Opinion

Barragan o/b/o AGB, a minor child v. Commissioner of Social Security

Court
District Court, E.D. Washington
Filed
Mar 13, 2020
Cited by
0 cases
Authority
More cited than 32.3%

“An ALJ's failure to cite specific evidence does not indicate that such 19 evidence was not considered[.]”

How later courts described this case

  • “An ALJ's failure to cite specific evidence does not indicate that such 19 evidence was not considered[.]”

Written by the judges who cited it.

The opinion

1 Mar 13, 2020

2 SEAN F. MCAVOY, CLERK

3

4

5 UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF WASHINGTON

6

7 VENERANDA B., o/b/o AGB, a minor No. 4:19-CV-5074-EFS

child.,1

8

Plaintiff, ORDER GRANTING PLAINTIFF’S

9 SUMMARY-JUDGMENT MOTION

v. AND DENYING DEFENDANT’S

10 SUMMARY-JUDGMENT MOTION

ANDREW M. SAUL, the Commissioner

11 of Social Security,2

12 Defendant.

13

14 Before the Court are the parties’ cross summary-judgment motions. ECF

15 Nos. 11 & 12. Plaintiff Veneranda B. brings this lawsuit on behalf of her minor

16

17

1 To protect the privacy of the adult social-security Plaintiff, the Court refers to her

18

by first name and last initial or by “Plaintiff,” and refers to the minor child by her

19

initials. See LCivR 5.2(c).

20

2 Andrew M. Saul is now the Commissioner of the Social Security Administration.

21

Accordingly, the Court substitutes Andrew M. Saul as the Defendant. See Fed. R.

22

Civ. P. 25(d).

23

1

child AGB to appeal a denial of childhood disability benefits by the Administrative

2

Law Judge (ALJ). Plaintiff alleges the ALJ erred by 1) failing to obtain a full case

3

evaluation by a medical expert; 2) ignoring lay testimony from AGB’s teacher; 3)

4

improperly discounting the mother’s testimony; and 4) improperly assessing the

5

childhood domains. In contrast, Defendant Commissioner of Social Security asks

6

the Court to affirm the ALJ’s decision finding AGB not disabled. After reviewing

7

the record and relevant authority, the Court grants Plaintiff’s Motion for Summary

8

Judgment, ECF No. 11, and denies Defendant’s Motion for Summary Judgment,

9

ECF No. 12.

10

I. Three-Step Childhood Disability Determination

11

To qualify for Title XVI supplement security income benefits, a child under

12

the age of eighteen must have “a medically determinable physical or mental

13

impairment, which results in marked and severe functional limitations, and which

14

can be expected to result in death or which has lasted or can be expected to last for

15

a continuous period of not less than 12 months.”3 The regulations provide a three-

16

step process to determine whether a child satisfies the above criteria.4 First, the

17

ALJ determines whether the child is engaged in substantial gainful activity.5

18

Second, the ALJ considers whether the child has a “medically determinable

19

20

3 42 U.S.C. § 1382c(a)(3)(C)(i).

21

4 20 C.F.R. § 416.924(a).

22

5 Id. § 416.924(b).

23

1

impairment that is severe,” which is defined as an impairment that causes “more

2

than minimal functional limitations.”6 Finally, if the ALJ finds a severe

3

impairment, the ALJ must then consider whether the impairment “medically

4

equals” or “functionally equals” a disability listed in the “Listing of Impairments.”7

5

If the ALJ finds that the child’s impairment or combination of impairments

6

does not meet or medically equal a listing, the ALJ must determine whether the

7

impairment or combination of impairments functionally equals a listing.8 The

8

ALJ’s functional-equivalence assessment requires the ALJ to evaluate the child’s

9

functioning in six “domains.” These six domains, which are designed “to capture all

10

of what a child can or cannot do,” are:

11

(1) acquiring and using information:

12

(2) attending and completing tasks;

