Norman v. Riaz et al

Filing 19

ORDER, FINDINGS and RECOMMENDATIONS signed by Magistrate Judge Allison Claire on 6/10/2016 ORDERING the Clerk to randomly assign a district judge to this action. IT IS RECOMMENDED that defendants' 15 motion to dismiss be granted in part an d denied in part; Defendant Bodenhamer be dismissed from this action; and this action proceed only against defendant Dr. Riaz on plaintiff's Eighth Amendment claim for deliberate indifference to his serious medical needs. Assigned and referred to Judge Garland E. Burrell, Jr.; Objections due within 14 days. (Yin, K)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 DANIEL J. NORMAN, 12 No. 2:15-cv-1346 AC P Plaintiff, 13 v. 14 DR. RIAZ, et al., 15 ORDER and FINDINGS AND RECOMMENDATIONS Defendants. 16 17 I. Introduction 18 Plaintiff is a state prisoner at California State Prison-Sacramento (CSP-SAC), under the 19 authority of the California Department of Corrections and Rehabilitation (CDCR). Plaintiff 20 proceeds pro se and in forma pauperis in this civil rights action filed pursuant to 42 U.S.C. § 21 1983. This action proceeds on plaintiff’s original complaint. See ECF No. 1. Upon screening 22 the complaint pursuant to the Prison Litigation Reform Act (PLRA), 28 U.S.C. 1915A(a), the 23 court found that plaintiff’s allegations state Eighth Amendment claims against defendants Dr. 24 Riaz, M.D., a physician, and D. Bodenhamer, a physician’s assistant (PA), for deliberate 25 indifference to plaintiff’s serious medical needs. See ECF No. 4. 26 Presently pending is defendants’ motion to dismiss, filed pursuant to Rule 12(b)(6), 27 Federal Rules of Civil Procedure, on the ground that the complaint fails to allege facts sufficient 28 to state cognizable Eighth Amendment claims against defendants or, alternatively, that defendants 1 1 are entitled to qualified immunity. See ECF No. 15. 2 This action is referred to the undersigned United States Magistrate Judge pursuant to 28 3 U.S.C. § 636(b)(1)(B) and Local Rule 302(c). For the reasons that follow, it is the 4 recommendation of this court that defendants’ motion to dismiss be granted in part and denied in 5 part. 6 II. 7 The complaint alleges that plaintiff has suffered chronic back pain since a 1990 work- Allegations of the Complaint 8 related injury that resulted in a disability insurance payout and monetary settlement from the state 9 of Nevada and accorded plaintiff life-long medical coverage for, inter alia, chronic pain 10 management treatment and medications. Plaintiff avers that he received adequate medical 11 treatment prior to and throughout his incarceration until, in September 2014, defendant Dr. Riaz 12 arbitrarily discontinued plaintiff’s narcotic pain medications. 13 Plaintiff alleges that Dr. Riaz discontinued his pain medications without undertaking an 14 assessment of plaintiff’s individual medical needs, but rather as part of a “sweeping 15 discontinuance of pain medications by CDCR Doctors, who periodically go through all [of an] 16 institution’s patients to locate any [prisoner] getting treatment for pain by medications that 17 include narcotics, and discontinue those meds after [the prisoner has had] years of getting the 18 same treatment.” ECF No. 1 at 3. Plaintiff alleges that in June 2014 Dr. Riaz “came to plaintiff’s 19 facility to ‘put a stop to all this narcotic business,’” because “he ‘doesn’t believe in’ narcotics 20 being prescribed for pain.” Id. Dr. Riaz met with plaintiff on September 16, 2014. Dr. Riaz was 21 allegedly “steadfast in his predetermined goal at taking plaintiff’s meds,” and began telling 22 plaintiff, before he even sat down, that “‘I see no need for these medications you get, and even if I 23 did I do not personally agree with using narcotic medications for pain.’” Id. at 4. Plaintiff alleges 24 that Dr. Riaz “refused to review plaintiff’s file, refused to give any consideration to anything 25 plaintiff tried to explain,” and basically “refused to let plaintiff even speak.” Id. 26 Plaintiff avers that his Nevada state disability records and California prison medical 27 records provide “extensive and thorough documentation” and “support for plaintiff’s [medication] 28 needs that his serious medical condition warrants, [and demonstrate] that there is not any 2 1 indication of any change that would warrant the arbitrary discontinuance of plaintiff’s treatment 2 for pain.” Id. at 4; see also id. at 6. 