(PC) Patterson v. HIP-C Committee, et al.
ORDER REQUIRING PLAINTIFF TO SUBMIT A RESPONSE, signed by Magistrate Judge Jennifer L. Thurston on 10/15/2020. (Second Amended Complaint or Notice to Court due within 30-Day Deadline) (Attachments: # 1 Amended PC Complaint Form)(Martin-Gill, S)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF CALIFORNIA
11 VESTER L. PATTERSON,
Case No. 1:19-cv-1401-JLT (PC)
ORDER REQUIRING PLAINTIFF TO
SUBMIT A RESPONSE
14 JOHN DOES 1-18, et al.,
Plaintiff has filed a first amended complaint asserting constitutional claims against
18 governmental employees and/or entities.1 (Doc. 10.) Generally, the Court is required to screen
19 complaints brought by inmates seeking relief against a governmental entity or an officer or
20 employee of a governmental entity. 28 U.S.C. § 1915A(a). The Court must dismiss a complaint
21 or portion thereof if the prisoner has raised claims that are legally “frivolous or malicious,” that fail
22 to state a claim upon which relief may be granted, or that seek monetary relief from a defendant
23 who is immune from such relief. 28 U.S.C. § 1915A(b)(1), (2). “Notwithstanding any filing fee,
24 or any portion thereof, that may have been paid, the court shall dismiss the case at any time if the
Plaintiff’s original complaint was screened and found to state cognizable claims against 18 Doe
27 defendants. (Doc. 9.) While plaintiff was directed to identify the Doe defendants within ninety
days from the date of that screening order, plaintiff opted instead to file a first amended
1 court determines that . . . the action or appeal . . . fails to state a claim upon which relief may be
2 granted.” 28 U.S.C. § 1915(e)(2)(B)(ii).
A complaint must contain “a short and plain statement of the claim showing that the pleader
5 is entitled to relief. . . .” Fed. R. Civ. P. 8(a)(2). Detailed factual allegations are not required, but
6 “[t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory
7 statements, do not suffice,” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Bell Atlantic Corp.
8 v. Twombly, 550 U.S. 544, 555 (2007)), and courts “are not required to indulge unwarranted
9 inferences,” Doe I v. Wal-Mart Stores, Inc., 572 F.3d 677, 681 (9th Cir. 2009) (internal quotation
10 marks and citation omitted). While factual allegations are accepted as true, legal conclusions are
11 not. Iqbal, 556 U.S. at 678.
Prisoners may bring § 1983 claims against individuals acting “under color of state law.” See
13 42 U.S.C. § 1983, 28 U.S.C. § 1915(e) (2)(B)(ii). Under § 1983, Plaintiff must demonstrate that
14 each defendant personally participated in the deprivation of his rights. Jones v. Williams, 297 F.3d
15 930, 934 (9th Cir. 2002). This requires the presentation of factual allegations sufficient to state a
16 plausible claim for relief. Iqbal, 556 U.S. at 678-79; Moss v. U.S. Secret Service, 572 F.3d 962,
17 969 (9th Cir. 2009). Prisoners proceeding pro se in civil rights actions are entitled to have their
18 pleadings liberally construed and to have any doubt resolved in their favor, Hebbe v. Pliler, 627
19 F.3d 338, 342 (9th Cir. 2010) (citations omitted), but nevertheless, the mere possibility of
20 misconduct falls short of meeting the plausibility standard, Iqbal, 556 U.S. at 678; Moss, 572 F.3d
21 at 969.
Plaintiff’s claims arose during his incarceration at California Correctional Institut ion
24 (“CCI”) in Tehachapi, California. He names the following individuals and entities as defendants:
25 California Correctional Health Care Services (“CCHCS”); S. Tharatt, Chief Medical Executive at
26 CCI; Randall Caldron, a medical doctor at CCI; and John Does 1-18, members of the CCHCS’s
27 Hepatitis-C Treatment Committee. Plaintiff seeks damages and injunctive relief.
Plaintiff’s allegations may be fairly summarized as follows:
Plaintiff suffers from Hepatitis-C. On several occasions, he requested treatment for his
2 illness but has been routinely denied because of a policy implement by the Headquarters Utilization
3 Management (“HUM”) Committee, of which Does 1 through 18 are members. These defendants
4 are accused of having implemented the policy that denies certain medications (Harvoni, Sovaldi,
5 and Viekira Pak) that they know can cure 90-95% of Hepatitis-C cases if administered early
6 enough. The HUM policy in place, however, delays treatment until such time that the efficacy of
7 these drugs is greatly reduced, thereby prolonging the suffering of inmates and exacerbating their
8 condition. The defendants are accused of having denied plaintiff Harvoni or any medications
9 pursuant to the HUM policy. Instead, they ordered a course of monitoring instead of treatment. A
10 recent liver test showed that plaintiff’s liver is scarring and getting worse each day. Even so, he
11 still has not received medical treatment for his Hepatitis-C because of the defendants’ policy.