13

(3) interacting and relating with others;

14

(4) moving about and manipulating objects;

15

(5) caring for self; and

16

(6) health and physical well-being.9

17

18

19

6 Id. § 416.924(c).

20

7 Id. § 416.924(c)-(d).

21

8 Id. § 416.926a(a).

22

9 Id. § 416.926a(b)(1)(i)-(vi).

23

1

A child’s impairment is deemed to functionally equal a listed impairment if the

2

child’s condition results in a “marked” limitations in two domains, or an “extreme”

3

limitation in one domain.10 An impairment is a “marked limitation” if it “interferes

4

seriously with [a child’s] ability to independently initiate, sustain, or complete

5

activities.”11 An “extreme limitation” is defined as a limitation that “interferes very

6

seriously with [a person’s] ability to independently initiate, sustain, or complete

7

activities.”12

8

II. Factual and Procedural Summary

9

On September 11, 2015, Plaintiff filed a Title XVI application for childhood

10

disability benefits for AGB.13 The claim was denied initially and upon

11

reconsideration.14 An administrative hearing was held before Administrative Law

12

Judge Larry Kennedy in August 2017.15

13

14

10 Id. § 416.926a(a).

15

11 Id § 416.926a(e)(2)(i).

16

12 Id. § 416.926a(e)(3)(i).

17

13 AR 236-42. Plaintiff also previously filed a Title XVI application on January 6,

18

2015. AR 231-35. This claim was denied at the initial determination level in June

19

2015. Plaintiff did not appeal that denial and therefore that decision was final. AR

20

21.

21

14 AR 107-30, 136-39, & 143-46.

22

15 AR 51-96.

23

1

In denying the disability claim, the ALJ made the following findings:

2

 Plaintiff was a school-age, adolescent child when the application was

3

filed;

4

 Step one: Plaintiff had not engaged in substantial gainful activity

5

since September 11, 2015, the application date, which is considered

6

the alleged onset date;

7

 Step two: Plaintiff has the following medically determinable severe

8

impairments: anxiety, learning disorder, receptive and expressive

9

language disorder, developmental delay disorder, cognitive disorder,

10

headaches, and asthma with allergic rhinitis; and

11

 Step three: Plaintiff does not have an impairment or combination of

12

impairments that met, or medically or functionally equaled, the

13

severity of one of the listings.16

14

When assessing the medical-opinion evidence, the ALJ gave partial weight

15

to the opinions of the State agency consultants at the initial and reconsideration

16

stages (Sharon Underwood, Ph.D., Nevine Makari, M.D., Edward Beaty, Ph.D., and

17

Charles Wolfe, M.D.) and the testifying medical expert Stephen Rubin, Ph.D.17 The

18

19

20

16 AR 15-41 (Pages 8 and 9, AR 28 & 29, of the ALJ’s decision are swapped in the

21

record).

22

17 AR 29.

23

1

ALJ also gave little weight to the opinion of AGB’s fifth grade teacher Arianne

2

Wolcik and to the testimony of AGB’s mother.18

3

Plaintiff requested review of the ALJ’s denial by the Appeals Council, which

4

denied review.19 Plaintiff timely appealed to this Court.

5

III. Standard of Review

6

A district court’s review of the Commissioner’s final decision is limited.20 The

7

Commissioner’s decision is set aside “only if it is not supported by substantial

8

evidence or is based on legal error.”21 Substantial evidence is “more than a mere

9

scintilla but less than a preponderance; it is such relevant evidence as a reasonable

10

mind might accept as adequate to support a conclusion.”22 Moreover, because it is

11

the role of the ALJ and not the Court to weigh conflicting evidence, the Court

12

upholds the ALJ’s findings “if they are supported by inferences reasonably drawn

13

from the record.”23 The Court considers the entire record as a whole.24

14

15

18 AR 28-29.

16

19 AR 1-5.

17

20 42 U.S.C. § 405(g).

