Case: 14-13925   Date Filed: 08/17/2015   Page: 1 of 10


                                                      [DO NOT PUBLISH]



            IN THE UNITED STATES COURT OF APPEALS

                     FOR THE ELEVENTH CIRCUIT
                       ________________________

                             No. 14-13925
                         Non-Argument Calendar
                       ________________________

                D.C. Docket No. 4:14-cv-00042-MW-CAS



DANIEL R. LONERGAN,

                                              Plaintiff - Appellant,

versus

FLORIDA DEPARTMENT OF CORRECTIONS,
SECRETARY, FLORIDA DEPARTMENT OF CORRECTIONS,
ATTORNEY GENERAL, STATE OF FLORIDA,

                                              Defendants - Appellees.

                       ________________________

                Appeal from the United States District Court
                    for the Northern District of Florida
                      ________________________

                             (August 17, 2015)

Before HULL, ROSENBAUM, and COX, Circuit Judges.

PER CURIAM:
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       The Plaintiff, Daniel R. Lonergan, is a prisoner in the Florida state prison

system proceeding pro se. The Plaintiff seeks declaratory and injunctive relief

under the Americans with Disabilities Act (“ADA”) and 42 U.S.C. § 1983. He

does not seek damages. The district court dismissed his complaint. We affirm in

part and reverse in part.

       When reviewing a dismissal for failure to state a claim, we consider only the

facts as alleged in the complaint.            Because the Plaintiff proceeds pro se, we

construe the allegations liberally. See Alba v. Montford, 

, 1252 (11th

Cir. 2008).

       According to the First Amended Complaint (“the Complaint”), (D.E. 13),

the Plaintiff was referred to a dermatologist for what appeared to be skin cancer.

He twice had suspect growths removed, and was diagnosed with actinic keratosis,1

a type of pre-cancer. The dermatologist ordered that the Plaintiff be provided a

large hat, sun block (i.e., sunscreen lotion), and a “no sun pass.” Lonergan was

ultimately issued a hat and sun block, but was only issued a “no more then [sic] 15

minutes per hour of sun” pass due to prison security concerns. Lonergan requested

transfer to a “self-contained” facility—a facility that would not require him to be

outside—which the warden denied.



       1
         The Plaintiff refers to the condition as “acitinic” keratosis. It appears that “actinic” is
the more common spelling.
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       The Plaintiff was then transferred to a different prison, where he is currently

incarcerated. (This prison, like the first prison, is not a self-contained prison. His

transfer to this second prison was for reasons unrelated to his skin condition.) It

was then that he noticed the appearance of new growths in the same areas of skin

where they had been previously removed. He sought an accommodation under the

ADA, 2 which was denied. He also requested a medical evaluation, which was

denied as well. At some point after his transfer (the Complaint does not specify

exactly when), the Plaintiff’s hat pass expired and his “no more than 15 minutes of

sun” pass was revoked.

       The Plaintiff then utilized the prison’s “sick call” procedures in order to

receive medical attention. He was given medical attention at the prison, but was

not allowed to see his dermatologist.3 As a result, he was reissued his hat pass and

sun block, and was also given long sleeve shirts. He was, however, informed that

his sun pass was unauthorized and that the Florida Department of Corrections

“does not recognize cancerous skin conditions as a disability.”

       Due to the layout of the particular prison in which the Plaintiff is

incarcerated, he is required to stand in line in the sun in order to do just about

anything. The Plaintiff alleges that eating, going to work call, seeking medical
       2
       The Complaint does not specify exactly what accommodation he sought at the time.
However, the Plaintiff now seeks only a transfer to a self-contained facility, as discussed below.
       3
         It appears from the Complaint that the Plaintiff’s dermatologist is not a prison employee
and that visiting the dermatologist requires special permission.
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care, going to AA meetings, going to chapel, and receiving visitors all require him

to stand in line in the sun. As a result of the prison’s failure to accommodate his

skin condition, he often foregoes these activities.              He does this because his

dermatologist told him to stay out of the sun.