3 Plaintiff initially challenged the discontinuance of his narcotic pain medications by filing 4 and exhausting a prison administrative grievance. Plaintiff alleges that the grievance was 5 “pseudo-review[ed]” by defendant PA Bodenhamer, who rubber-stamped Dr. Riaz’ decision at 6 the Second Level Review, and then that an unidentified senior registered nurse “signed off” on 7 the denial of the grievance at the Third Level Review. Id. at 4-6. The complaint alleges that 8 because PA Bodenhamer ranked “lower” than Dr. Riaz, she was disinclined to disagree with him, 9 and thus failed to evaluate plaintiff’s grievance according to constitutional standards. Plaintiff 10 alleges that “[d]efendant [Bodenhamer] knew she did not have the adequate training or 11 experience to over-ride a doctor that she, herself, could not work without approval (sic).” Id. at 5. 12 The complaint alleges that, “[s]ince the complete denial of treatment for pain, plaintiff has 13 experienced severe depression, loss of sleep from being awakened by back spasms and pain, loss 14 [of] appititite (sic), and been unable to attend yard for even a few hours a day. Plaintiff is forced 15 to work or suffer loss of privileges and appliances, so he suffers in unspeakable pain.” 16 Defendants Riaz and Bodenhamer seek dismissal of this action on the grounds that the 17 complaint fails to allege facts sufficient to state a cognizable Eighth Amendment claim against 18 either defendant or, alternatively, that defendants are entitled to qualified immunity. See ECF 19 No. 15. Plaintiff filed an opposition, see ECF No. 16; defendants filed a reply, see ECF No. 17. 20 21 22 III. Legal Standards A. Legal Standards Governing Motion to Dismiss The purpose of a motion to dismiss pursuant to Rule 12(b)(6) is to test the legal 23 sufficiency of the complaint. North Star Intern. v. Arizona Corp. Com’n, 720 F.2d 578, 581 (9th 24 Cir. 1983). “Dismissal can be based on the lack of a cognizable legal theory or the absence of 25 sufficient facts alleged under a cognizable legal theory.” Balistreri v. Pacifica Police Dep’t, 901 26 F.2d 696, 699 (9th Cir. 1990). In order to survive dismissal for failure to state a claim, a 27 complaint must contain more than a “formulaic recitation of the elements of a cause of action;” it 28 must contain factual allegations sufficient to “raise a right to relief above the speculative level.” 3 1 Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007). “The pleading must contain 2 something more ... than ... a statement of facts that merely creates a suspicion [of] a legally 3 cognizable right of action.” Id., (quoting 5 C. Wright & A. Miller, Federal Practice and 4 Procedure § 1216, pp. 235-36 (3d ed. 2004). “[A] complaint must contain sufficient factual 5 matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 6 556 U.S. 662, 678 (2009) (quoting Twombly, 550 U.S. at 570). “A claim has facial plausibility 7 when the plaintiff pleads factual content that allows the court to draw the reasonable inference 8 that the defendant is liable for the misconduct alleged.” Id. 9 In considering a motion to dismiss, the court must accept as true the allegations of the 10 complaint in question, Hospital Bldg. Co. v. Rex Hospital Trustees, 425 U.S. 738, 740 (1976), 11 construe the pleading in the light most favorable to the party opposing the motion and resolve all 12 doubts in the pleader’s favor. Jenkins v. McKeithen, 395 U.S. 411, 421, reh’g denied, 396 U.S. 13 869 (1969). The court will “‘presume that general allegations embrace those specific facts that 14 are necessary to support the claim.’” National Organization for Women, Inc. v. Scheidler, 510 15 U.S. 249, 256 (1994) (quoting Lujan v. Defenders of Wildlife, 504 U.S. 555, 561, (1992)). 16 Moreover, pro se pleadings are held to a less stringent standard than those drafted by lawyers. 17 Haines v. Kerner, 404 U.S. 519, 520 (1972). 