Chappell v. Saul

[2] 3 IN THE UNITED STATES DISTRICT COURT 4 FOR THE NORTHERN DISTRICT OF CALIFORNIA [5] CASE NO. 4:20-cv-05642 YGR 6 HILLIARD CHAPPELL, III, ORDER GRANTING IN PART AND 7 Plaintiff, DENYING IN PART MOTION FOR SUMMARY JUDGMENT 8 v. 9 Re: Dkt. No. 18 ANDREW SAUL, COMMISSIONER OF SOCIAL 10 SECURITY, 11 Defendant. [12] 13 Now before the Court is plaintiff Hilliard Chappell, III’s motion for summary judgment, 14 which defendant the Commissioner of Social Security opposes. For the reasons set forth below, 15 the Court GRANTS the motion in part and DENIES it in part. 16 I. BACKGROUND 17 A. Procedural History 18 Chappell is a fifty-two-year-old man who lives in a homeless shelter. AR 31, 51. He has a 19 high-school education and previously worked as a barber. AR 21, 24, 43-44. He claims to suffer 20 from a number of ailments that negatively impact his ability to work, including pain, numbness, 21 and swelling arising from bilateral shoulder injuries; back injuries; gout; surgery and hardware 22 placement in his leg; and right Achilles’ tendon injury. AR 27. These ailments are documented in 23 the medical evidence in the record. 24 On January 25, 2017, Chappell protectively filed applications for Disability Insurance 25 Benefits (“DIB”) and supplemental security income (“SSI”) pursuant to the Social Security Act. 26 AR 198-214. In these applications, Chappell alleged disability beginning on June 1, 2002. AR 27 199, 206. The Social Security Administration denied his application initially on June 7, 2017, and 1 with his attorney and testified before an administrative law judge (“ALJ”). AR 38-73. In a 2 decision dated July 30, 2019, the ALJ found that, although Chappell suffers from several severe 3 physical impairments, he has not been disabled within the meaning of the Social Security Act 4 since the alleged onset date because he could perform two jobs given his residual functional 5 capacity (“RFC”) for a reduced range of light work. AR 18-33. The ALJ’s decision became the 6 final decision of the Commissioner when the Appeals Council denied review on June 19, 2020. 7 AR 1-6. 8 On August 13, 2020, Chappell filed this action against the Commissioner, seeking judicial 9 review of the Commissioner’s denial of benefits pursuant to 42 U.S.C. §§ 405 (g) and 1383(c). 10 Chappell now moves for summary judgment and for an order reversing the 11 Commissioner’s conclusion that he has not been under a disability and remanding with 12 instructions to award benefits pursuant to 42 U.S.C. § 405 (g). Docket No. 18. The Commissioner 13 opposes Chappell’s motion. Docket No. 19. 14 B. Hearing before the ALJ 15 On September 13, 2018, Chappell appeared with his attorney and testified before the ALJ. 16 AR 38-73. Chappell testified that his surgery on his right shoulder was still pending, AR 49; his 17 ankle and leg pain limits him from standing for long periods of time, AR 49; he has swelling and 18 pain in his ankle up to his knee, AR 50; he has back pain and difficulty sitting, AR 50; his 19 symptoms fluctuate by the day, AR 50-1; he cannot stand or walk for more than an hour or two at 20 the most, AR 58; once he is experiencing a high level of pain from being on his feet, he cannot do 21 much more that day and his day effectively ends, AR 59; it takes him half an hour or longer to 22 walk a mile, AR 60-61; the pain he experiences during gout episodes is severe and causes swelling 23 and pain that renders him bedridden for a week, AR 62; and he gets a little depressed, AR 66. 24 The ALJ’s vocational expert testified, in response to the ALJ’s hypothetical, that two 25 occupations exist (callout operator and telephone quotation clerk) that suit the characteristics of a 26 claimant that the ALJ described, but she noted that two absences per month would preclude 27 competitive employment. AR 69. She also opined that an additional fifteen-minute break each 1 C. Psychological evaluation by Dr. Martin 2 In October 2018, Chappell underwent a psychiatric evaluation by Dr. Martin. AR 343. 3 Chappell related having a history of depression, anxiety, and chronic pain. AR 343. Dr. Martin’s 4 “diagnostic impression” of Chappell was that he suffered from unspecified anxiety disorder, 5 unspecified depressive disorder, and unspecified somatic symptom. AR 346. He found that 6 Chappell’s impairments would result in “moderate” limitations in certain work-related functions 7 and contexts. AR 346-49. 8 D. The ALJ’s findings 9 On July 30, 2019, the ALJ issued a decision concluding that Chappell “has not been under 10 a disability within the meaning of the Social Security Act from June 1, 2002, through the date of 11 this decision” because he could perform certain jobs given his RFC for a reduced range of light 12 exertion work. AR 18-33. Specifically, the ALJ made the following findings at each step of the 13 five-step sequential evaluation process for determining whether an individual is disabled: 14 At step one, the ALJ considered whether Chappell is engaging in substantial gainful 15 activity, and he determined that he has not engaged in substantial gainful activity since the alleged 16 onset date of June 1, 2002. AR 23-24. 17 At step two, the ALJ considered whether Chappell has a medically determinable 18 impairment that is “severe” or a combination of impairments that is “severe,” and he concluded 19 that Chappell suffers from the following severe impairments: “disfunction of major joints; 20 degenerative lumbar spine disorder; and disorders of muscle, ligament, and fascia.” AR 24-26. 