Vasquez v. Astrue

Opinion by Judge SELNA; Concurrence by Judge HAWKINS; Dissent by Judge O’SCANNLAIN.

ORDER AND AMENDED DISSENT

ORDER

The opinion issued on November 5, 2008 is amended by inserting the following after the first paragraph of Judge O’Scannlain’s dissent on page 15123, 2008 WL 4791860:

Subsequent to our decision in this case, the government petitioned for rehearing en banc, arguing that the crediting-as-true rule is invalid because it is contrary to both statute and Supreme Court precedent. Vasquez did not respond to the government’s arguments in detail, and so I do not opine whether the government is right. However, the case appears strong. The government asserts that under the Social Security Act, *589the Commissioner — not a federal court — is the factfinder. See 42 U.S.C. § 405(g) (findings of Commissioner are conclusive so long as substantial evidence supports them). While the statute prohibits a claimant’s testimony concerning pain or other symptoms alone from establishing a disability, this appears to be exactly what the crediting-as-true rule would require. Cf. 42 U.S.C. § 523(d)(5)(A) (“An individual’s statement as to pain or other symptoms shall not alone be conclusive evidence of disability as defined in this section; there must be medical signs and findings ... which show the existence of a medical impairment ... which could reasonably be expected to produce the pain or other symptoms alleged and which, when considered with all evidence ... would lead to a conclusion that the individual is under a disability.” (emphasis added)). The government notes that the general rale (subject to “rare” exceptions) “is to remand to the agency for additional investigation or explanation.” INS v. Ventura, 537 U.S. 12, 16, 123 S.Ct. 353, 154 L.Ed.2d 272 (2002) (per curiam). We do not credit-as-true in only “rare” cases; according to the government, we took some factfinding responsibility away from the Commissioner in at least twenty-two cases during 2007 and 2008.

The government finally notes that other circuits will remand for determination of benefits only in narrow circumstances. See, e.g., Faucher v. Sec’y of Health & Human Servs., 17 F.3d 171, 176 (7th Cir.1994) (“If a court determines that substantial evidence does not support the Secretary’s decision, the court can reverse the decision and immediately award benefits only if all essential factual issues have been resolved and the record adequately establishes a plaintiffs entitlement to benefits.”); see also Miller v. Chater, 99 F.3d 972 (10th Cir.1996) (remanding for a fifth administrative hearing, but warning that “the Secretary is not entitled to adjudicate a case ad infinitum until [he] correctly applies the proper legal standard and gathers evidence to support [his] conclusion” (internal quotation marks omitted)). If, as the government argues, crediting-as-true is a de facto finding of disability, then our circuit’s precedent is badly misaligned with that of other circuits.

Of course, because the crediting-as-true rule is part of our circuit’s law, only an en banc court can change it. Although no judge has chosen to call for en banc rehearing in this case, I am hopeful that the en banc court will consider the argument when it is presented more directly in another case (e.g., one where there is an explicit remand for immediate payment of benefits based on the rule). Because the crediting-as-trae rale applies in every case where a court finds no substantial evidence to support the Commissioner’s decision, the issue is of exceptional importance. This is particularly so because the “Social Security hearing system is probably the largest adjudicative agency in the western world.” Heckler v. Campbell, 461 U.S. 458, 461, 103 S.Ct. 1952, 76 L.Ed.2d 66 (1983) (noting that 2.3 million claims for disability benefits were filed in 1981).

II

Judge O’Scannlain has voted to grant the petition for rehearing en banc and Judge Selna has so recommended. Judge Hawkins has voted to deny the petition for rehearing en banc.

The full court has been advised of the petition for rehearing en banc and no active judge has requested a vote on whether *590to rehear the matter en bane. Fed. R.App. P. 35.

The petition for rehearing en banc is DENIED. No further petitions for rehearing or rehearing en banc may be filed.

OPINION

OVERVIEW

Priscilla Vasquez (“Vasquez”) appeals from the district court’s grant of summary judgment for the Commissioner of Social Security (“the Commissioner”) upholding a denial of Disability Insurance Benefits under 42 TJ.S.C. § 401 et seq. and Supplemental Security Income benefits under 42 U.S.C. § 1381 et seq. Vasquez claims that the Commissioner improperly discounted her symptom reporting, failed to consider evidence of her severe mental impairment, and improperly applied principles of res judicata.

We vacate the district court’s judgment and remand to the Commissioner for a hearing on the issue of whether Vasquez is entitled to benefits.