18 The court may consider facts established by exhibits attached to the complaint. Durning 19 v. First Boston Corp., 815 F.2d 1265, 1267 (9th Cir. 1987). The court may also consider facts 20 which may be judicially noticed, Mullis v. United States Bankruptcy Ct., 828 F.2d 1385, 1388 21 (9th Cir. 1987); and matters of public record, including pleadings, orders, and other papers filed 22 with the court, Mack v. South Bay Beer Distributors, 798 F.2d 1279, 1282 (9th Cir. 1986). The 23 court need not accept legal conclusions “cast in the form of factual allegations.” Western Mining 24 Council v. Watt, 643 F.2d 618, 624 (9th Cir. 1981). 25 B. 26 As a threshold matter, to state a cognizable claim under Section 1983, plaintiff must allege Legal Standards Governing Eighth Amendment Deliberate Indifference Claims 27 an actual connection or link between the challenged conduct of a specific defendant and 28 plaintiff’s alleged constitutional deprivation. See Monell v. Department of Social Services, 436 4 1 U.S. 658 (1978); Rizzo v. Goode, 423 U.S. 362 (1976). “The inquiry into causation must be 2 individualized and focus on the duties and responsibilities of each individual defendant whose 3 acts or omissions are alleged to have caused a constitutional deprivation.” Leer v. Murphy, 844 4 F.2d 628, 633 (9th Cir.1988) (citations omitted). 5 In order to state a Section 1983 claim for violation of the Eighth Amendment premised on 6 allegedly unconstitutional medical care, plaintiff must allege “acts or omissions sufficiently 7 harmful to evidence deliberate indifference to [his] serious medical needs.” Estelle v. Gamble, 8 429 U.S. 97, 106 (1976). Plaintiff must allege both that his medical needs were objectively 9 serious, and that defendants possessed a sufficiently culpable state of mind. Wilson v. Seiter, 501 10 U.S. 294, 299 (1991); McKinney v. Anderson, 959 F.2d 853, 854 (9th Cir. 1992) (on remand). 11 A serious medical need exists if the failure to treat a prisoner’s condition could result in 12 further significant injury or the unnecessary and wanton infliction of pain. Indications that a 13 prisoner has a serious medical need are the following: the existence of an injury that a reasonable 14 doctor or patient would find important and worthy of comment or treatment; the presence of a 15 medical condition that significantly affects an individual’s daily activities; or the existence of 16 chronic and substantial pain. See e.g. Wood v. Housewright, 900 F.2d 1332, 1337-41 (9th Cir. 17 1990) (citing cases); Hunt v. Dental Dept., 865 F.2d 198, 200-01 (9th Cir. 1989). McGuckin v. 18 Smith, 974 F.2d 1050, 1059-60 (9th Cir. 1992), overruled on other grounds, WMX Technologies 19 v. Miller, 104 F.3d 1133 (9th Cir. 1997) (en banc). 20 The requisite state of mind to sustain a prisoner medical claim is “deliberate indifference.” 21 Hudson v. McMillian, 503 U.S. 1, 5 (1992). In Farmer v. Brennan, 511 U.S. 825 (1994), the 22 Supreme Court established a very demanding standard for “deliberate indifference.” Negligence 23 is insufficient. Id. at 835. Even civil recklessness (failure to act in the face of an unjustifiably 24 high risk of harm which is so obvious that it should be known) is insufficient to establish an 25 Eighth Amendment violation. Id. at 836-37. It is not enough that a reasonable person would 26 have known of the risk or that a defendant should have known of the risk. Id. at 842. 27 28 In the Ninth Circuit, the test for deliberate indifference consists of two parts. First, the plaintiff must show a serious medical need by demonstrating that failure to treat a prisoner’s condition could result 5 1 in further significant injury or the unnecessary and wanton infliction of pain. Second, the plaintiff must show the defendant’s response to the need was deliberately indifferent. This second prong . . . is satisfied by showing (a) a purposeful act or failure to respond to a prisoner’s pain or possible medical need and (b) harm caused by the indifference. 