NOT FOR PUBLICATION FILED
UNITED STATES COURT OF APPEALS FEB 28 2018
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
LAURIE ADAMS, No. 15-35326
Plaintiff-Appellant, D.C. No. 3:13-cv-01969-MC
v.
MEMORANDUM*
NANCY A. BERRYHILL, Acting
Commissioner Social Security,
Defendant-Appellee.
Appeal from the United States District Court
for the District of Oregon
Michael J. McShane, District Judge, Presiding
Argued and Submitted October 4, 2017
Portland, Oregon
Before: PAEZ and BEA, Circuit Judges, and LAMBERTH,** District Judge.
Laurie Adams appeals from the district court’s judgment affirming the
denial of her application for supplemental security income. We have jurisdiction
under 28 U.S.C. § 1291. We review de novo a district court’s order that affirmed a
*
This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
**
The Honorable Royce C. Lamberth, United States District Judge for
the District of Columbia, sitting by designation.
denial of Social Security benefits. Brown-Hunter v. Colvin, 806 F.3d 487, 492 (9th
Cir. 2015). We will set aside a denial of benefits only when the administrative law
judge (ALJ)’s decision is “based on legal error or not supported by substantial
evidence in the record.” Benton ex rel. Benton v. Barnhart, 331 F.3d 1030, 1035
(9th Cir. 2003). “Where evidence is susceptible to more than one rational
interpretation, the ALJ’s decision should be upheld.” Orn v. Astrue, 495 F.3d 625,
630 (9th Cir. 2007) (internal quotation marks omitted). We affirm.
The only issue on appeal is whether the ALJ erred in rejecting the opinion of
Adams’ case manager and mental health provider, Rae Daneke. Under the
applicable Social Security Administration regulations, Daneke, a qualified mental
health practitioner, is an “other” source, i.e., not an “approved” medical source.
See 20 C.F.R. § 416.913 (2013). An ALJ may reject an “other source” opinion if
he provides a “germane” reason for doing so. Molina v. Astrue, 674 F.3d 1104,
1111 (9th Cir. 2012). The ALJ determined Daneke’s opinion that, among other
things, Adams “would struggle in a work setting” conflicted with Adams’ activities
of daily living. Such a finding, if supported, is well-recognized as a germane
reason for devaluing or dismissing the conflicting “other source” opinion. See,
e.g., Carmickle v. Comm’r of Soc. Sec. Admin., 533 F.3d 1155, 1163-64 (9th Cir.
2008). Here, the ALJ made sufficient findings as to Adams’ activities of daily
living, supported by the record, such that a reasonable person could conclude those
2
activities conflicted with Daneke’s opinion. Our decision in Revels v. Berryhill,
874 F.3d 648 (9th Cir. 2017), does not hold otherwise. The Revels court
determined that the ALJ improperly discounted the other-source opinion due to a)
an underlying “flawed understanding of fibromyalgia,” and b) certain mistakes of
fact concerning the other medical opinions in the record in that case. Id. at 665-66.
Our recent decision in Popa v. Berryhill, 872 F.3d 901 (9th Cir. 2017), relied
on by Adams, rests on materially different facts. In Popa, the ALJ did not
adequately explain how Popa’s activities conflicted with the “other source”
assessment that Popa had “moderate limitations” in certain functional areas. The
ALJ’s references to Popa’s attendance at church once a week (which had ceased
years earlier) and her occasional shopping for groceries were insufficient to
establish that those activities were inconsistent with her moderate limitations. Id.
at *5. In contrast, the facts concerning Adams’ activities of daily living, including
Adams’ ability to work to earn money when motivated, are directly relevant to an
other-source opinion that she is unable to work. In this case, the ALJ
unambiguously found several facts concerning Adams’ activities of daily living
that provided reasonable grounds to discount Ms. Daneke’s opinion.
AFFIRMED.
3
FILED
Adams v. Berryhill, No. 15-35326
FEB 28 2018
PAEZ, Circuit Judge, dissenting: MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
Rae Daneke, a qualified mental health practitioner, provided mental health
services to Laurie Adams one-to-three times per month for two years. On the basis
of that extended interaction, Daneke opined that Adams “suffers with
unpredictable angry outbursts” and “[d]ifficulty with[] keeping appointments,
organizing tasks[,] and . . . sustain[ing] attention to task[s]” due to post-traumatic
stress disorder and other mental conditions. Daneke concluded that Adams has
“little difficulty” with her activities of daily living, but would “struggle in a work
setting” and miss more than two days of work per month from even a simple,
routine, and sedentary job.
The administrative law judge (“ALJ”) discounted Daneke’s opinions as to
Adams’s work-related limitations after concluding that they were “not consistent
with [Adams’s] daily activities.” The ALJ did not elaborate beyond noting that
Adams could perform “odd jobs” when motivated. These odd jobs appear to
amount to collecting cans and washing friends’ dishes, although sometimes Adams
would throw away her friends’ dishes instead.