FACTUAL BACKGROUND

Vasquez applied for Disability Insurance Benefits and Supplemental Security Income benefits in September 1997, alleging an inability to work since October 1995 because of low back pain and other musculoskeletal impairments. The application was denied initially and again on reconsideration. At the initial hearing, Administrative Law Judge (“ALJ”) Richard Stacy (“ALJ Stacy”) also found that Vasquez was not disabled and denied her application. The decision of ALJ Stacy discussed Vasquez’s back injuries and limited education, but did not discuss whether Vasquez may have also suffered from cognitive impairments because Vasquez did not raise that issue in her application. The Social Security Administration (“SSA”) Appeals Council denied review of ALJ Stacy’s decision.

Vasquez subsequently filed a new application for benefits, alleging an inability to work since November 2001. After the Commissioner denied her application, she requested an ALJ hearing. Vasquez’s application specified that she suffered from ongoing problems due to a back injury, as well as cognitive impairments resulting in significant learning problems.

ALJ Sandra Rogers (“ALJ Rogers,” or “the ALJ”) found that while Vasquez was not able to perform her past work as a housekeeper due to a “severe” back disorder, she retained the residual function capacity to perform “light exceptional work activity” and therefore was not disabled. Although ALJ Rogers did not make any explicit findings regarding Vasquez’s alleged cognitive impairments, she discussed the mental health and capacity evidence presented, and seems to have implicitly found that these impairments were not “severe” and/or did not impact Vasquez’s residual function capacity.

In appealing this decision to the SSA Appeals Council, Vasquez presented additional evidence of psychological testing from Dr. Ubaldo Sanchez (“Dr. Sanchez”) to bolster her claims of cognitive impairment. The Appeals Council reviewed the ALJ’s findings as well as the additional evidence and found that Dr. Sanchez’s report did not warrant any change in the ALJ’s decision. The district court affirmed the ALJ’s decision when it granted summary judgment in favor of the Commissioner and declined to set aside the ALJ’s denial of benefits.

DISCUSSION

Standard of Review

We review the district court’s order affirming denial of benefits de novo. *591Schneider v. Comm’r of Soc. Sec. Admin., 223 F.3d 968, 973 (9th Cir.2000). It may “set aside the Commissioner’s denial of benefits when the ALJ’s findings are based on legal error or are not supported by substantial evidence in the record as a whole.” Id. “Substantial evidence means more than a mere scintilla but less than a preponderance; it is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Andrews v. Shalala, 53 F.3d 1035, 1039 (9th Cir.1995). This Court “review[s] the administrative record as a whole” to determine whether substantial evidence supports the ALJ’s decision. Id. “The ALJ is responsible for determining credibility, resolving conflicts in medical testimony, and for resolving ambiguities.” Id. “[W]here the evidence is susceptible to more than one rational interpretation,” the ALJ’s decision must be affirmed. Id. at 1039-40.

Credibility of Vasquez’s Symptom Reporting

Vasquez argues that ALJ Rogers did not properly credit her symptom reporting when she found that Vasquez’s allegations as to the “intensity, persistence, and limits effects of [her] symptoms were not well supported by the probative evidence and [were] not wholly credible.”

In evaluating the credibility of a claimant’s testimony regarding subjective pain, an ALJ must engage in a two-step analysis. Lingenfelter v. Astrue, 504 F.3d 1028, 1035-36 (9th Cir.2007). “First, the ALJ must determine whether the claimant has presented objective medical evidence of an underlying impairment which could reasonably be expected to produce the pain or other symptoms alleged.” Id. at 1036 (internal citations and quotation marks omitted). The claimant is not required to show that her impairment “could reasonably be expected to cause the severity of the symptom she has alleged; she need only show that it could reasonably have caused some degree of the symptom.” Id. (quoting Smolen v. Chater, 80 F.3d 1273, 1282 (9th Cir.1996)). If the claimant meets the first test and there is no evidence of malingering, the ALJ can only reject the claimant’s testimony about the severity of the symptoms if she gives “specific, clear and convincing reasons” for the rejection. Id.

Vasquez testified that she is in “chronic pain.” She stated that it “hurts to sit in chairs” and “hurts walking.” In the pain questionnaire she filled out as part of her benefits application, she specified that she feels a “stabbing pain” in her back, which spreads to her legs and toes, brought on by movement and seeming to worsen when she sits or walks, “everyday throughout the day.” Complaints of ongoing, unrelieved pain were also recorded by her physicians and incorporated in Vasquez’s medical reports.

