failure to accommodate plaintiff’s alleged lactose intolerance and allergy to eggs
How later courts described this case
- failure to accommodate plaintiff’s alleged lactose intolerance and allergy to eggs
- summarizing prisoner litigation screening procedures and standards
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF PENNSYLVANIA
MAURICE WILKINS,
Plaintiff, CIVIL ACTION NO. 3:24-cv-02026
v. (SAPORITO, J.)
LAUREL HARRY, .,
Defendants.
MEMORANDUM
Plaintiff Maurice Wilkins, incarcerated at SCI-Huntingdon, has
filed a complaint (Doc. 1) pursuant to 42 U.S.C. § 1983, alleging that five
defendants violated his Eighth Amendment rights by denying him a
medically necessary diet to accommodate his celiac disease. The Court
will permit Wilkins to proceed against defendants Ms. Miller and Ms.
Wilson, and separately order them to respond to Wilkins’s request for
preliminary injunctive relief.
I. BACKGROUND
The complaint alleges as follows: Wilkins has celiac disease and has
required a gluten-free diet for many years. On May 20, 2024, defendant
C. Pittsinger told him that his gluten-free diet would not be “renewed” by
the dieticians, because he bought items from the commissary that
conflicted with his diet and refused to sign a DC-465-C form.
In general, the DC-465-C form requires inmates receiving a
“therapeutic diet” to agree not to take more than the prescribed amount
of food, give away the food, or receive food not prescribed by the diet,
among other rules. (Doc. 1-1 at 6). Wilkins was given a version of the
form with “added stipulations,” including that any purchase of
commissary items outside of his diet “shows [he] does not want to be on
a therapeutic diet,” and that he would be presumed to have eaten that
food. (Doc. 1-1 at 7). Wilkins refused to sign, because he wanted to be
able to purchase food for the purpose of selling or trading it. Wilkins
alleges that other inmates on therapeutic diets “buy commissary not
aligned with their diet,” and are not “harassed” or denied their prescribed
diet.
This was the latest incident in what Wilkins sees as a campaign by
various DOC employees to “persuade” him to abandon his gluten-free
diet, including “meals [contradicting] the diet,” “excessive bean meals as
a main protein,” an “extreme light breakfast [regimen],” undercooked
food, and a staff member allegedly making a reference to contaminating
his trays. Wilkins also alleges that a general “refresh” of the menu
resulted in better diets being provided to the standard prison diet, at the
expense of the gluten-free diet, which became worse.
Wilkins asserts Eighth Amendment claims, and First Amendment
retaliation claims, against five defendants: Secretary of Corrections
Laurel Harry, Craig Copper (the chief of the DOC’s Food Services
Division), Ms. Miller and Ms. Wilson (described as “State Dieticians” who
oversee nutritional standards for the DOC), and Pittsinger, the Food
Service Manager for SCI-Huntingdon. In addition to monetary relief, he
seeks preliminary and permanent injunctive relief directing the
defendants to restore his gluten-free diet and provide a more “efficient
calorie intake” with the “same additions” as the regular menu.
II. LEGAL STANDARDS
Under 28 U.S.C. § 1915A, the Court is obligated to screen a civil
complaint in which a prisoner seeks redress from a governmental entity
or an officer or employee of a governmental entity. 28 U.S.C. § 1915A(a);
, 230 Fed. App’x 195, 197 (3d Cir. 2007). The
Court must dismiss the complaint if it is “frivolous” or “fails to state a
claim upon which relief may be granted.” 28 U.S.C. § 1915A(b)(1). The
Court has a similar obligation with respect to actions brought
and actions concerning prison conditions. 28 U.S.C. §
1915(e)(2)(B)(i); . § 1915(e)(2)(B)(ii); 42 U.S.C. § 1997e(c)(1);
, 568 F. Supp. 2d 579, 587–89 (W.D.
Pa. 2008) (summarizing prisoner litigation screening procedures and
standards).