        The Plaintiff alleges violations of the ADA, 4 the Eighth Amendment, the

Due Process and Equal Protection Clauses, and the Florida Administrative Code

Rule 33-210.201. The magistrate judge, in a Report and Recommendation (“the

R&R”), recommended the sua sponte dismissal of all claims for failure to state a

claim under 28 U.S.C. § 1915(e)(2)(B)(ii). The Plaintiff filed objections to the

R&R in the district court, and the district court adopted the R&R over the

Plaintiff’s objections. The Plaintiff appeals.

        We review de novo a dismissal for failure to state a claim. 

.       With the exception of Count 1—an ADA claim seeking a reasonable

accommodation—we affirm without discussion the district court’s dismissal of all

other claims for failure to state a claim for the reasons set out in the R&R. (D.E. 15

at 6–11).

        In order to establish a prima facie case under the ADA, the Plaintiff must

show: (1) that he is a qualified individual with a disability; (2) that he was either

excluded from participation in or denied the benefits of a public entity’s services,

        4
        Title II of the ADA applies to inmates in state prisons. See Bircoll v. Miami-Dade Cnty.,

, 1081 (11th Cir. 2007).
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programs, or activities, or was otherwise discriminated against by a public entity;

and (3) that the exclusion, denial of benefit, or discrimination was by reason of his

disability. Bircoll v. Miami-Dade County, 

, 1083 (11th Cir. 2007).

An ADA claim may proceed on the theory that the Defendant failed to reasonably

accommodate the Plaintiff’s disability. See Schwarz v. City of Treasure Island, 

, 1212 n.6 (11th Cir. 2008).

      We address the dismissal of Count 1. The court held that Count 1 of the

Complaint failed to state a claim under the ADA for four reasons. First, the court

held that the Plaintiff sued the wrong party. Second, the court held that the

Plaintiff failed to allege a prima facie ADA claim because he did not allege that his

impairment substantially limits a major life activity. See 42 U.S.C. § 12102. Third,

the court held that, as a matter of law, a prisoner is never entitled to a transfer to a

different prison as a reasonable accommodation under the ADA. Fourth, the court

held that the Plaintiff merely disagreed with the medical treatment provided by his

doctors, and that an ADA claim may not be based on disagreement with medical

treatment decisions.

      In addition to these four holdings, the Defendants offer an alternative basis

to affirm: that the Plaintiff failed to allege a prima facie ADA claim because he did

not allege that he was excluded or denied participation in programs or activities by

reason of his disability. See 

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       Turning to the first issue, the court held that the Plaintiff did not sue the

proper party.       The Defendants do not present this contention on appeal.

Regardless, the Plaintiff has sued the proper party. He seeks declaratory and

injunctive relief against the Secretary of the Florida Department of Prisons 5 and,

according to the Complaint, has properly exhausted his administrative remedies.

See Miller v. King, 

, 1264 (11th Cir. 2004), vacated and superseded

on other grounds, 

(11th Cir. 2006) (applying the Ex parte young

doctrine and holding that “the Eleventh Amendment does not bar ADA suits under

Title II for prospective injunctive relief against state officials in their official

capacities.”) (citations omitted).6

       As to the second issue, the court held that the Plaintiff failed to allege a

qualifying disability. Under 42 U.S.C. § 12102(1)(A), a “disability” includes a

physical impairment that “substantially limits one or more major life activities.”

However, the issue in this case is not whether the Plaintiff was substantially

limited in a major life activity after the prison attempted to accommodate his

condition. This violates the clear command of 42 U.S.C. § 12102(4)(E)(i), that

“[t]he determination of whether an impairment substantially limits a major life

       5
          The Attorney General of Florida appears to have only been named in the suit to address
the Plaintiff’s challenge to the constitutionality of a Florida statute. Count 1 is not asserted
against the Attorney General of Florida.
       6
         The court’s holding, that “[t]he doctrine of respondeat superior or vicarious liability
does not provide a basis for recovery under § 1983,” (R&R, D.E. 15 at 4), relates to the issue of
damages. The Plaintiff does not seek damages.
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activity shall be made without regard to the ameliorative effects of mitigating

measures.” Rather, at this stage in the litigation, the question is whether the

Plaintiff’s condition would substantially limit a major life activity without the

accommodations provided by the prison.