After finding that Vasquez “has a back disorder which is a severe impairment,” the ALJ acknowledged that Vasquez’s injuries “could reasonably be expected to produce some of the pain and other symptoms alleged.” (Emphasis added.) This satisfied the first prong of the ALJ’s inquiry regarding the credibility of Vasquez’s complaints. See Lingenfelter, 504 F.3d at 1035-36.

The ALJ went on, however, to reject Vasquez’s. allegations, stating:

after carefully considering all of the medical and documentary evidence, the undersigned finds that, in light of discrepancies between the claimant’s assertions and information contained in the reports of the treating and examining physicians, the allegations by the claimant as to the intensity, persistence, and limiting effects of his [sic] symptoms were not well supported by the proba*592tive evidence and are not wholly credible. The claimant’s complaints regarding the frequency, severity and duration of her back pain and lower extremity pain are not consistent with the objective medical evidence and are generally consistent [sic] with the limitations found.

This statement does not comport with the requirements laid out by the Court in Lingenfelter, 504 F.3d at 1036. The ALJ did not cite any evidence of malingering, and therefore, her adverse credibility findings may only be supported by “specific, clear and convincing reasons.” Id. However, the ALJ made no specific findings in support of her conclusion that Vasquez’s claims were not credible, other than the vague allegation that they were “not consistent with the objective medical evidence.” 1

To support a lack of credibility finding, the ALJ was required to “point to specific facts in the record which demonstrate that [Vasquez] is in less pain than she claims.” Dodrill v. Shalala, 12 F.3d 915, 918 (9th Cir.1993). The Commissioner’s argument that the “ALJ found that Claimant’s complaints were inconsistent with the findings reported by Drs. Capen and Singh” is not supported by the record. The cited portion of the ALJ’s opinion does discuss the findings of Drs. Capen and Singh, but the ALJ did not discuss these findings, or any specific medical evidence when she rejected Vasquez’s subjective complaints of pain.2

The Commissioner’s argument that the ALJ’s findings were proper under 20 C.F.R. §§ 404.1529(c)(3) and 416.929(c)(3)3 is similarly incorrect. Both regulations deal with evidence the Commissioner should consider in determining how a claimant’s symptoms may affect her capacity to function under the guidelines; neither describe what findings are required before an ALJ can reject a claimant’s allegations of disabling pain.4 In any event, it does not appear that the ALJ complied either with the requirements laid out by this Court, see Lingenfelter, 504 F.3d at 1036; Dodrill 12 F.3d at 918, or its own *593regulations, see §§ 404.1529(c)(3) and 416.929(c)(3), in assessing Vas'quez’s subjective complaints of disabling pain.

The appropriate judicial response in situations where the ALJ fails to give an adequate justification for rejecting a claimant’s pain testimony was first discussed in Varney v. Secretary of Health and Human Services (Varney II), 859 F.2d 1396, 1398-99, 1401 (9th Cir.1988). There, we adopted the Eleventh Circuit’s credit-as-true rule, holding that the Commissioner must accept, as a matter of law, a claimant’s subjective pain testimony if the ALJ fails to articulate sufficient reasons for refusing to credit it. Id. However, the holding in Varney II was specifically limited to cases “where there are no outstanding issues that must be resolved before a proper disability determination can be made, and where it is clear from the administrative record that the ALJ would be required to award benefits if the claimant’s excess pain testimony were credited.” Id. at 1401.

Since Varney II, a split in authority has developed over whether the rule is mandatory or discretionary in’this Circuit. Compare, e.g., Lester v. Chater, 81 F.3d 821, 834 (9th Cir.1995) (holding that when an ALJ improperly rejects a claimant’s testimony regarding his limitations, and the claimant would be disabled if his testimony were credited, the testimony must be credited as a matter of law); with Connett v. Barnhart, 340 F.3d 871, 876 (9th Cir.2003) (discussing the Circuit’s conflicting case law and holding that the doctrine is not mandatory because the court has “some flexibility in applying the crediting as true theory” (internal quotation marks omitted)). It is not necessary for us to resolve the conflict at this time, however, because, unlike Varney II or Lester, here there are outstanding issues that must be resolved before a proper disability determination can be made.5 See Varney II at 859 F.2d 1401 (declining to address whether the credit-as-true rule should be adopted in cases where a remand for further proceedings is required before a disability determination can be made); Lester, 81 F.3d at 834 (holding that the credit-as-true rule is mandatory, but only where the claimant would be disabled if his testimony were credited).