21 The ALJ found that Chappell has other physical and mental medically determinable 22 impairments but determined that they are not severe. Specifically, the ALJ acknowledged that 23 Chappell “alleges gout” and that Chappell’s medical records were consistent with Chappell 24 suffering from gout. AR 24. The ALJ did not find that Chappell’s gout constitutes a “severe” 25 impairment because, in his view, “the record demonstrates that the gout is treated conservatively 26 with medication” and because “the record does not establish that these conditions cause more than 27 minimal limitation in the claimant’s ability to perform basic work activities.” AR 24. 1 The ALJ also noted, based on Dr. Martin’s opinions, that “the claimant has the medically 2 determinable mental impairments of unspecified anxiety disorder, unspecified depressive disorder, 3 and unspecified somatic symptom and related disorder,” but he found that these mental 4 impairments were not severe because they “cause no more than ‘mild’ limitation in any of the 5 functional areas,” AR 25, and “the record does not establish that these impairments cause more 6 than minimal limitation in the claimant’s ability to perform basic mental work activities.” AR 24. 7 At step three, the ALJ considered whether Chappell’s impairments or combination of 8 impairments is of a severity to meet or medically equal the criteria of an impairment listed in 20 9 CFR Part 404, Subpart P, Appendix I. 20 CFR §§ 404.1520 (d), 404.1525, 404.1526, 416.920(d), 10 416.925, and 416.926, and he concluded that they do not meet such criteria. AR 26. 11 At step four, the ALJ considered whether Chappell has the RFC to perform the 12 requirements of his past relevant work, and he concluded that Chappell has no past relevant work. 13 AR 31. 14 At step five, the ALJ considered whether Chappell is able to do any other work 15 considering his RFC, age, education, and work experience, and he found that Chappell has the 16 RFC “to perform light work” except that he can “frequently lift and carry ten pounds; sit for six 17 hours; stand and walk for four hours; push and pull less than ten pounds; can frequently use foot 18 controls with the left foot; occasionally reach in all directions bilaterally; occasionally climb 19 ramps, stairs, ladders, ropes, or scaffolds; occasionally stoop, kneel, crouch, or crawl.” AR 26-31. 20 In light of this finding, and the vocational expert’s testimony, the ALJ concluded that Chappell 21 could perform work that existed in significant numbers in the economy, specifically as a callout 22 operator or as a telephone quotations clerk, and that he, therefore, is and has not been disabled. 23 AR 32. 24 When determining Chappell’s RFC, the ALJ acknowledged that Chappell “alleges the 25 inability to work due to pain, numbness, and swelling arising from bilateral shoulder injuries; back 26 injuries (facet arthropathy, disc deterioration, disc protrusion in the lower back, foraminal stenosis, 27 and joint hypertrophy in the cervical spine); gout; surgery and hardware placement to treat a right 1 and fatty liver.” AR 27. The ALJ also acknowledged that Chappell “alleges that his impairments 2 limit his abilities to sit, stand, and walk to 45 minutes at a time per activity.” AR 27. The ALJ 3 further acknowledged that Chappell “testified that every two to three weeks, his gout manifests in 4 pain and swelling in his bilateral lower extremities from the toes to the knees and effectively 5 renders him bed-ridden for a week and dependent on crutches,” and that “his daily activities 6 fluctuate depending on whether or to what degree he is in pain.” AR 27. 7 Although the ALJ found that Chappell’s “medically determinable impairments could 8 reasonably be expected to cause the alleged symptoms,” he nevertheless concluded that Chappell’s 9 “statements concerning the intensity, persistence and limiting effects of these symptoms are not 10 entirely consistent with the medical evidence and other evidence in the record for the reasons 11 explained in this decision.” AR 27. The ALJ did not specify which portions of Chappell’s 12 statements regarding his symptoms contradicted the medical evidence, or why the medical 13 evidence contradicted Chappell’s testimony. See AR 27-31. 14 II. LEGAL STANDARD 15 The Social Security Act defines “disability” as the inability to engage “in any substantial 16 gainful activity by reason of any medically determinable physical or mental impairment which can 17 be expected to result in death or which has lasted or can be expected to last for a continuous period 18 of not less than twelve months.” 42 U.S.C. § 1382c(a)(3)(A). A claimant “shall be determined to 19 be under a disability only if his physical or mental impairment or impairments are of such severity 20 that he is not only unable to do his previous work but cannot, considering his age, education, and 21 work experience, engage in any other kind of substantial gainful work which exists in the national 22 economy, regardless of whether such work exists in the immediate area in which he lives, or 23 whether a specific job vacancy exists for him, or whether he would be hired if he applied for 24 work.” Id. § 1382c(a)(3)(B). 25 “To determine whether a claimant is disabled, the Commissioner conducts a five-step 26 sequential inquiry. In conducting this inquiry, the Commissioner asks five questions in order until 27 a question is answered in such a way that the claimant is conclusively determined disabled or not.” 1 proof is on the claimant at steps one through four, but shifts to the Commissioner at step five.” 2 Bray v. Comm’r of Soc. Sec. Admin., 554 F.3d 1219, 1222 (9th Cir. 2009). 