holding that “New Jersey Prison Medical Department” was a state agency and not a “person” under Section 1983
How later courts described this case
- holding that “New Jersey Prison Medical Department” was a state agency and not a “person” under Section 1983
- finding that PrimeCare is not a “person for purposes of Section 1983” and thus not subject to liability under that statute
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
KEVIN S. PERRY, No. 4:24-CV-00017
Plaintiff, (Chief Judge Brann)
v.
GREGORY C. BRIGGS, et al.,
Defendants.
MEMORANDUM OPINION
APRIL 18, 2024
Plaintiff Kevin S. Perry filed the instant pro se civil rights lawsuit alleging
constitutional and state-law torts by Dauphin County Prison officials. His Section
19831 claims sound in deliberate indifference to serious medical needs in violation
of the Eighth Amendment. Perry’s initial complaint was dismissed for failure to
state a claim for relief pursuant to 28 U.S.C. § 1915A(b)(1). His amended
complaint likewise suffers from material pleading deficiencies and must be
dismissed under Section 1915A(b)(1) as well.
I. STANDARDS OF REVIEW
Courts are statutorily obligated to review, “as soon as practicable,” pro se
prisoner complaints targeting governmental entities, officers, or employees.2 One
1 42 U.S.C. § 1983. Section 1983 creates a private cause of action to redress constitutional
wrongs committed by state officials. The statute is not a source of substantive rights; it serves
as a mechanism for vindicating rights otherwise protected by federal law. See Gonzaga Univ.
v. Doe, 536 U.S. 273, 284-85 (2002).
basis for dismissal at the screening stage is if the complaint “fails to state a claim
upon which relief may be granted[.]”3 This language closely tracks Federal Rule
of Civil Procedure 12(b)(6). Accordingly, courts apply the same standard to
screening a pro se prisoner complaint for sufficiency under Section 1915A(b)(1) as
they utilize when resolving a motion to dismiss under Rule 12(b)(6).4
In deciding a Rule 12(b)(6) motion to dismiss, courts should not inquire
“whether a plaintiff will ultimately prevail but whether the claimant is entitled to
offer evidence to support the claims.”5 The court must accept as true the factual
allegations in the complaint and draw all reasonable inferences from them in the
light most favorable to the plaintiff.6 In addition to the facts alleged on the face of
the complaint, the court may also consider “exhibits attached to the complaint,
matters of public record, as well as undisputedly authentic documents” attached to
a defendant’s motion to dismiss if the plaintiff’s claims are based upon these
documents.7
3 Id. § 1915A(b)(1).
4 See Grayson v. Mayview State Hosp., 293 F.3d 103, 109-10 & n.11 (3d Cir. 2002); O’Brien
v. U.S. Fed. Gov’t, 763 F. App’x 157, 159 & n.5 (3d Cir. 2019) (per curiam) (nonprecedential);
cf. Allah v. Seiverling, 229 F.3d 220, 223 (3d Cir. 2000).
5 Scheuer v. Rhodes, 416 U.S. 232, 236 (1974); see Nami v. Fauver, 82 F.3d 63, 66 (3d Cir.
1996).
6 Phillips v. County of Allegheny, 515 F.3d 224, 229 (3d Cir. 2008).
7 Mayer v. Belichick, 605 F.3d 223, 230 (3d Cir. 2010) (citing Pension Benefit Guar. Corp.
v. White Consol. Indus., 998 F.2d 1192, 1196 (3d Cir. 1993)).
