Colon v. Kijakazi

1 UNITED STATES DISTRICT COURT 2 DISTRICT OF NEVADA 3 * * * 4 JOSE D. COLON, Case No. 2:22-cv-01595-EJY 5 Plaintiff, 6 v. ORDER 7 KILOLO KIJAKAZI, Acting Commissioner of Social Security, — 8 — Defendant. — 9 — 10 Plaintiff Jose D. Colon (“Plaintiff”) seeks judicial review of the final decision of the 11 Commissioner of the Social Security Administration (“Commissioner”) denying his application for 12 disability insurance (“DIB”) under Title II of the Social Security Act (the “Act”). ECF No. 21. On 13 January 30, 2023, the Commissioner filed a Cross-Motion to Affirm and Response to Plaintiff’s 14 Motion for Reversal and Remand. ECF Nos. 22, 23. On February 21, 2023, Plaintiff filed his Reply. 15 ECF No. 24. For the reasons stated below, the Commissioner’s decision is affirmed. 16 I. BACKGROUND 17 Plaintiff filed an application for DIB on July 29, 2019 alleging disability beginning on May 18 23, 2019. Administrative Record (“AR”) 337-338.1 The Social Security Administration denied 19 Plaintiff’s claim initially and upon reconsideration. AR 200-204, 207-213. This was followed by 20 Plaintiff’s request for a hearing before an Administrative Law Judge (“ALJ”). AR 214. The ALJ 21 held a hearing on June 10, 2021. AR 63. On August 23, 2021, the ALJ issued a decision finding 22 Plaintiff not disabled. AR 31-51. Plaintiff requested review of the ALJ’s decision (AR 336), which 23 was denied by the Appeals Council on August 12, 2022. AR 3-8. Plaintiff now seeks judicial review 24 of the Commissioner’s decision pursuant to 42 U.S.C. § 405 (g). — 25 — — 26 — — 27 — 1 II. STANDARD OF REVIEW 2 The reviewing court shall affirm the Commissioner’s decision if the decision is based on 3 correct legal standards and the legal findings are supported by substantial evidence in the record. 42 4 U.S.C. § 405 (g); Batson v. Comm’r Soc. Sec. Admin., 359 F.3d 1190, 1193 (9th Cir. 2004). 5 Substantial evidence is “more than a mere scintilla.” It means “such relevant evidence as a 6 reasonable mind might accept as adequate to support a conclusion.” Ford v. Saul, 950 F.3d 1141 , 7 1154 (9th Cir. 2020) (quoting Biestek v. Berryhill, --U.S.--, 139 S.Ct. 1148, 1154 (2019)). In 8 reviewing the Commissioner’s alleged errors, the Court must weigh “both the evidence that supports 9 and detracts from the [Commissioner’s] conclusion.” Martinez v. Heckler, 807 F.2d 771, 772 (9th 10 Cir. 1986) (internal citations omitted). 11 “When the evidence before the ALJ is subject to more than one rational interpretation, we 12 must defer to the ALJ’s conclusion.” Batson, 359 F.3d at 1198 , citing Andrews v. Shalala, 53 F.3d 13 1035, 1041 (9th Cir. 1995). However, a reviewing court “cannot affirm the decision of an agency 14 on a ground that the agency did not invoke in making its decision.” Stout v. Comm’r Soc. Sec. 15 Admin., 454 F.3d 1050, 1054 (9th Cir. 2006) (internal citation omitted). And, a court may not reverse 16 an ALJ’s decision based on a harmless error. Burch v. Barnhart, 400 F.3d 676, 679 (9th Cir. 2005) 17 (internal citation omitted). “[T]he burden of showing that an error is harmful normally falls upon 18 the party attacking the agency’s determination.” Shinseki v. Sanders, 556 U.S. 396, 409 (2009). 19 III. DISCUSSION 20 A. Establishing Disability Under the Act. 21 To establish whether a claimant is disabled under the Social Security Act, there must be 22 substantial evidence that: 23 1. the claimant suffers from a medically determinable physical or mental impairment that can be expected to result in death or that has lasted or can be 24 expected to last for a continuous period of not less than twelve months; and 25 2. the impairment renders the claimant incapable of performing the work that the claimant previously performed and incapable of performing any other substantial 26 gainful employment that exists in the national economy. 