3 The five-step process for disability determinations begins, at the first and second steps, by asking whether a claimant is engaged in 4 “substantial gainful activity” and considering the severity of the claimant’s impairments. See 20 C.F.R. § 416.920 (a)(4)(i)-(ii). If 5 the inquiry continues beyond the second step, the third step asks whether the claimant’s impairment or combination of impairments 6 meets or equals a listing under 20 C.F.R. pt. 404, subpt. P, app. 1 and meets the duration requirement. See id. § 416.920(a)(4)(iii). 7 If so, the claimant is considered disabled and benefits are awarded, ending the inquiry. See id. If the process continues beyond the 8 third step, the fourth and fifth steps consider the claimant’s “residual functional capacity” in determining whether the claimant 9 can still do past relevant work or make an adjustment to other work. See id. § 416.920(a)(4)(iv)-(v). [10] 11 Kennedy v. Colvin, 738 F.3d 1172, 1175 (9th Cir. 2013). 12 Under 42 U.S.C. § 405 (g), a court has the authority to review the Social Security 13 Administration’s disability determinations; it provides, in relevant part, the “court shall have 14 power to enter . . . a judgment affirming, modifying, or reversing the decision of the 15 Commissioner of Social Security, with or without remanding the cause for a rehearing.” “An 16 ALJ’s disability determination should be upheld unless it contains legal error or is not supported 17 by substantial evidence.” Garrison v. Colvin, 759 F.3d 995, 1009 (9th Cir. 2014) (citation 18 omitted). “Substantial evidence means more than a mere scintilla, but less than a preponderance; 19 it is such relevant evidence as a reasonable person might accept as adequate to support a 20 conclusion.” Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007) (citation and internal 21 quotation marks omitted). Courts “must consider the entire record as a whole, weighing both the 22 evidence that supports and the evidence that detracts from the Commissioner’s conclusion, and 23 may not affirm simply by isolating a specific quantum of supporting evidence.” Id. (citations and 24 quotation marks omitted). 25 III. DISCUSSION 26 Chappell moves for summary judgment and an order reversing the Commissioner’s denial 27 of benefits and remanding with instructions to award benefits. Chappell argues that he is entitled 1 ALJ erred at step two of the sequential evaluation by finding his mental impairments not severe 2 even though Dr. Martin’s opinions establish that those impairments caused moderate limitations in 3 functions that are relevant to his ability to work; and (2) the ALJ erred by failing to provide “clear 4 and convincing reasons” for rejecting his testimony about his symptoms. The Court addresses 5 these arguments in turn. 6 A. Whether the ALJ erred at step two by failing to find that Chappell’s mental impairments are severe [7] 8 At step two of the sequential evaluation process, the ALJ is tasked with determining which 9 impairments, alone or in combination, meet the durational and severity requirements. Smolen, 80 10 F.3d at 1290; 20 C.F.R. §§ 404.1521 (a). “Under Step 2, the applicable regulations state that ‘[a]n 11 impairment or combination of impairments is not severe if it does not significantly limit [a 12 claimant’s] physical or mental ability to do basic work activities.’” Edlund v. Massanari, 253 13 F.3d 1152, 1159 (9th Cir. 2001), as amended on reh’g (Aug. 9, 2001) (quoting 20 C.F.R. 14 § 404.1521(a)). “Basic work activities” are defined as including such capabilities as use of 15 judgment, 20 C.F.R. § 404.1521 (b)(4); responding appropriately to supervision, co-workers and 16 usual work situations, 20 C.F.R. § 404.1521 (b)(5); and dealing with changes in a routine work 17 setting, 20 C.F.R. § 404.1521 (b)(6). When determining whether a claimant is disabled or his 18 impairments are severe, “the Commissioner must provide ‘clear and convincing’ reasons for 19 rejecting the uncontradicted opinion of an examining physician.” See Lester v. Chater, 81 F.3d 20 821, 830 (9th Cir. 1995), as amended (Apr. 9, 1996). 21 Chappell argues that the ALJ erred in finding that his mental impairments were not severe 22 at step two, and that this error was not harmless because it affected the ALJ’s analysis at steps four 23 and five and ultimately led to the ALJ’s finding that he is not disabled. Chappell contends that Dr. 24 Martin’s opinions support a finding that his mental impairments are severe, but the ALJ rejected 25 these opinions without providing “clear and convincing reasons,” which he argues constitutes 26 legal error. Specifically, Chappell argues that Dr. Martin described his mental impairments as 27 causing “moderate” limitations in several areas related to workplace performance, which Chappell 1 contends warrants a finding that his mental impairments are “severe” within the meaning of the 2 Social Security Act. Docket No. 18 at 10-12; Docket No. 20 at 3-4. 3 The Court disagrees with Chappell and concludes that the ALJ did not commit legal error 4 in his evaluation of Chappell’s mental impairments or of Dr. Martin’s opinions at step two. 5 Dr. Martin’s “diagnostic impression” of Chappell was that he suffered from unspecified 6 anxiety disorder, unspecified depressive disorder, and unspecified somatic symptom. AR 346. 