the “HALLEX does not impose judicially enforceable duties on either the ALJ or this court”
How later courts described this case
- the “HALLEX does not impose judicially enforceable duties on either the ALJ or this court”
- the HALLEX “does not carry the force of law and [is] not binding upon the agency”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF OREGON
MARK S.,1 3:19-cv-00629-BR
Plaintiff, OPINION AND ORDER
v.
Commissioner, Social
Security Administration,
Defendant.
KEVIN KERR
Schneider Kerr & Robichaux
P.O. Box 14490
Portland, OR 97293
(503) 255-9092
Attorneys for Plaintiff
BILLY J. WILLIAMS
United States Attorney
RENATA GOWIE
Assistant United States Attorney
1000 S.W. Third Avenue, Suite 600
Portland, OR 97204-2902
(503) 727-1021
1 In the interest of privacy this Court uses only the first
name and the initial of the last name of the nongovernmental
party in this case.
1 - OPINION AND ORDER
MICHAEL W. PILE
Acting Regional Chief Counsel
JACOB PHILLIPS
Special Assistant United States Attorney
Social Security Administration
701 Fifth Avenue, Suite 2900, M/S 221A
Seattle, WA 98104
(206) 615-2274
Attorneys for Defendant
BROWN, Senior Judge.
Plaintiff Mark S. seeks judicial review of a final decision
of the Commissioner of the Social Security Administration (SSA)
in which he denied Plaintiff's application for Disability
Insurance Benefits (DIB) under Title II of the Social Security
Act. This Court has jurisdiction to review the Commissioner's
final decision pursuant to 42 U.S.C. § 405(g).
For the reasons that follow, the Court AFFIRMS the decision
of the Commissioner and DISMISSES this matter.
ADMINISTRATIVE HISTORY
Plaintiff filed an application for DIB on March 20, 2015,
alleging a disability onset date of January 1, 2008. Tr. 247.1
The application was denied initially and on reconsideration. An
Administrative Law Judge (ALJ) held a hearing on February 9,
2018. Tr. 84-100. At the hearing Plaintiff amended his alleged
1 Citations to the official transcript of record filed by
the Commissioner on October 8, 2019, are referred to as "Tr."
2 - OPINION AND ORDER
onset date to December 31, 2012, “which is [also] the last day he
was insured for [DIB] purposes.” Tr. 15, 88. Plaintiff and a
vocational expert (VE) testified at the hearing, and Plaintiff
was represented by an attorney.
The ALJ issued a decision on March 15, 2018, in which he
found Plaintiff was not disabled on December 31, 2012, his
amended alleged onset date and his date last insured, and,
therefore, he is not entitled to benefits. Tr. 30. Pursuant to
20 C.F.R. § 404.984(d), that decision became the final decision
of the Commissioner on March 12, 2019, when the Appeals Council
denied Plaintiff's request for review. Tr. 1-6. See Sims v.
Apfel, 530 U.S. 103, 106-07 (2000).
BACKGROUND
Plaintiff was born on May 28, 1959, and was 59 years old at
the time of the hearing. Tr. 247. Plaintiff has a high-school
education. Tr. 90. Plaintiff has past relevant work experience
as a tugboat deck hand and truck driver. Tr. 96.
Plaintiff alleges disability during the relevant period due
to a stroke in 2008, seizures, inguinal hernia, “memory issues,”
and bursitis in his left shoulder. Tr. 271.
Except when noted Plaintiff does not challenge the ALJ’s
summary of the medical evidence. After carefully reviewing the
medical records, this Court adopts the ALJ’s summary of the
3 - OPINION AND ORDER
medical evidence. See Tr. 24-26.
STANDARDS
The initial burden of proof rests on the claimant to
establish disability. Molina v. Astrue, 674 F.3d 1104, 1110 (9th
Cir. 2012). To meet this burden, a claimant must demonstrate his
inability "to engage in any substantial gainful activity by
reason of any medically determinable physical or mental
impairment which . . . has lasted or can be expected to last for
a continuous period of not less than 12 months." 42 U.S.C.
§ 423(d)(1)(A). The ALJ must develop the record when there is
ambiguous evidence or when the record is inadequate to allow for
proper evaluation of the evidence. McLeod v. Astrue, 640 F.3d
881, 885 (9th Cir. 2011)(quoting Mayes v. Massanari, 276 F.3d
453, 459–60 (9th Cir. 2001)).
