doctor who examined state employee only once was not a state actor by virtue of having performed that examination
How later courts described this case
- doctor who examined state employee only once was not a state actor by virtue of having performed that examination
- requiring plaintiffs to allege facts sufficient to “raise a right to relief above the speculative level”
- doctor not considered a state actor
- reversing screening dismissal of complaint on state action grounds and calling for factual development
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
TYREE TYQUAN MOY, : CIVIL NO. 1:18-CV-1575
:
Plaintiff : (Chief Judge Conner)
:
v. :
:
KEVIN DEPARLOS, et al., :
:
Defendants :
MEMORANDUM
Plaintiff Tyree Tyquan Moy (“Moy”) is an inmate currently under the
jurisdiction of the Department of Corrections (“DOC”) who was housed at all
relevant times at the Lycoming County Prison, in Williamsport, Pennsylvania. Moy
commenced this action by filing complaint pursuant to 42 U.S.C. § 1983. (Doc. 1).
Moy subsequently filed a supplement to the complaint. (Doc. 8). Named as
defendants are Kevin DeParlos, Brad Shoemaker, Ryan Barnes, Harry Entz, Kim
Poorman, Mayleen Murphy, Erin Dosvack, Aisha Glover, and Andrea Hoover1
(collectively, “Lycoming County defendants”), and William Keenan, M.D. (“Dr.
Keenan”). Before the court are two Rule 12(b) motions (Doc. 30, 31) to dismiss filed
by the Lycoming County defendants and Dr. Keenan, respectively. For the reasons
set forth below, the Lycoming County defendants’ motion (Doc. 30) will be granted
in part and denied in part, and Dr. Keenan’s motion (Doc. 31) will be denied.
1 Andrea Hoover has not yet been properly served or joined as a defendant in
this action. An appropriate service order shall issue on this date.
I. Allegations of the Complaint
Moy was committed to the Lycoming County Prison on November 29, 2017.
(Doc. 1, at 4). Moy claims that he is allergic to onions, someone at the prison hide
onions in his food, and he received inadequate medical treatment for an allergic
reaction to the onions. (Id. at 10). Moy also alleges that unnamed maintenance staff
at the prison sawed metal objects, causing smoke and fire, which he inhaled. (Id.)
Moy alleges that he received inadequate medical treatment for the smoke
inhalation. (Id.)
Defendant DeParlos, in his role as Warden of the prison, was allegedly
responsible for the conduct of all defendants and operations of the prison until May
2018. (Doc. 1, at 11; Doc. 8, at 1). Moy alleges that defendant DeParlos denied his
grievance regarding a denial of access to the courts claim. (Doc. 8, at 5, ¶ 7).
Moy states that defendant Shoemaker was named Warden in May 2018 and
became responsible for the conduct of all defendants and the operations of the
prison from that date forward. (Doc. 1, at 11; Doc. 8, at 1). Moy asserts that
defendant Shoemaker denied his grievance regarding a denial of access to the
courts claim. (Doc. 8, at 5, ¶ 7). Moy states that defendant Barnes assumed the role
of Deputy Warden in May 2018 and was “accountable” for all defendants. (Doc. 8, at
1). Moy also states that defendants Shoemaker and Barnes arrived at his cell-block
after he engaged in a fight with another inmate. (Doc. 8, at 6, ¶ 10).
2
Moy alleges that defendant Entz was a first shift supervisor. (Doc. 8, at 1).
After Moy had an allergic reaction to eating “hidden onions”, defendant Entz
escorted him to the Special Management Unit (“SMU”). (Doc. 1, at 9; Doc. 8, at 11).
Moy alleges that, in December 2017, defendant nurse Poorman ordered the
removal of a nebulizer machine from his cell. (Doc. 1, at 10; Doc. 8, at 2 ¶ 2). He
further asserts that all defendants were under her supervision. (Doc. 8, at 9 ¶ 14).
Moy alleges that defendant nurse Murphy provided inadequate medical care
by denying and delaying medical treatment to him. (Doc. 1, at 9).
