Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 1 FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit
FOR THE TENTH CIRCUIT February 10, 2026 _________________________________ Christopher M. Wolpert Clerk of Court JULIO CESAR ACOSTA CRUZ,
Petitioner,
v. No. 23-9601 (Petition for Review) PAMELA J. BONDI, United States Attorney General,
Respondent. _________________________________
ORDER AND JUDGMENT * _________________________________
Before HARTZ, Circuit Judge, LUCERO, Senior Circuit Judge, and PHILLIPS, Circuit Judge. _________________________________
Julio Cesar Acosta Cruz, a native and citizen of Mexico, petitions for review
of the decision of the Board of Immigration Appeals (Board or BIA) upholding the
denial of his application for cancellation of removal for failure to establish
exceptional and extremely unusual hardship to his United States citizen spouse.
After examining the briefs and appellate record, this panel has determined *
unanimously to honor the parties’ request for a decision on the briefs without oral argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore submitted without oral argument. This order and judgment is not binding precedent, except under the doctrines of law of the case, res judicata, and collateral estoppel. It may be cited, however, for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1. Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 2
Exercising jurisdiction under 8 U.S.C. § 1252(a), we dismiss the petition for review
in part and deny the remainder.
BACKGROUND
Mr. Acosta Cruz entered the United States without being admitted or paroled
and has lived in the country continuously since 1991. After the Department of
Homeland Security charged him with removability, he conceded the charge and filed
for cancellation of removal. See 8 U.S.C. § 1229b(b)(1).
Cancellation of removal involves a two-step process before an immigration
judge (IJ). See Wilkinson v. Garland, 601 U.S. 209, 212 (2024). “First, the IJ must
decide whether the noncitizen is eligible for cancellation under the relevant statutory
criteria. Second, an IJ decides whether to exercise [her] discretion favorably and
grant the noncitizen relief in the particular case.” Id. at 212-13. This case involves
the first step.
To demonstrate his eligibility for cancellation of removal, Mr. Acosta Cruz
had to establish (1) he had been physically present in the United States for at least ten
years; (2) he had a good moral character during that period; (3) he was not convicted
of a disqualifying offense; and (4) his removal would result in exceptional and
extremely unusual hardship to a qualifying relative. See § 1229b(1)(A)-(D). Here,
the IJ found the first three requirements were satisfied and moved on to the fourth.
The IJ determined that Mr. Acosta Cruz had one qualifying relative—his wife,
United States citizen Peggy Sue Acosta. Both Mr. Acosta Cruz and Ms. Acosta
testified at a hearing before the IJ, who found them to be credible witnesses. They
2 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 3
testified Ms. Acosta has uncontrolled Type 2 diabetes, which causes several mental
and physical complications and requires multiple medications. Ms. Acosta would
remain in the United States if Mr. Acosta Cruz were removed. Although she works
and her job affords her medical insurance, her insurance does not entirely cover her
medications and Mr. Acosta Cruz pays for much of the additional costs. He also pays
for other expenses of daily living, such as the rent for their house, and he cares for
her when her diabetes and other conditions require it.
Given these circumstances, Mr. Acosta Cruz asserted Ms. Acosta would suffer
extreme physical, emotional, and financial harm from his removal. But the IJ
concluded the hardship to Ms. Acosta did not rise to an “exceptional and extremely
unusual” level. First, the IJ found Ms. Acosta’s medical conditions, even considered
in the aggregate, did “not amount to the ‘very serious health issues’ contemplated by
the ‘exceptional and extremely unusual’ standard.” R., vol. 1 at 61 (quoting In re
Monreal-Aguinaga, 23 I. & N. Dec. 56, 63 (BIA 2001)). Next, she found that
Ms. Acosta would still be able to access medical treatment and care for herself, both
physically and financially, in Mr. Acosta Cruz’s absence. And finally, she found
Mr. Acosta Cruz had alternative means of immigrating to the United States—namely,
pursuing adjustment of status to lawful permanent resident through his United States
citizen wife. The IJ thus denied the application.
The Board upheld the denial of relief. It agreed with the IJ “that the hardship
[Ms. Acosta] will suffer in the aggregate does not meet the high threshold of
exceptional and extremely unusual.” Id. at 4. It found the IJ did not clearly err in
3 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 4
finding Ms. Acosta would be able to obtain medical treatment even in Mr. Acosta
Cruz’s absence, and it rejected Mr. Acosta Cruz’s argument the IJ failed to consider
the entirety of the hardship evidence. Nor was it persuaded by his assertion that the
IJ erred in finding he could pursue adjustment of status. The Board concluded
alternative means to immigrate was only one of several reasons underlying the IJ’s
decision. Nevertheless, even assuming Mr. Acosta Cruz could not adjust his status,
the Board held he still did not show the hardship to Ms. Acosta met the “exceptional
and extremely unusual” standard.
