Justia U.S. 9th Circuit Court of Appeals Opinion Summaries
Articles Posted in Public Benefits
Popa v. Berryhill
The Ninth Circuit reversed the district court's decision affirming the Commissioner's denial of plaintiff's application for disability insurance benefits and supplemental security income benefits. The panel held that the ALJ committed legal error when she failed to provide legally sufficient reasons to discount the opinions of examining psychologist Dr. Hart, and when she failed to provide germane reasons to discount the opinions of treating nurse practitioner Dr. Sorrell; the ALJ's error in discounting these opinions permeated her hypothetical to the vocational expert regarding the availability of a significant number of jobs in the national economy that plaintiff could perform; and therefore the panel remanded for an award of benefits. View "Popa v. Berryhill" on Justia Law
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Public Benefits
Laborin v. Berryhill
The Ninth Circuit reversed the district court's judgment affirming the ALJ's denial of plaintiff's applications for disability benefits and supplemental security income (SSI). The panel held that the ALJ failed to credit plaintiff's testimony regarding the intensity, persistence, and limiting effects of his symptoms to the extent that testimony was "inconsistent with the residual functional capacity assessment [(RFC)]"; this boilerplate language encouraged an inaccurate assessment of a claimant's credibility and also permitted determination of RFCs that were inconsistent with truly credible testimony; the approach taken by the ALJ was inconsistent with the Social Security Act, 42 U.S.C 301-1397m, and should not be used in disability decisions; and the ALJ did not give clear and convincing reasons for rejecting plaintiff's symptom testimony. View "Laborin v. Berryhill" on Justia Law
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Public Benefits
Hoag Memorial Hospital Presbyterian v. Price
The Ninth Circuit held that the Secretary erred in approving a state plan amendment (SPA) pursuant to 42 U.S.C. 1396(a)(30)(A), without requiring any evidence regarding the extent that such care and services were available to the general population in the geographic area. In this case, the Secretary's approval of the SPA absent considerations of some form of comparative-access data was arbitrary and capricious. Accordingly, the court reversed the district court's grant of summary judgment in favor of the Secretary and remanded. View "Hoag Memorial Hospital Presbyterian v. Price" on Justia Law
Lamear v. Berryhill
The Ninth Circuit reversed the denial of disability insurance benefits, holding that the ALJ failed to reconcile an apparent conflict between the testimony of the vocational expert and the Department of Labor’s Dictionary of Occupational Titles (DOT). Because the panel could not determine from the record, the DOT, or the panel's common experience whether the jobs in question require both hands, the panel could not say that the ALJ's failure to inquire was harmless. Accordingly, the panel remanded the case to permit the ALJ to follow up with the vocational expert. View "Lamear v. Berryhill" on Justia Law
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Public Benefits
United States ex. rel. Hoggett v. University of Phoenix
The Ninth Circuit dismissed for lack of jurisdiction relators' appeal of the district court's dismissal of their qui tam suit against UOPX. The panel held that the appeal was untimely because relators' post-judgment motion, although styled as a Fed. R. Civ. P. 59(e) motion, was in substance a motion only to stay the entry of judgment, which did not toll the time to file a notice of appeal. View "United States ex. rel. Hoggett v. University of Phoenix" on Justia Law
Posted in:
Civil Procedure, Public Benefits
United States ex rel Cain v. Salish Kootenai College, Inc.