In January 2018, Moy claims that he choked on and spit up a two-inch
chicken bone that was hidden inside his mashed potatoes. (Doc. 8, at 4, ¶ 5). He
reported the event to prison staff and gave staff the chicken bone. (Id.) Defendant
nurse Dosvack was the nurse at the prison that day and Moy alleges that she did not
provide any treatment to him. (Id.) Moy further asserts that defendant Dosvack
administered eye drops to his eye through the cell bars, and, because she was not
paying attention to what she was doing, she poked him in the eye, causing pain and
infection. (Doc. 1, at 11; Doc. 8, at 7-8, ¶ 11). Also in January 2018, Moy alleges that
defendant Dosvack provided untimely treatment after he suffered an allergic
reaction to onions. (Doc. 1, at 10). In June 2018, after Moy had another allergic
reaction to eating hidden onions, defendant Dosvack treated him with Benadryl,
and performed an oxygen test on him but failed to check his lungs. (Doc. 8, at 11, ¶
16).
3
Moy alleges that defendant nurse Glover provided inadequate medical care
for a swollen eye he suffered after a fight with another inmate, and failed to send
him for treatment at an outside hospital. (Doc. 1, at 10-11; Doc. 8, at 6, ¶ 10). He
further alleges that she provided untimely medical care after he had an allergic
reaction to hidden onions. (Id.)
Moy alleges that defendants Poorman, Murphy, Dosvack, and Glover
administered eye drops without wearing gloves, they had dirt and bacteria on their
fingers, and had painted finger nails, which contaminated the eye drops, causing
pain, infection, and redness. (Doc. 8, at 13, ¶ 18).
Moy alleges that defendant Dr. Keenan was the head doctor responsible for
the actions of the prison medical staff. (Doc. 8, at 1). He avers that Dr. Keenan
denied him eye drops that were prescribed to help heal his detached retina. (Id. at
2).
II. Legal Standard
Rule 12(b)(6) of the Federal Rules of Civil Procedure provides for the
dismissal of complaints that fail to state a claim upon which relief can be granted.
FED. R. CIV. P. 12(b)(6). When ruling on a motion to dismiss under Rule 12(b)(6), the
court must “accept as true all [factual] allegations in the complaint and all
reasonable inferences that can be drawn therefrom, and view them in the light most
favorable to the plaintiff.” Kanter v. Barella, 489 F.3d 170, 177 (3d Cir. 2007)
(quoting Evancho v. Fisher, 423 F.3d 347, 350 (3d Cir. 2005)). Although the court is
generally limited in its review to the facts contained in the complaint, it “may also
4
consider matters of public record, orders, exhibits attached to the complaint and
items appearing in the record of the case.” Oshiver v. Levin, Fishbein, Sedran &
Berman, 38 F.3d 1380, 1384 n. 2 (3d Cir. 1994); see also In re Burlington Coat
Factory Sec. Litig., 114 F.3d 1410, 1426 (3d Cir. 1997).
Federal notice and pleading rules require the complaint to provide “the
defendant notice of what the . . . claim is and the grounds upon which it rests.”
Phillips v. Cty. of Allegheny, 515 F.3d 224, 232 (3d Cir. 2008) (quoting Bell Atl. Corp.
v. Twombly, 550 U.S. 544, 555 (2007)). To test the sufficiency of the complaint in the
face of a Rule 12(b)(6) motion, the court must conduct a three-step inquiry. See
Santiago v. Warminster Twp., 629 F.3d 121, 130-31 (3d Cir. 2010). In the first step,
“the court must ‘tak[e] note of the elements a plaintiff must plead to state a claim.’”
Id. (quoting Ashcroft v. Iqbal, 556 U.S. 662, 675 (2009)). Next, the factual and legal
elements of a claim should be separated; well-pleaded facts must be accepted as
true, while mere legal conclusions may be disregarded. Id.; see also Fowler v.
