William Ludwig v. Michael Astrue , 681 F.3d 1047 ( 2012 )


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  •                  FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    WILLIAM M. LUDWIG,                          No. 10-35946
    Plaintiff-Appellant,
    v.                             D.C. No.
    4:10-cv-00002-RRB
    MICHAEL J. ASTRUE,
    OPINION
    Defendant-Appellee.
    
    Appeal from the United States District Court
    for the District of Alaska
    Ralph R. Beistline, Chief District Judge, Presiding
    Argued and Submitted
    July 27, 2011—Anchorage, Alaska
    Filed June 1, 2012
    Before: Betty B. Fletcher, Andrew J. Kleinfeld, and
    Consuelo M. Callahan, Circuit Judges.
    Opinion by Judge Kleinfeld
    6147
    LUDWIG v. ASTRUE                  6149
    COUNSEL
    Paul B. Eaglin, Eaglin Law Office, Fairbanks, Alaska, for the
    appellant.
    Jordan D. Goddard, Assistant Regional Counsel, Office of the
    General Counsel, Social Security Administration, Seattle,
    Washington, for the appellee.
    OPINION
    KLEINFELD, Senior Circuit Judge:
    We address whether an administrative law judge’s handling
    of an ex parte contact was error, and if so, whether it was
    harmless.
    6150                       LUDWIG v. ASTRUE
    I.     Facts
    Ludwig claimed social security disability,1 his claim was
    denied, and his appeal to the district court was unsuccessful.
    A.     The Medical Evidence
    Ludwig told the Social Security Administration in his May
    2006 application that he could not work because of epilepsy,
    bipolar disease, depression, insomnia, and social anxiety. He
    had not worked since getting fired at his last job as a cook
    earlier the same year. He had previously worked on a fishing
    tender, and as a welder and a cook. In his initial interview,
    Ludwig attributed his inability to work to his psychiatric
    problems, not his physical condition. But at his hearing, he
    claimed disabling arthritis in his knees, hips, and ankles, and
    degenerative disease in his low back. He testified that he had
    severe pain if he lifted as much as 15 pounds.
    Ludwig had extensive medical records from correctional
    facilities and community health facilities. He had complained
    of knee problems for ten years, starting when he was in mili-
    tary service. A year before his social security application, he
    told a medical provider that he could “press 1,000 pounds,”
    and exercised. His description of his symptoms, together with
    X-rays and MRIs, led to a diagnosis of chronic pain in both
    knees and possible tears in the meniscus of the left knee. In
    2007, the Department of Veterans Affairs (VA) awarded Lud-
    wig ten percent service-connected disability compensation on
    account of his knee. Two months before Ludwig’s social
    1
    Disability under the Social Security Act is defined as the “inability to
    engage in any substantial gainful activity by reason of any medically
    determinable physical or mental impairment which can be expected to
    result in death or which has lasted or can be expected to last for a continu-
    ous period of not less than 12 months.” 42 U.S.C. § 423(d)(1)(A). A five-
    step evaluation process is used to determine whether a claimant is dis-
    abled. 20 C.F.R. § 404.1520; Parra v. Astrue, 
    481 F.3d 742
    , 746 (9th Cir.
    2007).
    LUDWIG v. ASTRUE                      6151
    security hearing, a VA examining physician described Lud-
    wig’s knee problems as “minimal.” Around the same time, a
    chiropractic report said that Ludwig was walking normally.
    Ludwig also complained of back pain. On June 14, 2007,
    Ludwig told a medical provider that he had been experiencing
    low back pain since trying to pick up a dishwasher the previ-
    ous month. Two weeks later, he reported to a different exam-
    iner that he had endured chronic back pain since straining his
    back eleven years earlier, but had suffered no recent injury.
    He was diagnosed with lumbar strain and mild disc hernia-
    tion. Ludwig said to one medical provider that Vicodin was
    “the only thing that helped before” with the back pain, but
    was instead prescribed methadone. The prescription was later
    changed to morphine sulphate, after Ludwig complained of
    side effects from the methadone. Physical therapy was pre-
    scribed, but Ludwig did not complete the sessions.
    Ludwig was diagnosed with bipolar disorder in 2002. Med-
    ication successfully controlled it. Ludwig reported to his doc-
    tor in early 2006, the same year he applied for social security
    disability benefits, that, so long as he stayed away from alco-
    hol, his medication kept him reasonably stable. After he got
    fired from his job as a cook, he enrolled in a drug and alcohol
    treatment program.
    He also had a seizure disorder, controlled by medication.
    An emergency department record shows that Ludwig was
    admitted to the emergency room in March 2006, after having
    had a “witnessed seizure while working at the local Denny’s
    restaurant.” He testified at his social security hearing that this
    was an anxiety attack, not a seizure. But he also testified to
    far more frequent and recent seizures than what he had told
    his medical providers.
    Ludwig’s social security application was denied in July
    2006. The Social Security Administration’s medical consul-
    tant, after reviewing Ludwig’s records, concluded that Lud-
    6152                    LUDWIG v. ASTRUE
    wig’s mental impairments caused mild restrictions and
    difficulties. He opined that Ludwig could lift or carry 25
    pounds frequently, 50 pounds occasionally, stand or walk for