27 Tackett v. Apfel, 180 F.3d 1094, 1098 (9th Cir. 1999), citing 42 U.S.C. § 423 (d)(2)(A). “If a claimant 1 The ALJ uses a five-step sequential evaluation process to determine whether a claimant is 2 disabled within the meaning of the Act. Bowen v. Yuckert, 482 U.S. 137, 140 (1987); 20 C.F.R. § 3 404.1520(a). Each step is potentially dispositive and “if a claimant is found to be ‘disabled’ or ‘not4 disabled’ at any step in the sequence, there is no need to consider subsequent steps.” Tackett, 180 5 F.3d at 1098 (internal citation omitted); 20 C.F.R. § 404.1520 . The claimant carries the burden of 6 proof at steps one through four, and the Commissioner carries the burden of proof at step five. 7 Tackett, 180 F.3d at 1098 . 8 The five steps consider: 9 Step 1. Is the claimant presently working in a substantially gainful activity? If so, then the claimant is “not disabled” within the meaning of the Social Security Act 10 and is not entitled to disability insurance benefits. If the claimant is not working in a substantially gainful activity, then the claimant’s case cannot be resolved at step 11 one and the evaluation proceeds to step two. See 20 C.F.R. § 404.1520 (b). 12 Step 2. Is the claimant’s impairment severe? If not, then the claimant is “not disabled” and is not entitled to disability insurance benefits. If the claimant’s 13 impairment is severe, then the claimant’s case cannot be resolved at step two and the evaluation proceeds to step three. See 20 C.F.R. § 404.1520 (c). — 14 — Step 3. Does the impairment “meet or equal” one of a list of specific impairments 15 described in the regulations? If so, the claimant is “disabled” and therefore entitled to disability insurance benefits. If the claimant’s impairment neither meets nor 16 equals one of the impairments listed in the regulations, then the claimant’s case cannot be resolved at step three and the evaluation proceeds to step four. See 20 17 C.F.R. § 404.1520 (d). 18 Step 4. Is the claimant able to do any work that he or she has done in the past? If so, then the claimant is “not disabled” and is not entitled to disability insurance 19 benefits. If the claimant cannot do any work he or she did in the past, then the claimant’s case cannot be resolved at step four and the evaluation proceeds to the 20 fifth and final step. See 20 C.F.R. § 404.1520 (e). 21 Step 5. Is the claimant able to do any other work? If not, then the claimant is “disabled” and therefore entitled to disability insurance benefits. See 20 C.F.R. § 22 404.1520(f)(1). If the claimant is able to do other work, then the Commissioner must establish that there are a significant number of jobs in the national economy 23 that the claimant can do. There are two ways for the Commissioner to meet the burden of showing that there is other work in “significant numbers” in the national 24 economy that claimant can do: (1) by the testimony of a vocational expert [(“VE”)], or (2) by reference to the Medical-Vocational Guidelines at 20 C.F.R. pt. 404, 25 subpt. P, app. 2. If the Commissioner meets this burden, the claimant is “not disabled” and therefore not entitled to disability insurance benefits. See 20 C.F.R. 26 §§ 404.1520(f), 404.1562. If the Commissioner cannot meet this burden, then the claimant is “disabled” and therefore entitled to disability benefits. See id. — 27 — 1 At step one, the ALJ found Plaintiff meets the insured status required by the Act through 2 December 31, 2024 and has not engaged in substantial gainful activity since May 19, 2019, the 3 alleged disability onset date. AR 36. At step two, the ALJ found Plaintiff had the following severe 4 impairments: degenerative disc disease of the cervical spine, degenerative disc disease of the lumbar 5 spine, carpal tunnel syndrome, tendinosis of the bilateral shoulders, major depressive disorder, panic 6 disorder, mild cognitive impairment, attention deficit disorder, and posttraumatic stress disorder. 7 AR 36. At step three, the ALJ found none of Plaintiff’s severe impairments, considered singly or in 8 combination, met or medically equaled the criteria of any impairment listed in 20 C.F.R. pt. 404, 9 subpt. P, app. 1. AR 36. 