18

21 Hill v. Astrue, 698 F.3d 1153, 1158 (9th Cir. 2012).

19

22 Id. at 1159 (quoting Sandgathe v. Chater, 108 F.3d 978, 980 (9th Cir. 1997)).

20

23 Molina v. Astrue, 674 F.3d 1104, 1111 (9th Cir. 2012).

21

24 See Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007) (The court “must

22

consider the entire record as whole, weighing both the evidence that supports and

23

1

Further, the Court may not reverse an ALJ decision due to a harmless

2

error.25 An error is harmless “where it is inconsequential to the [ALJ’s] ultimate

3

nondisability determination.”26 The party appealing the ALJ’s decision generally

4

bears the burden of establishing harm.27

5

IV. Analysis

6

A. Required Case Evaluation: Plaintiff established consequential error.

7

Plaintiff argues the ALJ erred by failing to obtain a case evaluation of the

8

entire record by a medical expert as is required by Howard ex rel. Wolff v.

9

Barnhart, 341 F.3d 1006, 1014 (9th Cir. 2003); Acquiescence Ruling (AR) 04-1(9);

10

and 42 U.S.C. § 1382c(a)(3)(1). The Commissioner argues the ALJ satisfied his

11

case-evaluation responsibility by having Dr. Stephen Rubin testify as the medical

12

examiner at the hearing. In addition, the Commissioner relies on the record review

13

completed by the four State agency consultants.

14

15

16

the evidence that detracts from the Commissioner's conclusion,” not simply the

17

evidence cited by the ALJ or the parties.); Black v. Apfel, 143 F.3d 383, 386 (8th

18

Cir. 1998) (“An ALJ's failure to cite specific evidence does not indicate that such

19

evidence was not considered[.]”).

20

25 Molina, 674 F.3d at 1111.

21

26 Id. at 1115 (quotation and citation omitted).

22

27 Shinseki v. Sanders, 556 U.S. 396, 409-10 (2009).

23

1

An ALJ is required to “make reasonable efforts to ensure that a “qualified

2

pediatrician or other individual who specializes in a field of medicine appropriate

3

to the disability of the individual (as determined by the Commissioner of Social

4

Security) evaluates the case of such individual.”28 The Ninth Circuit interpreted

5

this “to mean that the ALJ is required to make reasonable efforts to obtain a case

6

evaluation, based on the record in its entirety, from a pediatrician or other

7

appropriate specialist, rather than simply constructing his own case evaluation

8

from the evidence in the record.”29 Following Howard, the Social Security

9

Administration issued AR 04-1(9), which states:

10

To satisfy this requirement, the ALJ . . . may rely on case evaluation

made by a State agency medical or psychological consultant that is

11

already in the record, or the ALJ. . . may rely on the testimony of a

medical expert. When the ALJ relies on the case evaluation made by a

12

State agency medical or psychological consultant, the record must

include the evidence of the qualifications of the State agency medical

13

or psychological consultant.30

14

15

16

28 42 U.S.C. § 1382c(a)(3)(l).

17

29 Howard, 341 F.3d at 1014 & n.2 (“There is a distinction . . . between having an

18

expert evaluate a claimant with respect to that expert’s particular specialty, and

19

having an expert evaluate a claimant’s case in its entirety, considering all of the

20

medical records and determining whether those indicate that the claimant is

21

disabled within the meaning of the Social Security Act.”).

22

30 2004 WL 875081, 69 Fed. Reg. at *22580 (2004).

23

1

Here, while there is no dispute that AR 04-01(9)’s case-evaluation

2

requirement applies, the ALJ did not indicate he relied on AR 04-1(9) or indicate

3

which expert’s evaluation he relied on under AR 04-1(9). The Court finds,

4

notwithstanding Dr. Rubin’s testimony and the case reviews completed by the

5

agency consultants, the ALJ failed to satisfy his case-evaluation responsibilities.