    about 6 hours in an 8-hour workday, and sit for the same
    amount of time. After the initial denial, Ludwig requested a
    hearing.
    At his hearing, Ludwig testified that he could not lift more
    than 15 pounds without severe pain, and that it was very pain-
    ful to sit for more than half an hour. But he also testified that
    he carried his own firewood into his cabin for heat. He testi-
    fied that his bipolar disorder made it difficult for him to con-
    trol his anger, and that he became anxious in crowds of more
    than ten people. He said he had been fired from his job at
    Denny’s because he could not get along with his coworkers.
    Ludwig claimed that he suffered three or four grand mal sei-
    zures a year, the last one about a month before the hearing.
    He testified that his petit mal seizures occurred too frequently
    for him to count. But medical records from 2007 show that he
    claimed there were three to five year periods where he had no
    seizures.
    B.     Ex Parte Communication
    Right after the hearing, and before the ALJ had issued his
    decision, an FBI agent told the ALJ that Ludwig was appar-
    ently faking his physical disability. The ALJ immediately sent
    a letter to Ludwig’s lawyer, disclosing the ex parte contact.
    The ALJ suggested that counsel could contact the FBI agent
    if he wished, though he did not represent that the agent had
    agreed to talk to counsel:
    Shortly after your client’s hearing . . . a special agent
    with the F.B.I. [ ] informed me that, earlier, he had
    observed Mr. Ludwig in the parking lot walking with
    normal gait and station; and when he observed Mr.
    Ludwig walking inside of the Federal Courthouse
    (where our hearing was held) he was walking with
    LUDWIG v. ASTRUE                       6153
    an exaggerated limp (which I also observed as he left
    the hearing room).
    Should you wish to inquire further, [the special
    agent] can be reached at the F.B.I. office at:
    101 12th Ave
    #329
    Fairbanks, AK, 99701
    Counsel responded, objecting to any weight being given to
    what the FBI agent had said.
    Counsel asked that unless the ALJ gave assurance that no
    weight would be given to the ex parte communication, he
    receive a supplementary hearing at which counsel could
    cross-examine the agent. Counsel intended to address
    whether, among other things, the FBI agent really had
    observed Ludwig as he thought, since around a dozen people
    had been in and out of the several hearings that morning. He
    questioned the accuracy of the FBI agent’s observations, since
    Ludwig’s knee problem was well-documented in the medical
    records. Counsel also expected to ask whether his client had
    been under some sort of surveillance, making him recogniz-
    able to the FBI agent.
    C.    The ALJ’s Decision
    The ALJ found that although Ludwig had a “longstanding
    seizure disorder,” it was “controlled when he takes medica-
    tion as prescribed.” He noted conflicting evidence on Lud-
    wig’s physical condition, including Ludwig’s claim that he
    could press 1,000 pounds, the chiropractor’s observation that
    Ludwig walked normally, and evidence of damage to Lud-
    wig’s left knee.
    The ALJ found that the seizure disorder and diseased tissue
    in the left knee were “severe” for social security purposes. As
    6154                     LUDWIG v. ASTRUE
    for Ludwig’s back pain, the ALJ found that Ludwig’s “contra-
    dictory accounts” and minimal objective findings established
    that Ludwig “was exaggerating symptoms.” He found that
    Ludwig’s bipolar disorder was “well controlled” so long as
    Ludwig took his medicine and abstained from alcohol, so it
    caused only “mild” restriction of activities of daily living and
    functioning.
    The ALJ found that none of Ludwig’s impairments, sepa-
    rately or together, met the criteria of a listed impairment,2 and
    that Ludwig had the capacity to perform “medium” work.3
    Most importantly, the ALJ found that Ludwig was not credi-
    ble, and had exaggerated how intense, persistent, and limiting
    his impairments were.
    The decision notes that the FBI agent told the ALJ after the
    hearing that the agent had seen Ludwig in the parking lot
    “with a normal gait and station and subsequently observed the
    claimant walking with an exaggerated limp once inside the
    Federal Courthouse.” The ALJ wrote that he did “not assign
    significant weight” to the agent’s statements because the FBI
    agent was not familiar with Ludwig’s medical history and
    observed Ludwig “only briefly.” The ALJ did not say, as Lud-
    wig’s counsel had requested as an alternative to a supplemen-
    tary hearing, that the ALJ had not assigned “any” weight to
    what the FBI agent told him, just that whatever weight he
    gave it was not “significant.”
    The ALJ explained that the record contained “other evi-
    dence showing [Ludwig had] exaggerated symptoms.” Lud-
    wig’s testimony about his seizures was clearly exaggerated
    “based on what he told health providers.” Ludwig had
    claimed for compensation purposes in March 2008 that he
    could walk “no more than a few yards,” but had reported a
    month before to a medical provider that he had walked two
    2
    Citing 20 C.F.R. Pt. 404, Subpt. P, App. 1.
    3
    Citing 20 C.F.R. §§ 404.1567(c), 416.967(c).
    LUDWIG v. ASTRUE                        6155
    miles in sub-zero temperatures and suffered frostbite. (Lud-
    wig lives in Fairbanks, Alaska.) Ludwig’s back and knee
    claims were inconsistent with his claim to health care provid-
    ers that he could press 1,000 pounds. He had exaggerated var-