10 In preparation for step four, the ALJ determined Plaintiff “has the residual functional 11 capacity [(“RFC”)] to perform light work as defined in 20 CFR 404.1567(b) and 416.967(b) except: 12 frequent foot controls bilaterally; frequent hand controls bilaterally; occasionally overhead reaching 13 bilaterally; frequently reaching in other directions bilaterally; frequent handling, fingering, and 14 feeling bilaterally; occasional ramps and stairs; occasional ladders, ropes, or scaffolds; occasional 15 stooping, kneeling, crouching, and crawling; no unprotected heights; frequent moving mechanical 16 parts; occasional motor vehicle operation; occasional exposure to vibration; limited to tasks that can 17 be learned in three to six months; frequent contact with supervisors and coworkers but only 18 occasional public contact; time off task can be accompanied by normal breaks.” AR 40. 19 At step four, the ALJ concluded Plaintiff is capable of performing past relevant work as a 20 security guard and gate guard. AR 48. The ALJ stated “[t]his work does not require the performance 21 of work-related activities precluded by” Plaintiff’s RFC. AR 48. The ALJ based this determination 22 on the entirety of the record, including Plaintiff’s work history, income records, and the testimony 23 of a Vocational Expert (the “VE”) who compared the requirements of Plaintiff’s prior jobs as a 24 security guard and gate guard to the ALJ’s determined restrictions and found Plaintiff was capable 25 of performing the job in both actual and general performance. AR 49. In addition, as an alternative 26 to step five, the ALJ determined there were other jobs in the national economy that Plaintiff could 27 perform resulting in a finding that Plaintiff was not disabled. 20 C.F.R. pt. 404, subpt. P, app. 2. 1 guard and gate guard, the ALJ determined Plaintiff was not under a disability, as defined by the Act, 2 from May 19, 2019 through the date of the ALJ’s decision. AR 51. 3 B. Plaintiff’s Claims. 4 1. Plaintiff Argues the ALJ Failed to Properly Evaluate the Opinions of Nurse Practitioner Joan Dawn Galang. — 5 — 6 Plaintiff argues the ALJ failed to properly consider the May 2019 observation by Joan Dawn 7 Galang (“Galang”), APRN-C, in finding Plaintiff not disabled. ECF No. 21 at 8. Specifically, while 8 Plaintiff agrees with the ALJ’s assessment that Plaintiff has a pushing, pulling, and lifting tolerance 9 of no more than twenty pounds, Plaintiff disputes the ALJ’s failure to consider Galang’s opinion 10 that Plaintiff has a work capacity for no more than thirty hours per week. Id. at 9 citing AR 645. 11 Plaintiff argues that by failing to review Galang’s opinion regarding Plaintiff’s maximum work 12 schedule the ALJ committed serious error. Plaintiff contends if Galang’s opinion is accepted, this 13 would lead to an automatic determination of disability. Id. 14 Plaintiff notes Galang performed a second assessment of Plaintiff in January 2021 where she 15 assigned additional stringent functional limitations on Plaintiff’s ability to work. Id. at 10 citing AR 16 1112. The ALJ determined these findings were “extreme” and found them unpersuasive. Id. citing 17 AR 47. Plaintiff accuses the ALJ of contradicting herself by finding certain portions of Galang’s 18 2019 observation (the functional limitations) persuasive but not others such as the length of time 19 Plaintiff could work. Id. 20 Plaintiff avers that because there are no outstanding issues that must be resolved before a 21 determination of disability is made, the Court should credit the evidence in question and reverse and 22 reward benefits to Plaintiff. Id. at 10-11. In the alternative, Plaintiff asks the Court to remand this 23 matter for further proceedings. Id. 24 2. Plaintiff Argues the ALJ Failed to Properly Evaluate the Opinions of Consultative Psychologist Jessica Browning. — 25 — 26 Plaintiff contends the ALJ failed to consider supportability when determining the medical 27 opinion of Dr. Jessica Browning, Ph.D., was only “a little persuasive.” Id. at 11-12 citing AR 48. 