7 Dr. Martin opined that Chappell had “moderate” limitations in terms of maintaining regular 8 attendance in the workplace; performing work activities on a consistent basis; completing a 9 normal workday or workweek without interruptions resulting from his psychiatric condition; 10 interacting with coworkers and with the public; and with the ability to deal with the usual stresses 11 encountered in a competitive work environment. AR 346. Dr. Martin further opined that 12 Chappell’s ability to understand, remember, and carry out instructions was affected by his mental 13 impairments and that the impact of his impairments was “moderate” in the context of making 14 judgments on simple and complex work-related decisions. AR 348. Dr. Martin further opined that 15 Chappell’s mental impairments would moderately affect his ability to interact appropriately with 16 others in the workplace, and to respond appropriately to “usual work situations and to changes in 17 routine.” AR 349. Notably, the form that Dr. Martin filled out defines “moderate” as “more than 18 a slight limitation in this area but the individual is still able to function satisfactorily.” AR 348. 19 Further worthy of note is that the form that Dr. Martin filled out contains spaces for him to 20 “identify the factors” that “support [each] assessment,” but Dr. Martin left those spaces blank. AR 21 348. 22 The ALJ considered and weighed Dr. Martin’s opinions in determining whether the 23 combination of all of Chappell’s impairments affected his ability to function in the workplace, and 24 he gave clear reasons supported by the record to justify the weight he accorded to Dr. Martin’s 25 testimony, such as the fact that “Dr. Martin did not provide a basis” for some of his assessments as 26 to Chappell’s “moderate” mental limitations. See AR 25-26. As noted, Dr. Martin left blank the 27 spaces in the form he filled out where he was required to “identify the factors” that “support” his 1 Chappell contends that the ALJ committed legal error by not finding, based on Dr. 2 Martin’s opinions, that his mental impairments are severe. The Court is not persuaded for two 3 reasons. First, Chappell has not shown that Dr. Martin’s opinions compel a finding that his mental 4 impairments are severe. As noted, Dr. Martin opined that the impact of Chappell’s mental 5 impairments was “moderate” in certain areas, but Dr. Martin’s form defines “moderate” as “more 6 than a slight limitation in this area but the individual is still able to function satisfactorily.” AR 7 348. This definition of “moderate” appears to fall within the scope of a “not severe” impairment 8 under the applicable Social Security regulations, which provide that an impairment or combination 9 of impairments is “not severe” if the evidence establishes a slight abnormality that would have “no 10 more than a minimal effect on an individual’s ability to work.”1 Smolen, 80 F.3d at 1290 (citation 11 omitted). Indeed, an impairment that still allows one to “function satisfactorily” seems to be 12 consistent with an impairment that has “no more than a minimal effect on an individual’s ability to 13 work.” Chappell does not acknowledge the fact that Dr. Martin’s form defines “moderate” in a 14 way that appears consistent with the definition of “not severe.” Accordingly, the Court disagrees 15 with Chappell that the ALJ was required to find based on these opinions that Chappell’s mental 16 impairments are “severe.” Second, as noted, the ALJ provided clear and convincing reasons for 17 according certain weight to Dr. Martin’s opinions. Chappell does not acknowledge or address any 18 of the reasons provided by the ALJ for his treatment of Dr. Martin’s opinions; thus, the Court 19 finds no basis to conclude that such reasons are legally insufficient. 20 Accordingly, the Court concludes that Chappell has not shown that the ALJ erred at step 21 two in not finding that his mental impairments are severe, and it DENIES Chappell’s motion for 22 summary judgment as to this issue. [25] 1 By contrast, Dr. Martin’s worksheet defines “marked” as “[t]here is a serious limitation [26] in this area. There is a substantial loss in the ability to effectively function.” AR 348. Had Dr. Martin used the word “marked” to describe the limitations caused by Chappell’s mental [27] impairments, which he did not, then Chappell’s argument that Dr. Martin’s opinions warrant a B. Whether the ALJ erred by failing to provide “clear and convincing” reasons [1] for rejecting Chappell’s subjective testimony as to his symptoms 2 “When an Administrative Law Judge (ALJ) determines that a claimant for Social Security 3 benefits is not malingering and has provided objective medical evidence of an underlying 4 impairment which might reasonably produce the pain or other symptoms she alleges, the ALJ may 5 reject the claimant’s testimony about the severity of those symptoms only by providing specific, 6 clear, and convincing reasons for doing so.” Brown-Hunter v. Colvin, 806 F.3d 487, 488-89 (9th 7 Cir. 2015). “[A]n ALJ does not provide specific, clear, and convincing reasons for rejecting a 8 claimant’s testimony by simply reciting the medical evidence in support of his or her residual 9 functional capacity determination.” Id. Instead, to satisfy the “clear and convincing reasons” 10 requirement, the ALJ must “specify which testimony she finds not credible, and then provide clear 11 and convincing reasons, supported by evidence in the record, to support that credibility 12 determination.” Id. A failure to do so constitutes “legal error,” id., and this error is not harmless 13 where the ALJ’s failure to specify his or her reasons for rejecting claimant testimony deprives the 14 courts of the opportunity to review those reasons “meaningfully,” id. at 492 . 15 Chappell argues that, because the ALJ did not find that he was malingering and also found 16 that the symptoms he described during his testimony could reasonably be caused by his medically 17 determinable impairments, the ALJ was required to provide “clear and convincing reasons” for 18 rejecting his symptom testimony. Chappell contends that the ALJ’s failure to provide “clear and 19 convincing reasons” for rejecting his symptoms testimony was legal error that was not harmless 20 because, if the ALJ had considered this testimony, then the ALJ would have been required to find 21 that he is incapable of sustaining either of the two occupations that the ALJ determined, at step 22 five, that he could perform. 