Cruz v. O'Malley

CourtDistrict Court, M.D. Pennsylvania
DecidedSeptember 30, 2025
Docket1:24-cv-01966
StatusUnknown

This text of Cruz v. O'Malley (Cruz v. O'Malley) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cruz v. O'Malley, (M.D. Pa. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA

ZAYRA CRUZ, : Civ. No. 1:24-CV-1966 : Plaintiff, : : v. : : (Chief Magistrate Judge Bloom) FRANK BISIGNANO, : Commissioner of Social Security,1 : : Defendant. :

MEMORANDUM OPINION

I. Introduction On August 3, 2020, Zayra Cruz filed a Title II application for a period of disability and disability insurance benefits, and a Title XVI application for supplementary security income.2 Following an initial hearing before an Administrative Law Judge (“ALJ”), the ALJ found that Cruz was not disabled from her alleged onset date of disability of May 9,

1 On May 7, 2025, Frank Bisignano became the Commissioner of Social Security. Pursuant to Rule 25(d) of the Federal Rules of Civil Procedure and 42 U.S.C. § 405(g), Frank Bisignano is substituted as the defendant in this suit. 2 Tr. 52. 1 2005, through January 26, 2022, the date of the ALJ’s decision.3 The Appeals Council (“AC”) reviewed the decision and affirmed, at which

point Cruz appealed to this court.4 Before the court could rule on that appeal, the Commissioner stipulated to remand the matter back to an ALJ.5 Cruz was granted an additional hearing on August 28, 2024, at

which time she amended her onset of disability date to August 3, 2020.6 The ALJ concluded Cruz was not disabled from her amended alleged

onset date of disability of August 3, 2020, through September 9, 2024, the date of the ALJ’s decision.7 Cruz now appeals that decision, arguing the ALJ’s decision is not

supported by substantial evidence. After a review of the record, we conclude that the ALJ’s decision is not supported by substantial evidence. Therefore, we will remand this matter for further consideration by the

Commissioner.

3 Tr. 52-64. 4 Tr. 1, 1904. 5 , 4:23-CV-251, Doc. 12. 6 Tr. 1848-67. 7 Tr. 1818-37. 2 II. Statement of Facts and of the Case

On August 3, 2020, Cruz applied for disability insurance benefits and supplemental security income, citing an array of physical and mental impairments, including bipolar disorder, fibromyalgia, lupus, post- traumatic stress disorder (“PTSD”), borderline personality disorder

(“BPD”), asthma, anxiety, migraine with aura, back pain, and sleep apnea.8 Cruz was 30 years old at the time of the alleged onset of

disability, had at least a high school education, and had no relevant past employment.9 With respect to these alleged impairments,10 the records from the

alleged period of disability revealed that, in January of 2021, Cruz reported very high levels of anxiety, difficulty with speech, and an impaired memory to her primary care provider, Dr. Elizabeth Horst.11

Dr. Horst posited that acute stress might have been causing Cruz’s

8 Tr. 374. 9 Tr. 1835. 10 Because Cruz’s appeal focuses on the ALJ’s treatment of evidence related to her mental health impairments, we will forego discussion and analysis of Cruz’s physical health records and evaluations. 11 Tr. 1739 3 symptoms.12 Cruz returned for a follow up with Dr. Horst in February, still reporting anxiety.13 Dr. Horst suggested Cruz “seriously consider

counseling.”14 In July of 2021, Cruz began mental health counseling with Christianne Eyler, MA.15 Cruz continued this treatment roughly

biweekly through December of 2021.16 Ms. Eyler’s notes consistently show Cruz had a depressed and anxious mood, blunted affect, and

suffered from severe sleep disturbances.17 Those notes also indicate Cruz was diagnosed with PTSD, BPD, generalized anxiety disorder (“GAD”), and bipolar affective disorder.18 In December of 2021, Ms. Eyler filled

out an impairment questionnaire pursuant to Cruz’s pursuit of disability benefits, wherein she explained that Cruz’s response to treatment was