6

1. Dr. Rubin

7

The Commissioner argues that the ALJ satisfied the case-evaluation

8

requirement by calling Dr. Rubin. However, this argument is not persuasive for

9

several reasons. First, Dr. Rubin, as a psychologist was only qualified to testify as

10

to AGB’s mental health and resulting limitations, not her physical impairments

11

and resulting limitations (except to the extent they impacted her mental health).31

12

No medical expert who reviewed the entire case record offered an opinion as to

13

AGB’s limitations resulting from her asthma with allergic rhinitis and chronic

14

15

31 See AR 74 (Dr. Rubin testified, “I focused mostly on intellectual testing and

16

psychological.”); see also Fithian v. Berryhill, No. 3:16-cv-932-SI, 2017 WL 1502801,

17

at *8 (D. Or. Apr. 26, 2017) (“[A]ll psychiatrists are M.D.’s, and although some

18

psychiatrists may treat or specialize in physical impairments, not all do. Thus the

19

mere fact that Dr. Jones is an M.D. does not mean her physical-limitation opinion

20

deserves controlling weight.”); Williams v. Colvin, No. 2:14-cv-00213-FVS, 2015 WL

21

5039911, at *8 (E.D. Wash. Aug. 26, 2015) (finding physical limitations were

22

beyond the expertise of psychologist).

23

1

headaches. These physical conditions impacted her ability to attend and perform at

2

school.32 This impact was recognized by AGB’s Individual Education Plan (IEP)

3

team:

4

[AGB’s] medical conditions can manifest with social/emotional

symptoms that have an adverse impact on her learning and success at

5

school. She experiences anxiety that results in headaches or

abdominal pain and sleep difficulties. Asthma and Alpha 1

6

Antitrypsin also reduce her stamina and ability to cope with the

demands of school. [AGB] may benefit from a less demanding

7

academic program in order to provide her with more support, reduce

her stress levels, and decrease the strain on her health.33

8

9

32 See, e.g., AR 1094 (Dr. Wendy Eastman: “I suspect that her headaches are

10

related to difficulty sleeping and anxiety related to school. Since she has difficulty

11

sleeping and daily headaches that continue to worsen, I recommend starting a

12

daily headache preventative medication now to help her feel better. This Daily

13

Preventative Medication will not treat the anxiety or stress related to school but

14

will help with sleep and hopefully decrease some of the hypersensitization. If she

15

continues to struggle with anxiety, I would recommend PCP to evaluate to see if

16

she may benefit from an anti-anxiety medication to help with anxiety and possible

17

sensory issues related to her developmental delays.”); AR 1131-71 (Public records

18

summarizing medical care appointments); AR 1128 (noting approximately sixteen

19

absences from school during sixth grade); AR 267 & 272 (Fourth grade teacher

20

noted that AGB’s “continuous absences [“due to illness or at dr. appointments”]

21

hurt her academic progress.”).

22

33 AR 1112.

23

1

This record requires the testimony of a medical expert relating to Plaintiff’s

2

physical impairments and resulting limitations.34

3

Second, after Dr. Rubin reviewed the file for the administrative hearing,

4

Plaintiff submitted additional educational records: AGB’s sixth grade report card

5

and the IEP created for AGB’s seventh grade year.35 These educational records are

6

material to Plaintiff’s position that AGB’s intellectual disability impacts her ability

7

to acquire and use information and attend to and complete tasks. For instance, in

8

sixth grade, AGB earned one F, three Ds, one C, and one A, with the A being

9

earned in a very basic reading class.36 In addition, Plaintiff’s sixth-grade teachers

10

noted that AGB “did not use class time constructively,” “frequently did not

11

complete or do the assignments on time,” and that her “poor attendance effects

12

grade.”37 These comments support the mother’s reports, as well as teacher and

13

doctor reports, that AGB’s academic abilities were hindered by her intellectual

14

15

16

34 See 20 C.F.R. § 416.924a(b)(7)(v) (“We will consider how your temporary removal

17

or absence from the [education] program [due to your impairment] affects your

18

ability to function compared to other children your age who do not have your

19

impairments.”).