1 to Defendant, each of which Plaintiff scored in the “extremely low” or “severe impairment” 2 category. Id. at 12 citing AR 652, 653, 654, 655, 656, 658. Plaintiff argues the ALJ ignored this 3 objective evidence without explanation. Id. 4 Plaintiff takes issue with the ALJ’s analysis of the psychological tests administered by Dr. 5 Browning focusing on the portion of Dr. Browning’s opinion where the doctor states the test scores 6 may indicate some level of exaggeration. Id. at 13 citing AR 48. Plaintiff cites Dr. Browning’s 7 observations that the test results, while unusual, are not enough to render the test results 8 uninterpretable. Id. citing AR 658, 659. Plaintiff further points to numerous progress notes from 9 May 2019 through January 2021 in which Plaintiff displayed physical and psychological health 10 issues. Id. at 14-15 citing AR 723, 724, 729, 730, 733, 736, 912, 916, 918, 919, 928, 929, 931, 932, 11 934, 935, 939, 940, 1118, 1119. Plaintiff contends this evidence directly contradicts the ALJ’s 12 characterization of the medical record. Id. at 15. Plaintiff also argues that Dr. Browning’s 13 psychological evaluations have increased scientific value in terms of evaluating disability because 14 they were conducted over the course of two days rather than in monthly intervals. Id. According to 15 Plaintiff, the ALJ erred by ignoring these psychological tests as well as Plaintiff’s self-reports. Id. 16 Consequently, Plaintiff argues the Court should remand this matter for further proceedings. Id. 17 C. The Commissioner’s Response. 18 1. The Commissioner Argues the ALJ Reasonably Evaluated the Medical Opinions of Advanced Practitioner Nurse Galang and Dr. Browning. — 19 — 20 The Commissioner states when crafting the RFC, the ALJ properly evaluated the entirety of 21 the medical record, including the medical opinions of Galang and Dr. Browning. ECF No. 22 at 3 22 citing AR 46-48. The Commissioner reminds the Court that this case was filed after March 27, 2017 23 thus requiring application of the new Social Security regulations (“SSR” or “SSRs”) at 20 C.F.R. § 24 404.1520c(a). Id. at 4 . The Commissioner says the Court must evaluate the medical opinions in this 25 case, including those of Galang and Dr. Browning, by looking at the respective opinion’s 26 supportability and consistency with the overall medical record. Id. citing 20 C.F.R. § 404 .1520c(c). 27 The Commissioner reminds the Court that an ALJ’s decision to discredit any medical opinion must 1 i. Galang 2 The Commissioner cites the ALJ’s determination that Galang’s May 2019 observation of 3 Plaintiff’s physical limitation was generally persuasive. Id. citing AR 46-47. Specifically, the ALJ 4 found Galang’s opinion regarding Plaintiff’s ability to push, pull, and lift up to twenty pounds was 5 consistent with the overall record. Id. citing id. Conversely, in January 2021 Galang opined that 6 Plaintiff could perform low-stress work; sit for up to two hours; stand or walk up to two hours in an 7 eight-hour workday; frequently lift and carry up to 20 pounds; would need to change positions from 8 sitting, standing, or walking at will; would need unscheduled breaks of 15 to 30 minutes; and would 9 be absent from work about four days per month. Id. citing AR 1110-1112. The Commissioner 10 argues the ALJ properly deemed this opinion unpersuasive because it was not consistent with the 11 evidence in the record. Id. citing AR 47. The Commissioner points to the ALJ’s analysis of Galang’s 12 reasoning and statements and how they conflicted with Galang’s actual findings. Id. citing id. 13 Regarding the portion of Galang’s May 2019 opinion in which she concluded Plaintiff could 14 only work part-time, the Commissioner contends a claimant’s ability to perform regular or 15 continuing work are “reserved to the Commissioner.” Id. at 6 citing 20 C.F.R. § 404 .1520b(c)(3). 