The district court must affirm the Commissioner's decision
if it is based on proper legal standards and the findings are
supported by substantial evidence in the record as a whole. 42
U.S.C. § 405(g). See also Brewes v. Comm’r of Soc. Sec. Admin.,
682 F.3d 1157, 1161 (9th Cir. 2012). Substantial evidence is
“relevant evidence that a reasonable mind might accept as
adequate to support a conclusion.” Molina, 674 F.3d. at 1110-11
(quoting Valentine v. Comm’r Soc. Sec. Admin., 574 F.3d 685, 690
(9th Cir. 2009)). "It is more than a mere scintilla [of
4 - OPINION AND ORDER
evidence] but less than a preponderance." Id. (citing Valentine,
574 F.3d at 690).
The ALJ is responsible for determining credibility,
resolving conflicts in the medical evidence, and resolving
ambiguities. Vasquez v. Astrue, 572 F.3d 586, 591 (9th Cir.
2009). The court must weigh all of the evidence whether it
supports or detracts from the Commissioner's decision. Ryan v.
Comm’r of Soc. Sec., 528 F.3d 1194, 1198 (9th Cir. 2008). Even
when the evidence is susceptible to more than one rational
interpretation, the court must uphold the Commissioner’s findings
if they are supported by inferences reasonably drawn from the
record. Ludwig v. Astrue, 681 F.3d 1047, 1051 (9th Cir. 2012).
The court may not substitute its judgment for that of the
Commissioner. Widmark v. Barnhart, 454 F.3d 1063, 1070 (9th Cir.
2006).
DISABILITY ANALYSIS
I. The Regulatory Sequential Evaluation
The Commissioner has developed a five-step sequential
inquiry to determine whether a claimant is disabled within the
meaning of the Act. Parra v. Astrue, 481 F.3d 742, 746 (9th Cir.
2007). See also 20 C.F.R. § 404.1520. Each step is potentially
dispositive.
At Step One the claimant is not disabled if the Commissioner
5 - OPINION AND ORDER
determines the claimant is engaged in substantial gainful
activity. 20 C.F.R. § 404.1520(a)(4)(I). See also Keyser v.
Comm’r of Soc. Sec., 648 F.3d 721, 724 (9th Cir. 2011).
At Step Two the claimant is not disabled if the Commissioner
determines the claimant does not have any medically severe
impairment or combination of impairments. 20 C.F.R. §§ 404.1509,
404.1520(a)(4)(ii). See also Keyser, 648 F.3d at 724.
At Step Three the claimant is disabled if the Commissioner
determines the claimant’s impairments meet or equal one of the
listed impairments that the Commissioner acknowledges are so
severe as to preclude substantial gainful activity. 20 C.F.R.
§ 404.1520(a)(4)(iii). See also Keyser, 648 F.3d at 724. The
criteria for the listed impairments, known as Listings, are
enumerated in 20 C.F.R. part 404, subpart P, appendix 1 (Listed
Impairments).
If the Commissioner proceeds beyond Step Three, he must
assess the claimant’s residual functional capacity (RFC). The
claimant’s RFC is an assessment of the sustained, work-related
physical and mental activities the claimant can still do on a
regular and continuing basis despite his limitations. 20 C.F.R.
§ 404.1520(e). See also Social Security Ruling (SSR) 96-8p. “A
'regular and continuing basis' means 8 hours a day, for 5 days a
week, or an equivalent schedule." SSR 96-8p, at *1. In other
words, the Social Security Act does not require complete
6 - OPINION AND ORDER
incapacity to be disabled. Taylor v. Comm’r of Soc. Sec. Admin.,
659 F.3d 1228, 1234-35 (9th Cir. 2011)(citing Fair v. Bowen, 885
F.2d 597, 603 (9th Cir. 1989)).
At Step Four the claimant is not disabled if the
Commissioner determines the claimant retains the RFC to perform
work he has done in the past. 20 C.F.R. § 404.1520(a)(4)(iv).
See also Keyser, 648 F.3d at 724.
If the Commissioner reaches Step Five, he must determine
whether the claimant is able to do any other work that exists in
the national economy. 20 C.F.R. § 404.1520(a)(4)(v). See also
Keyser, 648 F.3d at 724-25. Here the burden shifts to the
Commissioner to show a significant number of jobs exist in the
national economy that the claimant can perform. Lockwood v.