DISCUSSION
I. Legal Standards
“When, as here, a single BIA member issues a reasoned decision addressing a
petitioner’s arguments on appeal, we confine our review to the BIA’s decision and
will not address the IJ’s decision except where the BIA has explicitly incorporated
[her] reasoning.” Miguel-Pena v. Garland, 94 F.4th 1145, 1153 (10th Cir.) (brackets,
ellipsis, and internal quotation marks omitted), cert. denied, 145 S. Ct. 545 (2024).
“[B]ut we are not precluded from consulting the IJ’s more complete explanation of
those same grounds” on which the Board based its decision. Aguayo v. Garland,
78 F.4th 1210, 1216 (10th Cir. 2023) (internal quotation marks omitted).
Although this court cannot review certain denials of discretionary relief,
see § 1252(a)(2)(B)(i), we retain jurisdiction to review questions of law,
see § 1252(a)(2)(D). The Supreme Court has clarified “that the application of the
exceptional and extremely unusual hardship standard to a given set of facts is 4 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 5
reviewable as a question of law under § 1252(a)(2)(D).” Wilkinson, 601 U.S. at 217.
“Because this mixed question is primarily factual, that review is deferential.” Id.
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Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 1 FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit
FOR THE TENTH CIRCUIT February 10, 2026 _________________________________ Christopher M. Wolpert Clerk of Court JULIO CESAR ACOSTA CRUZ,
Petitioner,
v. No. 23-9601 (Petition for Review) PAMELA J. BONDI, United States Attorney General,
Respondent. _________________________________
ORDER AND JUDGMENT * _________________________________
Before HARTZ, Circuit Judge, LUCERO, Senior Circuit Judge, and PHILLIPS, Circuit Judge. _________________________________
Julio Cesar Acosta Cruz, a native and citizen of Mexico, petitions for review
of the decision of the Board of Immigration Appeals (Board or BIA) upholding the
denial of his application for cancellation of removal for failure to establish
exceptional and extremely unusual hardship to his United States citizen spouse.
After examining the briefs and appellate record, this panel has determined *
unanimously to honor the parties’ request for a decision on the briefs without oral argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore submitted without oral argument. This order and judgment is not binding precedent, except under the doctrines of law of the case, res judicata, and collateral estoppel. It may be cited, however, for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1. Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 2
Exercising jurisdiction under 8 U.S.C. § 1252(a), we dismiss the petition for review
in part and deny the remainder.
BACKGROUND
Mr. Acosta Cruz entered the United States without being admitted or paroled
and has lived in the country continuously since 1991. After the Department of
Homeland Security charged him with removability, he conceded the charge and filed
for cancellation of removal. See 8 U.S.C. § 1229b(b)(1).
Cancellation of removal involves a two-step process before an immigration
judge (IJ). See Wilkinson v. Garland, 601 U.S. 209, 212 (2024). “First, the IJ must
decide whether the noncitizen is eligible for cancellation under the relevant statutory
criteria. Second, an IJ decides whether to exercise [her] discretion favorably and
grant the noncitizen relief in the particular case.” Id. at 212-13. This case involves
the first step.
To demonstrate his eligibility for cancellation of removal, Mr. Acosta Cruz
had to establish (1) he had been physically present in the United States for at least ten
years; (2) he had a good moral character during that period; (3) he was not convicted
of a disqualifying offense; and (4) his removal would result in exceptional and
extremely unusual hardship to a qualifying relative. See § 1229b(1)(A)-(D). Here,
the IJ found the first three requirements were satisfied and moved on to the fourth.
The IJ determined that Mr. Acosta Cruz had one qualifying relative—his wife,
United States citizen Peggy Sue Acosta. Both Mr. Acosta Cruz and Ms. Acosta
testified at a hearing before the IJ, who found them to be credible witnesses. They
2 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 3
testified Ms. Acosta has uncontrolled Type 2 diabetes, which causes several mental
and physical complications and requires multiple medications. Ms. Acosta would
remain in the United States if Mr. Acosta Cruz were removed. Although she works
and her job affords her medical insurance, her insurance does not entirely cover her
medications and Mr. Acosta Cruz pays for much of the additional costs. He also pays
for other expenses of daily living, such as the rent for their house, and he cares for
her when her diabetes and other conditions require it.