UPMC Shadyside, 578 F.3d 203, 210-11 (3d Cir. 2009). Once the well-pleaded factual
allegations have been isolated, the court must determine whether they are sufficient
to show a “plausible claim for relief.” Iqbal, 556 U.S. at 679 (citing Twombly, 550
U.S. at 556); Twombly, 550 U.S. at 555 (requiring plaintiffs to allege facts sufficient
to “raise a right to relief above the speculative level”). A claim “has facial
plausibility when the plaintiff pleads factual content that allows the court to draw
the reasonable inference that the defendant is liable for the misconduct alleged.”
Iqbal, 556 U.S. at 678.
5
III. Lycoming County Defendants’ Motion
A. Deliberate Indifference to Medical Needs2
In order to establish an Eighth Amendment medical claim, a plaintiff “must
show (i) a serious medical need, and (ii) acts or omissions by prison officials that
indicate deliberate indifference to that need.” Natale v. Camden Cty. Correctional
Facility, 318 F.3d 575, 582 (3d Cir. 2003) (citing Rouse v. Plantier, 182 F.3d 192, 197
(3d Cir. 1999)). A serious medical need is “one that has been diagnosed by a
physician as requiring treatment or one that is so obvious that a lay person would
recognize the necessity for a doctor’s attention.” Monmouth Cty. Corr. Institutional
Inmates v. Lanzaro, 834 F.2d 326, 347 (3d Cir. 1987). In addition, “if unnecessary
and wanton infliction of pain results as a consequence of denial or delay in the
provision of adequate medical care, the medical need is of the serious nature
contemplated by the eighth amendment.” Id. (citation omitted). A prison official
acts with deliberate indifference to an inmate’s serious medical needs when he
“knows of and disregards an excessive risk to inmate health or safety; the official
must both be aware of facts from which the inference could be drawn that a
2 Moy’s claims are based on his status as a pretrial detainee. Pretrial
detainees are protected by the Due Process Clause of the Fourteenth Amendment,
not the Cruel and Unusual Punishment Clause of the Eighth Amendment. See Bell
v. Wolfish, 441 U.S. 520, 535 n.16 (1979). However, the Fourteenth Amendment
provides “at least as much protection as does the Eighth Amendment,” and in cases
involving allegations of inadequate medical care, the Third Circuit Court of Appeals
typically reviews both claims using the Eighth Amendment standard. Gannaway v.
Berks Cnty. Prison, 439 F. App’x 86, 89 n.2 (3d Cir. 2011) (nonprecedential) (citing
Natale v. Camden Cnty. Corr. Facility, 318 F.3d 575, 583 (3d Cir. 2003)). Thus, the
court will address Moy’s claims pursuant to the Eighth Amendment standard.
6
substantial risk of serious harm exists, and he must also draw the inference.”
Farmer v. Brennan, 511 U.S. 825, 837 (1994). A mere difference of opinion between
the prison’s medical staff and the inmate regarding the diagnosis or treatment
which the inmate receives does not support a claim of cruel and unusual
punishment. See Farmer v. Carlson, 685 F. Supp. 1335, 1339 (M.D. Pa. 1988); see
also McCracken v. Jones, 562 F.2d 22, 24 (10th Cir. 1977); Smart v. Villar, 547 F.2d
112, 113 (10th Cir. 1976), cert. denied, 450 U.S. 1041 (1981).
Individual liability can be imposed under Section 1983 only if the state actor
played an “affirmative part” in the alleged misconduct and “cannot be predicated
solely on the operation of respondeat superior.” Evancho v. Fisher, 423 F.3d 347,
353 (3d Cir. 2005) (quoting Rode v. Dellarciprete, 845 F.2d 1195, 1207 (3d Cir. 1998)).
“A defendant in a civil rights action must have personal involvement in the alleged
wrongs. . . . Personal involvement can be shown through allegations of personal
direction or of actual knowledge and acquiescence.” Rode, 845 F.2d at 1207-08; see
also Rizzo v. Goode, 423 U.S. 362 (1976); Atkinson v. Taylor, 316 F.3d 257 (3d Cir.