This Court has recognized that there are other factors which may justify application of the credit-as-true rule, even where application of the rule would not result in the immediate payment of benefits. In Hammock v. Bowen, 879 F.2d 498 (9th Cir. 1989), we compared the limited application of the credit-as-true rule in Varney II with the rule in the Eleventh Circuit, which credits the claimant’s pain testimony whenever the ALJ fails to articulate its reasons for doing so. Id. at 503 (citing Hale v. Bowen, 831 F.2d 1007, 1012 (11th Cir.1987)). Without adopting a general rule, we found that, because claimant was of advanced age and had already experienced a severe delay in her application, it was appropriate to apply the credit-as-true rule in that case. Id. at 503. We applied the rule even though we remanded for a further determination of whether benefits were due, and in doing so instructed the *594ALJ to credit the claimant’s symptom testimony. Id. at 503-04.

Similar facts are present in this case. Vasquez filed her application for benefits in October 2002. At present, she is 58 years old. Further, as we noted in Varney II, the purpose of the credit-as-true rule is to discourage ALJs from reaching a conclusion about a claimant’s status first, and then attempting to justify it by ignoring any evidence in the record that suggests an opposite result. Varney II, 859 F.2d at 1398. By requiring the ALJ to specify “any factors discrediting a claimant at the first opportunity,” the rule ensures that pain testimony is carefully assessed, and helps prevent unnecessary duplication in the administrative process. Id.

For all these reasons, we follow Hammock in applying the credit-as-true rule in this instance. On remand, the ALJ is instructed to accept Vasquez’s symptom testimony as true in determining whether she is entitled to benefits.

Evidence Vasquez was Severely Impaired

In the five-step sequential process used to evaluate an applicant’s disability status, step two consists of determining whether a claimant has a “medically severe impairment or combination of impairments.” Bowen v. Yuckert, 482 U.S. 137, 140-41, 107 S.Ct. 2287, 96 L.Ed.2d 119 (1987). Vasquez argues that the ALJ’s finding of no mental impairment was improper and not supported by substantial evidence. We hold that the ALJ should have been afforded an opportunity to consider additional evidence generated between the ALJ’s decision and the Appeals Council hearing, and remand for that purpose.

The medical evidence confirms at least some degree of cognitive impairment. In February 2004, Owen Lum, M.D. (“Dr. Lum”) interviewed and evaluated Vasquez without administering any tests. Dr. Lum diagnosed Vasquez as having “adjustment disorder with mixed moods” and assessed a Global Assessment of Functioning (“GAF”) Level of 67. This number indicates an assessment of mild symptoms and some difficulty functioning.6 Assessing her functional capacity, Dr. Lum wrote that Vasquez is able to perform simple and repetitive tasks, and in the absence of major psychiatric problems, could perform detailed tasks. He stated that she “is able to accept instructions from supervisors and interact with eoworker[s] and the public,” and further, that she could “work on a consistent basis” and “attend a regular work situation[,] secondary to the absence[ ] of major cognitive deterioration.”

The month after Dr. Lum’s interview, Vasquez was interviewed and tested by psychologist Ute Kollath, Ph.D. (“Dr. Kollath”). Dr. Kollath administered WMS-III, WAIS-III and Bender-Gestalt examinations. She reported that Vasquez’s IQ score was a 62, placing her in the “mildly mentally retarded range”; however, Dr. Kollath further stated that “this appears to be an underestimate of her intellectual level of functioning and variable motivation might account for this.” Her clinical impression was that Vasquez placed in “at least the borderline range.” Her Global Measure of Impairment (“GMI”) score was *595less than 50, which demonstrates a memory in the “impaired range”; however, Dr. Kollath reported that this score “appears to be an underestimate of her memory functioning” because she was “able to recall some, detailed autobiographical information.”

Dr. Kollath stated that her overall impression was “of an individual who could well have cognitive impairment,” but stated that Vasquez’s “limited engagement towards the testing process interfered with a full assessment.” Dr. Kollath diagnosed an “Adjustment Disorder with Depressed Mood,” “Learning Disorder NOS,” and a GAF of 60. This GAF score indicates “moderate symptoms” or moderate difficulty in “social, occupational, or school functioning.” DSM IV-TR, p. 34. She specifically noted that Vasquez appeared “to be able to maintain concentration, persistence, and pace,” was able to “relate well in the interview and would be able to appropriately interact with supervisors and co-workers in a job setting.” She found her able to perform “simple repetitive tasks,” but “unable to perform detailed and complex tasks.”