2 3 4 5 Jett v. Penner, 439 F.3d 1091, 1096 (9th Cir. 2006) (internal citations, punctuation and quotation 6 marks omitted); accord, Wilhelm v. Rotman, 680 F.3d 1113, 1122 (9th Cir. 2012); Lemire v. 7 CDCR, 726 F.3d 1062, 1081 (9th Cir. 2013). To state a claim for deliberate indifference to 8 serious medical needs, a prisoner must allege that a prison official “kn[ew] of and disregard [ed] 9 an excessive risk to inmate health or safety; the official must both be aware of the facts from 10 which the inference could be drawn that a substantial risk of serious harm exists, and he must also 11 draw the inference.” Farmer, 511 U.S. at 837. A difference of opinion between an inmate and prison medical personnel – or between 12 13 medical professionals – regarding appropriate medical diagnosis and treatment are not enough to 14 establish a deliberate indifference claim. Sanchez v. Vild, 891 F.2d 240, 242 (9th Cir. 1989); 15 Toguchi v. Chung, 391 F.3d 1051, 1058 (9th Cir. 2004). To establish a difference of opinion 16 rising to the level of deliberate indifference, “plaintiff must show that the course of treatment the 17 doctors chose was medically unacceptable under the circumstances.” Jackson v. McIntosh, 90 18 F.3d 330, 332 (9th Cir. 1996). C. 19 Legal Standards for Qualified Immunity Government officials are immune from civil damages “unless their conduct violates 20 21 ‘clearly established statutory or constitutional rights of which a reasonable person would have 22 known.’” Jeffers v. Gomez, 267 F.3d 895, 910 (9th Cir. 2001) (quoting Harlow v. Fitzgerald, 457 23 U.S. 800, 818 (1982)). “Qualified immunity balances . . . the need to hold public officials 24 accountable when they exercise power irresponsibly and the need to shield officials from 25 harassment, distraction, and liability when they perform their duties reasonably.” Pearson v. 26 Callahan, 555 U.S. 223, 231 (2009). “Because qualified immunity protects government officials 27 from suit as well as from liability, it is essential that qualified immunity claims be resolved at the 28 //// 6 1 earliest possible stage of litigation.” Id. at 233-34 (citing Mitchell v. Forsyth, 472 U.S. 511, 526, 2 (1985)). 3 In analyzing a qualified immunity defense, the court must consider the following: (1) 4 whether the alleged facts, taken in the light most favorable to the plaintiff, demonstrate that 5 defendant’s conduct violated a statutory or constitutional right; and (2) whether the right at issue 6 was clearly established at the time of the incident. Saucier v. Katz, 533 U.S. 194, 201 (2001). 7 These questions may be addressed in the order most appropriate to “the circumstances in the 8 particular case at hand.” Pearson v. Callahan, 555 U.S. 223, 236 (2009). Thus, if a court decides 9 that plaintiff’s allegations do not support a statutory or constitutional violation, “there is no 10 necessity for further inquiries concerning qualified immunity.” Saucier, 533 U.S. at 201. On the 11 other hand, if a court determines that the right at issue was not clearly established at the time of 12 the defendant’s alleged misconduct, the court need not determine whether plaintiff’s allegations 13 support a statutory or constitutional violation. Pearson, 555 U.S. at 236-242. 14 IV. 15 Defendants do not dispute that the complaint adequately alleges that plaintiff’s chronic Analysis 16 pain associated with his 1990 back injury is a serious medical need under the Eighth Amendment. 17 Nor do defendants dispute that the complaint adequately alleges that the discontinuance of 18 plaintiff’s narcotic pain medications caused plaintiff harm due to increased back pain and spasms, 19 loss of sleep and appetite, depression, and reduced inability to engage in daily activities, see 20 Wood, 900 F.2d at 1337-4, although defendants challenge the degree of harm alleged by plaintiff. 21 Defendants argue, rather, that the complaint fail to adequately allege that defendants “knew of 22 and disregarded” a substantial risk of serious harm to plaintiff, see Farmer, 511 U.S. at 837, when 23 Dr. Riaz discontinued plaintiff’s prescription for narcotic pain medications, and PA Bodenhamer 24 agreed with that decision. 25 26 A. Defendant Dr. Riaz Plaintiff’s allegations that Dr. Riaz’ challenged conduct was part of a “sweeping 27 discontinuance of pain medications by CDCR Doctors,” ECF No. 1 at 3, and that Dr. Riaz 28 discontinued plaintiff’s prescriptions for pain medications without reviewing plaintiff’s file, id. at 7 1 4, based on his “predetermined goal” to take all prisoners at CSP-SAC off such medications, id., 2 tend to undermine an inference that Dr. Riaz possessed a “sufficiently culpable” state of mind 3 against plaintiff to sustain an Eighth Amendment claim. See Wilson, 501 U.S. at 297-99. 