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Wagner v. Colvin

United States District Court, W.D. Washington, Tacoma

May 5, 2015

CAROLYN W. COLVIN, Acting Commissioner of Social Security, Defendant.


KAREN L. STROMBOM, Magistrate Judge.

Plaintiff has brought this matter for judicial review of the defendant Commissioner's denial of his application for 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 orders that for the reasons set forth below, the Commissioner's decision to deny benefits is affirmed.


On September 8, 2011, Plaintiff protectively filed an application for SSI, alleging disability as of January 1, 2011, due to heart problems, migraine headaches, asthma, depression, and hypertension. See Administrative Record ("AR") 164-70, 177, 182. His application was denied upon initial administrative review and on reconsideration. See AR 93-96, 100-103. A hearing was held before an administrative law judge ("ALJ") on November 29, 2012, at which Plaintiff, represented by counsel, appeared and testified, as did a vocational expert ("VE"). See AR 33-63.

On March 19, 2013, the ALJ issued a decision finding Plaintiff not disabled. See AR 16-28. Plaintiff's request for review of the ALJ's decision was denied by the Appeals Council on August 5, 2014, making the ALJ's decision the Commissioner's final decision. See AR 1-5; see also 20 C.F.R. § 404.981, § 416.1481. On October 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 December 16, 2014. See ECF # 10. 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 further proceedings, because the ALJ erred in (1) failing to develop the record as to Plaintiff's prior finding of disability, (2) failing to call a medical expert in rendering stepthree findings, and (3) failing to explain why the credited opinions of State agency medical consultants were not fully adopted. For the reasons set forth below, the Court disagrees that the ALJ erred in determining Plaintiff to be not disabled, and therefore affirms the Commissioner's decision.


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)).[1]

I. Plaintiff's Prior Finding of Disability

Plaintiff testified at the administrative hearing that the Commissioner had previously found him disabled, but discontinued his benefits for non-medical reasons. AR 57. The administrative record in this case indicates that Plaintiff was previously found disabled at the initial level in April 1999, and that his benefits were terminated in July 2003. AR 178. Plaintiff subsequently applied for benefits, and that application was denied at the initial level in June 2006. Id. Plaintiff did not appeal that determination. Plaintiff argues that the ALJ should have developed the record regarding his prior award of benefits, because the prior award is relevant to his current application because, according to him, it was based on the same medical condition.

Plaintiff cites no Ninth Circuit authority finding that a prior determination terminated for non-medical reasons is relevant to a subsequent application, although he cites a Second Circuit case for that proposition. Dkt. 13 at 3 (citing Mimms v. Heckler, 750 F.2d 180, 185 (2d Cir. 1984)). Mimms was cited by the District Court for the Central District of California, but the facts of that case are distinguishable from this case. See Bonner v. Astrue, 725 F.Supp.2d 898, 899-901 (C.D. Cal. 2010). In Bonner, the record was ambiguous as to whether the claimant had previously received benefits, and if so, whether the benefits had been properly terminated or should have been reinstated after he was released from prison. 725 F.Supp.2d at 901. The Bonner court questioned whether plaintiff's prior determination should still have been in effect, in light of plaintiff's period of incarceration, and found that the ALJ had failed to properly develop the record as to the relationship between plaintiff's periods of incarceration and his eligibility for benefits. 725 F.Supp.2d at 901. Importantly, the Bonner plaintiff's current application alleged that his disability began during a period that he was previously receiving benefits.[2] 725 F.Supp.2d at 899, 901.

In this case, the connection between Plaintiff's prior determination and his current application is exceedingly more tenuous. Plaintiff's benefits were terminated nearly ten years before the administrative hearing, and an intervening application for benefits was denied and not appealed. Plaintiff is not now arguing that the 2003 benefits termination was inappropriate, or that the 1999 finding of disability should have given rise to a presumption of continuing disability. Plaintiff is narrowly arguing that the 1999 finding of disability is relevant to the current application because it was allegedly based on the same theory of disability, namely his heart condition. ECF # 13 at 6.

Plaintiff's current application, however, alleges that his disability began on January 2011. AR 164-70. The basis for the 1999 determination is therefore not relevant to determining whether Plaintiff was disabled during the relevant period under the ALJ's consideration. In the absence of a plausible theory as to how the prior determination could be relevant to his current application, Plaintiff has ...

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