16 ii. Dr. Browning 17 The Commissioner asserts that the ALJ did not err by finding Dr. Browning’s May 2019 18 medical opinion only slightly persuasive. Id. citing AR 48. The Commissioner cites the ALJ’s 19 conclusion that while Dr. Browning’s opinion was supported by significant explanation, Dr. 20 Browning also acknowledged there could be inaccuracies in the psychological tests administered to 21 Plaintiff and exaggeration of the problems Plaintiff claims to experience. Id. citing id. In addition, 22 the Commissioner contends the ALJ finding that Dr. Browning’s opinions were inconsistent with 23 the medical record was reasonable. Id. citing id. 24 Regarding the supportability of the ALJ’s findings, the Commissioner reiterates that Dr. 25 Browning cast doubt on her own findings when she admitted the test results may not have been 26 completely reliable. Id. at 7-9 citing id. With respect to consistency, the Commissioner disputes 27 Plaintiff’s focus on the two-day period spent by Dr. Browning observing Plaintiff and the value such 1 medical record must be viewed longitudinally, as the ALJ did here, to analyze the consistency of a 2 specific medical opinion. Id. 3 The Commissioner contends the ALJ’s reliance on objective findings by other health care 4 providers when discounting Dr. Browning’s findings was sound. Id. citing AR 39. According to 5 the Commissioner, this is evidenced by the ALJ’s noting thirteen different reports on Plaintiff’s 6 mental health that are in direct contrast with Dr. Browning’s extreme limitations findings. Id. at 10 7 citing AR 48. The Commissioner disputes the ALJ entirely discredited Plaintiff’s testimony or 8 abnormal findings, arguing the ALJ measured these factors against evidence of Plaintiff’s mental 9 stability in the overall record leading to the narrowly tailored RFC. Id. at 11 citing AR 40. The 10 Commissioner contends the ALJ’s analysis was thorough and accurate referencing as examples three 11 separate examinations of Plaintiff in which he displayed normal mental symptoms and cognitive 12 behavior (July 2020), abnormal concentration because Plaintiff voluntarily discontinued use of 13 Adderall (October 2020), and normal mental health findings when Plaintiff adhered to his 14 medication prescriptions (January 2021). Id. at 11-12 citing AR 926, 915-916, 1118-1119. The 15 Commissioner contends the ALJ’s finding that Dr. Browning’s opined limitations were reasonable 16 and should not be disturbed by this Court through either a remand and/or reversal. Id. at 13 . 17 D. Summary of the ALJ’s Findings. 18 The ALJ identified as severe Plaintiff’s physical impairments of degenerative disc disease of 19 the cervical spine, degenerative disc disease of the lumbar spine, carpal tunnel syndrome, tendinosis 20 of the bilateral shoulders, major depressive disorder, panic disorder, mild cognitive impairment, 21 attention deficit disorder, and posttraumatic stress disorder. AR 36. The ALJ then stated that none 22 of the severe impairments, taken singularly or in combination, met or equaled the severity of one of 23 the listed impairments in 20 CFR Part 404, Subpart P, Appendix 1. AR 37. The ALJ concluded 24 Plaintiff’s mental impairments did not meet the necessary criteria under “paragraph B” and 25 “paragraph C” of the applicable Social Security Regulations to qualify as a disability.2 AR 38. — 26 — 2 Although not cited by the ALJ, the section relating to mental disorders contained in the Listings at 20 C.F.R. Pt. 404, Subpt. P, App. 1, § 12.00A states in relevant part: — 27 — Paragraph B of each listing (except 12.05) provides the functional criteria we assess, in conjunction with a 1 With respect to these criteria the ALJ found: 2 • Plaintiff had a mild limitation in understanding, remembering, and applying information. 