Comm’r Soc. Sec. Admin., 616 F.3d 1068, 1071 (9th Cir. 2010).
The Commissioner may satisfy this burden through the testimony of
a VE or by reference to the Medical-Vocational Guidelines set
forth in the regulations at 20 C.F.R. part 404, subpart P,
appendix 2. If the Commissioner meets this burden, the claimant
is not disabled. 20 C.F.R. § 404.1520(g)(1).
ALJ'S FINDINGS
At Step One the ALJ found Plaintiff did not engage in
substantial gainful activity on December 31, 2012, his alleged
onset date and his date last insured.
7 - OPINION AND ORDER
Tr. 18.
At Step Two the ALJ found during the relevant period
Plaintiff had the severe impairments of degenerative disc
disease, a “remote history of traumatic brain injury,” a “history
of intra cranial hemorrhage in October 2008,” a seizure disorder,
an “adjustment disorder with depression and anxiety symptoms,”
and a “history of alcohol dependence and polysubstance abuse.”
Tr. 18.
At Step Three the ALJ concluded Plaintiff's medically
determinable impairments during the relevant period did not meet
or medically equal one of the listed impairments in 20 C.F.R.
part 404, subpart P, appendix 1. Tr. 19. The ALJ found during
the relevant period that Plaintiff had the RFC to perform light
work that
did not require more than frequent stooping,
kneeling, or crouching; that did not require more
than occasional balancing, crawling, or climbing
of ramps or stairs; that did not require climbing
of ladders, ropes, or scaffolds; that did not
require more than occasional overhead reaching;
that did not require exposure to hazards; that
consisted of simple, routine tasks; and that did
not require more than occasional interaction with
the general public.
Tr. 19.
At Step Four the ALJ found Plaintiff could not perform his
past relevant work during the relevant period. Tr. 27.
At Step Five the ALJ found Plaintiff could perform other
work that existed in the national economy during the relevant
8 - OPINION AND ORDER
period. Tr. 28. Accordingly, the ALJ concluded Plaintiff was
not disabled on December 31, 2012, Plaintiff’s alleged onset date
and date last insured. Tr. 30.
DISCUSSION
Plaintiff contends the ALJ erred at Step Five when he
applied “the medical-vocational grid rules mechanically.”
I. The ALJ did not err at Step Five.
As noted, Plaintiff contends the ALJ erred at Step Five when
he applied “the medical-vocational grid rules mechanically.”
When the Commissioner reaches Step Five, he must determine
whether the claimant is able to do any other work that exists in
the national economy. 20 C.F.R. § 404.1520(a)(4)(v). See also
Keyser, 648 F.3d at 724-25. Here the burden shifts to the
Commissioner to show a significant number of jobs exist in the
national economy that the claimant can perform. Lockwood, 616
F.3d at 1071. The Commissioner may satisfy this burden through
the testimony of a VE or by reference to the Medical-Vocational
Guidelines set forth in the regulations at 20 C.F.R. part 404,
subpart P, appendix 2. See also Lockwood, 616 F.3d at 1071. If
the Commissioner meets this burden, the claimant is not disabled.
20 C.F.R. § 404.1520(g)(1).
The medical-vocational grids (the grids) are “matrices of
the ‘four factors identified by Congress — physical ability, age,
9 - OPINION AND ORDER
education, and work experience — and set forth rules that
identify whether jobs requiring specific combinations of these
factors exist in significant numbers in the national economy.’”
Lockwood, 616 F.3d at 1071 (quoting Heckler v. Campbell, 461 U.S.
458, 461-62 (1983)). The grids use three age categories:
(1) “younger person (under age 50),” (2) “person closely
approaching advanced age (age 50-54),” and (3) “person of
advanced age (age 55 or older).” Lockwood, 616 F.3d at 1072
(citing 20 C.F.R. § 404.1563(c)–(e)).
When “a claimant is within a few days or a few months of
reaching an older age category (a ‘borderline situation’), an ALJ
has discretion, but is not required, to use the older age
category.” Lockwood, 616 F.3d at 1069 (citing 20 C.F.R.