4 However, even if Dr. Riaz’ challenged conduct reflected implementation of an institution-wide 5 policy, such state of mind may be inferred, particularly if Dr. Riaz acted in a supervisory role. 6 “[W]hen a supervisory official advances or manages a policy that instructs its adherents to violate 7 constitutional rights, then the official specifically intends for such violations to occur. Claims 8 against such supervisory officials, therefore, do not fail on the state of mind requirement, be it 9 intent, knowledge, or deliberate indifference.” OSU Student Alliance v. Ray, 699 F.3d 1053, 10 1076 (9th Cir. 2012). 11 Moreover, whether the medical care of an individual prisoner meets constitutional 12 standards is generally assessed on a case-by-case basis rather than in deference to a prison-wide 13 policy. See e.g. Chess v. Dovey, 790 F.3d 961, 975 (9th Cir. 2015) (jury instruction requiring 14 deference to a security-based prison policy prohibiting the prescription of narcotic medications to 15 prisoners in the general population was error but nevertheless harmless because plaintiff’s doctors 16 based their medical decisions on plaintiff’s individual needs); see also Colwell v. Bannister, 763 17 F.3d 1060, 1063 (9th Cir. 2014) (“the blanket, categorical denial of medically indicated surgery 18 solely on the basis of an administrative policy that ‘one eye is good enough for prison inmates’ is 19 the paradigm of deliberate indifference”). Further, as recently reaffirmed by the Ninth Circuit, 20 “the requirement of deliberate indifference is less stringent in cases involving a prisoner’s 21 medical needs than in other cases involving harm to incarcerated individuals.” Chess, 790 F.3d at 22 973 (citations, internal punctuation and quotation marks omitted). 23 Defendant argues that his decision to terminate plaintiff’s narcotic medications, based on 24 “plaintiff’s twenty-five year old injury,” ECF No. 15-1 at 4, was no more than a nonactionable 25 difference of opinion between an inmate and prison medical provider. See Sanchez, 891 F.2d at 26 242. “[T]o prevail on a claim involving choices between alternative courses of treatment, a 27 prisoner must show that the chosen course of treatment ‘was medically unacceptable under the 28 circumstances,’ and was chosen ‘in conscious disregard of an excessive risk to the prisoner’s 8 1 health.” Toguchi, 391 F.3d at 1058 (citing Jackson, 90 F.3d at 332) (internal punctuation 2 omitted). Alternatively, defendants assert that Dr. Riaz’ challenged conduct “was at most a 3 negligent decision.” See ECF No. 17 at 4. However, plaintiff alleges more than a difference of 4 opinion with Dr. Riaz. Plaintiff alleges that Dr. Riaz’ discontinuance of plaintiff’s prescriptions 5 for narcotic pain medication was arbitrary and therefore in conscious disregard of any risk to 6 plaintiff’s health, and that plaintiff’s resulting harm, including incapacitating pain, was medically 7 unacceptable. Jackson, 90 F.3d at 332. Moreover, Dr. Riaz’ alleged conduct was clearly more 8 than “an inadvertent failure to provide adequate medical care.” Estelle, 429 U.S. at 105. 9 With these considerations in mind, and construing the allegations of the complaint in the 10 light most favorable to plaintiff, the court finds that plaintiff has adequately alleged that Dr. Riaz 11 was subjectively aware of plaintiff’s ongoing prescriptions for narcotic medications to treat his 12 chronic back pain, as previously determined by plaintiff’s other medical providers. Despite this 13 awareness, Dr. Riaz abruptly terminated plaintiff’s prescriptions without conducting an 14 independent medical evaluation of plaintiff’s serious medical needs, and thereby disregarded a 15 substantial risk of serious harm to plaintiff. For these reasons, the court finds the allegations of 16 plaintiff’s complaint sufficient to state a cognizable Eighth Amendment claim against defendant 17 Dr. Riaz for deliberate indifference to plaintiff’s serious medical needs. See Farmer, 511 U.S. at 18 837. Therefore, defendants’ motion to dismiss premised on the alleged failure of the complaint to 19 state a cognizable claim against Dr. Riaz should be denied. 