    ious parts of his medical history to various providers.
    Likewise, Ludwig contradicted himself in different contexts
    about his claimed difficulty with social interactions. His state-
    ments that he walked for exercise, cut wood for heat, and
    stood for nine hours a day as a cook, contradicted his claimed
    physical limitations. The ALJ found that Ludwig could still
    work as a cook, as he had before he was fired for not getting
    along, and was not disabled under the Social Security Act.
    The district court affirmed.
    II.   Analysis
    A.    Standard of Review
    We review the district court’s decision de novo “to ensure
    that the [ALJ’s] decision was supported by substantial evi-
    dence and a correct application of the law.”4 Substantial evi-
    dence means “such relevant evidence as a reasonable mind
    might accept as adequate to support a conclusion,” and
    “[e]ven when the evidence is susceptible to more than one
    rational interpretation, we must uphold the ALJ’s findings if
    they are supported by inferences reasonably drawn from the
    record.”5
    B.    The Ex Parte Contact
    The ex parte contact in this case is troubling. Judges are
    supposed to get their evidence from the testimony and exhib-
    4
    Valentine v. Comm’r Soc. Sec. Admin., 
    574 F.3d 685
    , 690 (9th Cir.
    2009) (citation omitted).
    5
    Molina v. Astrue, 
    674 F.3d 1104
    , 1110-11 (9th Cir. 2012) (citations
    omitted).
    6156                       LUDWIG v. ASTRUE
    its, not private chats.6 The judge should have refused to hear
    the ex parte communication. Ordinarily, if someone says to a
    judge, “Judge, you know that case you heard this morning?”,
    a judge responds, “Don’t tell me anything about it. I can’t lis-
    ten to evidence out of court.”
    The FBI agent’s statements went to the heart of the case.
    Part of Ludwig’s disability claim was his knee problem that
    he said made it hard to walk. He limped in the courtroom. The
    FBI agent told the ALJ that he saw Ludwig walking in the
    parking lot without limping. That is to say, the FBI agent told
    the ALJ privately that Ludwig was faking.
    An FBI agent, by virtue of his employment, is likely to
    have more credibility with a trier of fact than a felon like Lud-
    wig, with conflicting medical records and a history of sub-
    stance abuse. To impeach the FBI agent, Ludwig’s lawyer
    wanted to ask the agent in a supplementary hearing, “How do
    you know the person you saw in the parking lot was Lud-
    wig?” That is a good question, and counsel doubtless had rea-
    sons for wanting to ask the FBI agent in front of the ALJ. The
    FBI agent was under no obligation to talk to Ludwig’s attor-
    ney, and might have refused to answer his questions without
    a scheduled hearing. Even if the FBI agent did respond to
    counsel’s inquiries, he would have plenty of time to improve
    how his answers sounded if he got a private rehearsal with
    claimant’s counsel. Without a hearing, the ALJ would not be
    able to see the agent’s demeanor when answering questions.
    [1] Ludwig’s lawyer asked for either an assurance that the
    ALJ would give no weight to the ex parte communication, or
    6
    See 42 U.S.C. § 405(b)(1) (providing that if a hearing is held, the Com-
    missioner of Social Security “shall, on the basis of evidence adduced at
    the hearing, affirm, modify, or reverse the Commissioner’s findings of
    fact and [initial disability] decision”) (emphasis added); 20 C.F.R.
    § 404.953(a) (providing that the “administrative law judge must base [its]
    decision on the preponderance of the evidence offered at the hearing or
    otherwise included in the record”) (emphasis added).
    LUDWIG v. ASTRUE                      6157
    else a supplementary hearing to explore what force it should
    have. He got neither. The ALJ said in his decision that he did
    not give “significant” weight to the FBI agent’s information,
    not that he disregarded it or gave it no weight. Congress has
    commanded that the ALJ’s decision be “on the basis of evi-
    dence adduced at the hearing,” not on the basis, even in part,
    of private chats outside the hearing.7
    [2] Ludwig cites Richardson v. Perales, but that case
    addresses whether hearsay reports can constitute substantial
    evidence, not ex parte communications.8 Ludwig also cites
    Guenther v. Commissioner, which is binding circuit authority
    and on point. We held, in the first of our two decisions in that
    case, that “ ‘ex parte proceedings are anathema in our system
    of justice,’ ” and “absent some ‘compelling justification,’ ex
    parte communications will not be tolerated.”9 We held that
    disclosure of the ex parte information after the trial was over
    denied the other side “a meaningful opportunity to be heard.”10
    We remanded for an evidentiary hearing to determine pre-
    cisely what the contents of the ex parte communication were,
    why it was made, why it was not served on opposing counsel,
    and such other facts as might bear on acceptance and consid-
    eration of the ex parte communication.11 When the case came
    back to us, after the record had been supplemented with find-
    ings and the contents of the ex parte communication, we held
    that the ex parte communication prejudiced the appellants,
    and denial of a supplementary hearing had denied them an
    adequate opportunity for rebuttal.12
    7
    42 U.S.C. § 405(b)(1).
    8
    Richardson v. Perales, 
    402 U.S. 389
    , 402 (1971).
    9
    Guenther v. Comm’r, 
    889 F.2d 882
    , 884 (9th Cir. 1989) (quoting
    United States v. Thompson, 
    827 F.2d 1254
    , 1258-59 (9th Cir. 1987)).
    10
    
