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BOURCIER v. Nancy A. Berryhill, Defendant. (2021)

United States Court of Appeals, Ninth Circuit.2021-04-20No. No. 20-35316

Summary

Holding. The court affirmed the ALJ's credibility determinations and weight assignments for medical opinions, but reversed and remanded for the ALJ to reconsider the claimant's residual functional capacity in light of time spent attending medical appointments and whether such appointments would prevent her from working on a regular and continuing basis.

Suzette Bourcier appealed a Social Security Administration decision denying her disability benefits claim. The appellate court examined whether the administrative law judge (ALJ) properly weighed medical opinions and claimant testimony. The court found the ALJ reasonably discounted opinions from a treating physician and clinical social worker because those opinions conflicted with medical records, lacked adequate support, and contradicted the claimant's own reported daily activities, which demonstrated considerable functional capacity.

However, the court identified one error: the ALJ failed to account for time the claimant spends attending medical appointments when evaluating her ability to work on a regular basis. The court determined this oversight required reconsideration, particularly given evidence suggesting the frequency of appointments could interfere with sustained employment. The court affirmed the ALJ's credibility findings but reversed and remanded on the medical appointments issue for further development of the record.

Summary generated by law.co from the public-domain opinion. The opinion text itself is public domain.

Key issues

  • Weight assigned to treating physician opinion versus non-treating physician opinions
  • Credibility of claimant's testimony regarding symptom severity
  • Whether medical appointment frequency was properly considered in functional capacity assessment
  • Standard for discounting other-source opinions from licensed clinical social workers

Procedural posture

Bourcier appealed the district court's affirmance of the Social Security Commissioner's denial of her disability benefits claim.

Authorities cited

No cited authorities resolved to law.co cases yet.

Opinion

MEMORANDUM ***

Suzette Bourcier appeals from the district courts judgment affirming the decision of the Commissioner of Social Security denying her claim for disability benefits. We have jurisdiction under 28 U.S.C. § 1291, and we affirm in part, reverse in part, and remand for reconsideration.

1. The ALJ provided “specific and legitimate reasons” to assign minimal weight to treating physician Dr. Sarah Huddlestons opinion that Claimant is unable to work. Lester v. Chater, 81 F.3d 821, 830 (9th Cir. 1995). Dr. Huddlestons opinion conflicts with her own treatment notes and treatment notes from other providers at the same medical facility. See Tommasetti v. Astrue, 533 F.3d 1035, 1041 (9th Cir. 2008) (explaining that inconsistency with medical records qualifies as a legitimate reason to discount a treating physicians opinion). Those notes reveal that Claimant was in “no acute distress,” had a “normal” gait and “full range of motion,” had intact cognitive functioning, and demonstrated cooperative behavior, good judgment and insight.

Additionally, the ALJ permissibly found that Dr. Huddlestons opinion was conclusory and inadequately supported. See Batson v. Commr of Soc. Sec. Admin., 359 F.3d 1190, 1195 (9th Cir. 2004) (“[A]n ALJ may discredit treating physicians’ opinions that are conclusory, brief, and unsupported by the record as a whole.”). Dr. Huddlestons explanation that Claimants “physical health and mental health issues” prevent her from “hold[ing] a job at this time” was cursory, unsupported, and not accompanied by a functional capacity evaluation.

Further, Dr. Huddlestons opinion was controverted by the opinions of non-examining and non-treating physicians. Those opinions are supported by and consistent with other evidence in the record. See Thomas v. Barnhart, 278 F.3d 947, 957 (9th Cir. 2002) (“The opinions of non-treating physicians ․ may also serve as substantial evidence when the opinions are consistent with independent clinical findings or other evidence in the record.”). Accordingly, the ALJ did not err in giving those opinions significant weight.

2. The ALJ gave germane reasons to discount the opinion of Mavis Vaillancourt, a licensed clinical social worker. Molina v. Astrue, 674 F.3d 1104, 1111–12 (9th Cir. 2012) superseded by regulation on other grounds. Vaillancourts opinion is not supported by the treatment record. See Lewis v. Apfel, 236 F.3d 503, 511 (9th Cir. 2001) (holding that incongruity with medical record is a germane reason for discounting other source testimony). For example, although Vaillancourt stated that Claimant suffered from frequent, unpredictable, and incapacitating panic attacks in social settings, there is no evidence in the record documenting those attacks.

Additionally, the ALJ permissibly found that Vaillancourts opinion is inconsistent with the activities that Claimant reported she engaged in. Although Vaillancourt opined that Claimant is unable to interact with others because of the incapacitating panic attacks she experiences in social settings, Claimant testified that she eats out once a week and grocery shops monthly. See Britton v. Colvin, 787 F.3d 1011, 1013 (9th Cir. 2015) (per curiam) (explaining that inconsistencies between an “other source” opinion and a claimants daily activities is a germane reason for the ALJ to discount that opinion).

3. The ALJ gave “specific, clear, and convincing reasons” to discount Claimants testimony regarding the severity and extent of her limitations. Garrison v. Colvin, 759 F.3d 995, 1014 (9th Cir. 2014).

Claimant testified that she is unable to lift more than ten pounds or walk more than 50 yards without having to stop and sit. She reported that she must lie down for about 30 minutes every two hours, and cannot pay attention for more than five minutes. But some of Claimants activities contradict those allegations. See Ghanim v. Colvin, 763 F.3d 1154, 1165 (9th Cir. 2014) (holding that an ALJ may discount a claimants testimony when the claimants activities “are incompatible with the severity of symptoms alleged”). For example, after Claimants car got stuck in the mountains, she cut a fallen tree and moved it from the road. She succeeded after “many hours” of physical labor. She spent four hours in the woods on another occasion and expressed an interest in obtaining a license to hunt from her vehicle. As for her more routine activities, Claimant vacuums, cares for her five dogs, does laundry, repaired her fence, and shops for groceries. She also drives her son when he goes hunting. And she plays online games and reads the news on her iPad. The ALJ was sufficiently specific in inferring, from Claimants testimony and anecdotal notes in her treatment records, that “she is generally quite functional.” See Tommasetti, 533 F.3d at 1038 (“The ALJs findings will be upheld if supported by inferences reasonably drawn from the record․” (internal quotation marks omitted)).

4. The ALJ failed to account for the time Claimant spends attending medical appointments in the hypothetical scenarios posed to the vocational expert and in the residual functional capacity assessment. Contrary to the governments argument, Claimant preserved the issue for appeal. Claimant has presented evidence sufficient to establish the possibility that the frequency of her medical appointments may inhibit her ability to work on a “regular and continuing basis.” Social Security Ruling 96–8p, 1996 WL 374184, at *2 (S.S.A. July 2, 1996). We remand for further consideration and development of the record on this issue. The ALJ should consider, for example, the need to schedule all appointments during the workweek or workday, the need to miss an entire workday for each appointment, and whether the need for this number of appointments is ongoing.

5. The record does not require the ALJ to find Claimant disabled, even if the ALJ reconsiders the evidence in light of Claimants time spent attending medical appointments. Thus, we decline to exercise our discretion to remand for an award of benefits. Garrison, 759 F.3d at 1020–21. Instead, we remand for further proceedings.

The parties shall bear their own costs on appeal.

AFFIRMED IN PART, REVERSED IN PART, REMANDED.