The ALJ referenced the findings of Drs. Lum and Kollath in her decision, though she made no specific findings regarding Vasquez’s mental health. In assessing the objective evidence of impairment obtained from Dr. Kollath’s testing, the ALJ noted Dr. Kollath’s observations that the scores were likely “underestimates of her true abilities.”

After the ALJ issued her decision denying benefits, Vasquez was seen by Dr. Sanchez for further psychological evaluation and testing. Vasquez argues that this additional evidence, which she submitted to the Appeals Council, clearly demonstrates that she did suffer from a mental impairment during the relevant time period.7

Dr. Sanchez reviewed Vasquez’s records and administered the following examinations: WAIS-III adult intelligence scale; WMS-III memory scale; 3(WRAT3) wide range achievement test; Reyes 15 Items; and a mental status examination. His report noted that she put forth “full effort” during the evaluation, demonstrated no indication of malingering during the Reyes 15 Items test, and “appeared as a credible claimant.”

Dr. Sanchez’s report indicates that Vasquez’s Full Scale IQ score is a 65, which “indicates that she is currently functioning in the mentally retarded range of measured intelligence.” It further states that,

all of her scores fall within the borderline and mentally retarded range indicating limited general verbal intelligence; conceptual thinking; numeric manipulation; immediate auditory recollection; general knowledge; social judgment, common sense, reality awareness, judgment in practical situation; limited ability to differentiate between essential and non-essential details; limited capacity for sustained effort, attention, concentration and mental efficiency ...

Her scores on the memory examination demonstrated “significantly below average memory skills.” Dr. Sanchez assessed that Vasquez could read at a third grade level, spell at a fourth grade level, and perform arithmetic at a first grade level. He diagnosed “Major Depressive Disorder,” “Pain Disorder,” “Reading Disorder,” “Disorder of Written Expression,” *596“Mathematics Disorder,” and “Borderline Intellectual Functioning,” with an overall GAF of 49. The GAF score indicates an assessment that Sanchez suffered from “serious symptoms” or a serious “impairment in social, occupation, or school functioning.” DSM IV-TR, p. 34.

Dr. Sanchez further stated that while Vasquez “would not have any difficulty being socially appropriate,” “[s]he would have moderate difficulty in concentrating, focusing and keeping up with the pace of a working environment given [her] preoccupation with pain and her current level of emotional functioning.” He stated that she was “viewed as being able to perform simple and repetitive tasks,” but was not able to determine whether she would be able to tolerate the stress of an 8-hour day, 40-hour week on a consistent basis.

Dr. Sanchez’s report suggests that Vasquez may suffer from cognitive impairments. While Dr. Kollath reported Vasquez’s IQ score at 62, she noted that the score “appearfed] to be an underestimate of her intellectual level of functioning.” She further stated that while Vasquez appeared to be an “individual who could well have cognitive impairment,” her “limited engagement towards the testing process interfered with a full assessment.” In comparison, Dr. Sanchez reported that Vasquez was a “credible claimant” and found that Vasquez’s IQ was slightly higher (a Full Scale score of 65) but still within the “mentally retarded range of measured intelligence.”

If credited, Dr. Sanchez’s statements could certainly support a finding of mental impairment. His report plainly states that Vasquez has “significantly below average memory skills,” and test scores indicating limited social judgment, common sense, capacity for sustained effort, attention and mental efficiency. Further, his GAF assessment indicates “serious symptoms” or a “serious impairment in social, occupation, or school functioning.” See DSM IV-TR, p. 34.

The Commissioner argues that Dr. Sanchez’s findings are contrary to the evidence presented to the ALJ (e.g., the testimony of Drs. Lum and Kollath), and therefore, should not be credited. However, if the Appeals Council had remanded the case for additional review, Dr. Sanchez’s findings would have enhanced the information available to the ALJ and provided additional, rather than contradictory, evidence of Vasquez’s condition.