12 Plaintiff claims that this delay has resulted in the worsening of his condition.
A. Eleventh Amendment Immunity
Plaintiff names CCHCS as a defendant. Plaintiff may not sustain an action against ths
16 division of the California Department of Corrections and Rehabilitation (“CDCR”) for money
17 damages. The Eleventh Amendment prohibits federal courts from hearing suits for money
18 damages against a state without its consent. Aholelei v. Dept. of Public Safety, 488 F.3d 1144,
19 1147 (9th Cir. 2007) (citations omitted). This bars suits against state agencies as well as those
20 where the state itself is named as a defendant. See Natural Resources Defense Council v.
21 California Dep’t of Transp., 96 F.3d 420, 421 (9th Cir. 1996); Brooks v. Sulphur Springs Valley
22 Elec. Co., 951 F.2d 1050, 1053 (9th Cir. 1991); Taylor v. List, 880 F.2d 1040, 1045 (9th Cir.
23 1989) (concluding that Nevada Department of Prisons was a state agency entitled to Eleventh
24 Amendment immunity); Mitchell v. Los Angeles Community College Dist., 861 F.2d 198, 201
25 (9th Cir. 1989). “Though its language might suggest otherwise, the Eleventh Amendment has
26 long been construed to extend to suits brought against a state by its own citizens, as well as by
27 citizens of other states.” Brooks, 951 F.2d at 1053 (citations omitted). “The Eleventh
28 Amendment's jurisdictional bar covers suits naming state agencies and departments as
1 defendants, and applies whether the relief is legal or equitable in nature.” Id. (citation omitted).
2 Because the CDCR is a state agency and the CCHCS is a part of the CDCR, the CCHCS is
3 immune to monetary damages for plaintiff’s claims under the Eleventh Amendment.
B. Official v. Individual Capacity Claims
Plaintiff does not specify in what capacity he is suing the individual defendants. To the
6 extent he is suing them in their official capacities, he is forewarned that the Eleventh Amendment
7 also bars suits for money damages in federal court against state officials in their official capacity.
8 Aholelei v. Department of Public Safety, 488 F.3d 1144, 1147 (9th Cir. 2007). However, it does
9 not bar official capacity suit for prospective relief, Wolfson v. Brammer, 616 F.3d 1045, 1065-66
10 (9th Cir. 2010); nor does it bar suit for damages against state officials in their personal capacities.
11 Hafer v. Melo, 502 U.S. 21, 30 (1991); Porter v. Jones, 319 F.3d 483, 491 (9th Cir. 2003).
“Personal-capacity suits . . . seek to impose individual liability upon a government officer
13 for actions taken under color of state law.” Hafer, 502 U.S. at 25; Suever v. Connell, 579 F.3d
14 1047, 1060-61 (9th Cir. 2009). Where a plaintiff is seeking damages against a state official and
15 the complaint is silent as to capacity, a personal capacity suit is presumed given the bar against an
16 official capacity suit. Shoshone-Bannock Tribes v. Fish & Game Comm'n, 42 F.3d 1278, 1284
17 (9th Cir. 1994); Price v. Akaka, 928 F.2d 824, 828 (9th Cir. 1991).
A claim for prospective injunctive relief against a state official in his official capacity is
19 not barred by the Eleventh Amendment provided the official has authority to implement the
20 requested relief. Will v. Michigan Dept. of State Police, 491 U.S. 58, 92 (1989); accord Rouser v.
21 White, 707 F. Supp. 2d 1055, 1066 (E.D. Cal. 2010) (proper defendant for injunctive relief in suit
22 seeking implementation of CDCR policy is the CDCR Secretary in his official capacity). Since
23 plaintiff’s claim for medical treatment is prospective, official capacity claims would be allowed.
24 In light of these legal standards, plaintiff may proceed against the defendants for damages in their
25 individual capacities and for prospective injunctive relief in their official capacities.
