United States District Court, Western District of Washington, Tacoma
ORDER REVERSING AND REMANDING DEFENDANT’S DECISION TO DENY BENEFITS
KAREN L. STROMBOM UNITED STATES MAGISTRATE JUDGE
Plaintiff has brought this matter for judicial review of the defendant Commissioner’s partial denial of his applications for disability insurance benefits (“DIB”) and supplemental security income (“SSI”). Pursuant to 28 U.S.C. § 636(c), Federal Rule of Civil Procedure 73 and Local Rule MJR 13, the parties have consented to have this matter heard by the undersigned Magistrate Judge. After reviewing the parties’ briefs and the remaining record, the Court hereby finds that for the reasons set forth below, the Commissioner’s decision is reversed and this matter is remanded for further administrative proceedings.
FACTUAL AND PROCEDURAL HISTORY
On March 30, 2008, Plaintiff protectively filed applications for DIB and SSI, alleging disability as of April 20, 2003, due to ankle problems, knee problems, lower lumbar problems, right hip problems, right shoulder problems, obesity, and asthma. See Administrative Record (“AR”) 144-54, 179, 203. His applications were denied upon initial administrative review and on reconsideration. See AR 82-88, 93-103. A hearing was held before an administrative law judge (“ALJ”) on November 11, 2009, at which Plaintiff, represented by counsel, appeared and testified, as did a vocational expert. See AR 23-68. On December 21, 2009, the ALJ issued a decision finding Plaintiff not disabled. See AR 6-22. Plaintiff’s request for review of the ALJ’s decision was denied by the Appeals Council on February 25, 2011, making the ALJ’s decision the Commissioner’s final decision. See AR 1-3; see also 20 C.F.R. § 404.981, § 416.1481. Plaintiff sought judicial review, and the District Court for the Western District of Washington reversed and remanded the case for further proceedings. AR 1224-50.
A second administrative hearing was held on December 7, 2012, and the ALJ subsequently issued a decision finding Plaintiff disabled as of February 1, 2012, but not disabled before that date. AR 1146-61, 1171-1203. On September 3, 2014, Plaintiff filed a complaint in this Court seeking judicial review of the ALJ’s decision. See ECF ## 1, 3. The administrative record was filed with the Court on November 18, 2014. See ECF # 14. The parties have completed their briefing, and thus this matter is now ripe for judicial review and a decision by the Court.
Plaintiff argues the ALJ’s decision should be reversed and remanded to the Commissioner for a finding of disability, or further proceedings in the alternative (depending on which errors are found by the Court), because the ALJ erred: (1) in inferring a disability onset date without consulting a medical expert; (2) in failing to account for Plaintiff’s manipulative limitations and medication side effects in her residual functional capacity (“RFC”) assessment; and (3) in discounting Plaintiff’s credibility. The Court agrees the ALJ erred in inferring the onset date of Plaintiff’s disability, and therefore concludes that this matter should be remanded for further administrative proceedings.
The determination of the Commissioner that a claimant is not disabled must be upheld by the Court, if the “proper legal standards” have been applied and the “substantial evidence in the record as a whole supports” that determination. Hoffman v. Heckler, 785 F.2d 1423, 1425 (9th Cir. 1986); see also Batson v. Comm’r of Social Sec. Admin., 359 F.3d 1190, 1193 (9th Cir. 2004); Carr v. Sullivan, 772 F.Supp. 522, 525 (E.D. Wash. 1991) (“A decision supported by substantial evidence will, nevertheless, be set aside if the proper legal standards were not applied in weighing the evidence and making the decision.” (citing Brawner v. Sec’y of Health & Human Servs., 839 F.2d 432, 433 (9th Cir. 1987))).
Substantial evidence is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Richardson v. Perales, 402 U.S. 389, 401 (1971) (citation omitted); see also Batson, 359 F.3d at 1193 (“[T]he Commissioner’s findings are upheld if supported by inferences reasonably drawn from the record.”). “The substantial evidence test requires that the reviewing court determine” whether the Commissioner’s decision is “supported by more than a scintilla of evidence, although less than a preponderance of the evidence is required.” Sorenson v. Weinberger, 514 F.2d 1112, 1119 n.10 (9th Cir. 1975). “If the evidence admits of more than one rational interpretation, ” the Commissioner’s decision must be upheld. Allen v. Heckler, 749 F.2d 577, 579 (9th Cir. 1984) (“‘Where there is conflicting evidence sufficient to support either outcome, we must affirm the decision actually made.’” (quoting Rhinehart v. Finch, 438 F.2d 920, 921 (9th Cir. 1971))).
I. Disability Onset Date
The ALJ found that Plaintiff became disabled on February 1, 2012, because, inter alia, on that date he met Listing 12.04 (due to his mood disorder). AR 1161. The ALJ explained that although Plaintiff had been treated for depression prior to February 1, 2012, his symptoms were non-severe before that date. AR 1149. The ALJ explained that she found he met Listing 12.04 as of February 1, 2012, “taking into account that he attempted suicide in early February 2012.” AR 1161.
Social Security Ruling (“SSR”) 83-20, 1983 WL 31249 (Jan. 1, 1983), discusses when an ALJ should call a medical expert to assist in establishing a disability onset date. The Ninth Circuit has held that if the “medical evidence is not definite concerning the onset date and medical inferences need to be made, SSR 83-20 requires the administrative law judge to call upon the services of a medical advisor and to obtain all evidence which is available to make the determination.” DeLorme v. Sullivan, 924 F.2d 841, 848 (9th Cir. 1991) (emphasis added); see also Armstrong v. Comm’r of Social Sec. Admin., 160 F.3d 587, 590 (9th Cir. 1998) (“where a record is ambiguous as to the onset date of disability, the ALJ must call a medical expert to assist in determining the onset date”); Morgan v. Sullivan, 945 F.2d 1079, 1083 (9th Cir. 1991) (inferring a disability onset date “is not possible without the assistance of a medical expert”).
The Commissioner’s brief does not directly address the requirements of SSR 83-20, or address any of the relevant Ninth Circuit authority interpreting that ruling. ECF # 21 at 6-8. Instead, she focuses on the pre-February 2012 evidence of Plaintiff’s depression, which she claims was “reasonably” found by the ALJ to demonstrate only “minimal limitations.” ECF # 21 at 6-7. Even if the ALJ’s interpretation of the evidence was reasonable, the Commissioner has not shown that it was proper for the ALJ to interpret evidence of a disability onset without the assistance of a medical expert, given that the evidence does not definitively establish an onset date.
Furthermore, the ALJ’s explanation for finding that Plaintiff’s mood disorder became severe in February 2012 focuses exclusively on his February 2012 suicide attempt (AR 1161), although he reported in February 2012 that he had been experiencing ongoing, daily suicidal ideation and had previously attempted suicide twice before. See AR 1424-25. The ALJ’s explanation is insufficient as to the ...