Tamala F. v. Frank J. Bisignano, Social Security Commissioner

District Court, D. Maryland·Decided July 28, 2026·No. 1:25-cv-02969·Unknown

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

TAMALA F., *

Plaintiff, *

v. * Civil Action No. EA-25-2969

FRANK J. BISIGNANO, * Social Security Commissioner, * Defendant.

MEMORANDUM OPINION On September 9, 2025, Plaintiff Tamala F. petitioned this Court to review the final decision of the Social Security Administration (SSA or Commissioner) denying her claim for benefits.1 ECF No. 1. Pending before the Court is Plaintiff’s appeal, which is fully briefed. ECF Nos. 12, 14–15. No hearing is necessary. Local Rule 105.6 (Dec. 1, 2025 D. Md.). This Court must uphold the decision of the SSA if it is supported by substantial evidence and if the SSA employed proper legal standards. 42 U.S.C. §§ 405(g), 1383(c)(3); Craig v. Chater, 76 F.3d 585, 589 (4th Cir. 1996). Under that standard, and for the reasons set forth below, the Commissioner’s decision is reversed. I. BACKGROUND A. Procedural History On July 20, 2021, Plaintiff applied for Disability Insurance Benefits under Title II of the Social Security Act (the Act), 42 U.S.C. § 401 et seq., alleging a disability onset date of February 1, 2020. ECF No. 8-4 at 2.2 Plaintiff claimed she was disabled within the meaning of the Act

1 This case was referred to a United States Magistrate Judge with the parties’ consent and reassigned to the undersigned on June 6, 2026. ECF Nos. 3, 5–6; 28 U.S.C. § 636; Local Rule 301.4 (D. Md. Dec. 1, 2025).

2 Page numbers refer to the pagination of the Court’s Case Management/Electronic Case due to, as relevant here, surgeries on her left knee and pain in her knees, hip, heels, and feet.3 Id. at 10, 12. The SSA initially denied her application for benefits on August 3, 2022. Id. at 2, 8. Plaintiff sought reconsideration, and the Commissioner affirmed the initial determination on December 20, 2023. Id. at 9, 18. Plaintiff requested a hearing before an Administrative Law Judge (ALJ), which was held on August 21, 2024. ECF No. 8-3 at 43–62. On September 3, 2024, the ALJ rendered a decision in which he found that Plaintiff was not disabled within the meaning of the Act. Id. at 22–34. Plaintiff requested review of the decision, which the Appeals Council dismissed on July 17, 2025.4 Id. at 2, 5, 8–9. The ALJ’s August 2024 decision therefore

constitutes the final, reviewable decision of the SSA. Sims v. Apfel, 530 U.S. 103, 106-107 (2000); 42 U.S.C. § 405(g); 20 C.F.R. § 422.210(a). B. Statutory Framework The Act authorizes Disability Insurance Benefit payments to every insured individual who “is under a disability.”5 Cleveland v. Policy Mgmt. Sys. Corp., 526 U.S. 795, 801 (1999) (quoting 42 U.S.C. § 423(a)(1)); see also Shue v. O’Malley, No. 23-1795, 2024 WL 2827936, at *3 (4th Cir. June 4, 2024). The Act defines “disability” as being “unable 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 continuous period of not less than twelve months.” 42 U.S.C. § 423(d)(1)(A); 20 C.F.R. § 404.1505(a).

3 In her application, Plaintiff reported other physical and mental impairments that are not relevant to the issues raised in the instant appeal. ECF No. 8-4 at 10, 12.

4 Plaintiff’s request for review was untimely, and the Appeals Council did not find good cause to extend the filing deadline. ECF No. 8-3 at 5, 8–9.

5 The Disability Insurance Benefits program provides benefits to individuals “who have contributed to the program while employed.” Delk v. Colvin, 675 Fed. Appx. 281, 282 (4th Cir. 2017); see also 42 U.S.C. § 423 (a). Federal regulations require an ALJ to evaluate a claimant’s disability claim using a five- step sequential evaluation process. 20 C.F.R. § 404.1520. Through this process, an ALJ evaluates, in order, “whether the claimant: (1) worked during the alleged period of disability; (2) had a severe impairment; (3) had an impairment that met or equaled the requirements of a listed impairment; (4) could return to her past relevant work; and (5) if not, could perform any other work in the national economy.” Hancock v. Astrue, 667 F.3d 470, 472 (4th Cir. 2012). “The applicant bears the burden of production and proof during the first four steps.” Pass v.

Chater, 65 F.3d 1200, 1203 (4th Cir. 1995). At step five, “the burden shifts to the Commissioner to prove, by a preponderance of the evidence, that the claimant can perform other work that exists in significant numbers in the national economy, considering the claimant’s residual functional capacity, age, education, and work experience.” Mascio v. Colvin, 780 F.3d 632, 635 (4th Cir. 2015) (internal quotation marks and citation omitted). If the claimant satisfies step three, there is “an automatic finding of disability,” which “relieves the decision maker from proceeding to steps 4 and 5.” Patterson v. Commissioner of Soc. Sec. Admin., 846 F.3d 656, 659 (4th Cir. 2017). If the claimant does not carry their burden at the third step of the sequential evaluation, then the ALJ must assess relevant evidence and make a finding regarding the claimant’s residual functional capacity. 20 C.F.R. § 404.1520(e);

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Tamala F. v. Frank J. Bisignano, Social Security Commissioner, (D. Md. 2026).

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