3 AR 39. The ALJ discussed the May 2019 neuropsychological evaluation administered 4 by Dr. Browning during which Plaintiff took a series of tests, including the Mini Mental 5 Status Exam, WAIS-IV intellectual capacity test, the Hand Dynamometer Test of Grip 6 Strength and the Manual Finger Tapping Test, the Woodcock-Johnson IV Tests of 7 Achievement, and the Personality Assessment Inventory. Id. citing AR 651-658. The 8 ALJ noted Dr. Browning’s statement that Plaintiff’s personality test (without identifying 9 to which test this referenced) results might not be completely accurate as Plaintiff tended 10 to exaggerate his problems and symptoms possibly altering the test results. Id. citing AR 11 651. 12 • Plaintiff did not have more than a moderate limitation in his ability to interact with others. 13 Id. The ALJ noted Plaintiff’s indication that he was anti-social and did not get along well 14 with others, although he could drive and go out alone. Id. citing AR 480. The ALJ cited 15 objective medical evidence in the record of Plaintiff displaying normal mental 16 tendencies, a cooperative demeanor, minor problems with human interaction, and only 17 rare instances of mood deficits. Id. citing AR 651, 724, 730, 733, 736, 912, 913, 916, 18 919, 926, 929, 932, 935, 940, 1118, 1119, 1135-1138. 19 • Plaintiff did not have more than a moderate limitation in the area of concentration, 20 persistence, and maintaining pace. AR 39-40. The ALJ noted Plaintiff’s statement that 21 he had problems with all three and that he had some difficulty in focusing on doing more 22 than one task at a time. Id. citing AR 480. However, the ALJ cited the record evidence 23 showing Plaintiff exhibiting normal mental signs in the May 2019 exams administered — 24 — remember, or apply information; interact with others; concentrate, persist, or maintain pace; and adapt or — 25 — manage oneself. … To satisfy the paragraph B criteria, your mental disorder must result in “extreme” limitation of one, or “marked” limitation of two, of the four areas of mental functioning. — 26 — Paragraph C of listings … provides the criteria we use to evaluate “serious and persistent mental disorders.” To — 27 — satisfy the paragraph C criteria, your mental disorder must be “serious and persistent”; that is, there must be a 1 by Dr. Browning as well as Plaintiff’s history of semi-skilled and unskilled work and 2 transferable skills (AR 1135-1138). 3 • Plaintiff has a mild limitation in the field of adapting and managing himself. AR 40. The 4 ALJ noted Plaintiff’s physical, not mental, barriers in personal care matters such as 5 bathing, dressing, and eating. Id. citing AR 475-478. The ALJ also considered the 6 objective evidence showing, despite these physical challenges, Plaintiff was able to 7 perform these activities, along with other household chores independently. Id. citing id. 8 Because the ALJ concluded Plaintiff did not bear at least two “marked” limitations or one “extreme” 9 mental limitation, the ALJ found the “paragraph B” criteria was not satisfied. Id. Because the record 10 did not reflect Plaintiff had minimal capacity to adapt to changes in his life, the ALJ determined that 11 the “paragraph C” criteria were not satisfied. Id. 12 After crafting Plaintiff’s RFC, the ALJ discussed her evaluation of Plaintiff’s medical history 13 as it related to his physical and mental ailments. AR 41-46. The ALJ then moved to a discussion of 14 the various medical opinions in the record, including those of Galang and Dr. Browning. AR 4615 48.3 While the ALJ found Galang’s opinion pertaining to Plaintiff’s physical capacity “generally 16 persuasive,” she found extreme Galang’s January 2021 opinion regarding Plaintiff’s ability to work. 17 The ALJ rejected these findings because Galang supported her findings solely based on Plaintiff’s 18 cervical spine condition. Id. citing id. The ALJ also found internal contradictions in Galang’s report 19 as Galang found Plaintiff to have a steady gait, coordinated balance, and the ability to squat and 20 walk on his toes and heels. Id. citing id. The ALJ determined Galang’s opinion to be inconsistent 21 with the entirety of the medical record. Id. citing AR 696-697, 834, 838-840, 843-846, 1169-1172. 