    Id. 11 Id. at
    885.
    12
    Guenther v. Comm’r, 
    939 F.2d 758
    , 761 (9th Cir. 1991).
    6158                     LUDWIG v. ASTRUE
    We reversed in Guenther, requiring that the case be reas-
    signed to a different judge who had not been exposed to the
    ex parte communication.13 We admonished that “[w]e trust
    that we will not again be confronted by an institutionalized
    due process violation,” such as the ex parte communication in
    that case, which went “both to the merits of the case and to
    the [appellants’] character generally.”14 Yet today, we are.
    This case differs from Guenther in that the ALJ here
    promptly notified Ludwig’s attorney of the ex parte communi-
    cation. Also, the error in Guenther was more egregious, in
    that the ex parte communication was by a party to the pro-
    ceeding. We are not persuaded that these distinctions make a
    difference to the question of whether Ludwig was entitled to
    an evidentiary hearing, though, since the judge in both Guen-
    ther and this case received an ex parte communication going
    to the heart of the case, and declined to say that he disre-
    garded it.
    By contrast, we affirmed a decision, despite ex parte com-
    munication, in Alexander Shokai, Inc. v. Commissioner.15 In
    Shokai, counsel was provided with notice of a hearing
    addressing a third party motion to quash a subpoena, and
    elected not to attend.16 No secret communication was made to
    the judge, as in Guenther or this case. At the hearing in open
    court, prior to trial, government counsel brought up matters
    relating to the merits of the case and outside the scope of the
    notice of hearing.17 The judge in Shokai expressly refused to
    make any rulings on these matters until opposing counsel
    could be heard.18 In Shokai, unlike this case, the error was
    13
    