20

35 AR 371-89 & 1105-49.

21

36 AR 1111 & 1127-28.

22

37 AR 1128.

23

1

disabilities, as well as her physical conditions of asthma, allergies, and chronic

2

headaches—the latter being related to the academic anxiety that AGB suffers as a

3

result of not being able to accomplish assignments in a timely manner.38 Moreover,

4

the record reflects that the cause of the delay of submitting these records to the

5

ALJ were caused by the school’s nonresponse to records requests and the time for

6

reassessing the need for an IEP.39 These educational records were material

7

8

9

10

38 See, e.g., AR 268 (Yara Palomarez: finding a “very serious problem” with

11

completing class/homework assignments and working at a reasonable

12

pace/finishing on time”); AR 642 (Dr. Peter Holden: “History of developmental

13

delay with a learning disorder consistent with intellectual disability.”); AR 1060

14

(Dr. Timothy Jordan: “[I]n testing today, she had particular difficulty with active

15

working memory. This is a type of memory needed for mathematics and other

16

subjects. Children have to learn to hold information [in] their head while they do

17

something else and then come back to the original piece of information. This is

18

particularly necessary in long division in math.”); AR 1118 (IEP: “[H]er math

19

disability is more severe than would be accounted for by her health conditions and

20

supports an additional eligibility category of Specific Learning Disability.”).

21

39 See AR 56 (reporting that records were requested from the school district in July

22

2017, and a follow-up request was also made); AR 368; see also AR 1077 & 1094.

23

1

documents that Dr. Rubin needed to review to determine if it altered his opinion. A

2

supplemental hearing was needed.40

3

Finally, assuming that the record was sufficiently complete at the time Dr.

4

Rubin reviewed the record, Dr. Rubin testified that he was unable to review a

5

significant portion of the then-current record:

6

I have to admit, I had some trouble reading that very large file in 23F.

I read some of it and couldn’t actually read others. . . . I don’t know if

7

it’s my computer or the extensiveness of the record. . . . I did not read

that. . . . So, we don’t have the latest updates, the photo gallery. So, I

8

have to admit that I did not read all of the 147 pages.41

9

The ALJ’s subsequent brief summary of one of the medical records authored by

10

Timothy Jordan, M.D.—only 6 pages out of 147 pages—was not sufficient to

11

constitute a review of the full record by Dr. Rubin.42 The non-reviewed portion of

12

the record contained the vast majority of AGB’s medical records after January 5,

13

14

40 Likewise, the ALJ commented during the hearing: “I then have the hearing, I

15

take the testimony, I go back through the records again after the hearing, hold the

16

record open to see if there’s anything additional that comes in, I’ll review that. And

17

then I’ll decide the case and let, if these new records, if there’s any issues that come

18

up, I may need supplemental proceedings.” AR 94.

19

41 AR 68-69; see also AR 29 (“Dr. Rubin was able to review the claimant’s medical

20

and school records, though he testified that he could not review the entire record

21

due to computer problems.”).

22

42 AR 69-71 & 1056-61.

23

1

2016, including medical records from AGB’s treating doctors, Dr. Samuel Pai-Sun

2

Yang, who opined that AGB’s learning problems were likely related to birth

3

asphyxia and that “[s]pecial education based on thorough neuropsychologic testing

4

should be a priority,” and Dr. Wendy Eastman’s findings that AGB suffers chronic

5

daily headaches due to “anxiety related to academic stress” and “[s]he is clearly not

6

getting the extra academic support she needs at school.”43 These records support

7

the mother’s testimony that she struggled to get the schools to respond to AGB’s

8

educational challenges, and that it was not until the mother received assistance

9

from a social worker, at the behest of the treating medical providers, to navigate

10

the school’s systemic requirements, that an IEP was developed. Moreover, that

11

AGB’s academic performance steadily declined as she moved up in grade levels and

12

was expected to perform more tasks that demanded active-working memory skills

13

is consistent with her mental impairments.