§ 404.1563(b)). In fact, 20 C.F.R. § 404.1563(b) provides the
ALJ
will not apply the age categories mechanically in
a borderline situation. If you are within a few
days to a few months of reaching an older age
category, and using the older age category would
result in a determination . . . that you are
disabled, [the ALJ] will consider whether to use
the older age category after evaluating the
overall impact of all the factors of your case.
Here the ALJ acknowledged “a borderline age situation exists
because the claimant is within a ‘few days to a few months’ of
attaining the next higher age category and use of the higher age
category would result in a finding of ‘disabled’ instead of ‘not
disabled.’” Tr. 27-28 (quoting 20 C.F.R. § 404.1563(b)). The
10 - OPINION AND ORDER
ALJ, however, concluded “use of [the next higher] age category is
not supported by the limited adverse impact of all factors on the
claimant's ability to adjust to other work.” Tr. 28.
Plaintiff concedes the ALJ has discretion to decide whether
to use the older-age category, but Plaintiff asserts in this case
that the ALJ abused his discretion when he decided not to use the
older-age category because the ALJ did not comply with guidelines
found in the Social Security Agency’s Hearings, Appeals, and
Litigation Manual (HALLEX) and Program Operations Manual System
(POMS). The Ninth Circuit, however, has made clear the “HALLEX
does not carry the force of law and therefore [the Ninth Circuit]
do[es] not review allegations of non-compliance with it.” Wilson
v. Berryhill, 732 F. App'x 504, 507 (9th Cir. 2018)(declining to
review the claimant's argument that the ALJ did not comply with
the HALLEX)(citation omitted)). See also Roberts v. Comm’r, 644
F.3d 931, 933 (9th Cir. 2011)(the HALLEX “does not carry the
force of law and [is] not binding upon the agency”)(quotation
omitted)); Lockwood, 616 F.3d at 1072 (the “HALLEX does not
impose judicially enforceable duties on either the ALJ or this
court”); Nabis-Smith v. Berryhill, No. 6:16-cv-01915-JR, 2018 WL
3404057, at *6 (D. Or. Apr. 26, 2018)(rejecting the plaintiff's
argument that the ALJ failed to follow certain policies outlined
in the HALLEX); Rickman v. Colvin, No. 6:12-cv-01201-SI, 2013 WL
4773627, at *5 (D. Or. Sept. 4, 2013)(“[t]he ALJ . . . has no
11 - OPINION AND ORDER
duty to follow the HALLEX” because the HALLEX “does not carry
the force of law and is not binding on the agency”)(citations
omitted)). Hanh L. v. Comm'r, Soc. Sec. Admin., No. 3:17-
CV-01613-JE, 2019 WL 5858187, at *5 (D. Or. July 23, 2019),
report and recommendation adopted, No. 3:17-CV-01613-JE, 2019 WL
5858182 (D. Or. Sept. 3, 2019). The Ninth Circuit reached a
similar conclusion regarding POMS finding it constitutes an
agency interpretation “that does not impose judicially
enforceable duties on either this court or the ALJ.” Lockwood,
616 F.3d at 1073.
Plaintiff asserts POMS and the HALLEX now have “the power to
persuade” pursuant to Social Security Ruling 13-2p, 2013 WL
603764 (Feb. 20, 2013). According to Plaintiff, therefore, the
ALJ is required to explain his decision not to use the older-age
category “in light of the factors” set out in POMS and the
HALLEX. “‘SSR 13-2p[, however,] is a policy ruling clarifying
how the Agency determines whether drug addiction is a
contributing factor material to the determination of
disability.’” Jeanne E. v. Saul, No. 6:18-CV-01722-SB, 2020 WL
602279, at *5 (D. Or. Feb. 7, 2020)(quoting Kathleen S. v. Saul,
No. 3:19-cv-00651, 2020 WL 353602, at *7 (S.D. Cal. Jan. 21,
2020)). “[E]ven after the promulgation of SSR 13-2p on
February 20, 2013, the Ninth Circuit has continued to cite
Roberts and Lockwood for the proposition that the Agency's
12 - OPINION AND ORDER
internal policy manuals such as [POMS and] HALLEX do not give
rise to any legally enforceable rights.” Kathleen S., 2020 WL
353602, at *7 (citing Wilson, 732 F. App'x at 507); Withrow v.