When the sufficiency of a complaint is challenged, the court must conduct a
three-step inquiry.8 At step one, the court must “tak[e] note of the elements [the]
plaintiff must plead to state a claim.”9 Second, the court should distinguish well-
pleaded factual allegations—which must be taken as true—from mere legal
conclusions, which “are not entitled to the assumption of truth” and may be
disregarded.10 Finally, the court must review the presumed-truthful allegations
“and then determine whether they plausibly give rise to an entitlement to relief.”11
Deciding plausibility is a “context-specific task that requires the reviewing court to
draw on its judicial experience and common sense.”12
Because Perry proceeds pro se, his pleadings are to be liberally construed
and his amended complaint, “however inartfully pleaded, must be held to less
stringent standards than formal pleadings drafted by lawyers[.]”13 This is
particularly true when the pro se litigant, like Perry, is incarcerated.14
II. DISCUSSION
The gravamen of Perry’s lawsuit is alleged deliberate indifference to serious
medical needs by Dauphin County Prison officials. In his original complaint, he
8 Connelly v. Lane Const. Corp., 809 F.3d 780, 787 (3d Cir. 2016) (internal citations and
quotation marks omitted) (footnote omitted).
9 Id. (quoting Ashcroft v. Iqbal, 556 U.S. 662, 675 (2009) (alterations in original)).
10 Id. (quoting Iqbal, 556 U.S. at 679).
11 Id. (quoting Iqbal, 556 U.S. at 679).
12 Iqbal, 556 U.S. at 681.
13 Erickson v. Pardus, 551 U.S. 89, 94 (2007) (per curiam) (citations omitted).
14 Dooley v. Wetzel, 957 F.3d 366, 374 (3d Cir. 2020) (citation omitted).
named five defendants: Warden Gregory C. Briggs, Deputy Warden Lionell Pierre,
Health Service Administrator Justin M. Lensbower, Deputy Warden LeValley, and
PrimeCare Medical, Inc.15 However, that complaint was deficient primarily
because Perry had failed to plead personal involvement for any Defendant.16 Perry
also sued a business entity (PrimeCare) that is not a “person” for purposes of
Section 1983 liability.17 The Court dismissed Perry’s Section 1983 claims and
granted him leave to amend.18
Perry filed an untimely amended pleading that the Court will treat as timely
filed. Upon review of Perry’s amended complaint, he once again fails to state a
claim upon which relief may be granted with respect to his Section 1983 claims.
A. Eighth Amendment Medical Indifference
In the context of prison medical care, the Eighth Amendment “requires
prison officials to provide basic medical treatment to those whom it has
incarcerated.”19 To state an Eighth Amendment deliberate indifference claim
regarding inadequate medical care, a plaintiff must plausibly plead “(i) a serious
medical need, and (ii) acts or omissions by prison officials that indicate deliberate
15 See Doc. 1 at 2-3. Perry does not specifically name the defendants in his amended complaint,
despite being directed to do so. Thus, it is assumed that his amended complaint targets the
same five defendants as his original complaint. Perry discusses other medical providers at
Dauphin County Prison in his amended complaint, (see id. at 3), but does not state whether he
is suing any of those providers.
16 See Doc. 7 at 5-6, 8.
17 See id. at 6-7.
18 See id. at 8-9.
19 Rouse v. Plantier, 182 F.3d 192, 197 (3d Cir. 1999).
indifference to that need.”20 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 easily recognize the necessity for a doctor’s attention.”21
Deliberate indifference by prison officials may be evidenced by intentional
refusal to provide care known to be medically necessary, delayed provision of
medical treatment for non-medical reasons, denial of prescribed medical treatment,
or denial of reasonable requests for treatment resulting in suffering or risk of
injury.22 Deliberate indifference to serious medical needs is an exacting standard,
requiring a showing of “unnecessary and wanton infliction of pain.”23 Claims
sounding in mere medical negligence will not suffice.24
Initially, Perry’s amended complaint fails to identify a serious medical need.
In his original complaint, he discussed a severe toe infection that he claims was not
properly treated,25 but none of those allegations appear in his amended complaint.
Perry does not expressly incorporate or adopt his earlier pleading, and it is well
settled that “the amended complaint supersedes the original and renders it of no
legal effect, unless the amended complaint specifically refers to or adopts the
20 Natale v. Camden Cnty. Corr. Facility, 318 F.3d 575, 582 (3d Cir. 2003).
21 Monmouth Cnty. Corr. Inst. Inmates v. Lanzaro, 834 F.2d 326, 347 (3d Cir. 1987).
22 See Durmer v. O’Carroll, 991 F.2d 64, 68 & n.11 (3d Cir. 1993) (quoting Lanzaro, 834 F.2d
at 346).