    Id. at 762. 14
         
    Id. at 761-62. 15
         Alexander Shokai, Inc. v. Comm’r, 
    34 F.3d 1480
    (9th Cir. 1994).
    16
    
    Id. at 1484. 17
         
    Id. 18 Id. LUDWIG
    v. ASTRUE               6159
    before trial, and counsel had an adequate opportunity to deal
    with it at trial, before the judge formed a conclusion.
    [3] Allowing the FBI agent to speak to the judge outside
    the presence of counsel, with no opportunity for counsel to
    cross-examine the agent, and no assurance that the communi-
    cation had no influence on the result, was error. “Notice and
    [a meaningful] opportunity to be heard are the hallmarks of
    procedural due process.”19 Though Ludwig was given notice
    of the evidence against him, he was not given a meaningful
    opportunity to be heard on it. The ALJ offered his own
    impeachment that the FBI agent’s observation was brief and
    that the agent was unfamiliar with Ludwig’s medical records.
    But Ludwig’s lawyer might have done better. Where, as here,
    the communication is ex parte, is not disregarded by the
    judge, and may be subject to significant factual questions, we
    cannot see what justification there could be for denying a
    request for an evidentiary hearing. Receipt of the ex parte
    communication, assignment of some weight to it, and denial
    of a supplementary hearing to address it, was error.
    C.     Harmlessness
    [4] Because the judge erred by considering the ex parte
    evidence without allowing a supplementary hearing, we are
    required to evaluate whether there was prejudice. We need not
    decide whether, in these circumstances, a statement that the
    judge disregarded the evidence would suffice to establish
    absence of prejudice, because the ALJ made no such state-
    ment. We do not suggest that private chats with witnesses are
    purged of any taint by a rote recitation that they were given
    “no” weight. But here we do not have even that assurance. No
    “significant” weight, perhaps a more candid statement than
    “no” weight, carries a negative pregnant, that the communica-
    tion received some weight.
    19
    
    Guenther, 889 F.2d at 884
    .
    6160                      LUDWIG v. ASTRUE
    [5] Shinseki v. Sanders establishes that administrative
    adjudications are subject to the same harmless error rule as
    generally applies to civil cases. Reversal on account of error
    is not automatic, but requires a determination of prejudice.20
    Determination of prejudice requires “case-specific application
    of judgment, based upon examination of the record,” not
    “mandatory presumptions and rigid rules.”21 The burden is on
    the party claiming error to demonstrate not only the error, but
    also that it affected his “substantial rights,” which is to say,
    not merely his procedural rights.22 Among the case-specific
    factors an appellate court must consider are “an estimation of
    the likelihood that the result would have been different,”23 as
    well as the impact of the error on the public perception of
    such proceedings:
    [T]he factors that inform a reviewing court’s
    “harmless-error” determination are various, poten-
    tially involving, among other case-specific factors,
    an estimation of the likelihood that the result would
    have been different, an awareness of what body
    (jury, lower court, administrative agency) has the
    authority to reach that result, a consideration of the
    error’s likely effects on the perceived fairness, integ-
    rity, or public reputation of judicial proceedings, and
    a hesitancy to generalize too broadly about particular
    kinds of errors when the specific factual circum-
    20
    Shinseki v. Sanders, 
    556 U.S. 396
    , 407 (2009). See Molina v. Astrue,
    