2003). Such allegations, however, must be made with appropriate particularity in
that a complaint must allege the particulars of conduct, time, place, and person
responsible. Evancho, 423 F.3d at 354; Rode, 845 F.2d at 1207-08. Alleging a mere
hypothesis that an individual defendant had personal knowledge or involvement in
depriving the plaintiff of his rights is insufficient to establish personal involvement.
Rode, 845 F.2d at 1208.
7
1. Defendants DeParlos, Shoemaker, and Barnes
With respect to former Warden DeParlos, Warden Shoemaker, and Deputy
Warden Barnes, it appears that Moy attempts to hold these defendants liable based
on their supervisory roles. (See Doc. 8, at 1, alleging that defendants DeParlos,
Shoemaker, and Barnes are “responsible for all defendants”). However, it is well-
established that officials may not be held liable for unconstitutional conduct of their
subordinates under a theory of respondeat superior. See Rode, 845 F.2d at 1207.
Accordingly, to the extent that Moy’s deliberate indifference claim relies on a
respondeat superior theory of liability against defendants DeParlos, Shoemaker, and
Barnes, these claims will be dismissed.
Additionally, for purposes of Eighth Amendment medical claims, nonmedical
staff may not be “considered deliberately indifferent simply because they failed to
respond directly to the medical complaints of a prisoner who was already being
treated by the prison doctor.” Durmer v. O’Carroll, 991 F.2d 64, 69 (3d Cir. 1993).
“If a prisoner is under the care of medical experts . . . , a non-medical prison official
will generally be justified in believing that the prisoner is in capable hands.” Spruill
v. Gillis, 372 F.3d 218, 236 (3d Cir. 2004). Courts have repeatedly held that, absent
some reason to believe that prison medical staff are mistreating prisoners, non-
medical corrections staff who refer inmate medical complaints to physicians may
not be held personally liable for medically-based Eighth Amendment claims. See,
e.g., id. at 236-37 (citing Durmer, 991 F.2d at 69). Moreover, a claim of a
constitutional deprivation cannot be premised merely on the fact that the named
8
defendant was the prison warden, or a prison supervisor, when the incidents set
forth in the complaint occurred. See Rode, 845 F.2d at 1207.
With respect to these nonmedical defendants, Moy fails to establish a viable
claim. Defendant DeParlos is the former Warden of the Lycoming County Prison,
defendant Shoemaker is the current Warden, and defendant Barnes is the Deputy
Warden. They are not trained members of the medical staff subject to liability for
an Eighth Amendment claim. Moy has not set forth any allegations that these
corrections defendants provided him with medical care, refused to provide medical
care, or prevented him from receiving medical care; nor has he established that
these corrections defendants were aware of or acquiesced in purported Eighth
Amendment violations. Because Moy was under the regular care of medical
experts, the nonmedical defendants were justified in believing that he was in
capable hands. See Spruill, 372 F.3d at 236; Durmer, 991 F.2d at 69.
To the extent that Moy attempts to hold defendants DeParlos and Shoemaker
liable based on their involvement in the grievance procedure, this claim also fails.
The “failure of a prison official to provide a favorable response to an inmate
grievance is not a federal constitutional violation.” Flanagan v. Shively, 783 F.
Supp. 922, 931-32 (M.D. Pa. 1992), aff’d, 980 F.2d 722 (3d Cir. 1992). Thus, insofar as
defendants DeParlos and Shoemaker are sued in their capacity for denying Moy’s
grievance, dissatisfaction with responses to an inmate’s grievances does not support
a constitutional claim. See Alexander v. Gennarini, 144 F. App’x 924 (3d Cir. 2005)
(concluding that involvement in the post-incident grievance process is not a basis
9
for § 1983 liability); Cole v. Sobina, 2007 WL 4460617, at *5 (W.D. Pa. 2007) (“[M]ere
concurrence in a prison administrative appeal process does not implicate a
constitutional concern.”).