12 Tr. 1739-40. 13 Tr. 1732. 14 Tr. 1733. 15 Tr. 1384-88. 16 Tr. 1362-88, 1664-65. 17 Tr. 1365, 1372-73, 1376, 1378, 1381, 1664. 18 Tr. 1664. 4 “poor.”19 She also repeated the clinical findings discussed above, adding that Cruz suffered from recurrent panic attacks.20 Ms. Eyler stated that

Cruz had marked limitations in her abilities to: maintain customary workplace attendance and punctuality, complete a normal workday or workweek without interruptions from her mental health impairments,

perform at a consistent pace, respond appropriately to changes in a work setting, and deal with normal work related stress.21

In December of 2021, Cruz transferred her counseling to Wellspan Behavioral Health.22 That treatment continued regularly through March of 2024.23 Wellspan treated Cruz for bipolar affective disorder, PTSD,

GAD, BPD, and insomnia.24 At these sessions, Cruz consistently reported issues with anxiety, panic, and sleeping.25

19 Tr. 1589. 20 Tr. 1590. 21 Tr. 1594. 22 Tr. 2740. 23 Tr. 2506-2545, 2724-43. 24 25 Tr. 2526, 2535, 2724. 5 It is against this factual backdrop that the ALJ conducted a hearing in Cruz’s case on August 8, 2024.26 Cruz and a vocational expert (“VE”)

both testified at this hearing. Cruz testified about the effects of her recent gastric bypass surgery, her apnea, her daily pain, her mental health challenges, and her inability to do certain household chores.27 The

VE in his testimony first classified Cruz’s past work, then answered hypothetical questions about an individual with Cruz’s background and

specific types of limitations.28 Following this hearing, on September 9, 2024, the ALJ issued a decision denying Cruz’s application for benefits.29 In that decision, the

ALJ first concluded that Cruz had not engaged in substantial gainful activity since August 3, 2020.30 At Step 2 of the sequential analysis that governs Social Security cases, the ALJ found Cruz suffered from the

following severe impairments: asthma, degenerative disc disease,

26 Tr. 1850-67. 27 Tr. 1852-63. 28 Tr. 1864-66. 29 Tr. 1815-46. 30 Tr. 1821. 6 fibromyalgia, migraines, inflammatory polyarthritis, chronic pain syndrome, sleep apnea, obesity, bipolar disorder, PTSD, GAD, BPD, and

panic disorder.31 At Step 3 the ALJ determined that Cruz did not have an impairment or combination of impairments that met or medically equaled the severity of one of the listed impairments.32

Between Steps 3 and 4 the ALJ concluded that Cruz retained the residual functional capacity to:

[P]erform less than the full range of light work as defined in 20 CFR 416.967(b). She is limited to occasional postural movements except never use ladders, ropes, or scaffolds. She must avoid concentrated exposure to fumes, odors, dusts, gases, poor ventilation, dangerous machinery, and unprotected heights. Work that is limited to simple and routine tasks, involving only simple, work related decisions, and with few, if any, workplace changes. She is limited to only occasional interaction with supervisors.33

In reaching this RFC determination, the ALJ made the following findings: the ALJ considered Cruz’s reported, subjective symptoms, and found that her “medically determinable impairments could reasonably be

31 32 33 Tr. 1826. 7 expected to cause the alleged symptoms; however, the claimant’s statements concerning the intensity, persistence and limiting effects of

these symptoms are not entirely consistent with the medical evidence and other evidence in the record [.]”34 The ALJ also found that Cruz’s “medical records contain substantial evidence that is not consistent with

the claimant’s allegations pertaining to the claimant’s mental impairments.”35 The ALJ embarked on a review of the medical record

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Cruz v. O'Malley, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cruz-v-omalley-pamd-2025.