22 The ALJ evaluated Dr. Browning’s May 2019 opinion in which she stated Plaintiff had 23 cognitive deficits, memory deficits, comprehension difficulties impairing his ability to follow 24 instructions, and ability only to perform simple repetitive tasks, would require a high level of 25 supervision with verbal prompts and reminders, and cashiering and taking inventory should not be — 26 — 27 3 The ALJ found the opinions of State agency medical consultants Drs. Jon Arnow and J. Pham to be partially persuasive and the opinions of State agency psychological consults Drs. Alredo Amezaga and F. Mateus to be not very 1 part of his job duties. AR 47-48 citing AR 663. The ALJ noted that while Dr. Browning’s 2 observations were supported by significant explanation, Dr. Browning also stated a possibility of 3 exaggeration of complaints and problems by Plaintiff and that her “interpretive hypotheses … could 4 over-represent the extent and degree of significant test findings.” AR 48 citing AR 662. For this 5 reason, along with the lack of objective evidence in the record to support Dr. Browning’s findings, 6 the ALJ concluded that Dr. Browning’s opinion was “only a little persuasive.” Id. 7 The ALJ issued her RFC, quoted supra at 4, after discussing the VE’s testimony, concluding 8 Plaintiff was not under a disability, as defined by the Act, from May 19, 2019 through the date of 9 her decision. AR 51. 10 E. Analysis. 11 1. The ALJ Committed No Error When Analyzing Galang and Browning’s Opinions. 12 Plaintiff contends the ALJ erred (1) by impermissibly ignoring the part of Galang’s May 13 2019 opinion that Plaintiff could work no more than thirty hours per week, and (2) by improperly 14 discounting the medical opinion of Dr. Browning when the ALJ ignored Plaintiff’s psychological 15 test results and self-reports. ECF No. 21 at 9-10, 15. 16 Cases filed on or after March 27, 2017, as Plaintiff was, are governed by current regulations 17 requiring the ALJ to consider “supportability” and “consistency” as the main factors in determining 18 persuasiveness of medical opinions and findings. 20 C.F.R. § 404 .1520c(2). An ALJ may not find 19 a medical opinion unpersuasive based only on “sheer disbelief” of the medical opinion. Timpone v. 20 Kijakazi, Case No. 18-55155, 2022 WL 1599128 , at *1 (9th Cir. May 20, 2022), citing Benecke v. 21 Barnhart, 379 F.3d 587, 594 (9th Cir. 2004). Instead, an ALJ must provide a “specific and legitimate 22 reason” to discount a treating physician’s opinion. Id. (citation omitted). “[A]n ALJ’s decision, 23 including the decision to discredit any medical opinion, must simply be supported by substantial 24 evidence.” Woods v. Kijakazi, 32 F.4th 785, 787 (9th Cir. 2022). 25 “[A]n ALJ may reject a treating physician’s opinion if it is brief, conclusory, and 26 inadequately supported by clinical findings.” McElfresh v. Commissioner of Social Security, Case 27 No. 1:21-cv-01481-SAB, 2022 WL 17812861 , at *20 (E.D. Cal. Dec. 19, 2022) (citations omitted). 1 Under Ninth Circuit precedent, “the ALJ may permissibly reject check-off reports that do not contain 2 any explanation of the bases of their conclusions.” Ford, 950 F.3d at 1155 (citations omitted). 