2. Defendant Entz
Moy alleges that defendant Entz, in his role as supervisor, escorted Moy to
the SMU after he was treated by medical for an allergic reaction he suffered after
eating onions. (Doc. 1, at 9; Doc. 8, at 11). Moy has failed to establish that defendant
Entz was personally involved in the alleged violation of his constitutional rights. To
the extent that Entz is sued based on his supervisory role, this claim fails. Any
attempt by Moy to hold defendant Entz liable for the actions of his subordinates is
essentially an assertion of respondeat superior liability which seeks to hold this
defendant liable based on his supervisory role. See Rode, 845 F.2d at 1207. For
these reasons, the allegations against Entz will be dismissed based on lack of
personal involvement in the alleged wrongful conduct.
3. Defendants Poorman, Murphy, Dosvack, and Glover
Moy asserts that his Eighth Amendment rights were violated when defendant
Poorman ordered the removal of a nebulizer machine from his cell, despite knowing
he suffered from asthma. (Doc. 1, at 10; Doc. 8, at 2 ¶ 2). He claims that he was
discriminated against because another inmate was allowed to keep a similar
machine in a different cell. (Id.) He further asserts that defendant Poorman
supervised “all defendants.” (Doc. 8, at 9 ¶ 14).
10
Moy next alleges that defendant Murphy denied and delayed medical
treatment during his confinement at the Lycoming County Prison. (Doc. 1, at 9).
With respect to defendant Dosvack, Moy alleges that she provided untimely
treatment for an allergic reaction, she failed to treat him after he choked on a
chicken bone and, after he had an allergic reaction to eating hidden onions, she
treated him with Benadryl, and performed an oxygen test, but did not check his
lungs. (Doc. 1, at 10; Doc. 8, at 4, ¶ 5; Doc. 8, at 11, ¶ 16). Moy also alleges that
defendant Dosvack administered eye drops to his eye through the cell bars and,
because she was not paying attention, she poked him in the eye, causing pain and
infection. (Doc. 1, at 11; Doc. 8, at 7-8, ¶ 11).
Moy alleges that after he was assaulted by a fellow inmate, he was escorted to
the medical department and treated by defendant Glover, who provided an ice pack
and antibiotic ointment. (Doc. 1, at 11; Doc. 8, at 6). Moy further alleges that
defendant Glover provided medical care approximately one hour after he had an
allergic reaction to onions. (Doc. 1, at 10).
Lastly, Moy alleges that defendants Poorman, Murphy, Dosvack, and Glover
administered eye drops without wearing gloves, they had dirt and bacteria on their
fingers, and had painted finger nails, which contaminated the eye drops. (Doc. 8, at
13, ¶ 18). He alleges that the nurses’ failure to wear gloves while dispensing the eye
drops caused an infection, pain, and redness. (Id.)
At this stage of the litigation, where the court is limited to an assessment of
the pleadings, the court must deny the motion to dismiss the claims against
11
defendants Poorman, Murphy, Dosvack, and Glover. A review of the complaint
reveals that Moy has made detailed factual assertions, alleging that these
defendants removed a nebulizer machine from his cell, provided inadequate and
untimely medical care, and administered eye drops without wearing gloves, causing
pain and infection. The court finds that these factual recitals are sufficient to state
a viable Eighth Amendment claim.
B. Monell Liability3
A municipality may be held liable under § 1983 “if the governmental body
itself ‘subjects’ a person to a deprivation of constitutional rights or ‘causes’ a person
‘to be subjected’ to such deprivation.” Connick v. Thompson, 563 U.S. 51, 60 (2011)
(quoting Monell, 436 U.S. at 692). Thus, a plaintiff seeking to impose constitutional
liability on a municipality must meet the difficult burden of proving that “action
pursuant to official municipal policy” caused their injury. Monell, 436 U.S. at 691,
694. This requires the plaintiff to identify an official or unofficial municipal policy—
including “decisions of a government’s lawmakers, the acts of its policymaking
officials, and practices so persistent and widespread as to practically have the force
of law,” Connick, 563 U.S. at 61 (citations omitted), and demonstrate that said policy
was the “moving force” behind his injury, Berg v. Cty. of Allegheny, 219 F.3d 261,
275-76 (3d Cir. 2000) (quoting Bd. of Cty. Comm’rs v. Brown, 520 U.S. 397, 404
(1997)).