23 After carefully reviewing the record, the Court agrees with Chappell. 24 Chappell testified during his hearing with the ALJ that the pain he experiences as a result 25 of his medically determinable impairments significantly affects his ability to stand, walk, and lift, 26 and that, sometimes, it renders him bedridden. Specifically, Chappell testified that he can lift 27 perhaps ten pounds, AR 64; he has trouble getting out of bed in the morning because of pain, AR 1 down for an hour or two, AR 58-60; he can walk slowly for about a mile or approximately 45 2 minutes before the pain begins and he has to stop exerting for the day, AR 60-61; and he 3 experiences “tremendous” gout-related pain when he has a gout episode every two to three weeks, 4 AR 50, which forces him to be bedridden for an entire week, AR 62. 5 Although the ALJ did not find that Chappell was malingering, he nevertheless rejected 6 Chappell’s testimony regarding his symptoms based on the following conclusory grounds: 7 After careful consideration of the evidence, the undersigned finds that the claimant’s medically determinable impairments could 8 reasonably be expected to cause the alleged symptoms. However, the claimant’s statements concerning the intensity, persistence and 9 limiting effects of these symptoms are not entirely consistent with the medical evidence and other evidence in the record for the 10 reasons explained in this decision. 11 AR 27. The ALJ did not identify the portions of Chappell’s testimony that he did not find 12 credible, nor did he specify the medical evidence that he believed was inconsistent with 13 Chappell’s testimony. The ALJ simply proceeded to analyze the medical evidence that formed the 14 basis of his RFC finding. 15 As noted, to satisfy the “clear and convincing reasons” requirement for rejecting the 16 testimony of a claimant who is not found to be malingering and whose symptoms could 17 reasonably be derived from his medically determinable impairments, “[t]he ALJ must state 18 specifically which symptom testimony is not credible and what facts in the record lead to that 19 conclusion.” Smolen, 80 F.3d at 1284 (citation omitted). Here, the ALJ failed to do so. The 20 ALJ’s opinion does not identify the testimony that he did not find credible, nor does it identify the 21 evidence that the ALJ believed was inconsistent with Chappell’s testimony. The ALJ’s only 22 explanation for not crediting Chappell’s symptom testimony is the conclusory statement that “the 23 claimant’s statements concerning the intensity, persistence and limiting effects of these symptoms 24 are not entirely consistent with the medical evidence and other evidence in the record,” AR 27, but 25 that is not enough. See Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1103 (9th Cir. 26 2014) (holding that “[a]n ALJ’s ‘vague allegation’ that a claimant’s testimony is ‘not consistent 27 with the objective medical evidence,’ without any ‘specific findings in support’ of that conclusion 1 generally describes and analyzes the medical evidence that formed the basis of his RFC finding, 2 that is insufficient to satisfy the “clear and convincing reasons” requirement.2 See Brown-Hunter, [3] 806 F.3d at 488-89 (“[A]n ALJ does not provide specific, clear, and convincing reasons for 4 rejecting a claimant’s testimony by simply reciting the medical evidence in support of his or her 5 residual functional capacity determination.”). 6 The ALJ’s failure to specify the reasons for rejecting Chappell’s symptom testimony is 7 particularly problematic because an ALJ must tread carefully when rejecting claimant testimony 8 regarding pain. The Ninth Circuit has repeatedly emphasized that, 9 Unlike most medical conditions capable of supporting a finding of disability, pain cannot be objectively verified or measured. While 10 the physical conditions causing pain can usually be objectively ascertained, the pain itself cannot; the very existence of pain is a 11 completely subjective phenomenon. So is the degree of pain: The amount of pain caused by a given physical impairment can vary 12 greatly from individual to individual. To make matters more difficult, ordinary language permits the expression of only the most 13 rudimentary distinctions among levels of pain: A claimant can testify that his leg hurts a little, or a lot, or somewhere in between, 14 but such descriptions provide only a dim insight into the claimant’s subjective experience of pain. [15] 16 Fair v. Bowen, 885 F.2d 597, 601 (9th Cir. 1989). In light of these realities, the Ninth Circuit has 17 held that an “ALJ may not reject subjective symptom testimony . . . simply because there is no 18 showing that the impairment can reasonably produce the degree of symptom alleged.” Smolen, 80 19 F.3d at 1282. Further, “[t]hat a claimant testifies that his symptom is more disabling than would 20 normally be expected gives no valid reason to discount his testimony.” Swenson v. Sullivan, 876 21 F.2d 683, 687 (9th Cir. 1989). Here, the ALJ’s failure to specify his reasons for rejecting 22 Chappell’s symptom testimony prevents this Court from being able to determine whether the [24] 2 While it would be possible to try to “comb the administrative record to find specific conflicts” between Chappell’s symptom testimony and the other evidence in the record to try to [25] find support for the ALJ’s conclusory rejection of Chappell’s symptoms testimony, courts are not permitted to do so. See Brown-Hunter, 806 F.3d at 494 (“[O]ur decisions make clear that we may [26] not take a general finding—an unspecified conflict between Claimant’s testimony . . . and her reports to doctors—and comb the administrative record to find specific conflicts.”) (citation [27] omitted). This is because courts are “constrained to review the reasons the ALJ asserts.” Connett 1 rejection violated any of these prohibitions, and thus prevents the Court from conducting a 2 meaningful review of the ALJ’s decision. 