14

15

43 AR 958-1104; see also AR 1077 (“We advised the family to focus on practical

16

steps that will help [AGB] in terms of receiving special education services. This

17

was also advised previously by Dr. Holden and Dr. Jordan but the local school

18

district has not been very responsive in evaluating her with the appropriate

19

neuropsychologic tests. Advocacy services through the ARC may be necessary and

20

contact information was provided to the family.”) & AR 1094 (“Providence Social

21

Worker has been notified and are working with mother and schools. Hopefully they

22

can get better services in place for the next academic year.”).

23

1

On this record, Dr. Rubin’s review does not constitute a case evaluation of

2

the entire record as required by Howard and AR 04-1(9).

3

2. State Agency Consultants

4

The initial reviewing consultants, Sharon Underwood, Ph.D. and Nevine

5

Makari, M.D., reviewed the record in 2015.44 The reconsideration reviewing

6

consultants, Charles Wolfe, M.D. and Edward Beaty, Ph.D., reviewed the record in

7

January 2016.45 Accordingly, each of these case evaluations were done well before

8

the August 2017 ALJ hearing. Following these case reviews, medical records

9

reveal, in part, continued treatment for AGB’s asthma, chromosomal testing

10

indicating that AGB’s duplicate genomic material at the P-arm of the X

11

chromosome within the 22.31 band was likely not contributing to her

12

developmental delay, that Dr. Yang determined that Plaintiff’s developmental

13

difficulties were likely due to birth difficulties, that there was still no explanation

14

for the moderate elevation of sweat chloride on two different testing occasions,

15

AGB suffered chronic headaches, and AGB received poor grades in sixth grade, and

16

an IEP was developed for AGB in seventh grade.46 Given the significant

17

development of the medical and educational record since the State agency

18

19

44 AR 112-17.

20

45 AR 128-30.

21

46 AR 112-17, 125-30, 371-89, 815-21, 899-916, 929-48, 1006-27, 1033-54, 1056-61,

22

1063-67, 1077-78, 1087-93, & 1094-1128.

23

1

consultants conducted their review, these reviews cannot constitute the full-record

2

evaluation required by Howard and AR 04-1(9).

3

Moreover, the record does not contain the qualifications of the State agency

4

consultants. AR 04-1(9) requires the record to “include the evidence of the

5

qualifications of the State agency medical or psychological consultant.” The

6

Commissioner argues that the reference to each doctor’s area of practice (and

7

related assigned medical specialty code) constitutes the required qualifications

8

information. This information is not sufficient to constitute the required

9

qualifications information. Section 1382c(a)(3)(I) requires “a qualified pediatrician

10

or other individual who specializes in a field of medicine appropriate to the

11

disability of the individual” to evaluate the record.47 Accordingly, the record must

12

contain evidence that not only is that individual a pediatrician or otherwise

13

specialized in a relevant field of medicine but also that the individual is qualified.

14

To determine whether a pediatrician or other specialist is qualified to render an

15

opinion as to a child claimant’s impairment(s) requires more information than the

16

doctor’s name and medical specialty.

17

Based on this record, the ALJ erred as a matter of law and this error was

18

consequential. The information submitted by Plaintiff following the hearing was

19

new and material evidence for which the ALJ ought to have reopened the hearing

20

and taken additional testimony from a qualified medical expert who reviewed the

21

22

47 42 U.S.C. § 1382c(a)(3)(I).

23

1

entire file before issuing his decision.48 Remand is required so that the full case

2

evaluation is conducted by a qualified pediatrician or other specialist as to AGB’s

3

physical and mental impairments—not solely the ALJ himself.