The legal standard for dismissing a complaint for failure to state a
claim under § 1915A(b)(1), § 1915(e)(2)(B)(ii), or § 1997e(c) is the same as
that for dismissing a complaint pursuant to Rule 12(b)(6) of the Federal
Rules of Civil Procedure. , 481 Fed. App’x 705, 706
(3d Cir. 2012) (per curiam); , 696 F. Supp. 2d 454, 471
(M.D. Pa. 2010); , 568 F. Supp. 2d at 588. “Under Rule 12(b)(6), a
motion to dismiss may be granted only if, accepting all well-pleaded
allegations in the complaint as true and viewing them in the light most
favorable to the plaintiff, a court finds the plaintiff’s claims lack facial
plausibility.” , 643 F.3d 77, 84 (3d Cir.
2011) (citing , 550 U.S. 544, 555–56
(2007)). In deciding the motion, the Court may consider the facts alleged
on the face of the complaint, as well as “documents incorporated into the
complaint by reference, and matters of which a court may take judicial
notice.” , 551 U.S. 308, 322
(2007). Although the Court must accept the fact allegations in the
complaint as true, it is not compelled to accept “unsupported conclusions
and unwarranted inferences, or a legal conclusion couched as a factual
allegation.” , 719 F.3d 160, 165 (3d Cir. 2013) (quoting
, 481 F.3d 187, 195 (3d Cir. 2007)).
Wilkins seeks damages under 42 U.S.C. § 1983. Section 1983
provides in pertinent part:
Every person who, under color of any statute, ordinance,
regulation, custom, or usage, of any State or Territory or
the District of Columbia, subjects, or causes to be
subjected, any citizen of the United States or other
person within the jurisdiction thereof to the deprivation
of any rights, privileges, or immunities secured by the
Constitution and laws, shall be liable to the party
injured in an action at law, suit in equity, or other proper
proceeding for redress . . . .
42 U.S.C. § 1983. To establish a Section 1983 claim, a plaintiff must
establish that the defendants, acting under color of state law, deprived
the plaintiff of a right secured by the United States Constitution.
, 51 F.3d 1137, 1141 (3d Cir. 1995). To avoid
dismissal for failure to state a claim, a civil rights complaint must state
the conduct, time, place, and persons responsible for the alleged
violations. , 423 F.3d 347, 353 (3d Cir. 2005). Further,
“[c]ivil rights claims cannot be premised on a theory of
. Rather, each named defendant must be shown . . . to have been
personally involved in the events or occurrences which underlie a claim.”
, 8 F. Supp. 3d 601, 613 (M.D. Pa. 2014)
(citation omitted). As explained by the Third Circuit Court of Appeals:
A defendant in a civil rights action must have personal
involvement in the alleged wrongs . . . . [P]ersonal
involvement can be shown through allegations of
personal direction or of actual knowledge and
acquiescence. Allegations of participation or actual
knowledge and acquiescence, however, must be made
with appropriate particularity.
, 845 F.2d 1195, 1207 (3d Cir. 1988).
III. DISCUSSION
A. Eighth Amendment Claims
In general, an Eighth Amendment violation exists when a prison
official deprives an inmate of “the minimal civilized measure of life’s
necessities,” and the official is deliberately indifferent to the inmate’s
health or safety. , 974 F.3d 431,
441 (3d Cir. 2020) (quoting , 511 U.S. 825, 834 (1994)).
The Eighth Amendment requires that inmates receive a “nutritionally
adequate diet,” , 263 F. App’x 192, 198 (3d Cir. 2008),
free of food that “present[s] an immediate danger to the health and well
being of the inmates who consume it.”
, No. 3:18-CV-0209, 2023 WL 2527353, at *11 (W.D. Pa. Mar. 15,
2023) (quoting , 639 F.2d 559, 571 (10th Cir. 1980)). This
can include the elimination of allergens or foods that are dangerous to a
particular inmate. , , , 145 F. App’x 774, 776 (3d
Cir. 2005) (failure to accommodate plaintiff’s alleged lactose intolerance
and allergy to eggs).