20 Defendant Riaz’ qualified immunity defense should also be rejected. At the time of Dr. 21 Riaz’ challenged conduct, it was clearly established that prison medical providers must provide 22 constitutionally adequate medical care. See Estelle, 429 U.S. at 97; Farmer, 511 U.S. at 837. A 23 reasonable medical provider should have known that disregarding a prisoner’s serious medical 24 needs would violate the Eighth Amendment. Id. Viewing plaintiff’s allegations in the light most 25 favorable to him, this court cannot find as a matter of law that the challenged conduct of Dr. Riaz 26 was not deliberately indifferent. The final determination whether defendant Dr. Riaz was 27 deliberately indifferent to plaintiff’s serious medical needs will depend on the evidence developed 28 during the discovery process and presented on a motion for summary judgment or at trial. 9 1 Therefore, Dr. Riaz’ qualified immunity defense should be rejected at this stage of the 2 proceedings. 3 4 5 For all these reasons, the court recommends that defendants’ motion to dismiss be denied as to defendant Dr. Riaz. See Fed. R. Civ. P. 12(6)(b). B. Physician’s Assistant D. Bodenhamer 6 Plaintiff’s claim that defendant PA Bodenhamer was deliberately indifferent to his serious 7 medical needs rests on his assumption and allegation that Bodenhamer was compelled to defer to 8 the medical judgment of Dr. Riaz. Plaintiff asserts that Bodenhamer only “pseudo-reviewed” 9 plaintiff’s relevant administrative grievance, without independently evaluating plaintiff’s claim 10 under constitutional standards, and thus merely “rubber stamped” Dr. Riaz’ challenged medical 11 decision to discontinue plaintiff’s narcotic medications. See ECF No. 1 at 4-6. 12 Defendants contend that PA Bodenhamer did not have authority to override Dr. Riaz’ 13 contested decision. See ECF No. 17 at 3 (citing Cal. Bus. & Prof. Code § 3502.1(a) (“a physician 14 assistant may administer or provide medication to a patient” only “while under the supervision of 15 a licensed physician and surgeon . . . authorized by law to supervise a physician assistant”)). 16 Defendants direct the court to the Ninth Circuit’s assessment that “prison officials aren’t 17 deliberately indifferent to a prisoner’s medical needs unless they act wantonly, see Estelle, 429 18 U.S. at 104, and whether an official’s conduct ‘can be characterized as “wonton” depends upon 19 the constraints facing [her],’ Wilson, 501 U.S. at 303.” Peralta v. Dillard, 744 F.3d 1076, 1082 20 (9th Cir. 2014). See ECF No. 17 at 3. Because defendant Bodenhamer did not have authority to 21 prescribe a different course of treatment than that prescribed by Dr. Riaz, defendants argue that 22 Bodenhamer’s agreement with Dr. Riaz’ decision cannot constitute deliberate indifference. 23 The court finds this argument too hard-pressed. Administrative review of plaintiff’s 24 grievance required that defendant Bodenhamer make an independent assessment of plaintiff’s 25 claim, not that she prescribe a different course of treatment. Bodenhamer’s assessment should 26 have been based on her own medical judgment, in consultation with other medical professionals if 27 appropriate. Nevertheless, the court finds, upon closer scrutiny, that the allegations of the 28 complaint fail to state a cognizable Eighth Amendment claim against defendant Bodenhamer for 10 1 deliberate indifference to plaintiff’s serious medical needs. Plaintiff does not allege that 2 Bodenhamer examined plaintiff or reviewed his medical records or otherwise made an 3 independent medical assessment of plaintiff’s alleged need to continue taking narcotic pain 4 medication. On the contrary, plaintiff alleges that Bodenhamer merely agreed with defendant Dr. 5 Riaz without exercising her independent medical judgment; moreover, that Bodenhamer “did not 6 have the adequate training or experience to over-ride a doctor,” ECF No. 1 at 5. Bodenhamer’s 7 alleged failure to conduct an independent review may have been medically negligent, but it does 8 not violate the Eighth Amendment. 