Given these circumstances, Mr. Acosta Cruz asserted Ms. Acosta would suffer
extreme physical, emotional, and financial harm from his removal. But the IJ
concluded the hardship to Ms. Acosta did not rise to an “exceptional and extremely
unusual” level. First, the IJ found Ms. Acosta’s medical conditions, even considered
in the aggregate, did “not amount to the ‘very serious health issues’ contemplated by
the ‘exceptional and extremely unusual’ standard.” R., vol. 1 at 61 (quoting In re
Monreal-Aguinaga, 23 I. & N. Dec. 56, 63 (BIA 2001)). Next, she found that
Ms. Acosta would still be able to access medical treatment and care for herself, both
physically and financially, in Mr. Acosta Cruz’s absence. And finally, she found
Mr. Acosta Cruz had alternative means of immigrating to the United States—namely,
pursuing adjustment of status to lawful permanent resident through his United States
citizen wife. The IJ thus denied the application.
The Board upheld the denial of relief. It agreed with the IJ “that the hardship
[Ms. Acosta] will suffer in the aggregate does not meet the high threshold of
exceptional and extremely unusual.” Id. at 4. It found the IJ did not clearly err in
3 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 4
finding Ms. Acosta would be able to obtain medical treatment even in Mr. Acosta
Cruz’s absence, and it rejected Mr. Acosta Cruz’s argument the IJ failed to consider
the entirety of the hardship evidence. Nor was it persuaded by his assertion that the
IJ erred in finding he could pursue adjustment of status. The Board concluded
alternative means to immigrate was only one of several reasons underlying the IJ’s
decision. Nevertheless, even assuming Mr. Acosta Cruz could not adjust his status,
the Board held he still did not show the hardship to Ms. Acosta met the “exceptional
and extremely unusual” standard.
DISCUSSION
I. Legal Standards
“When, as here, a single BIA member issues a reasoned decision addressing a
petitioner’s arguments on appeal, we confine our review to the BIA’s decision and
will not address the IJ’s decision except where the BIA has explicitly incorporated
[her] reasoning.” Miguel-Pena v. Garland, 94 F.4th 1145, 1153 (10th Cir.) (brackets,
ellipsis, and internal quotation marks omitted), cert. denied, 145 S. Ct. 545 (2024).
“[B]ut we are not precluded from consulting the IJ’s more complete explanation of
those same grounds” on which the Board based its decision. Aguayo v. Garland,
78 F.4th 1210, 1216 (10th Cir. 2023) (internal quotation marks omitted).
Although this court cannot review certain denials of discretionary relief,
see § 1252(a)(2)(B)(i), we retain jurisdiction to review questions of law,
see § 1252(a)(2)(D). The Supreme Court has clarified “that the application of the
exceptional and extremely unusual hardship standard to a given set of facts is 4 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 5
reviewable as a question of law under § 1252(a)(2)(D).” Wilkinson, 601 U.S. at 217.
“Because this mixed question is primarily factual, that review is deferential.” Id.
at 225; see also Martinez v. Garland, 98 F.4th 1018, 1021 (10th Cir. 2024) (“[W]e
apply a deferential standard to review the BIA’s hardship determination.”). 1 But we
do not review “[t]he facts underlying any determination on cancellation of removal.”
Wilkinson, 601 U.S. at 225. Therefore, “[a]n IJ’s factfinding on credibility, the
seriousness of a family member’s medical condition, or the level of financial support
a noncitizen currently provides remain unreviewable.” Id. “Only the question
whether those established facts satisfy the statutory eligibility standard is subject to
judicial review.” Id.
“To meet [the hardship] standard, a noncitizen must demonstrate that a
qualifying relative would suffer hardship that is substantially different from or
beyond that which would ordinarily be expected to result from their removal, but
need not show that such hardship would be unconscionable.” Id. at 215 (internal
quotation marks omitted). The analysis considers all hardship factors in the
aggregate. Id.
1 We have not elaborated on the “deferential standard of review” for hardship determination challenges that Wilkinson announced. Martinez, 98 F.4th at 1021. The Government urges us to review for substantial evidence. See Resp’t Br. at 12. We need not further define here the appropriate level of deference owed because the petition fails regardless of the precise standard applied. 5 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 6
II. We dismiss Mr. Acosta Cruz’s petition in part and deny review in part.
A. The argument that the Board mischaracterized evidence presents a nonreviewable challenge to a factual determination.
Mr. Acosta Cruz first argues the Board “commit[s] an error of law where some
facts important to the subtle determination of exceptional and extremely unusual
hardship have been seriously mischaracterized.” Pet’r’s Opening Br. at 21. More
specifically, he “asserts that the Board and IJ erred as a matter of law in seriously
mischaracterizing his financial support of his wife’s medical condition.” Id. at 22.