3 Accordingly, the Court finds that the ALJ failed to provide “clear and convincing 4 reasons” for rejecting Chappell’s symptom testimony and that this constitutes reversible legal 5 error. 6 The Commissioner’s arguments to the contrary are not persuasive. The Commissioner first 7 argues the requirement in the Ninth Circuit that an ALJ must provide “clear and convincing 8 reasons” is inconsistent with the relevant statutes and regulations. See Docket. No. 19 at 5 n.3. 9 This contention has no impact on the Court’s analysis, because the Ninth Circuit’s holding that an 10 ALJ’s rejection of a non-malingering claimant’s symptom testimony must be supported by “clear 11 and convincing reasons” is controlling and the Court, therefore, must apply it here. 12 The Commissioner next argues, conclusorily, that the ALJ did satisfy the “clear and 13 convincing reasons” requirement because the ALJ “reasonably considered Plaintiff’s subjective 14 symptom testimony, finding it not entirely consistent with the medical evidence of record.” 15 Docket No. 19 at 7. Defendant, however, does not point to any portion of the ALJ’s decision 16 where the ALJ specifically identified the symptom testimony by Chappell that he found to be not 17 credible and the specific evidence that led him to that conclusion. As noted above, the “clear and 18 convincing reasons” requirement is not satisfied with general findings and instead requires a level 19 of specificity that permits meaningful review of the ALJ’s grounds for rejecting the claimant’s 20 symptom testimony. See Brown-Hunter, 806 F.3d at 494 (“We cannot review whether the ALJ 21 provided specific, clear, and convincing reasons for rejecting [the claimant’s] pain testimony 22 where, as here, the ALJ never identified which testimony she found not credible, and never 23 explained which evidence contradicted that testimony.”) (emphasis in the original). That level of 24 specificity is absent here. 25 Finally, the Commissioner argues that an “ALJ cannot be required to believe every 26 allegation of [disability], or else disability benefits would be available for the asking,” Docket No. 27 19 at 6. This argument misunderstands the nature of Chappell’s challenge to the ALJ’s 1 was required to accept his allegations of disability. Chappell argues, instead, that the ALJ was 2 required to justify his rejection of his symptom testimony with “clear and convincing reasons” and 3 that this failure constitutes reversible error; Chappell’s argument is consistent with the law in the 4 Ninth Circuit. See Magallanes v. Bowen, 881 F.2d 747, 755 (9th Cir. 1989) (“Where objective 5 medical findings establish the existence of medical impairment, but a claimant testifies that she 6 experiences pain at a higher level, the Secretary is free to disbelieve that testimony. The Secretary 7 must, however, make a specific and justifiable finding that the claimant’s testimony is not 8 credible.”). 9 Having concluded that the ALJ erred in failing to provide “clear and convincing reasons” 10 for rejecting Chappell’s symptom testimony, the Court next considers whether that error was 11 harmless. An error is harmless where it is “inconsequential to the ultimate nondisability 12 determination.” Carmickle v. Comm’r, Soc. Sec. Admin., 533 F.3d 1155, 1162 (9th Cir. 2008) 13 (citation and internal quotation marks omitted). 14 Where the “ALJ found generally that the claimant’s testimony was not credible, but failed 15 to identify which testimony she found not credible and why,” the ALJ’s error was “not harmless 16 because it precludes [courts] from conducting a meaningful review of the ALJ’s reasoning.” 17 Brown-Hunter, 806 F.3d at 489 . As discussed above, here, the ALJ failed to specify the basis for 18 his rejection of Chappell’s symptom testimony, which precludes meaningful review of the ALJ’s 19 decision. This alone is sufficient to find under Brown-Hunter that the ALJ’s error was not 20 harmless. 21 The ALJ’s error was not harmless for another, independent reason. As discussed in more 22 detail below, if the ALJ had considered Chappell’s symptom testimony at step five, then he would 23 have been required to find Chappell disabled. 24 Accordingly, the Court concludes that Chappell has shown that the ALJ erred in rejecting 25 his symptom testimony without providing clear and convincing reasons for doing so, and it 26 GRANTS Chappell’s motion for summary judgment as to this issue. [27] 1 C. Whether remand should be for further proceedings or an award of benefits 2 A court has discretion “to remand a case either for additional evidence and findings or to 3 award benefits.” Smolen, 80 F.3d at 1292 (citation omitted). Courts “generally remand for an 4 award of benefits only in rare circumstances, where no useful purpose would be served by further 5 administrative proceedings and the record has been thoroughly developed.” Treichler v. Comm’r 6 of Soc. Sec. Admin., 775 F.3d 1090, 1100 (9th Cir. 2014) (citations and internal quotation marks 7 omitted). 