Colvin, 672 F. App'x 748, 749 (9th Cir. 2017); Whitten v. Colvin,
642 F. App'x 710, 713 (9th Cir. 2016); Durden v. Colvin, 546 F.
App'x 690, 690-91 (9th Cir. 2013)). Plaintiff’s argument that
SSR 13-2p establishes a requirement that the ALJ is required to
explain his decision in light of the factors set out in POMS
and/or the HALLEX also has been rejected by district courts in
the Ninth Circuit. See, e.g., Jeanne E., 2020 WL 602279, at *5;
Hanh L. v. Comm'r, 2019 WL 5858187, at *5 (“SSR 13-2p, which
Plaintiff cites in support of the argument that POMS is binding
on Agency adjudicators . . . is inapplicable here and does not
change this Court's application of Lockwood.”); Martinez v.
Colvin, No. 6:14-cv-01703-MC, 2016 WL 270911, at *5 (D. Or.
Jan. 20, 2016); Kathleen S., 2020 WL 353602, at *7; Elias v.
Comm'r, No. CV-18-00200-TUC-RCC (DTF), 2019 WL 4296779, at *3 (D.
Ariz. Sept. 11, 2019); Hollen v. Comm'r, No. 15-2357, 2017 WL
1075194, at *8-*9 (S.D. Cal. Mar. 22, 2017).
The Court adopts the reasoning of these cases and concludes
POMS and the HALLEX do “not carry the force of law and,
therefore, the Court need not ‘review allegations of non-
compliance with it.’” Jeanne E., 2020 WL 602279, at *5 (quoting
Wilson, 732 F. App’x at 507). See also Dragoo v. Comm'r,
13 - OPINION AND ORDER
No. 19-01988, 2020 WL 525678, at *5 (D. Ariz. Feb. 3, 2020)
(“[W]hether the ALJ complied with HALLEX I-2-9-10(A) or any other
provision in [the] HALLEX is irrelevant, and the Court need not
engage in any further analysis of any alleged noncompliance with
[the] HALLEX.”); Groom v. Berryhill, No. 17-1117, 2018 WL
1517165, at *5 (C.D. Cal. Mar. 27, 2018)(concluding the
plaintiff’s argument that the ALJ violated requirements set forth
in the HALLEX “lack[ed] merit” because the HALLEX “do[es] not
impose judicially enforceable duties on [a] federal court or ALJ
regarding borderline situations.”)(citation omitted)).
In addition, even if the policy guidelines in POMS and/or
the HALLEX were binding on the ALJ, the ALJ’s reasoning in this
case was consistent with those guidelines. Specifically, the
HALLEX provides: “The ALJ will explain in the decision that he
. . . considered the borderline age situation, state whether he
. . . applied the higher age category or the chronological age,
and note the specific factor(s) he . . . considered.” HALLEX
I-2-2-42(C)(5). As noted, here the ALJ stated “a borderline age
situation exists,” explained Plaintiff was at the “outer edge” of
what the Social Security Regulations describe as “borderline
age,” and noted this was “a circumstance suggesting that
[Plaintiff] was less disadvantaged by his age” in obtaining other
work. Tr. 28. The ALJ also found “other considerations in the
record support the inference that the claimant could adjust to
14 - OPINION AND ORDER
doing other work” such as the fact that Plaintiff’s RFC
limitations did not significantly erode the occupational base for
light work, Plaintiff “has only mild limitation[s] in adapting or
managing himself,” and “a neuropsychological evaluation . . .
revealed few limitations in adaptation.” Tr. 28. The ALJ,
therefore, concluded the “use of a higher age category is not
supported by the relevant factors.” Tr. 28.
The Court concludes on this record that the ALJ’s decision
is consistent with POMS and the HALLEX because the ALJ considered
Plaintiff’s borderline age situation, reached a conclusion as to
which age category to apply, and noted the factors that the ALJ
considered in making his decision. Accordingly, the Court
concludes on this record that the ALJ did not err at Step Five
when he declined to use the higher-age category.
CONCLUSION
For these reasons, the Court AFFIRMS the decision of the
Commissioner and DISMISSES this matter pursuant to sentence four
of 42 U.S.C. § 405(g).
IT IS SO ORDERED.
DATED this 20th day of April, 2020.
/s/ Anna J. Brown
ANNA J. BROWN
United States Senior District Judge
15 - OPINION AND ORDER