He then reviews the testimony, highlighting his disagreements with the agency’s
consideration of the evidence and stating, “[t]he question for this Court [is] whether
there was clear error whether [Ms. Acosta] could continue to obtain medical
treatment in the U.S.” Id.
Mr. Acosta Cruz dresses his assertions in the language of legal review. At its
heart, however, his argument is that the Board and the IJ erred in assessing the
evidence and in making findings regarding the level of financial support Ms. Acosta
requires from him and whether she could continue her medical treatment if he were to
be removed. That is a challenge to a factual determination. See Wilkinson, 601 U.S.
at 225 (characterizing “the level of financial support a noncitizen currently provides”
as a factual finding); cf. Galeano-Romero v. Barr, 968 F.3d 1176, 1185 (10th Cir.
2020) (“[S]uch arguments that the evidence was incorrectly weighed, insufficiently
considered, or supports a different outcome do not state a colorable constitutional
claim.” (internal quotation marks omitted)), abrogated on other grounds by
6 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 7
Wilkinson, 601 U.S. at 217. As such, we cannot review this argument.
See Wilkinson, 601 U.S. at 225 (“[A]n IJ’s factfinding on . . . the level of financial
support a noncitizen currently provides remain[s] unreviewable.”).
B. The Board did not impermissibly engage in factfinding.
Mr. Acosta Cruz next argues the Board erred by “impermissibly applying an
additional hardship standard beyond established caselaw.” Pet’r’s Br. at 24. He
challenges the Board’s citation to In re J-J-G-, 27 I. & N. Dec. 808, 811 (BIA 2020),
when the Board concluded he had “not demonstrated clear error in the Immigration
Judge’s finding that [his] wife would be able to continue to obtain her medical
treatment in the United States, even in [his] absence,” R., vol. 1 at 4. He contends
that instead of requiring him to show only that Ms. Acosta had a serious medical
condition, which he asserts he did, “the Board relied on J-J-G- for imposing an
additional requirement on Mr. Acosta Cruz to demonstrate that his wife would not be
able to continue to obtain her treatment in the U.S.” Pet’r’s Opening Br. at 25. It is
unclear, however, exactly what Mr. Acosta Cruz is arguing with regard to the Board’s
reliance on J-J-G-.
In some respects, Mr. Acosta Cruz appears to be challenging findings made by
the IJ and accepted by the Board. For example, in his opening brief, he “asserts that
his wife does not suffer from the run of the mill diabetes, and that her complications
resulting from this uncontrolled illness for so many years, rises to the level of a
serious health issue as contemplated by the Board in Matter of J-J-G-.” Id. at 26.
And in his reply brief, he “reasserts [the] argument” that “the IJ erred in finding that
7 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 8
his wife could effectively continue to receive medical treatment for her conditions if
[he] was removed from the United States.” Pet’r’s Reply Br. at 13. Like Mr. Acosta
Cruz’s first argument, however, these assertions ask us to review unreviewable
factual findings. See Wilkinson, 601 U.S. at 225 (“An IJ’s factfinding on . . . the
seriousness of a family’s member’s medical condition . . . remain[s] unreviewable.”).
The government interpreted Mr. Acosta Cruz as arguing he need only show
that Ms. Acosta has a serious medical condition, and that treatment or mitigation is
irrelevant to establishing hardship. It argues he did not administratively exhaust that
contention. See Resp’t Br. at 18-19. In his reply brief, however, Mr. Acosta Cruz
states he is not arguing Ms. Acosta’s ability to continue treatment is irrelevant to the
hardship inquiry, “and in fact, [he] concedes that ability to seek treatment is a
relevant consideration.” Pet’r’s Reply Br. at 11. What he is arguing, he clarifies in
his reply brief, is that the Board engaged in impermissible factfinding by applying
J-J-G- retroactively:
The application of Matter of J-J-G- by the Board, without any specific relevant findings from the IJ, and without providing the Petitioner with the ability to specifically offer testimonial and other evidence to conform with the test of Matter of J-J-G-, shows clearly that the Board overstepped its authority of review by making its own factual findings. Id. at 12.