23 Estelle v. Gamble, 429 U.S. 97, 104 (1976) (citation omitted).
24 Rouse, 182 F.3d at 197.
25 See Doc. 1 at 5.
earlier pleading.”26 Accordingly, the amended complaint fails to state the first
element of a medical indifference claim.
Next, Perry’s allegations against the individual Defendants fail to rise to the
level of deliberate indifference. As to Health Care Administrator Lensbower,
Perry asserts that he was “facially negligent” and “took no personal interest in
giving [Perry] his best interest despite knowing about [and] spearheading medical
services within the facility[,] subjecting [Perry] to 8th [A]mendment violations.”27
These allegations are mostly legal conclusions, which must be disregarded.28 The
single allegation that is not a legal conclusion—i.e., that Lensbower “took no
personal interest in giving [Perry] his best interest”—does not even state a
negligence claim, much less an Eighth Amendment violation.
Perry then discusses his interactions with Warden Briggs, Deputy Warden
Pierre, and Deputy Warden LeValley. He broadly alleges that “all 3 were
negligent” and “failed to address the concern with medical care.”29 Perry
maintains that he wrote to each of these Defendants about his medical problems
before initiating the grievance process “and they all induced the negligence by not
doing more to help secure adequate medical care” for him.30
26 W. Run Student Hous. Assocs. v. Huntington Nat’l Bank, 712 F.3d 165, 171 (3d Cir. 2013)
(alteration in original) (citation omitted).
27 Doc. 9 at 3.
28 Connelly, 809 F.3d at 787.
29 Doc. 9 at 4.
30 Id.
These allegations do not reflect deliberate indifference to a serious medical
need. First, Perry continually references negligence, which is not the standard for
an Eighth Amendment violation. Second, these high-level prison officials are not
medical providers. Perry, whose amended complaint clearly indicates that he was
under the care of multiple medical providers,31 has not indicated why the warden’s
and deputy wardens’ purported conduct rose to the level of deliberate indifference.
“[A]bsent a reason to believe (or actual knowledge) that prison doctors or their
assistants are mistreating (or not treating) a prisoner, a non-medical prison official
. . . will not be chargeable with the Eighth Amendment scienter requirement of
deliberate indifference.”32
Perry alleges that he sent a request slip to the warden and deputy wardens
about his medical needs “asking for help.”33 But simply sending a request slip, by
itself, does not indicate that the prison officials were deliberately indifferent to a
serious medical need. For example, Perry does not state what he told these prison
officials, when he contacted them, or how long his care allegedly continued to be
deficient following his request slips to them.
Perry provides more detail with respect to Deputy Warden LeValley. He
claims that he spoke to LeValley “in person” and that his family members
31 See id. at 3.
32 Spruill v. Gillis, 372 F.3d 218, 236 (3d Cir. 2004).
33 See Doc. 9 at 4.
contacted the prison and spoke with LeValley as well.34 Perry alleges that
LeValley was asked to “do a welfare check” on him but that no welfare check was
ever performed.35 These allegations, however, do not indicate that LeValley was
ever made aware of a serious medical need or that he was deliberately indifferent
to that need.
The Court observes that, between Perry’s original and amended complaints,
it appears that he could be able to plausibly state an Eighth Amendment medical
indifference claim against one or more prison officials or medical providers at
Dauphin County Prison. However, his pleadings continue to suffer from material
deficiencies, as explained above. Thus, the Court will give Perry one final
opportunity to provide a comprehensive pleading that includes all the elements of
an Eighth Amendment medical indifference claim.