3 Although Moy does not title his claim as a Monell claim, defendants address
these allegations in their motion to dismiss as a Monell claim because Moy sets forth
policy-based claims.
12
Additionally, the absence of a policy may provide the basis for a Monell claim
if sufficiently pled. In Natale, the Third Circuit determined that a prison with “no
policy ensuring that an inmate having need of medication for a serious medical
condition would be given that medication during the first 72 hours of . . .
incarceration” was a “‘particular[ly] glaring omission’ in a program of medical
care.” Natale, 318 F.3d at 584-85 (quoting Brown, 520 U.S. at 410-11).
Moy alleges that defendants violated various prison policies and procedures.
(Doc. 8, at 7-8, 14). He asserts that defendants violated prison policy by failing to
promptly refer him to an eye doctor, and that the defendant nurses violated prison
rules and procedures by administering eye drops without wearing gloves. (Id.) Moy
claims that the alleged deficiency in his medical treatment is the result of
defendants’ failure to follow prison policies. Moy adequately claims that defendants
failed to follow prison policies and procedures when rendering medical treatment to
him. In light of these allegations, the motion to dismiss Moy’s Monell claim will be
denied.
IV. Dr. Keenan’s Motion
A. Legal and Factual Considerations Preclude a Finding at this Time
that Dr. Keenan was not a State Actor
As a threshold matter, Dr. Keenan argues that the section 1983 claim against
him fails because Moy has not alleged any facts to indicate that he was a state actor.
(Doc. 32, at 6-8). In support of this argument, Dr. Keenan asserts that Moy failed to
allege that he ever had any contact or involvement with Moy at the prison, and
13
there are no facts to suggest that Dr. Keenan had any role at, or on behalf of, the
prison. (Id.)
“To state a claim under 42 U.S.C. § 1983, a plaintiff must allege a person
acting under color of state law engaged in conduct that violated a right protected by
the Constitution or laws of the United States.” Morrow v. Balaski, 719 F.3d 160, 165-
66 (3d Cir. 2013). A private party may be regarded as a “a federal actor . . . under
one of three interrelated theories of government action: (i) the ‘public function’ test,
(ii) the ‘close nexus’ test and (iii) the ‘symbiotic relationship’ test.” Brown v. Philip
Morris Inc., 250 F.3d 789, 801 (3d Cir. 2001). Under any test, “[t]he inquiry is fact-
specific.” Groman v. Twp. of Manalapan, 47 F.3d 628, 638 (3d Cir. 1995). In making
this very “fact-specific” state action determination “the focus of our inquiry is not
on whether the state exercises control over a putative state actor as a general
matter, but whether the state has exercised control over the particular conduct that
gave rise to the plaintiff's alleged constitutional deprivation.” Kach v. Hose, 589
F.3d 626, 649 (3d Cir. 2009).
With respect to medical services provided to inmates, it is clear that private
physicians who are contracted to provide health care services inside prison walls
will be considered state actors. In West v. Adkins, 487 U.S. 42, 108 S.Ct. 2250, 101
L.Ed.2d 40 (1988) the Supreme Court expressly extended § 1983 liability to private
physicians who contract to provide medical services inside prisons. The West
Court rejected a claim that this contractual relationship was insufficient to make
the private doctors state actors, and held that:
14
The fact that the State employed [the doctor] pursuant to a contractual
arrangement that did not generate the same benefits or obligations
applicable to other “state employees” does not alter the analysis. It is
the physician’s function within the state system, not the precise terms
of his employment, that determines whether his actions can fairly be
attributed to the State. Whether a physician is on the state payroll or
is paid by contract, the dispositive issue concerns the relationship
among the State, the physician, and the prisoner. Contracting out
prison medical care does not relieve the State of its constitutional duty
to provide adequate medical treatment to those in its custody, and it
does not deprive the State’s prisoners of the means to vindicate their
Eighth Amendment rights. The State bore an affirmative obligation to
provide adequate medical care to [the prisoner]; the State delegated
that function to [a doctor]; and respondent [doctor] voluntarily
assumed that obligation by contract.
