August 09, 2004

Benecke v. Barnhart, No. 03-15155, __ F.3d__ (9th Cir. Aug. 9, 2004)

Judge Betty B. FletcherThe Ninth Circuit, in an opinion by Senior Circuit Judge Betty B. Fletcher, reversed and remanded for an award of benefits in a fibromyalgia case. The case is interesting procedurally:  The District Court had granted Benecke's motion for summary judgment in part, holding that the ALJ had erroneously discounted her pain testimony and the opinions of her treating physicians. Since the agency did not cross-appeal the district court's partial grant of summary judgment, the only issue considered by the Court was whether the District Court abused its discretion by remanding the case for further proceedings rather than for an award. The Court found that the District Court abused its discretion and remanded the case for an award of benefits.

The Court also created a new basis for remanding for payment of benefits:

We now clarify that in the unusual case in which it is clear from the record that the claimant is unable to perform gainful employment in the national economy, even though the vocational expert did not address the precise work limitations established by the improperly discredited testimony, remand for an immediate award of benefits is appropriate.

The Court goes on to say: "Allowing the Commissioner to decide the issue again would create an unfair “heads we win; tails, let’s play again” system of disability benefits adjudication."

There's much more here. A must-read opinion.

August 9, 2004 at 02:29 PM in 9th Cir., Abuse of Discretion, Fibromyalgia, Remand for Award | Permalink