FRANK D. WHITNEY, Chief District Judge.
Pro se Plaintiff Wiley Johnson has filed a civil rights suit pursuant to 42 U.S.C. § 1983, the Americans with Disabilities Act ("ADA"), Rehabilitation Act ("RA") and the North Carolina Constitution with regards to incidents that allegedly occurred at the Mountain View and Avery Mitchell Correctional Institutions. He names the following as Defendants: North Carolina Department of Public Safety ("DPS") Division of Prisons, DPS Commissioner David W. Guice, Dr. Robert Uhren, DPS Secretary Frank L. Perry, Education Assistant James Duckworth, Unit Manager Bret Bullis, Assistant Unit Manager Chad Green, PA Keith D'Amico, Nurse Pendland, Dr. Paula Y. Smith, Nurse Stroupe, Nurse Remfro, Classification Coordinator Cindy Haynes, Program Director I Carolyn Buchanan, Program Supervisor of Education James Vaughn, Western Regional Medical Director Sandra Pittman, Mountain View C.I. Lead RN Norma Melton, Mountain View C.I. Administrator Mike Slagle, Avery Mitchell C.I. Administrator Mike Ball, and John and Jane Doe A-Z.
In his 54-page Amended Complaint filed on December 29, 2016, (Doc. No. 8), Plaintiff makes repetitive allegations on behalf of himself and unnamed class members for whom he seeks class certification. The gist of his allegations is that DPS does not screen incoming inmates for Hepatitis-C virus and, for inmates who have been diagnosed with Hepatitis-C, and refuses to provide "breakthrough" 12-week oral pill treatment until infected inmates have experienced severe and irreversible liver damage.
Guice, as Commissioner of DPS, is responsible for policy and procedure, administration, and supervision of staff and employees within NC DPS during the relevant time.
Perry, as secretary of DPS, is responsible for oversight, operation, and administration of DPS including providing appropriate medical treatment and formulating policy and procedure to ensure the provision of treatment for Plaintiff and those similarly situated.
Smith, as DPS medical director, serves on the Utilization Review Board, and is responsible for overseeing delivery of all medical services in division of prisons as well as the establishment of medical policy and procedure that governs the med treatment of all inmates in the division of prisons.
Regional Medical Director Pittman, Mountain View C.I. Lead Nurse Melton, Mountain View C.I. Administrator Slagle, Avery Mitchell C.I. Lead Nurse Penland, are responsible for supervising and monitoring the delivery of medical and dental care services to inmates, which must be provided consistent with community standards.
Uhren and D'Amico are the primary medical providers for PDS at Mountain View C.I. and Avery Mitchell C.I., and both treated Plaintiff. Uhren and D'Amico have the obligation to provide independent, individual, safe, effective medical care Plaintiff and each similarly situated class member consistent with community standard of medical care. They were deliberately indifferent to Plaintiff's disability, disease, and serious medical needs regarding his Hepatitis-C infection in compliance with current standards of individualized professional medical care.
John and Jane Does are doctors, nurses, case managers, correctional officers, supervisors, "and any N.C. Dept of Public Safety/Division of Prisons, employees, agents, or representatives whose work place are Mountain View Correctional Institution, Avery Mitchell Correctional Institution and any other prisons operated by the defendants charged with responding to requests for medical care for HCV Infections from now-unknown inmates within the NC prison systems." (Doc. No. 8 at 14). They were deliberately indifferent by refusing to treat Plaintiff's disability, disease, and serious medical needs regarding Hepatitis-C infection in compliance with current standards of individualized professional medical care.
DPS policy, and its employees' enforcement of it, amounts to cruel and unusual punishment, violates equal protection because Hepatitis-C is screened and treated differently from HIV, and violates the North Carolina Constitution. Further, the policy violates the ADA and RA because Hepatitis-C infected inmates are excluded from DPS programs that could result in gain time.
Plaintiff seeks declaratory judgment, injunctive relief, compensatory and punitive damages, and such other relief to which he is entitled. He also seeks preliminary injunctive relief for immediate treatment with the 12-week oral pill.
Due to the allegedly serious nature of Plaintiff's severe and worsening medical condition, the Court ordered DPS to show cause why preliminary injunctive relief should not be granted. (Doc. No. 14). DPS filed a Response arguing that preliminary injunctive relief is moot. (Doc. No. 15). According to an affidavit by Defendant Smith, Plaintiff began the 12-week oral Hepatitis-C treatment on August 22, 2016. (Doc. No. 15-1). Blood tests drawn on November 30, 2016, and March 1, 2017, demonstrate that he has been cured of the Hepatitis-C virus. (
Plaintiff filed a sworn statement in reply admitting that DPS had provided the medication, but arguing that it only did so after he filed a tort claim in North Carolina court in September, 2013. (Doc. No. 17). He explains that the lack of proactive treatment to prevent total liver failure and death prior to the completion of his sentence is the "ultimate cause" of him filing this suit. (Doc. No. 17 at 2).