The Ninth Circuit reversed the dismissal of relators' qui tam action alleging that the College violated the False Claims Act (FCA), 31 U.S.C. 3729-3733, by knowingly providing false progress reports on students in order to keep grant monies. The panel held that the Tribe is not a "person" under the FCA. The panel remanded for further jurisdictional factfinding on whether the College was an arm of the Tribe that shares the Tribe's status for purposes of the FCA. View "United States ex rel Cain v. Salish Kootenai College, Inc." on Justia Law
Posted in:
Native American Law, Public Benefits
Trevizo v. Berryhill
The Ninth Circuit reversed the denial of disability benefits and held that the ALJ did not follow the appropriate methodology for weighing a treating physician's medical opinion. In this case, the panel explained that the ALJ should have credited the treating physician's opinion and found that plaintiff was disabled, and the district court erred by developing its own reasons to discount the treating physician's opinion, rather than reviewing the ALJ's reasons for substantial evidence. The panel held that substantial evidence did not support the ALJ's finding that plaintiff's symptoms were not as severe as she testified, particularly in light of the extensive medical record objectively verifying her claims. Because each of the "credit-as-true" factors in Garrison v. Colvin, 759 F.3d 995, 1020 (9th Cir. 2014), was satisfied, remand for the calculation and award of benefits was warranted. View "Trevizo v. Berryhill" on Justia Law
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Public Benefits
M.C. v. Antelope Valley Union High School District
M.N. filed a due process complaint alleging that the District committed procedural and substantive violations of the Individuals with Disabilities Education Act (IDEA), 20 U.S.C. 1400(d)(1)(A). The ALJ denied all claims and the district court affirmed. The Ninth Circuit filed an amended opinion reversing the district court's judgment, holding that neither the duration of the hearing, the ALJ's active involvement, nor the length of the ALJ's opinion can ensure that the ALJ was thorough and careful in its findings of fact; plaintiffs' claim that the District committed a procedural violation of the IDEA by failing to adequately document its offer of the visually impaired (TVI) services was not waived; the District committed two procedural violations as to the individualized education plan (IEP); the District's failure to specify the assistive technology (AT) devices that were provided infringed M.N.'s opportunity to participate in the IEP process and denied the student a free appropriate education (FAPE); the panel remanded for a determination of the prejudice the student suffered as a result of the District's failure to respond to the complaint and the award of appropriate compensation; in regard to substantive violations, the panel remanded so the district court could consider plaintiffs' claims in light of new guidance from the Supreme Court in Endrew F. v. Douglas Cty. Sch. Dist., 137 S. Ct. 988 (2017); and M.N., as the prevailing party, was entitled to attorneys' fees. View "M.C. v. Antelope Valley Union High School District" on Justia Law
Decker v. Berryhill
The Ninth Circuit affirmed the denial of plaintiff's application for attorney fees under the Equal Access to Justice Act (EAJA), 28 U.S.C. 2412(d)(1)(A), holding that the Commissioner's litigation position was substantially justified. Plaintiff had successfully challenged the Commissioner's denial of her application for disability benefits and obtained a remand of her claim to the agency for further consideration. In this case, the district court did not abuse its discretion in determining that the Commissioner's position was substantially justified because the Commissioner's opposition to remand the claim on the merits was reasonable, even though it turned out to be unsuccessful. Finally, plaintiff's new evidence, though sufficient in the end to persuade the district court to remand the case, did not make that the only reasonable result. View "Decker v. Berryhill" on Justia Law
Gardner v. Berryhill
The Ninth Circuit affirmed the denial of plaintiff's application for attorney's fees under the Equal Access to Justice Act (EAJA), 28 U.S.C. 2412(d)(1)(A). Plaintiff presented new evidence to the Appeals Council after she lost her claim for social security disability benefits before the ALJ. The district court remanded for further consideration and the Commissioner did not appeal. The district court denied plaintiff's request for attorney's fees, concluding that the Commissioner was substantially justified in arguing that the new evidence did not undermine the ALJ's denial of benefits. The issue that was before the district court on the original merits appeal of the ALJ's denial of benefits was not whether there was other evidence that could support a denial of benefits to plaintiff, or whether the Commissioner's denial of benefits might ultimately be sustained. The Ninth Circuit explained that it was whether the actual decision that was made by the ALJ could be affirmed at that time by the district court in light of the new evidence in the record. In this case, it should have been plain that it could not have been affirmed, because the ALJ's decision failed to provide a reason that was still viable for giving the opinion of the treating doctor little weight. The doctor's final report, if credited, would have undermined the ALJ's original finding that plaintiff was not disabled. Even if the Commissioner might have had a legitimate basis for opposing plaintiff's claim, she did not have a basis to oppose remand and to argue that the district court should affirm the existing ALJ opinion. View "Gardner v. Berryhill" on Justia Law