C. Eighth Amendment Medical Indifference
Where a prisoner’s Eighth Amendment claims arise in the context of medical care, the
28 prisoner must allege and prove “acts or omissions sufficiently harmful to evidence deliberate
1 indifference to serious medical needs.” Estelle v. Gamble, 429 U.S. 97, 106 (1976). An Eighth
2 Amendment medical claim has two elements: “the seriousness of the prisoner’s medical need and
3 the nature of the defendant’s response to that need.” McGuckin v. Smith, 974 F.2d 1050, 1059
4 (9th Cir. 1991), overruled on other grounds by WMX Techs., Inc. v. Miller, 104 F.3d 1133 (9th
5 Cir. 1997) (en banc).
A serious medical need exists if the failure to treat the condition could result in further
7 significant injury or the unnecessary and wanton infliction of pain. Jett v. Penner, 439 F.3d 1091,
8 1096 (9th Cir. 2006). To act with deliberate indifference, a prison official must both be aware of
9 facts from which the inference could be drawn that a substantial risk of serious harm exists, and
10 he must also draw the inference. Farmer v. Brennan, 511 U.S. 825, 837 (1994). Thus, a defendant
11 is liable if he knows that plaintiff faces “a substantial risk of serious harm and disregards that risk
12 by failing to take reasonable measures to abate it.” Id. at 847. “It is enough that the official acted
13 or failed to act despite his knowledge of a substantial risk of harm.” Id. at 842.
In applying this standard, the Ninth Circuit has held that before it can be said that a
15 prisoner’s civil rights have been abridged, “the indifference to his medical needs must be
16 substantial. Mere ‘indifference,’ ‘negligence,’ or ‘medical malpractice’ will not support this cause
17 of action.” Broughton v. Cutter Laboratories, 622 F.2d 458, 460 (9th Cir. 1980) (citing Estelle,
18 429 U.S. at 105–06). “[A] complaint that a physician has been negligent in diagnosing or treating
19 a medical condition does not state a valid claim of medical mistreatment under the Eighth
20 Amendment. Medical malpractice does not become a constitutional violation merely because the
21 victim is a prisoner.” Estelle, 429 U.S. at 106; see also Anderson v. County of Kern, 45 F.3d
22 1310, 1316 (9th Cir. 1995). Even gross negligence is insufficient to establish deliberate
23 indifference to serious medical needs. See Wood v. Housewright, 900 F.2d 1332, 1334 (9th Cir.
24 1990). Additionally, a prisoner’s mere disagreement with diagnosis or treatment does not support
25 a claim of deliberate indifference. Sanchez v. Vild, 891 F.2d 240, 242 (9th Cir. 1989).
Delays in providing medical care may manifest deliberate indifference. Estelle, 429 U.S.
27 at 104-05. To establish a claim of deliberate indifference arising from a delay in providing care, a
28 plaintiff must show that the delay was harmful. See Berry v. Bunnell, 39 F.3d 1056, 1057 (9th
1 Cir. 1994); McGuckin, 974 F.2d at 1059; Wood v. Housewright, 900 F.2d 1332, 1335 (9th Cir.
2 1990); Shapley v. Nevada Bd. of State Prison Comm’rs, 766 F.2d 404, 407 (9th Cir. 1985). In
3 this regard, “[a] prisoner need not show his harm was substantial; however, such would provide
4 additional support for the inmate’s claim that the defendant was deliberately indifferent to his
5 needs.” Jett v. Penner, 439 F.3d 1091, 1096 (9th Cir. 2006); see also McGuckin, 974 F.2d at
6 1060. In addition, a physician need not fail to treat an inmate altogether in order to violate that
7 inmate’s Eighth Amendment rights. Ortiz v. City of Imperial, 884 F.2d 1312, 1314 (9th Cir.
8 1989) (per curiam). A failure to competently treat a serious medical condition, even if some
9 treatment is prescribed, may constitute deliberate indifference in a particular case. Id.
Plaintiff’s claim for damages against the Doe defendants in their individual capacities
11 may proceed. Plaintiff’s Hepatitis C satisfies the requirement of a serious medical need. He also
12 properly alleges that the defendants knew of plaintiff’s condition and the efficacy of Hepatitis C
13 medications when administered sooner rather than later. Despite such knowledge, they opted to
14 monitor instead of treat plaintiff’s condition, resulting in its worsening. Additionally, plaintiff’s
15 claim for prospective injunctive relief for treatment may proceed, though plaintiff is forewarned
16 here that only those committee members serving at the time the injunctive relief is granted (if it is
17 granted) would be able to order the treatment.
Under § 1983, the plaintiff must demonstrate that each named defendant personally
20 participated in the deprivation of his rights. Iqbal, 556 U.S. at 676-77 Simmons v. Navajo
21 County, 609 F.3d 1011, 1020-21 (9th Cir. 2010); Ewing v. City of Stockton, 588 F.3d 1218, 1235
22 (9th Cir. 2009). Liability may not be imposed on supervisory personnel under the theory of
23 respondeat superior. Iqbal, 556 U.S. at 676-77. Supervisory personnel may only be held liable if
24 they “participated in or directed the violations, or knew of the violations and failed to act to
25 prevent them,” Taylor v. List, 880 F.2d 1040, 1045 (9th Cir. 1989) accord Starr v. Baca, 652 F.3d
26 1202, 1205-08 (9th Cir. 2011), cert. denied, 132 S. Ct. 2101 (2012). Plaintiff names CCHCS, S.
