Justia U.S. 9th Circuit Court of Appeals Opinion Summaries

The Ninth Circuit affirmed the district court's decision upholding the SSA's denial of the claimant's application for disability benefits under Titles II and XVI of the Social Security Act. The panel held that the ALJ properly provided specific and legitimate reasons for discounting the opinions of claimant's physicians, correctly concluded that claimant's impairments did not meet a listing, and was entitled to rely on the vocational expert's testimony despite the expert's failure to provide information about the sources underlying the testimony. View "Ford v. Saul" on Justia Law

The Ninth Circuit affirmed the district court's dismissal of a negligence action brought by plaintiff under the Federal Tort Claims Act (FTCA), alleging that he received improper treatment at a VA facility. In this case, after plaintiff presented a claim to the VA, the VA issued a final denial. The panel held that plaintiff's appeal was time-barred, because he failed to file the action within six months after the VA mailed a notice of final denial of plaintiff's initial claim, and the statute of limitations did not restart when the VA declined to consider plaintiff's second attempt to file the same claim. View "Redlin v. United States" on Justia Law

The Ninth Circuit reversed the denial of disability insurance benefits and supplemental security income to plaintiff. The panel held that SR 82-41 obligates the ALJ to make transferability of skills findings where, unlike Bray v. Commissioner of Social Security Administration, 554 F.3d 1219, 1223–26 (9th Cir. 2009), no Grid rule states that a person with the claimant's age, education, and work experience is disabled absent transferable skills. Therefore, the panel remanded for further proceedings. View "Barnes v. Berryhill" on Justia Law

The Ninth Circuit reversed the denial of disability insurance benefits and supplemental security income for claimant. The panel held that the ALJ erred in not adequately addressing claimant's 100 percent Veterans Affairs (VA) disability rating in her decision; although the ALJ noted claimant's VA disability rating at the hearing and in her written decision, she did not address how she had considered and weighed the VA's rating or articulated any reasons for rejecting it; and thus remand was appropriate where it was unclear from the record whether the ALJ would be required to find claimant disabled after evaluating the VA disability rating. View "Luther v. Berryhill" on Justia Law

The Ninth Circuit reversed the district court's partial grant of summary judgment for the Department and held that the Department did not violate the dormant Commerce Clause in adopting Medi-Cal policies related to reimbursement to out-of-state hospitals. The panel held that when a state was acting as a market participant, rather than a market regulator, its decisions were exempted from the dormant Commerce Clause. In this case, the Department sets rates of reimbursement to hospitals for those who were essentially insured as beneficiaries under Medi-Cal in a manner much like that of a private insurer participating in the market. Therefore, the Department was acting as a market participant, rather than a regulator and was exempt from dormant Commerce Clause requirements. View "Asante v. California Department of Healthcare Services" on Justia Law

The Ninth Circuit affirmed the district court's grant of summary judgment for the Department in an action brought by private ambulance companies challenging the reimbursement rate for their transportation of patients covered by Medi-Cal. The panel held that plaintiffs failed to carry their burden of producing evidence upon which a reasonable jury could return a verdict in their favor and thus the district court did not err in entering judgment in the Department's favor on the Takings Clause claim. The panel reasoned that the ambulance companies lacked a constitutionally protected property interest in a particular reimbursement rate, but the mandatory-care provision of Cal. Health & Safety Code 1317(d) implicated a constitutionally protected property right. The panel held that section 1317(d) did not effect a regulatory taking under the Penn Central test. The panel also held that the ambulance companies did not establish a due process claim regarding DHCS's failure to ensure that Medi-Cal reimbursement rates kept pace with their costs because they lacked a constitutionally protected interest in any particular reimbursement rate. View "Sierra Medical Services Alliance v. Kent" on Justia Law

The Ninth Circuit affirmed the district court's grant of summary judgment for the Department in an action brought by private ambulance companies challenging the reimbursement rate for their transportation of patients covered by Medi-Cal. The panel held that plaintiffs failed to carry their burden of producing evidence upon which a reasonable jury could return a verdict in their favor and thus the district court did not err in entering judgment in the Department's favor on the Takings Clause claim. The panel reasoned that the ambulance companies lacked a constitutionally protected property interest in a particular reimbursement rate, but the mandatory-care provision of Cal. Health & Safety Code 1317(d) implicated a constitutionally protected property right. The panel held that section 1317(d) did not effect a regulatory taking under the Penn Central test. The panel also held that the ambulance companies did not establish a due process claim regarding DHCS's failure to ensure that Medi-Cal reimbursement rates kept pace with their costs because they lacked a constitutionally protected interest in any particular reimbursement rate. View "Sierra Medical Services Alliance v. Kent" on Justia Law

The Ninth Circuit affirmed the denial of Social Security Disability Insurance (SSDI) benefits and the partial denial of Supplemental Security Income (SSI) benefits. The panel held that the ALJ did not err by finding plaintiff's disability onset date without calling on a medical advisor at the hearing. In this case, the record was adequate even before plaintiff saw a mental health specialist and no reasonable medical expert could have inferred that her disability began before May 2010. Therefore, Social Security Ruling 83-20 did not require the ALJ to consult a medical advisor before determining plaintiff's disability onset date. View "Wellington v. Berryhill" on Justia Law

The "credit-as-true rule" permits, but does not require, a direct award of benefits on review but only where the ALJ has not provided sufficient reasoning for rejecting testimony and there are no outstanding issues on which further proceedings in the administrative court would be useful. The Ninth Circuit affirmed the district court's decision to remand for further administrative proceedings in a claimant's action seeking Title II disability insurance benefits. The panel clarified the district court's remand order, instructing the district court to remand to the ALJ consistent with the requirements pursuant to Treichler v. Comm'r of Soc. Sec. Admin., 775 F.3d 1090, 1101-02 (9th Cir. 2014), with an open record on the issue of claimant's fatigue related to his capacity to undertake full time employment. On remand, claimant shall be permitted to cross-examine the Commissioner's medical consultants, but only to the extent such cross-examination concerns the issue of claimant's fatigue. View "Leon v. Berryhill" on Justia Law

The Ninth Circuit affirmed in part and reversed in part the district court's order affirming the Commissioner's denial of plaintiff's application for social security disability insurance (SSDI) benefits. The panel held that the ALJ erred in its assessment by not calling a medical advisor at the hearing; by giving too little weight to the observations of plaintiff's fiancé; and by finding that plaintiff was only partially credible. The panel reversed on these grounds and remanded. In a separately filed memorandum disposition, the panel rejected plaintiff's other challenges and affirmed that portion of the ALJ's decision. View "Diedrich v. Berryhill" on Justia Law