Though the ALJ expressed some hesitancy regarding the credibility of Dr. Kollath’s findings, as explained above, Dr. Sanchez arrived at a similar diagnosis. Because Dr. Sanchez’s findings are based on objective clinical tests, and buttressed by his statement that Vasquez appeared to be a credible claimant, they could be sufficient to show a mental impairment. See Magallanes v. Bowen, 881 F.2d 747, 751 (9th Cir.1989) (quoting Miller v. Heckler, 770 F.2d 845, 849 (9th Cir.1985) (where a “nontreating physician’s opinion rests on objective clinical tests, it must be viewed as substantial evidence”)). Moreover, to the extent Drs. Kollath and Sanchez’s testimony supports a finding of mental impairment that would not have been supported by Dr. Lum’s testimony, the Court may conclude that the evidence is not actually contradictory, because Dr. Lum did not perform any of the clinical tests on which Drs. Kollath and Sanchez based their opinions.

When viewed as a whole, the medical reports suggest that Vasquez may suffer from a cognitive impairment. Because the ALJ did not have access to Dr. Sanchez’s reports in deciding otherwise, she also did not account for Vasquez’s mental impairments in determining her residual functioning capacity at step four of the disability determination. See § 404.1523 (noting that where a claimant has a combination of *597impairments, “the combined impact of the impairments will be considered throughout the disability determination process”); § 404.1545 (noting that where a claimant has more than one impairment, the SSA will consider all of them, even those that are not severe, in determining the claimants residual functioning capacity).

Neither party has presented any argument regarding how Vasquez’s impairments would affect a determination of her residual functioning capacity under the guidelines.8 Thus, there are no facts presented that clearly indicate the proper outcome of steps four and five of the disability determination evaluation. For this reason, the Court cannot find Vasquez disabled and order an immediate payment of benefits. See Harman v. Apfel, 211 F.3d 1172, 1178-79 (9th Cir.2000) (allowing an immediate award of benefits directed when, among other things, it is clear from the record that the ALJ would be required to find the claimant disabled if the evidence is credited). Rather, in cases such as these, “where the testimony of the vocational expert has failed to address a claimant’s limitations as established by improperly discredited evidence,” this Circuit has “consistently ... remanded for further proceedings rather than payment of benefits.” Id.

Accordingly, we remand to allow the ALJ to consider Dr. Sanchez’s reports in determining whether Vasquez suffers from a mental impairment, and to consider how these limitations affect her residual functioning capacity and ability to perform other work at steps four and five of the disability determination sequence.

Res Judicata

“[T]he principle of res judicata should not be rigidly applied in administrafive proceedings.” Lester v. Chater, 81 F.3d at 827 (citing Gregory v. Bowen, 844 F.2d 664, 666 (9th Cir.1988)). Normally, an ALJ’s findings that a claimant is not disabled “creates a presumption that the claimant continued to be able to work after that date.” Id. at 827 (quoting Miller, 770 F.2d at 848). However, the presumption does not apply “where the claimant raises a new issue, such as the existence of an impairment not considered in the previous application.” Id.

In Lester, the Court found that the Commissioner could not apply res judicata principles to an earlier ALJ decision in determining a claimant’s eligibility where the claimant (1) alleged a mental impairment not raised in his earlier application and (2) turned 50 after the date of the earlier decision and thus entered the “approaching advanced age” category as defined by the applicable regulations. Id. at 828. The facts in this case are exactly parallel to Lester in that Vasquez did not raise the issue of her mental impairment during her 1997 application before ALJ Stacy, but did raise the issue during her 1999 application before ALJ Rogers.

Additionally, Vasquez turned 50 after the date of ALJ Stacy’s decision and entered the “closely approaching advanced age” category. Thus, ALJ Rogers improperly applied res judicata. ALJ Rogers explicitly noted that she gave “weight to the prior determination of [ALJ] Stacy” in reaching her determination, and because Vasquez was unable to provide evidence of “changed circumstances,” applied principles of res judicata in her decision. However, because Vasquez raised a new issue not before ALJ Stacy and entered the *598“closely approaching advanced age” category, it was improper for ALJ Rogers to apply a presumption of continuing non-disability when deciding Vasquez’s second application. See id. at 827.9

Where an ALJ has committed legal error, this Court may set aside the Commissioner’s denial of benefits. Schneider, 223 F.3d at 973. However, for the reasons outlined above, we believe that, after crediting Vasquez’s pain testimony and taking into account the evidence of her mental impairment, the ALJ should make a determination as to Vasquez’s residual functioning capacity and entitlement to benefits in the first instance. The ALJ is further instructed that the principles of res judicata are not applicable in this case, and therefore, that ALJ Stacy’s previous decision is not entitled to any degree of deference in the ultimate decision as to whether Vasquez is entitled to an award of benefits.