4

B. Other Issues

5

Plaintiff also argued the ALJ erred by discounting AGB’s mother’s

6

testimony; ignoring the functional assessment of AGB’s fourth grade teacher, Ms.

7

Palomarez; and failing to fully consider the evidence relating to domains 1, 2, 3, 4,

8

and 6. Because remand is required due to the ALJ’s failure to have a qualified

9

pediatrician or other specialist conduct a complete review of the record, the Court

10

need not address Plaintiff’s other arguments. However, on remand, the ALJ is to

11

consider the report of Ms. Palomarez. Although this report is before the application

12

filing date (and therefore before the alleged period of disability),49 Ms. Palomarez’s

13

14

15

48 20 C.F.R. § 416.1444. See also 20 C.F.R. § 416.1453(c) (permitting the ALJ to

16

issue his decision more than ninety days after the request for hearing is filed when

17

there was good cause for extending the time period, such as when the claimant

18

submits additional material evidence). See also AR 46-48 (letters from Plaintiff’s

19

law firm to ALJ seeking hearing decision after the ninety-day period expired).

20

49 20 C.F.R. § 416.335 (“When you file an application in the month that you meet

21

all the other requirements for eligibility, the earliest month for which we can pay

22

you benefits is the month following the month you filed the application.”).

23

1

report contains significant information.50 Ms. Palomarez interacted with AGB

2

during each fourth-grade school day. AGB’s capabilities and limitations during her

3

fourth-grade year as set forth in Ms. Palomarez’s report, which was written only

4

six months before the disability application, was evidence the ALJ must consider.51

5

In addition, on remand, if the ALJ discounts AGB’s mother’s testimony because

6

AGB only began to receive special education support during her seventh-grade

7

year, the ALJ must more meaningfully articulate this basis on this record. A record

8

that reflects the mother’s continuous attempts to seek special education services

9

for her daughter and her eventual need to obtain outside guidance from the

10

medical providers and social workers in order to navigate the school’s special

11

education system requirements. Also, the record reflects that AGB’s learning

12

disability limits her ability to perform tasks that require her to use her active-

13

working memory—a skill that is relied on more in higher grades than in earlier

14

elementary grades.

15

C. Remand for Further Proceedings

16

Plaintiff requests that the ALJ’s decision be vacated. The decision whether

17

to remand for further proceedings or immediately award benefits turns upon the

18

likely utility of further proceedings.52 Here, the Court finds that remand for further

19

20

50 20 C.F.R. § 416.924a(a)(2)(iii).

21

51 Id. § 416.912(b).

22

52 Barman v. Apfel, 211 F.3d 1172, 1179 (9th Cir. 2000).

23

1

proceedings is required. The ALJ must call both a pediatrician (or other medical

2

specialist) and a psychologist/psychiatrist to evaluate AGB’s case in its entirety,

3

and then re-evaluate whether AGB is disabled, including evaluating the report

4

completed by Ms. Palomarez and reevaluating AGB’s mother’s testimony.

5

V. Conclusion

6

Accordingly, IT IS HEREBY ORDERED:

7

1. Plaintiff’s Motion for Summary Judgment, ECF No. 11, is

8

GRANTED.

9

2. The Commissioner’s Motion for Summary Judgment, ECF No. 12, is

10

DENIED.

11

3. The Clerk’s Office shall enter JUDGMENT in favor of Plaintiff

12

REVERSING and REMANDING the matter to the Commissioner of

13

Social Security for further proceedings consistent with this

14

recommendation pursuant to sentence four of 42 U.S.C. § 405(g).

15

4. The case shall be CLOSED.

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IT IS SO ORDERED. The Clerk’s Office is directed to file this Order,

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provide copies to all counsel, and close the file.

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DATED this 13th day of March 2020.

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s/Edward F. Shea __________

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EDWARD F. SHEA

Senior United States District 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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