27 Tharatt, and Randall Caldron as defendants but fails to include any charging allegations against
28 any of them. As a result, any claims asserted against them fails.
E. Doe Defendants
Although the Court has determined that plaintiff states a cognizable claim against the Doe
3 defendants, plaintiff is advised that service cannot be ordered of a Doe defendant because the
4 United States Marshal cannot serve an unknown individual. Therefore, before the Court orders
5 the United States Marshal to serve a Doe defendant, plaintiff will be required to identify him or
6 her with enough information to locate the defendant for service of process. Plaintiff will be given
7 an opportunity through discovery to identify the unknown Doe defendants. Crowley v. Bannister,
8 734 F.3d 967, 978 (9th Cir. 2013) (quoting Gillespie v. Civiletti, 629 E.2d 637, 642 (9th Cir.
9 1980)). Once the identity of a Doe defendant is ascertained, plaintiff must file a motion to amend
10 his complaint only to identify the identified Doe defendant so that service by the United States
11 Marshal can be attempted. The Court will then send plaintiff the appropriate service documents at
12 such time that plaintiff ascertains the identities of the Doe defendants. However, if plaintiff fails
13 to identify any Doe defendant during the course of the discovery, any Doe Defendant will be
14 dismissed from this action.
Plaintiff’s first amended complaint states a cognizable Eighth Amendment claim against
17 Does 1-18. No other claims are cognizable as pled.
The Court will grant plaintiff the opportunity to file an amended complaint to cure noted
19 defects, to the extent he believes in good faith he can do so. Noll v. Carlson, 809 F.2d 1446, 144820 49 (9th Cir. 1987). Alternatively, plaintiff may forego amendment and notify the Court that he
21 wishes to stand on his first amended complaint. See Edwards v. Marin Park, Inc., 356 F.3d 1058,
22 1064-65 (9th Cir. 2004) (plaintiff may elect to forego amendment). If plaintiff chooses this latter
23 option, the Court will issue findings and recommendations, plaintiff will be granted an opportunity
24 to file objections, and the matter will be decided by a District Judge.
If plaintiff does not wish to file an amended complaint, and he is agreeable to proceeding
26 only on the claim found to be cognizable, he may file a notice informing the Court that he does not
27 intend to amend, and he is willing to proceed only on his cognizable claim. The undersigned will
1 then recommend that his remaining claims be dismissed, and the Court will grant him time to
2 identify the Doe defendants.
If plaintiff chooses to amend, he must demonstrate that the alleged acts resulted in a
4 deprivation of his constitutional rights. Iqbal, 556 U.S. at 677-78. Plaintiff must set forth “sufficient
5 factual matter . . . to ‘state a claim that is plausible on its face.’” Id. at 678 (quoting Twombly, 550
6 U.S. at 555). Plaintiff should note that although he has been given the opportunity to amend, it is
7 not for the purposes of adding new claims. George v. Smith, 507 F.3d 605, 607 (7th Cir. 2007) (no
8 “buckshot” complaints). Plaintiff should carefully read this screening order and focus his efforts
9 on curing the deficiencies set forth above.
If plaintiff files an amended complaint, it should be brief, Fed. R. Civ. P. 8(a), but it must
11 state what each named defendant did that led to the deprivation of Plaintiff’s constitutional rights,
12 Iqbal, 556 U.S. at 676-677. Although accepted as true, the “[f]actual allegations must be [sufficient]
13 to raise a right to relief above the speculative level. . . .” Twombly, 550 U.S. at 555 (citations
Finally, an amended complaint supersedes the prior complaint, see Loux v. Rhay, 375 F.2d
16 55, 57 (9th Cir. 1967), and it must be “complete in itself without reference to the prior or superseded
17 pleading,” E.D. Local Rule 220. Accordingly, the Court ORDERS that:
The Clerk’s Office shall send plaintiff a blank civil rights complaint form;
Within thirty days from the date of service of this order, plaintiff must:
a. File a second amended complaint curing the deficiencies identified by the
Court in this order, or
b. Notify the Court in writing that he does not wish to file a second amended
complaint and he is willing to proceed only on the claim found to be
cognizable in this order; or
c. Notify the Court in writing that he wishes to stand on his complaint as written;
3. If plaintiff fails to comply with this order, the undersigned will recommend the action
be dismissed for failure to obey a court order and failure to prosecute.
IT IS SO ORDERED.
October 15, 2020
/s/ Jennifer L. Thurston
UNITED STATES MAGISTRATE JUDGE
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