CONCLUSION

We grant Vasquez’s petition and remand with instructions to remand to the Commissioner for a further determination of whether benefits are due.

VACATED AND REMANDED. Costs on appeal to Appellant.

MICHAEL DALY HAWKINS, Circuit Judge, concurring:

I. INTRODUCTION

This case involves application of the so-called “credit-as-true” rule. When an Administrative Law Judge (“ALJ”) makes an adverse credibility finding with respect to a witness’s testimony in a Social Security case, he or she “must make specific findings justifying that decision.” Hammock v. Bowen, 879 F.2d 498, 502 (9th Cir.1989) (citing Varney v. Sec’y of Health and Human Servs. (Varney I), 846 F.2d 581, 584 (9th Cir.), modified on reh’g, 859 F.2d 1396 (Varney II) (9th Cir.1988); Cotton v. Bowen, 799 F.2d 1403, 1407 (9th Cir.1986)). According to the credit-as-true rule, when an ALJ fails to provide specific, articulable reasons to support an adverse credibility finding, this court should “ ‘not remand solely to allow the ALJ to make specific findings regarding that testimony. Rather, [it should] take that testimony to be established as true.’ ” Id. (quoting Varney II, 859 F.2d at 1401).

I concur with the entirety of Judge Selna’s opinion, including application of the credit-as-true rule in this case. In the dissent’s view, however, there is an internal conflict among Ninth Circuit case law that makes resolution of the credit-as-true issue impossible here. I write separately to clarify why application of the credit-as-true rule is appropriate and why this case does not present an opportunity for en banc review of the conflict identified by the dissent.

II. DISCUSSION

This court first articulated the credit-as-true rule in Varney II, 859 F.2d 1396. *599There we stated that when an ALJ has not provided specific reasons for disbelieving a claimant’s testimony, a credibility hearing is “insufficient, in itself, to warrant further proceedings.” Id. at 1400. Thus

[i]n cases where there are no outstanding issues that must be resolved before a proper disability determination can be made, and where it is clear from the administrative record that the ALJ would be required to award benefits if the claimant’s excess pain testimony were credited, we will not remand solely to allow the ALJ to make specific findings regarding that testimony.

Id. at 1401. Instead, the testimony will be “established as true” as a matter of law, and the case will be remanded with instructions to grant benefits. Id.

A later panel concluded that “the ‘crediting as true’ doctrine is [not] mandatory in the Ninth Circuit.” Connett v. Barnhart, 340 F.3d 871, 876 (9th Cir.2003). Surveying conflicting cases, Connett determined that there was “no other way to reconcile” those cases than to hold that “[i]nstead of being a mandatory rule, we have some flexibility in applying the ‘crediting as true’ theory.” Id. at 876. Accordingly, the court declined to enter judgment instructing the ALJ to award benefits and instead remanded the case for the sole purpose of determining “whether Connett’s testimony should be credited as true.” Id.

While Varney II and Connett do appear to be in conflict over the applicability of the credit-as-true rule where there is no other reason to remand the case to the ALJ, this case does not and should not provide an opportunity to resolve that dispute en banc. Varney II expressly “reserve[d] judgment as to whether to follow the [credit-as-true] rule in cases in which a remand is required for other reasons.” Id. There is no conflict over the credit-as-true rule as applied to cases that require re-

mand for other reasons. Because this case requires remand regardless of application of the credit-as-true rule, it does not implicate any conflict between Varney II and Connett.

We first addressed the question left open by Varney II in Hammock v. Bowen, 879 F.2d 498 (9th Cir.1989), where we considered a case in which further proceedings other than a credibility determination were necessary before benefits could be granted. There, we “extended] Varney II to cover the present case because the delay experienced by Hammock has been severe and because of Hammock’s advanced age.” Id. at 503. We therefore “accepted] as a matter of law” the truth of the claimant’s testimony and remanded for further proceedings. Id.

The dissent argues that Hammock also conflicts with Connett. That would be true only if Hammock announced a binding extension of Varney IT s credit-as-true rule to all cases in which an ALJ had not provided specific reasons for disbelieving a claimant’s testimony, regardless whether further proceedings other than a credibility determination were required. Hammock has not and cannot be interpreted so broadly.