B. “Person” for Section 1983
To state a claim under 42 U.S.C. § 1983, a plaintiff must allege “the
violation of a right secured by the Constitution and laws of the United States, and
must show that the alleged deprivation was committed by a person acting under
color of state law.”36 Only “persons” are subject to suit under Section 1983, and
34 Id. at 4-5.
35 Id.
36 Rehberg v. Paulk, 566 U.S. 356, 361 (2012) (emphasis added) (citing Imbler v. Pachtman, 424
U.S. 409, 417 (1976) (citing 42 U.S.C. § 1983)).
entities such as prisons, medical departments, or private medical companies
generally do not qualify as “persons” for purposes of Section 1983.37
Accordingly, any Section 1983 claim against defendant PrimeCare Medical
Inc., must again be dismissed, as PrimeCare is not a person subject to Section 1983
liability. Moreover, Perry once more fails to allege an unconstitutional policy or
custom by PrimeCare such that a Section 1983 suit could be maintained against it
through its connection with the county.38 In fact, Perry does not even mention
PrimeCare in his amended complaint, and therefore dismissal this time will be with
prejudice.
C. Leave to Amend
Generally, “plaintiffs who file complaints subject to dismissal under [the
Prison Litigation Reform Act of 1995] should receive leave to amend unless
amendment would be inequitable or futile.”39 Perry will be granted one final
opportunity to amend his pleadings in the event that he can plead facts that would
37 See Will v. Mich. Dep’t of State Police, 491 U.S. 58, 64-65, 71 (1989); Slagle v. County of
Clarion, 435 F.3d 262, 264 n.3 (3d Cir. 2006) (affirming on other grounds and observing that
district court properly “dismissed Clarion County Jail as a defendant in this case,” quoting
district court’s reasoning that “‘it is well established in the Third Circuit that a prison is not a
“person” subject to suit under federal civil rights laws’”); Stankowski v. Farley, 487 F. Supp.
2d 543, 554 (M.D. Pa. 2007) (finding that PrimeCare is not a “person for purposes of Section
1983” and thus not subject to liability under that statute); see also Fischer v. Cahill, 474 F.2d
991, 992 (3d Cir. 1973) (holding that “New Jersey Prison Medical Department” was a state
agency and not a “person” under Section 1983).
38 See, e.g., Natale v. Camden Cnty. Corr. Facility, 318 F.3d 575, 583-84 (3d Cir. 2003).
39 Grayson, 293 F.3d at 114.
plausibly state a Section 1983 claim for deliberate indifference to serious medical
needs.
If Perry chooses to file a second amended complaint in conformity with this
Memorandum, it should be a stand-alone document, complete in itself and without
reference to any previous pleadings. The second amended complaint should set
forth Perry’s claims in short, concise, and plain statements, and in sequentially
numbered paragraphs. Perry must include all allegations in his second amended
complaint and must correct the deficiencies identified by the Court in its previous
opinions. In short, Perry must identify a serious medical need, and he must
plausibly plead allegations that reflect that a defendant or defendants acted with
deliberate indifference toward that need, resulting in his harm.
Perry must leave one-inch margins on all four sides of his pleading.40 He
must also name proper defendants and specify the offending actions taken by a
particular defendant. It is important that Perry set forth whom he is suing (by
noting them in the caption or defendant-identification section). Perry must sign the
second amended complaint and indicate the nature of the relief sought.
If Perry does not timely file a second amended complaint, dismissal of his
Section 1983 claims without prejudice will automatically convert to dismissal with
prejudice. If that occurs, the Court will then determine whether to exercise
40 See LOCAL RULE OF COURT 5.1(c).
supplemental jurisdiction over Perry’s remaining state-law claims or to dismiss
them without prejudice.41
III. CONCLUSION
Based on the foregoing, the Court will dismiss Perry’s Section 1983 claims
pursuant to 28 U.S.C. § 1915A(b)(1) because he fails to state a claim upon which
relief may be granted. Perry may file a second amended complaint in accordance
with this Memorandum. If no appropriate second amended complaint is timely
filed, the Court will determine whether to exercise supplemental jurisdiction over
the remaining state-law claims. An appropriate Order follows.
BY THE COURT:
s/ Matthew W. Brann
Matthew W. Brann
Chief United States District Judge
41 See 28 U.S.C. § 1367(c). The Court takes no position on the sufficiency of Perry’s state-law
claims at this time.