    674 F.3d 1104
    , 1118 (9th Cir. 2012); McLeod v. Astrue, 
    640 F.3d 881
    , 888
    (9th Cir. 2011).
    21
    
    Sanders, 556 U.S. at 407
    .
    22
    
    Id. at 407-409. The
    harmless error rule, as codified, requires us to
    “give judgment after an examination of the record without regard to errors
    or defects which do not affect the substantial rights of the parties.” 28
    U.S.C. § 2111; 
    Molina, 674 F.3d at 1118
    .
    23
    
    Sanders, 556 U.S. at 411
    .
    LUDWIG v. ASTRUE                    6161
    stances in which the error arises may well make all
    the difference.24
    We addressed the issue of harmless error in social security
    disability cases in McLeod v. Astrue, holding that Sanders
    applies fully to them.25 We held that the claimant need not
    necessarily show what other evidence might have been
    obtained had there not been error, but does have to show at
    least a “substantial likelihood of prejudice.”26 And as Sanders
    required, we held that to evaluate error for harmlessness, “we
    must exercise judgment in light of the circumstances of the
    case,” as opposed to the sort of presuming and generalizing
    that Sanders rejected.27
    [6] Having done so, we conclude that there was no preju-
    dice from the error. The contradictions between what Ludwig
    said when he testified in his disability hearing, and what he
    had said on other occasions, were dramatic. He had to have
    spoken falsely for many years to medical personnel for him
    to be speaking truthfully at his hearing. Considering the
    record as a whole, and the ALJ’s explanation of his decision,
    we are convinced that Ludwig has not demonstrated that the
    decision would have been any different without the ex parte
    communication.
    How could the ALJ give some weight to the FBI agent’s
    communication, but not a “significant” enough amount to
    affect the outcome? Any judge with an adequate amount of
    humility makes many decisions about which he has varying
    degrees of confidence in his own judgment. Learning after a
    firm conviction has been formed that one’s conviction is sup-
    ported by additional evidence can affect the judge’s level of
    confidence in his decision, without affecting the outcome of
    24
    
    Id. at 411-12. 25
         McLeod v. Astrue, 
    640 F.3d 881
    , 887 (9th Cir. 2011).
    26
    
    Id. at 888. 27
         
    Id. 6162 LUDWIG v.
    ASTRUE
    the decision. The ALJ’s decision, and the record of Ludwig’s
    contradictions, make it plain that the ALJ would have reached
    the same conclusion—that Ludwig was fit to resume work
    like his last job as a cook—had the FBI agent not spoken to
    him about his observations of Ludwig.
    [7] An ex parte contact can be quite egregious without
    being prejudicial.28 In the absence of actual prejudice from the
    error, we are required, under Sanders and McLeod, to con-
    clude that the ex parte communication does not entitle Lud-
    wig to a reversal.29
    Ludwig makes two other arguments: that consideration of
    the ex parte evidence denied his right to petition for redress
    of grievances, and that it violated the ALJ’s duty to develop
    the record.30 Both arguments appear to be rephrasings of the
    ex parte evidence argument discussed above. They fail for the
    same reasons.
    AFFIRMED.
    28
    See, e.g., Sea Hawk Seafoods, Inc. v. Alyeska Pipeline Serv. Co., 
    206 F.3d 900
    , 908 (9th Cir. 2000) (holding that defendants were not prejudiced
    by a bailiff’s inappropriate ex parte contact with juror).
    29
    “[W]here harmlessness is clear and not a ‘borderline question,’
    remand for reconsideration is not appropriate.” 
    McLeod, 640 F.3d at 888
    (quoting Shinseki v. Sanders, 
    556 U.S. 396
    , 413 (2009)).
    30
    “An ALJ’s duty to develop the record further is triggered only when
    there is ambiguous evidence or when the record is inadequate to allow for
    proper evaluation of the evidence.” Mayes v. Massanari, 
    276 F.3d 453
    ,
    459-60 (9th Cir. 2001).