An ALJ may discount the opinion of an “other source,” such as a qualified
mental health practitioner like Daneke, if he provides a reason “germane to [the]
witness for doing so.” Popa v. Berryhill, 872 F.3d 901, 906 (9th Cir. 2017)
(internal quotation marks omitted); see 20 C.F.R. § 416.913 (2013). An
inconsistency between the “other source” opinion and other parts of the record may
constitute a “germane” reason. We have repeatedly held, however, that an ALJ
does not provide a “germane” reason for rejecting an “other source” opinion where
allegedly contrasting parts of the record can be reconciled and the ALJ
inadequately explains the basis for the inconsistency. See, e.g., Revels v. Berryhill,
874 F.3d 648, 665–66, 668 (9th Cir. 2017); Popa, 872 F.3d at 907.
In Revels, we concluded that the ALJ did not provide “germane” reasons for
rejecting a physical therapist’s opinion and third-party function reports submitted
by Revels’s mother and father.1 The ALJ found that the physical therapist’s
opinion was inconsistent with four medical opinions in the record, 874 F.3d at
665–66, and the third-party function reports were inconsistent with Revels’s
activities of daily living, id. at 668. 2 As for the physical therapist’s opinion, we
explained that the ALJ “failed to note” that it was consistent with a different
medical opinion in the record. Id. at 666. We also explained that two of the
doctors who provided the allegedly contrasting opinions had not examined Revels
1
Lay witness opinions are also subject to the “germane” reason standard. Greger
v. Barnhart, 464 F.3d 968, 972 (9th Cir. 2006).
2
Revels’s activities of daily living consisted of “using the bathroom, brushing her
teeth, washing her face, taking her children to school, washing dishes, doing
laundry, sweeping, mopping, vacuuming, going to a doctor’s appointment for her
or for one of her children, visiting her mother and father, cooking, shopping,
getting gas, and feeding her dogs.” Revels, 874 F.3d at 667–68.
2
whereas the physical therapist had examined Revels once for three-and-a-half
hours. Id. With regard to the third-party function reports, “the ALJ failed to
acknowledge that . . . Revels explained that she could complete only some of the
tasks in a single day and regularly needed to take breaks—which was consistent
with her symptom testimony.” Id. at 668.
Here, Daneke, a qualified mental health practitioner, examined Adams one-
to-three times per month for two years and concluded that she would have marked
limitations in a work setting. The ALJ did not provide any explanation as to why
those limitations would prevent Adams from performing odd jobs by herself and
on her own time, nor does the record support such a finding. To the contrary, at
the hearing before the ALJ, Adams testified that she does not pick up cans every
day and has difficulty maintaining concentration—which is consistent with
Daneke’s opinion that Adams would miss more than two days of work per month.
Moreover, Daneke herself implicitly opined that Adams’s marked work-related
limitations were consistent with her mild limitations as to daily activities. 3 The
ALJ necessarily rejected that opinion as well, without offering any reason, let
alone a “germane” reason, for doing so.
3
In fact, on the same questionnaire page where Daneke indicated that Adams has
marked limitations in seven mental residual functional capacities, she also
indicated that Adams has only mild limitations with regard to her activities of daily
living.
3
The majority characterizes Revels as turning on the ALJ’s “flawed
understanding of fibromyalgia” and “certain mistakes of fact concerning the other
medical opinions in the record.” In Revels, however, the ALJ’s flawed
understanding of fibromyalgia undermined a separate and independent reason
offered by the ALJ for rejecting the physical therapist’s opinion, and that reason is
not relevant here. 874 F.3d at 665. And, contrary to the majority’s assertion, we
did not conclude that the ALJ made mistakes of fact beyond its ultimate failure to
demonstrate an inconsistency between the physical therapist’s opinion and the rest
of the record. Finally, the majority does not attempt to distinguish our further
conclusion in Revels that the ALJ erred in assigning little weight to the third-party
function reports submitted by Revels’s mother and father.
The ALJ’s conclusory reason for discounting Daneke’s opinion was no more
“germane” than the reasons we rejected in Revels. This was error and Daneke’s
opinion should be credited. Furthermore, “the record has been fully developed and
further administrative proceedings would serve no useful purpose,” and “the ALJ
would be required to find the claimant disabled on remand” if “the improperly
discredited evidence were credited as true.” 4 Id. at 668 (internal quotation marks
4
A vocational expert testified at the hearing before the ALJ that missing more than
two days of work per month would result in termination of employment, as would
being off task 20 percent of the time or taking two extra breaks each in the
morning and afternoon.
4
omitted). Therefore, I would reverse the judgment of the district court and remand
for an award of benefits.
For all of the above reasons, I respectfully dissent.
5