To support its claim of a conflict in this case, the dissent asserts that because “disabilities disproportionately affect older individuals,” any effort to limit Hammock’s holding to the facts of that case is “unavailing.” It also cites Lester v. Chater, 81 F.3d 821 (9th Cir.1995), Harman v. Apfel, 211 F.3d 1172 (9th Cir.2000), and Benecke v. Barnhart, 379 F.3d 587 (9th Cir.2004), to argue that later panels of this court have interpreted Hammock broadly to apply to all cases, regardless of the need for remand. Dissent at 8428-29 & n. 2. Neither of these arguments holds water.

*600First, Hammock says in plain language that the credit-as-true rule should apply only in “the present case because the delay experienced by Hammock has been severe and because of Hammock’s advanced age.” 879 F.2d at 503 (emphasis added). Nothing in Hammock indicated the court intended to establish a rule applicable beyond the limited factual context of that particular case. The dissent’s empirical observation that the factors motivating Hammock are common to most Social Security cases does not render that court’s decision logically categorical. It only makes it more likely that future panels will exercise their discretion to apply the credit-as-true rule when remand is necessary for other reasons. (This is one such case.) That Social Security claimants are commonly elderly and their benefits typically delayed is therefore beside the point.

Nor do Lester, Harman, and Benecke provide a basis for concluding otherwise. The dissent argues that Lester stands for the broad proposition that “[w]here the Commissioner fails to provide adequate reasons for rejecting[testimony], we credit that [testimony] ‘as a matter of law,’ ” 81 F.3d at 834, regardless of the need for remand on other issues. Dissent at 603. Setting aside whether such an expansive interpretation of that statement has any merit, it simply was not relevant to the outcome of that case. There, after applying the credit-as-true rule, the Lester panel “remand[ed] for payment of benefits” because no other proceedings were necessary. Id. at 834. Thus, even assuming arguendo that Lester concluded Hammock extended Varney II across the board, that conclusion had no bearing on the result in that case and is therefore nonbinding dicta. See Coalition of Clergy, Lawyers, and Professors v. Bush, 310 F.3d 1153, 1166 (9th Cir.2002) (analysis that is “in no way relevant to any holding” is “dicta [which] does not bind [future] panel[s] of this court”).

Harman provides even less support for the conclusion that Varney II has been extended to all cases like this one. There, we expressly addressed the circumstances under which “evidence should be credited and an immediate award of benefits directed.” Harman, 211 F.3d at 1178 (emphasis added). We concluded that testimony should be credited as true only when

(1) the ALJ has failed to provide legally sufficient reasons for rejecting such evidence, (2) there are no outstanding issues that must be resolved before a determination of disability can be made, and (3) it is clear from the record that the ALJ would be required to find the claimant disabled were such evidence credited.

Id. (quoting Smolen v. Chater, 80 F.3d 1273, 1292 (9th Cir.1996)). In conformity with Varney II, we determined that if these three elements were met, “then remand for determination and payment of benefits [would be] warranted regardless of whether the ALJ might have articulated a justification for rejecting [the testimony].” Id. But, we concluded, application of the rule was not appropriate in that particular case because the vocational expert had not addressed the limitations posed by the conditions sought to be established by application of the rule. Id. at 1180. Accordingly, “[t]he appropriate remedy ... [was] to remand this case to the ALJ.” Id. Thus if Harman demonstrates anything, it is that Hammock established judicial discretion to apply (or not apply) the credit-as-true rule in cases where remand is necessary for other reasons. Certainly it cannot be read to mean what the dissent claims — that we must apply the credit-as-true rule in cases where remand is necessary for other reasons.

*601Benecke is also readily distinguishable. The dissent is correct to note that the Benecke panel “applied] the crediting-as-true rule and only then discussfed] whether there were ‘outstanding issues that must be resolved before a determination of disability [could] be made....”’ Dissent at 603 n. 1 (quoting Benecke, 379 F.3d at 594). It would be dubious at best, however, to interpret Benecke's misconstruction of the Harman test as a binding extension of Varney II to cases in which remand is still necessary. But in any event, again assuming arguendo that such an interpretation had merit, it still would be nonbinding dicta since the Benecke court “conclude^] that there are no outstanding issues that must be resolved before a determination of disability can be made” and remanded with instructions to grant benefits. Benecke, 379 F.3d at 594-95 (emphasis added).

III. CONCLUSION

According to Hammock, we are free to exercise our discretion (but not required) to apply the credit-as-true rule in this case. This conclusion conflicts with neither Varney II nor Connett. Whatever the merits of the claim that the en banc court should resolve the conflict between Varney II and Connett, this case simply does not provide an opportunity for doing so.