9 These allegations do not support a reasonable inference that Bodenhamer “knew of and 10 disregarded” an excessive risk of harm to plaintiff’s health by agreeing with Dr. Riaz’ decision to 11 terminate plaintiff’s prescriptions for narcotic pain medication. Farmer, 511 U.S. at 837. The 12 review assessment of a correctional medical official may constitute deliberate indifference only if 13 the official was aware that the underlying challenged medical decision caused plaintiff “further 14 significant injury or the unnecessary and wanton infliction of pain,” and the official purposefully 15 failed to pursue an appropriate medical remedy. Farmer, 511 U.S. at 842; see also Jett v. Penner, 16 439 F.3d 1091, 1098 (9th Cir.2006) (prison officials, particularly those in administrative 17 positions, may be “liable for deliberate indifference when they knowingly fail to respond to an 18 inmate’s requests for help”). Here, the allegations of the complaint fail to demonstrate an actual 19 connection or link between defendant Bodenhamer’s challenged conduct and plaintiff’s alleged 20 constitutional deprivation. See Monell, 436 U.S. 658. 21 Moreover, because prisoners are not entitled to a prison grievance procedure as a matter of 22 federal law, see e.g. Mann v. Adams, 855 F.2d 639, 640 (9th Cir. 1988) (“[t]here is no legitimate 23 claim of entitlement to a grievance procedure”), cert. denied, 488 U.S. 898 (1988), a claim that 24 PA Bodenhamer failed to resolve plaintiff’s grievance in a favorable manner is not cognizable 25 under Section 1983, see e.g. Buckley v. Barlow, 997 F.2d 494, 495 (8th Cir. 1993) (failure to 26 process plaintiff’s grievances not actionable under Section 1983). “Although state statutes or 27 regulations may give rise to constitutionally-protected liberty interests that cannot be taken away 28 without due process of law, California prison regulations . . . grant prisoners a purely procedural 11 1 right and set forth no substantive standards, see Cal. Code Regs. tit. 15, § 3084 et seq. (applicable 2 to state prisons), and such provisions cannot form the basis of a constitutionally cognizable liberty 3 interest.” Jackson v. Bright, 2015 WL 1395835, at *8, 2015 U.S. Dist. LEXIS 38809, at *23-4 4 (N.D. Cal. Mar. 26, 2015) (Case No. 12-CV-06020 YGR P). Therefore, in the instant case, 5 defendant PA Bodenhamer’s alleged deference to Dr. Riaz’ challenged medical decision, 6 resulting in the denial of plaintiff’s grievance at the Second Level Review, is also not actionable 7 as an alleged due process violation. 8 For these reasons, the court recommends that defendant Bodenhamer be dismissed from 9 this action for failure to state a claim. See Fed. R. Civ. P. 12(6)(b). Because the complaint does 10 not state a cognizable claim for relief against defendant Bodenhamer, the court need not reach 11 Bodenhamer’s alternative contention that she is entitled to qualified immunity. See Saucier, 533 12 U.S. at 201; Wilkie v. Robbins, 551 U.S. 537, 567 (2007). 13 V. 14 In accordance with the above, IT IS HEREBY ORDERED that the Clerk of Court shall 15 Conclusion randomly assign a district judge to this action. 16 Further, for the foregoing reasons, IT IS HEREBY RECOMMENDED that: 17 1. Defendants’ motion to dismiss, ECF No. 15, be granted in part and denied in part; 18 2. Defendant Bodenhamer be dismissed from this action; and 19 3. This action proceed only against defendant Dr. Riaz on plaintiff’s Eighth Amendment 20 claim for deliberate indifference to his serious medical needs. 21 These findings and recommendations are submitted to the United States District Judge 22 assigned to this case, pursuant to the provisions of 28 U.S.C. § 636(b)(l). Within fourteen days 23 after being served with these findings and recommendations, any party may file written 24 objections with the court and serve a copy on all parties. Such a document should be captioned 25 “Objections to Magistrate Judge’s Findings and Recommendations.” The parties are advised that 26 //// 27 //// 28 //// 12 1 failure to file objections within the specified time may waive the right to appeal the District 2 Court’s order. Martinez v. Ylst, 951 F.2d 1153 (9th Cir. 1991). 3 DATED: June 10, 2016 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 13

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