only retained the ability to perform “simple and 2 step tasks.” [AR 22.]

18 Plaintiff contends that the ALJ erred by failing to offer any explanation as to why

19 this limitation was omitted from the RFC.

20 A claimant’s RFC is the most a claimant can still do despite his limitations.

21 Smolen v. Chater, 80 F.3d 1273, 1291 (9th Cir. 1996) (citing 20 C.F.R. §

22 416.945(a); SSR 96-8p (an RFC assessment is ordinarily the “maximum remaining

23 ability to do sustained work activities in an ordinary work setting on a regular and

24 continuing basis,” meaning “8 hours a day, for 5 days a week, or an equivalent work

25 schedule”)). In assessing a claimant’s RFC, the ALJ must consider all of the

26 relevant evidence in the record. See 20 C.F.R. § 416.945(a)(2), (3). If a RFC

27 assessment conflicts with an opinion from a medical source, the ALJ “must explain

28 why the opinion was not adopted.” SSR 96-8p; see also Vincent v. Heckler, 739

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2 discuss all the evidence presented, but must explain the rejection of uncontroverted

3 medical evidence, as well as significant probative evidence).

4 Here, although the ALJ purportedly found Dr. Kresser’s and Dr. Hernandez’s

5 opinion regarding Plaintiff’s mental limitations to be entitled to great weight, the

6 ALJ failed to explain why she did not include the limitation to two-step instruction

7 work in the RFC assessment. See SSR 96-8p; see also Vincent, 739 F.2d at 1394-

8 95. Instead, she limited Plaintiff to “simple, routine tasks.” However, Ninth Circuit

9 law makes clear that these two limitations are not equivalent.

10 In Rounds v. Commissioner Social Security Administration, the ALJ’s RFC

11 determination limited the plaintiff to “one to two-step tasks.” Rounds v. Comm’r

12 Soc. Sec. Admin., 807 F.3d 996, 1003 (9th Cir. 2015). A vocational expert testified

13 that the plaintiff could perform jobs like a kitchen helper, hand packager, and

14 recycler—all requiring Level Two reasoning on the GED scale (“ability to carry out

15 detailed but uninvolved written oral instructions”). Id. at 1002. On appeal, plaintiff

16 argued that the RFC limitation to “one to two-step tasks” matched Level One

17 reasoning (“ability to carry out simple one–or two-step instructions”) and, therefore,

18 she could not as a matter of law perform the Level Two jobs identified by the

19 vocational expert. Id. at 1103. The Ninth Circuit agreed and found a conflict

20 between the RFC limit to “one and two step tasks” tasks and the vocational expert’s

21 selection of Level Two reasoning jobs, given the “close similarity” between the

22 RFC limitation and Level One reasoning. Id. Rounds shows that a significant

23 distinction exists between Level One and Level Two reasoning jobs, with Level One

24 jobs typically lining up with the ability to perform one or two step job instructions.

25 In other words, a limitation to one and two–step instruction work is more restrictive

26 than a limitation to simple, routine tasks.

27 Based on the reasoning in Rounds and its progeny, the Court concludes that

28 the ALJ erred with respect to the opinions of Dr. Kresser and Dr. Hernandez. See

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2 WL 3689560, at *3 (C.D. Cal. July 31, 2018) (noting critical distinction between a

3 limitation to “simple, routine and repetitive tasks” and a limitation to “one- or two-

4 step instructions”); Wilson v. Colvin, No. 16-cv-01971-WHO, 2017 U.S. Dist.

5 LEXIS 70895, 2017 WL 1861839, at *6-*7 (N.D. Cal. May 9, 2017) (collecting

6 cases and finding “significant distinction between limitations to one-to two-step

7 instructions and RFCs allowing performance of simple, repetitive tasks”); Garcia v.

8 Colvin, No. CV 16-00652-JEM, 2016 WL 6304626, at *6 (C.D. Cal. Oct. 27, 2016)

9 (“the ALJ’s simple, repetitive tasks RFC limitation is consistent with Dr. Deaver’s

10 ‘simple, routine non-stressful work’ opinion [] but plainly inconsistent with his

11 ‘easy 1, 2 step directions’ limitation which the ALJ decision never mentions. The

12 ALJ necessarily rejected the latter limitation without any explanation as required by

13 Social Security regulations.”).

14 To the extent that the ALJ accepted the opinion that Plaintiff is limited to

15 simple and two-step work, the ALJ’s RFC assessment does not account for that

16 limitation. [AR 22.] To the extent that the ALJ rejected that portion of state agency

17 consultants’ opinions, she erred by failing to provide any reasons for doing so. The

18 Social Security Act tasks the ALJ with determining the credibility of medical

19 testimony and resolving conflicting evidence and ambiguities. Reddick v. Charter,

20 157 F.3d 715, 722 (9th Cir. 1998). An ALJ “may reject the opinion of a non-

21 examining physician by reference to specific evidence in the medical record.”