8 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 9
We disagree. 2 The Board cited J-J-G- for two propositions: that (1) “the
exceptional and extremely unusual hardship for cancellation of removal is based on a
cumulative consideration of all hardship factors for the qualifying relative,” and
(2) “whether adequate medical care is reasonably available is a finding of fact and
reviewed on appeal under a clearly erroneous standard.” R., vol. 1 at 4. The Board
did not make its own factual findings regarding the availability of medical treatment
for Ms. Acosta, but instead it reviewed the IJ’s findings for clear error, discussing
evidence the IJ identified. Thus, to the extent Mr. Acosta Cruz argues the Board’s
citation to J-J-G- means it impermissibly made factual findings, his argument is
misplaced.
C. The Board did not impermissibly depart from its own precedent.
Finally, Mr. Acosta Cruz challenges the determination that Ms. Acosta’s
circumstances did not establish exceptional and extremely unusual hardship.
The hardship standard “requires an IJ to evaluate a number of factors in
determining whether any hardship to a U.S.-citizen or permanent-resident family
member is ‘substantially different from, or beyond, that which would normally be
expected from the deportation’ of a ‘close family member.’” Wilkinson, 601 U.S. at
222 (brackets omitted) (quoting In re Monreal-Aguinaga, 23 I. & N. Dec. at 65).
Mr. Acosta Cruz requests that we direct the Board to apply, in all cases, all the
2 We do not consider the government’s failure-to-exhaust argument. Mr. Acosta Cruz asserts that the government misunderstood his position, and he concedes the argument the government perceived him to be making. 9 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 10
hardship factors from Monreal-Aguinaga; In re Andazola-Rivas, 23 I. & N. Dec. 319
(BIA 2002); and In re Gonzalez Recinas, 23 I. & N. Dec. 467, 472 (BIA 2002). He
contends that the Board did not apply all the factors from these cases in his case.
However, “each case must be assessed and decided on its own facts.”
Monreal-Aguinaga, 23 I. & N. Dec. at 63. We do not require the agency to discuss
every piece of evidence. See Maatougui v. Holder, 738 F.3d 1230, 1242-43
(10th Cir. 2013); Hadjimehdigholi v. INS, 49 F.3d 642, 648 n.2 (10th Cir. 1995).
And here, there is no indication that the Board and the IJ did not consider all the
factors relevant to this case. See R., vol. 1 at 4 (summarizing salient evidence and
stating that “the Immigration Judge’s decision reflects a consideration of the entirety
of hardship evidence presented, including all of the factors impacting the financial
hardship to his wife upon his removal”).
The true thrust of Mr. Acosta Cruz’s argument is his disagreement with how
the Board and the IJ evaluated the various factors. He reiterates the cumulative
hardships he and Ms. Acosta will face, again emphasizing her medical conditions and
need for his financial support. But he does not show that the Board acted contrary to
its precedent in deciding his case. Some of the factors here may differ from the
Board’s precedential cases, but that does not mean the Board erred in concluding that
in these circumstances, considered cumulatively, the hardship to Ms. Acosta is not
exceptional and extremely unusual.
Mr. Acosta Cruz challenges the IJ’s finding that he potentially could lawfully
return to the United States. He asserts that contrary to the IJ’s finding, he has no
10 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 11
alternative lawful means of immigrating to the United States in the foreseeable
future, and he argues the Board erred in “affirm[ing] the IJ’s hardship determination
where the ability to immigrate to the U.S. was a key finding in considering all the
factors,” Pet’r’s Opening Br. at 33. He contends his wife’s hardship “is
exponentially multiplied by the fact that he has no alternative means to immigrate to
the U.S., potentially ever, and supports a hardship finding in his case. As such, it
was clear error for the Board to not consider all of these factors in the cumulative.”
Id. at 33-34.
The applicant’s inability to return factored into a grant of cancellation of
removal in Gonzalez Recinas, 23 I. & N. Dec. at 472. The facts in Gonzalez Recinas,
however, were distinctly different from the facts here. See 23 I. & N. Dec. at 471-72
(applicant was a single mother of four young United States citizens and two other
children who were entirely dependent on her and would all accompany her to
Mexico, where she had no family and would struggle to support them). More
importantly, contrary to Mr. Acosta Cruz’s argument, here the Board did consider
that he could not lawfully return in conjunction with other evidence. See R., vol.
1 at 4-5. Keeping in mind our review is deferential, we cannot conclude the Board
erred in deciding Mr. Acosta Cruz did not satisfy the statutory standard.
11 Appellate Case: 23-9601 Document: 74-1 Date Filed: 02/10/2026 Page: 12
CONCLUSION
We dismiss the portions of the petition seeking review of unreviewable matters
and deny the remainder of the petition for review.
Entered for the Court
Gregory A. Phillips Circuit Judge