8 Chappell requests that the Court exercise its discretion to remand for an award of benefits 9 instead of additional proceedings because the requirements of the “credit-as-true” rule are satisfied 10 here. Docket No. 20 at 6-7. 11 The Commissioner argues, conclusorily, that remand should be for additional proceedings 12 because remand for an award of benefits under the credit-as-true rule is appropriate only in “rare” 13 circumstances. Docket No. 19 at 7-8. 14 A court may remand for an award of benefits “where there are no outstanding issues that 15 must be resolved before a proper disability determination can be made, and where it is clear from 16 the administrative record that the ALJ would be required to award benefits if the claimant’s excess 17 pain testimony were credited[.]” Garrison v. Colvin, 759 F.3d 995, 1019 (9th Cir. 2014) (citation 18 and internal quotation marks omitted). In this circumstance, “[courts] will not remand solely to 19 allow the ALJ to make specific findings regarding that testimony. Rather, [courts] will . . . take 20 that testimony to be established as true.” Id. (citation and internal quotation marks omitted). This 21 is referred to as the “credit-as-true rule,” which is “designed to achieve fairness and efficiency.” [22] Id. The Ninth Circuit has justified the credit-as-true rule as follows: 23 We believe [that this] rule promotes the objectives we have identified in prior disability cases. Requiring the ALJs to specify 24 any factors discrediting a claimant at the first opportunity helps to improve the performance of the ALJs by discouraging them from 25 reaching a conclusion first, and then attempting to justify it by ignoring competent evidence in the record that suggests an 26 opposite result. It helps to ensure that pain testimony will be carefully assessed and its importance recognized. Moreover, it 27 avoids unnecessary duplication in the administrative hearings and ensuring that credible claimants’ testimony is accepted the first 1 time around, the rule reduces the delay and uncertainty often found in this area of the law, and ensures that deserving claimants will 2 receive benefits as soon as possible. As already noted, applicants for disability benefits often suffer from painful and debilitating 3 conditions, as well as severe economic hardship. Delaying the payment of benefits by requiring multiple administrative 4 proceedings that are duplicative and unnecessary only serves to cause the applicant further damage—financial, medical, and 5 emotional. Such damage can never be remedied. Without endangering the integrity of the disability determination process, a 6 principal goal of that process must be the speedy resolution of disability applicants’ claims. At the same time, the rule does not 7 unduly burden the ALJs, nor should it result in the wrongful award of benefits . . . [I]f grounds for [concluding that a claimant is not 8 disabled] exist, it is both reasonable and desirable to require the ALJ to articulate them in the original decision. [10] Id. (citation and internal quotation marks omitted) (alterations in the original). 11 The Ninth Circuit has “devised a three-part credit-as-true standard, each part of which must 12 be satisfied in order for a court to remand to an ALJ with instructions to calculate and award 13 benefits: (1) the record has been fully developed and further administrative proceedings would 14 serve no useful purpose; (2) the ALJ has failed to provide legally sufficient reasons for rejecting 15 evidence, whether claimant testimony or medical opinion; and (3) if the improperly discredited 16 evidence were credited as true, the ALJ would be required to find the claimant disabled on 17 remand.” Garrison, 759 F.3d at 1020 . That being said, if a claimant is otherwise entitled to an 18 immediate award of benefits under the credit-as-true rule, a court may nevertheless “remand for 19 further proceedings when the record as a whole creates serious doubt as to whether the claimant is, 20 in fact, disabled within the meaning of the Social Security Act.” See id. at 1021 . 21 Here, Chappell satisfies all three requirements of the credit-as-true rule. First, there is no 22 need to develop the record or convene further administrative proceedings. The Commissioner 23 argues, conclusorily, that “the proper remedy is a remand for further administrative proceedings,” 24 Docket No. 19 at 7, but the Commissioner does not explain why he believes that to be the case, 25 nor does he identify a specific reason why additional proceedings are necessary, see id. at 7-8. 26 Accordingly, the Court finds no reason to conclude that additional proceedings are necessary here. 27 See Garrison, 759 F.3d at 1022-23 (rejecting argument that additional proceedings are necessary 1 rejected for legally insufficient reasons on the ground that “our precedent and the objectives of the 2 credit-as-true rule foreclose the argument that a remand for the purpose of allowing the ALJ to 3 have a mulligan qualifies as a remand for a ‘useful purpose’ under the first part of credit-as-true 4 analysis”). 5 Second, for the reasons discussed above, the ALJ failed to provide clear and convincing 6 reasons for rejecting Chappell’s symptom testimony. 7 Third, if Chappell’s improperly rejected testimony were credited as true on remand, it is 8 clear that the ALJ would be required to find Chappell disabled at step five. 9 At “step five of the five-step sequential inquiry, the burden shifts to the Commissioner to 10 prove that, based on the claimant’s residual functional capacity, age, education, and past work 11 experience, she can do other work. If she can, she is not disabled; if she cannot, she is disabled.” 