West, 487 U.S. at 55-56.
However, it is unsettled whether a doctor who works for a private medical
facility can nonetheless be considered a state actor for having treated a prisoner.
Compare Conner v. Donnelly, 42 F.3d 220 (4th Cir. 1994) (doctor considered state
actor) with Nunez v. Horn, 72 F. Supp. 2d 24 (N.D.N.Y. 1999) (doctor not considered
a state actor). See also Collyer v. Darling, 98 F.2d 211 (6th Cir. 1996) (doctor who
examined state employee only once was not a state actor by virtue of having
performed that examination). Many courts have thus held that the issue of whether
a private physician’s actions amount to state action for purposes of 42 U.S.C. § 1983
liability may not be resolved on a motion to dismiss, but rather requires
development of a factual record. See, e.g., Rodriguez v. Plymouth Ambulance, 577
F.3d 816 (7th Cir. 2009) (reversing screening dismissal of complaint on state action
grounds and calling for factual development); Tatsch-Corbin v. Feathers, 561
F.Supp.2d 538 (W.D. Pa. 2008) (denying motion to dismiss private physician on state
15
action grounds); see also Kach, 589 F.3d at 646 (noting that the state action inquiry
is “fact-specific”).
Moy alleges that all defendants were acting under color of state law, Dr.
Keenan is the head prison doctor, and that Dr. Keenan denied his previously
prescribed eye drops. (Doc. 8, at 1-4, 7, 9, 12, 14). Viewing the complaint in the light
most favorable to Moy, the court concludes that Moy adequately alleges that Dr.
Keenan is a state actor. The motion to dismiss Dr. Keenan on state action grounds
will be denied.
B. Deliberate Indifference to Medical Needs
Moy alleges that Dr. Keenan, as head prison doctor with decision making
authority over medical treatment at the Lycoming County Prison, violated federal
law when he was deliberately indifferent to his serious medical needs. (Doc. 8, at 1).
Prison medical personnel may be found to have acted with deliberate indifference
where they “prevent[ed] an inmate from receiving recommended treatment for
serious medical needs.” Lanzaro, 834 F.2d at 346-47. Moy can also establish
deliberate indifference by alleging facts showing that Dr. Keenan “den[ied]
reasonable requests for medical treatment . . . and such denial expose[d] [him] to
undue suffering or the threat of tangible residual injury.” Id. If the alleged
inadequate care “was a result of an error in medical judgment,” then Moy’s claims
must fail. Durmer, 991 F.2d at 69. If, however, the failure to provide adequate care
was deliberate, and motivated by non-medical factors, then Moy’s claims are
actionable.
16
Moy sufficiently alleges deliberately indifferent conduct by Dr. Keenan. Moy
asserts that he arrived at the Lycoming County Prison with three different
prescription eye drops to treat a detached retina. (Doc. 1, at 9; Doc. 8, at 2). Moy
alleges that Dr. Keenan refused to provide his prescribed eye drops. (Doc. 8, at 2).
Without the eye drops, Moy alleges that his eye became infected, painful, and red.
(Id.) In accepting all facts alleged in the complaint as true, and construing them in
the light most favorable to Moy, the court finds that the complaint adequately
alleges a claim against Dr. Keenan in violation of Moy’s constitutional rights.
Therefore, the court will deny Dr. Keenan’s motion to dismiss.
V. Conclusion
For the reasons set forth above, the Lycoming County defendants’ motion
(Doc. 30) will be granted in part and denied in part. The motion (Doc. 31) filed on
behalf of Dr. Keenan will be denied. An appropriate order shall issue.
/S/ CHRISTOPHER C. CONNER
Christopher C. Conner, Chief Judge
United States District Court
Middle District of Pennsylvania
Dated: September 5, 2019