3 The ALJ properly discounted the portion of Galang’s opinion because it was conclusory and 4 the proffered limitations were not explained or supported by Galang’s findings. In addition, even if 5 Galang had offered additional support for her opinions, the thorough nature of the ALJ’s overall 6 analysis of the entire medical record, along with the specificity of Plaintiff’s RFC, demonstrates the 7 ALJ did not find the part time limitation to be supported by record evidence. It is not the role of the 8 Court to second guess a reasonable interpretation of the evidence in the record, as is the case here. 9 Todd v. Saul, 822 Fed.Appx. 613 , 615-616 (9th Cir. 2020) (citation omitted). For these reasons, the 10 ALJ did not err in her discounting of the singular portion of Galang’s May 2019 opinion regarding 11 Plaintiff’s ability to work either full time or part time. Further, even if the ALJ failed to specifically 12 address the part time limitation, such an error would be harmless.4 13 The ALJ committed no error when finding Dr. Browning’s medical opinion was only “a little 14 persuasive.” AR 48. Substantial evidence supports the ALJ’s discounting of Dr. Browning’s 15 opinions given the doctor calls into question the accuracy of Plaintiff’s objective personality test. 16 AR 662 (“there are indications that … [Plaintiff] endorsed items that present an unfavorable 17 impression … the interpretive hypotheses presented in this report could overrepresent the extent and 18 degree of significant test findings….”). “Evidence that a claimant exaggerated his symptoms is a 19 specific, legitimate reason to reject the doctor's conclusions.” Gopher v. Commissioner of Social 20 Security, 281 F.Supp.3d 1102 , 1117 (E.D. Wash. 2017), citing Thomas v. Barnhart, 278 F.3d 947 , 21 958 (9th Cir. 2002); see also Rebensdorf v. Berryhill, 773 Fed.Appx. 874 , 877 (9th Cir. 2019) 22 (holding that a Plaintiff’s exaggerations are legitimate grounds to discount the opinion of a 23 physician); Juanita C. v. Commissioner of Social Security, Case No. C22-5205-SKV, 2022 WL 24 18587796, at *2 (W.D. Wash. Dec. 7, 2022) (finding appropriate an ALJ’s concluding a medical — 25 — — 26 — 4 The Ninth Circuit holds a harmless error occurs “where the mistake was nonprejudicial to the claimant or irrelevant to the ALJ's ultimate disability conclusion.” Stout, 454 F.3d at 1055 . An error is construed to be harmless “if — 27 — the agency’s path may reasonably be discerned,” even if the agency “explains its decisions with less than ideal clarity.” 1 opinion only “somewhat persuasive” on several grounds, among them that the administered test 2 results were questionable). 3 Further, the ALJ found several instances in the record that contradicted Dr. Browning’s 4 proposed limitations. AR 48. The ALJ cited visits from mid-2018 to early 2021 by Plaintiff to the 5 Human Behavior Institute in Las Vegas where the treating physicians documented mostly normal or 6 appropriate signs of mental status. Id. citing AR 724, 730, 733, 736, 913, 916, 919, 926, 929, 932, 7 935, 940, 1119. The ALJ also referenced an examination in May 2019 by the Bureau of Vocational 8 Rehabilitation in which it noted Plaintiff had a history of transferable skills and could use those skills 9 in a job requiring no new training or minimal new training. AR 40 citing 1136. And, the ALJ 10 incorporated some of Dr. Browning’s recommendations when formulating Plaintiff’s RFC requiring 11 Plaintiff to be “limited to tasks that can be learned in three to six months” and that he have “frequent 12 contact with supervisors.” AR 40. Based on this record, the Court finds the ALJ committed no error 13 in her discounting of Dr. Browning’s opinion. 14 The Court’s role is not to second guess the ALJ’s determination even if there is more than 15 one interpretation of the evidence that could have been made. Todd, 822 Fed.Appx. at 615-616. As 16 the Ninth Circuit instructs, “to be clearly erroneous, a decision must … strike us as wrong with the 17 force of a five-week old, unrefrigerated dead fish.” Ocean Garden, Inc. v. Marktrade Company, 18 Inc., 953 F.2d 500, 502 (9th Cir. 1991). This standard does not yield the result Plaintiff seeks. 19 IV. ORDER 20 IT IS HEREBY ORDERED that Plaintiff’s Motion for Reversal and Remand (ECF No. 21) 21 is DENIED. 22 IT IS FURTHER ORDERED that Defendant’s Cross-Motion to Affirm (ECF No. 22) is 23 GRANTED. 24 IT IS FURTHER ORDERED that the Clerk of Court must enter judgment in favor of 25 Defendant and close this case. 26 DATED this 9th day of May, 2023. 27 ______________