12 Smolen, 80 F.3d at 1291 (internal citation omitted). Because the burden is on the Commissioner 13 “[a]t step five, the ALJ can call upon a [vocational expert] to testify as to: (1) what jobs the 14 claimant, given his or her [RFC], would be able to do; and (2) the availability of such jobs in the 15 national economy.” Tackett v. Apfel, 180 F.3d 1094, 1101 (9th Cir.1999). “Hypothetical 16 questions posed to the vocational expert must set out all the limitations and restrictions of the 17 particular claimant, including, for example, pain and an inability to lift certain weights.” See 18 Embrey v. Bowen, 849 F.2d 418, 422 (9th Cir. 1988) (emphasis added). 19 Here, the ALJ asked the vocational expert to testify as to what jobs Chappell could 20 perform based on a hypothetical that did not take into account Chappell’s symptom testimony and, 21 based on the vocational expert’s response that two jobs were available based on that hypothetical 22 (call out operator and telephone quotation clerk), the ALJ concluded that Chappell was not 23 disabled. 24 Specifically, the ALJ asked the vocational expert to state what jobs could be performed by 25 a person with Chappell’s age and education and past job experience as a barber that is “limited to 26 less than the full range of light work,” that is “lifting and carrying occasionally and frequently 10 27 pounds,” is “sitting for six hours,” is “standing for four hours,” is “walking for four hours,” 1 foot,” is “reaching overhead and reaching in other directions only occasionally bilaterally,” is 2 “climbing ramps and stairs occasionally,” is “climbing ladders, ropes or scaffolds occasionally,” 3 and can “stoop, kneel, crouch or crawl occasionally.” AR 68-69. The vocational expert 4 responded that the jobs of call out operator and telephone quotation clerk could be performed by 5 such a person. AR 69. 6 When asked to assume the same facts as the first hypothetical “except [with the] 7 additional limitation of absent from work two days per month,” AR 69, the vocational expert 8 answered that the limitations “would preclude all competitive employment” because “absenteeism 9 in the workplace for any reason over a period of time” would “eventually lead to the termination 10 of the job.” AR 69-70. 11 Chappell’s attorney then asked the vocational expert to assume the same facts as the first 12 hypothetical, except that the hypothetical claimant would require “15 minutes of break time in 13 addition to the normally scheduled breaks.” AR 70. The vocational expert responded that, “over 14 time, if it’s a chronic pattern, repeated, that would eventually cause the employee to be let go.” 15 AR 70. 16 Here, as noted, Chappell testified that that he experiences severe pain as a result of his 17 impairments that significantly affects his ability to stand, walk, and lift, and that, sometimes, it 18 renders him bedridden for a week. Specifically, Chappell testified that he can stand maybe an 19 hour to two hours at most before the pain “kicks in” and he needs to sit down for an hour or two, 20 AR 58-60; he can walk slowly for about a mile or approximately 45 minutes before the pain 21 begins and he has to stop exerting for the day, AR 60-61; and that he experiences “tremendous” 22 gout pain when he has a gout episode every two to three weeks, AR 50, which forces him to be 23 bedridden for an entire week, AR 62. This testimony, which the ALJ did not incorporate into his 24 hypothetical, raises the inference that Chappell would require at least two absences from work per 25 month, or at least one extra fifteen-minute break per day, or both. 26 Had the ALJ incorporated this symptom testimony into his hypothetical, then the ALJ 27 would have been required to conclude that Chappell was disabled in light of the vocational ] fifteen-minute break per day, would not be able to find employment. The Commissioner offers no 2 || basis to conclude otherwise. 3 Having concluded that Chappell satisfies all three prongs of the credit-as-true rule, the 4 || Court now considers whether it should nevertheless remand for additional proceedings on the 5 basis that “the record as a whole creates serious doubt as to whether the claimant is, in fact, 6 || disabled within the meaning of the Social Security Act.” See Garrison, 759 F.3d. at 1021 . Here, 7 || The Commissioner does not point to any portion of the record to argue that Chappell is not 8 actually disabled, see Docket No. 19 at 7-8, and the Court finds, based on its own review of the 9 || record, that it does not indicate that Chappell is not disabled. Accordingly, the Court finds that 10 || remanding for an award of benefits is appropriate. See Garrison, 759 F.3d at 1021 (holding that 11 the “district court abused its discretion by remanding for further proceedings where the credit-as- © 12 true rule is satisfied and the record afforded no reason to believe that Garrison is not, in fact, 5 13. || disabled”). 14 IV. CONCLUSION = 15 For the reasons set forth above, the Court GRANTS IN PART and DENIES IN PART 16 || Chappell’s motion for summary judgment. It reverses the Commissioner’s conclusion that 17 || Chappell has not been under a disability within the meaning of the Social Security Act from June 18 1, 2002, to the date of the ALJ’s decision, and it remands with instructions for the calculation and 19 || award of benefits consistent with this order. The Clerk of Court is directed to enter judgment in 20 || favor of plaintiff and against defendant and to close this case. 21 This order terminates docket number 18. 22 IT IS SO ORDERED. 23 || Dated: August 9, 2021 Lopent Hagtfflees— YVONNE GONZALEZ ROGERS 24 UNITED STATES DISTRICT COURT JUDGE