      The Plaintiff successfully alleges that he is substantially limited in a major

life activity for three reasons. First, he alleges that he often misses meals because

he cannot walk or stand outside, which is required in order to obtain food at the

prison. See 42 U.S.C. § 12102(2)(A) (“[M]ajor life activities include . . .

eating . . . .”). Second, the statutory list is explicitly non-exhaustive. See 

activities “are not limited to” the examples listed) (emphasis added). The

dermatologist recommended that the Plaintiff stay out of the sun completely, and

the court failed to consider whether going outside is a major life activity. Third,

“normal cell growth” is a major life activity, see 

and the

Plaintiff alleges the abnormal growth of pre-cancerous cells. See also 45 C.F.R.

§ 84.3(j)(2)(i) (defining a physical impairment to include a “condition . . . affecting

. . . [the] skin”). Given these three allegations together, and considering the

Plaintiff’s condition without the benefit of any mitigating measures, we conclude

that the Complaint sufficiently alleges that the Plaintiff is substantially limited in at

least one major life activity.




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      Turning to the third issue, the court held that, as a matter of law, a prisoner is

never entitled to a transfer to a different prison as a reasonable accommodation

under the ADA. In reaching this conclusion, the court relied on a footnote in this

court’s decision in Miller v. King. 

n.21. In fact, this footnote

stands for the opposite proposition. The entire text of this footnote is as follows:

      Nothing in this opinion should be read as creating a “right of transfer”
      to a particular prison under the ADA. Rather, prison authorities still
      maintain a great deal of discretion in running their penal institutions,
      and such discretion normally outweighs any interest that any
      individual prisoner may have in remaining housed in a particular
      prison. See Olim v. Wakinekona, 

, 245, 

,
      1745, 

(1983) (prisoners have no right to be
      incarcerated in any particular prison within a state); Ellard v. Alabama
      Bd. of Pardons and Paroles, 

, 941–42 (11th Cir. 1987).
      However, in the context of the ADA, a prisoner's transfer from or to a
      particular prison may become relevant when prison officials attempt
      to determine what constitutes a “reasonable” accommodation.

Plaintiff may have a difficult time ultimately obtaining the relief he

seeks, whether the prison’s interests outweigh the Plaintiff’s is not appropriate for

resolution on the pleadings.

      As to the fourth issue, the court held that the Plaintiff merely disagreed with

the medical treatment provided by his doctors, and that an ADA claim may not be

based on disagreement with medical treatment decisions. In fact, according to the

Complaint, the Plaintiff’s dermatologist ordered him to stay out of the sun, and

prison officials decided that the Plaintiff could not be accommodated in this way

for security reasons. After this determination was made, the prison’s medical
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personnel—none of whom is a dermatologist—prescribed an alternative remedy:

sun block, a hat, and long sleeves. The Plaintiff successfully alleges more than the

mere disagreement with his medical treatment.               He seeks the treatment

recommended by his dermatologist.              While the fact-finder may ultimately

determine that sun block, a hat, and long sleeves sufficiently accommodate the

Plaintiff’s condition, the failure of the prison to give the Plaintiff the treatment

prescribed by his dermatologist is sufficient for the Plaintiff to plead a prima facie

ADA claim.

      Finally, we turn to the Defendants’ contention that we can affirm on a basis

not considered by the district court. According to the Defendants, the Plaintiff

failed to allege a prima facie ADA claim because he did not allege that he was

excluded or denied participation in programs or activities by reason of his

disability. See 42 U.S.C. § 12132. In short, the Defendants contend that it is the

Plaintiff’s decision not to go outside—and not his disability—that exclude him

from the prison’s programs and activities.          According to the Complaint, the

Plaintiff’s dermatologist diagnosed him with a pre-cancerous skin condition and

ordered him to stay out of the sun. It is certainly true that the Plaintiff could ignore

his diagnosis and go outside in the sun anyway.            However, we decline the

Defendants’ invitation to hold that his failure to do so precludes him from pleading

a prima facie ADA claim.


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      For the foregoing reasons, the judgment of the district court is reversed as to

the Plaintiff’s Count 1 ADA claim against the Florida Department of Corrections

and the Secretary of the Florida Department of Corrections. The judgment is

affirmed in all other respects. We remand for further proceedings.

      AFFIRMED IN PART; REVERSED AND REMANDED IN PART.




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