"A preliminary injunction is an extraordinary remedy never awarded as of right."
To obtain a preliminary injunction, a movant must demonstrate: (1) that he is likely to succeed on the merits; (2) that he is likely to suffer irreparable harm in the absence of preliminary relief; (3) that the balance of equities tips in his favor; and (4) that an injunction is in the public interest.
The typical preliminary injunction is prohibitory and generally seeks only to maintain the status quo pending a trial on the merits.
Plaintiff seeks emergency treatment for his Hepatitis-C infection. However, DPS has demonstrated, and Plaintiff now admits, that he received the "breakthrough" drug treatment he sought and has been cured of Hepatitis-C. Therefore, Plaintiff's motion for preliminary injunction is denied as moot.
As a general matter, class actions are appropriate in § 1983 litigation.
Once the prerequisites under Rule 23(a) are met, the action must next satisfy one of the three alternative sets found within Rule 23(b):
Fed. R. Civ. P. 23(b).
However, the Fourth Circuit does not certify a class where a pro se litigant will act as the representative of that class.
Plaintiff is a pro se prisoner, fails to precisely define the class on whose behalf he wishes to proceed, and has failed to demonstrate he will adequately protect the class' rights.
Because Plaintiff is a prisoner proceeding in forma pauperis, the Court must review the Complaint to determine whether it is subject to dismissal on the grounds that it is "(i) frivolous or malicious; (ii) fails to state a claim on which relief may be granted; or (iii) seeks monetary relief against a defendant who is immune from such relief." 28 U.S.C. § 1915(e)(2)(B). In its frivolity review, a court must determine whether the Complaint raises an indisputably meritless legal theory or is founded upon clearly baseless factual contentions, such as fantastic or delusional scenarios.
A pro se complaint must be construed liberally.
Plaintiff's motion to certify a class has been denied as discussed in Section III, supra.
Moreover, Plaintiff does not have standing to assert claims on behalf of others. For instance, Plaintiff argues that DPS should institute a screening policy for Hepatitis-C, and that DPS's failure to screen and provide breakthrough drug treatment to cure inmates presents a danger of reinfection to uninfected inmates as well as to the general public upon their release. Plaintiff has failed to allege a "concrete and particularized" injury with regards to the foregoing and, therefore, lacks standing to assert these claims.
Therefore, to the extent the Amended Complaint asserts claims on behalf of individuals other than Plaintiff, they are dismissed.
The Eleventh Amendment provides that "[t]he Judicial power of the United States shall not be construed to extend to any suit in law or equity, commenced or prosecuted against one of the United States by Citizens of Another State, or by Citizens of any Foreign State." U.S. Const. Amend. 11. Thus, § 1983 suits against a state, its agencies, and its officials sued in their official capacities for damages are barred absent a waiver by the State or a valid congressional override.
The North Carolina Department of Corrections is not a "person" within the meaning of the State of North Carolina and shares the State's sovereign immunity.
John Doe suits are permissible only against "real, but unidentified, defendants."
Plaintiff attempts to name as Defendants "and any N.C. Dept of Public Safety/Division of Prisons, employees, agents, or representatives whose work place are Mountain View Correctional Institution, Avery Mitchell Correctional Institution and any other prisons operated by the defendants charged with responding to requests for medical care for HCV Infections from now-unknown inmates within the NC prison systems." (Doc. No. 8 at 14). Even if Plaintiff was able to identify the John and Jane Doe Defendants described in the Amended Complaint, the claims against them would be subject to dismissal because they are too vague to state a claim. The Amended Complaint makes no attempt to individually identify the Doe Defendants, does not state a short and plain claim against any of them, and fails to explain how the Doe Defendants' actions, rather than DPS policy, has caused the deprivation of his rights.
Therefore, the claims against the John and Jane Doe Defendants are dismissed.
"[T]he Eighth Amendment's prohibition against `cruel and unusual punishments' [extends] to the treatment of prisoners by prison officials," and "forbids the unnecessary and wanton infliction of pain."
The deliberate indifference standard has two components. The plaintiff must show that he had serious medical needs, which is an objective inquiry, and that the defendant acted with deliberate indifference to those needs, which is a subjective inquiry.
A mere delay or interference with treatment can be sufficient to constitute a violation of the Eighth Amendment.
Allegations that might be sufficient to support negligence and medical malpractice claims do not, without more, rise to the level of a cognizable § 1983 claim.