22 Sousa v. Callahan, 143 F.3d 1240, 1244 (9th Cir. 1998). Here, the ALJ did not

23 articulate reasons for rejecting that portion of state agency consultants’ opinions, as

24 required by Social Security regulations. SSR 96-8p, at *7, 1996 WL 374184 (“If the

25 RFC assessment conflicts with an opinion from a medical source, the adjudicator

26 must explain why the opinion was not adopted”); see also Dale v. Colvin, 823 F.3d

27 941, 944-46 (9th Cir. 2016).

28 In response, the Commissioner argues that the state agency psychological

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2 1 to 2 step tasks. Rather, they opined that Plaintiff retained the ability to perform

3 “simple and 2 step tasks.” [AR 107, 122.] Defendant suggests that given that the

4 stated opinions were more akin to the minimum Plaintiff could perform and not a

5 maximum, the ALJ was free to “reasonably interpret” these findings as supportive

6 of a “simple, routine, tasks” RFC. [Def.’s Br. at 2]; see Ford v. Saul, 950 F.3d

7 1141, 1154 (9th Cir. 2020) (“[i]f the evidence ‘is susceptible to more than one

8 rational interpretation, it is the ALJ’s conclusion that must be upheld”). This

9 argument fails for two reasons.

10 First, the sole job of the “reviewing physicians” is to “read medical evidence

11 in claimants’ case files, decide whether or not the claimants’ impairments meet or

12 equal the Listings, and determine the claimants’ Residual Functional Capacities.”

13 Carolyn A. Kubitschek & Jon C. Dubin, Social Security Disability Law and

14 Procedure in Federal Court § 2:28 (2021) (“Review Physicians”). As mentioned

15 above, a claimant’s RFC is “the most [a claimant] can still do despite [his]

16 limitations.” 20 C.F.R. §§ 404.1545(a), 416.945(a); see also 20 C.F.R. Part 404,

17 Subpart P, Appendix 2, § 200.00(c) (defining an RFC as the “maximum degree to

18 which the individual retains the capacity for sustained performance of the physical-

19 mental requirements of jobs”). Thus, any suggestion that the reviewing physicians

20 RFC assessment stated an opinion about the minimum Plaintiff could do is far from

21 reasonable and contrary to the definition of an RFC.

22 Second, even if the Court could credit Defendant’s argument here, the ALJ

23 was still required to give a reasoned explanation of why she was rejecting the stated

24 opinion of the state agency consultants, despite her apparent acceptance of their

25 opinions. The ALJ gave no reason to disregard Dr. Kresser’s and Dr. Hernandez’s

26 opinion regarding Plaintiff’s ability to perform two-step tasks. The Commissioner’s

27 post-hoc attempt to buttress the ALJ’s decision is not sufficient.

28 Accordingly, the Court finds that the ALJ erred with respect to Dr. Kresser’s

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2 that the vocational expert testified that Plaintiff could perform jobs like packer and

3 assembler—both requiring Level Two reasoning on the GED scale (not Level One

4 reasoning). Accordingly, remand is warranted.

5 V. CONCLUSION

6 The decision of whether to remand for further proceedings or order an

7 immediate award of benefits is within the district court’s discretion. Harman v.

8 Apfel, 211 F.3d 1172, 1175-78 (9th Cir. 2000). When no useful purpose would be

9 served by further administrative proceedings, or where the record has been fully

10 developed, it is appropriate to exercise this discretion to direct an immediate award

11 of benefits. Id. at 1179 (“the decision of whether to remand for further proceedings

12 turns upon the likely utility of such proceedings”). But when there are outstanding

13 issues that must be resolved before a determination of disability can be made, and it

14 is not clear from the record the ALJ would be required to find the claimant disabled

15 if all the evidence were properly evaluated, remand is appropriate. Id. A remand

16 for an immediate award of benefits is appropriate “only in ‘rare circumstances.’”

17 Brown-Hunter v. Colvin, 806 F.3d 487, 495 (9th Cir. 2015).

18 The Court finds that remand is appropriate because the circumstances of this

19 case do not preclude the possibility that further administrative review of the

20 opinions of Drs. Kresser and Hernandez and the VE’s testimony could remedy the

21 ALJ’s errors. The Court therefore declines to exercise its discretion to remand for

22 an immediate award of benefits. See INS v. Ventura, 537 U.S. 12, 16 (2002) (upon

23 reversal of an administrative determination, the proper course is remand for

24 additional agency investigation or explanation, “except in rare circumstances”);

25 Dominguez v. Colvin, 808 F.3d 403, 407 (9th Cir. 2015) (“Unless the district court

26 concludes that further administrative proceedings would serve no useful purpose, it

27 may not remand with a direction to provide benefits.”).

28 For all of the foregoing reasons, IT IS ORDERED that:

1 (1) the Decision of the Commissioner is REVERSED and this matter

2 REMANDED pursuant to sentence four of 42 U.S.C. § 405(g) for further

3 administrative proceedings consistent with this Memorandum Opinion and

4 Order; and

5 (2) Judgment be entered in favor of Plaintiff.

6 IT IS SO ORDERED.

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8 || DATED: August 31, 2021

10 GAIL J. STANDISH

UNITED STATES MAGISTRATE JUDGE

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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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