Plaintiff argues that Defendants were deliberately indifferent to his life-threatening and painful medical condition by refusing breakthrough drug therapy that is the community medical standard of care, for non-medical reasons. Defendants have jointly enforced the Health Service policy and procedure that contravenes clearly established Hepatitis-C professional medical community standard of care. Health Services policy and procedure requires Hepatitis-C positive inmates to develop serious and permanent health complications before breakthrough drugs are provided. While waiting for medical care, Plaintiff's health significantly deteriorated and he now suffers from liver failure. (Doc. No. 8 at 26).
Plaintiff has adequately alleged that his Hepatitis-C viral infections and attendant health consequences are serious medical needs.
He has also adequately alleged that Defendants were deliberately indifferent by enacting and enforcing policies and procedures that have delayed needed treatment based on non-medical reasons, and are purposefully required Plaintiff suffer severe health complications before providing treatment to cure his Hepatitis-C infection.
These allegations state a facially sufficient claim of deliberate indifference to Plaintiff's serious medical needs and this claim will be permitted to proceed.
To establish a prima facie case under Title II of the ADA, a plaintiff must show that: (1) he has a disability; (2) he was either excluded from participation in or denied the benefits of some public entity's services, programs, or activities for which he was otherwise qualified; and (3) such exclusion, denial of benefits, or discrimination was by reason of his disability.
Plaintiff claims that Defendants discriminated against him, caused him to be excluded from participating in programs, and denied him access to services that are available to non-Hepatitis-C infected North Carolina prison system inmates. (Doc. No. 8 at 44). Plaintiff may serve a longer prison sentence because he is being denied gain-time that is available to other inmates.
Plaintiff has stated a facially sufficient claim of discrimination under the ADA and this claim will be permitted to proceed.
To establish a prima facie case under the RA, a plaintiff must prove that: (1) he has a disability; (2) he is otherwise qualified for the benefit in question; and (3) he was excluded from the benefit "due to discrimination solely on the basis of the disability."
Plaintiff alleges that Defendants discriminated against him and caused him to be excluded from participating in programs and denied access to services in the North Carolina prison system, including access to federally funded programs, due to his Hepatitis-C disabilities. (Doc. No. 8 at 48).
These allegations sufficiently state a claim under the RA which will be permitted to proceed.
The Fourteenth Amendment's Equal Protection Clause provides that "[n]o State shall . . . deny to any person within its jurisdiction the equal protection of the laws." U.S. Const. Amend. XIV, § 1.
Plaintiff argues that Defendants are violating equal protection by screening and treating Hepatitis-C in a significantly different manner than it screens and treats HIV/AIDS in North Carolina prisons without a rational medical justification for doing so. (Doc. No. 8 at 38).
To make out an equal protection violation, Plaintiff would have to allege that he was being treated differently from other similarly situated — i.e. Hepatitis-C positive — inmates. Comparing himself to HIV-infected inmates is unavailing because HIV and Hepatitis-C infected inmates suffer from distinct viruses and are not similarly situated. Plaintiff has failed to allege that he is being treated differently from similarly situated individuals, and therefore, he has failed to state an equal protection claim.
The district courts have supplemental jurisdiction over claims that are so related to the claims over which the court has original jurisdiction that they "form part of the same case or controversy under Article III of the United States Constitution." 28 U.S.C. § 1367(a). A court may decline to exercise supplemental jurisdiction if: (1) the claim raises a novel or complex issue of state law; (2) the claim substantially predominates over the claim or claims over which the district court has original jurisdiction; (3) the district court has dismissed all claims over which it has original jurisdiction; or (4) in exceptional circumstances, there are other compelling reasons for declining jurisdiction. 28 U.S.C. § 1367(c)(1)-(4).
Plaintiff seek relief under North Carolina Constitution Article 1, Section 27, which prohibits cruel and unusual punishment, and Article 1, Sections 1, 2, 3, and Article 4, Section 13(1), which provide legal remedies. (Doc. No. 8 at 15).
Plaintiff's federal deliberate indifference claim is being permitted to proceed, and the North Carolina claims are not novel, complex, or substantially predominate the case. Therefore, the Court will exercise supplemental jurisdiction and allow the North Carolina claims to proceed at this time.
The Amended Compliant will be permitted to proceed on Plaintiff's claims of deliberate indifference to a serious medical need, violation of the ADA, violation of the RA, and violations of North Carolina law. The Amended Compliant is dismissed insofar as Plaintiff attempts to obtain relief on behalf of others, against the NC DPS, and against John and Jane Doe Defendants. The motion for mandatory preliminary injunctive relief for immediate provision of "breakthrough" drug treatment is denied as moot.
For the reasons stated herein, Plaintiff's motion for preliminary injunction is denied as moot, and his motion to certify a class is denied. His claims of deliberate indifference to a serious medical need and violations of the ADA and RA have passed initial review, and the Court will exercise supplemental jurisdiction over Plaintiff's North Carolina law claim. The remaining claims will be dismissed.