Wilkins alleges that he was denied his therapeutic diet because of
his commissary purchases and his refusal to sign the DC-465-C form. It
is both constitutional and consistent with DOC policy1 for dieticians to
consider an inmate’s commissary purchases in determining whether that
inmate needs a special diet. , , , No. CIV.A. 06-160,
2008 WL 2693860, at *8 (W.D. Pa. Apr. 4, 2008), report and
recommendation adopted as modified, 2008 WL 2693859 (W.D. Pa. June
30, 2008); , 450 F. App’x 187, 189 (3d Cir. 2011)
1 The Court takes judicial notice of DC-ADM 610, Food Services
Procedures Manual, Section 2.D.7: “The Department Dietitian may
utilize the Meal Management System as well as review commissary
purchases to assess need for a therapeutic diet and make appropriate
recommendations regarding nutrition interventions.”
(religious diet discontinued based on commissary purchases).
At the same time, Wilkins remains entitled to a nutritionally
adequate diet. Prison officials can appropriately restrict Wilkins’s
commissary use2, but cannot knowingly deny him a nutritionally
adequate diet for “a non-medical reason.” , 182 F.3d
192, 197-99 (3d Cir. 1999). Therefore, unauthorized commissary use may
be evidence that an inmate does not need a certain diet but does not
automatically justify revocation of a therapeutic diet. , 2023
WL 2527353, at *6 (finding an issue of fact as to an inmate’s dietary needs
where the record was “unclear” if he had consumed his non-compliant
commissary purchases).
Wilkins alleges that he has had celiac disease requiring a
therapeutic diet for several years3 and the dietician defendants were
2 Wilkins has no constitutional right to purchase items from a
commissary. , No. 2:07-
CV-928, 2008 WL 2699988, at *2 (W.D. Pa. July 7, 2008) (collecting cases).
3 Wilkins previously sued some of these defendants on claims that
he was not provided a nutritionally adequate diet to accommodate his
celiac disease. See Wilkins v. Wolf, No. 1:20-CV-02450 (M.D. Pa., filed
Dec. 28, 2020). The alleged deprivation post-dates the resolution of that
case, and no issue of res judicata is apparent from the complaint.
aware of those facts. His allegations support a plausible inference that
the dieticians revoked that diet merely because he was purchasing non-
compliant items from the commissary, without any genuine inquiry as to
whether the diet was medically necessary. Therefore, Wilkins may
proceed on claims against the dietician defendants based on their alleged
decision to deny him a nutritionally adequate diet. Those defendants will
also be ordered to file a separate response to Wilkins’s request for
preliminary injunctive relief, limited to the issue of whether Wilkins is
being provided a nutritionally adequate diet. These claims may not
proceed against any other defendant because Wilkins has not alleged any
other defendant’s personal involvement in this decision. , 845
F.2d at 1207.
B. Retaliation Claims
Wilkins pursues retaliation claims against the defendants,
ascribing the negative changes to his diet4 to his “prior civil suit and high
4 Many of the diet issues Wilkins ascribes to retaliation (such as the
inferior menu and the excessive use of beans) pertain to the general
gluten-free menu, and it is unclear how these broader changes would be
motivated by a desire to target him personally. The Court’s retaliation
analysis is directed to his allegation that he was targeted for changes to
his individual diet based on his prior litigation and grievances.
volumes of grievances” about his diet.
To state a prima facie case of First Amendment retaliation, a
plaintiff must show that (1) he was engaged in constitutionally protected
conduct, (2) he suffered an “adverse action” by prison officials sufficient
to deter a person of ordinary firmness from exercising his First
Amendment rights, and (3) the plaintiff’s protected conduct was a
“substantial or motivating factor” in the prison officials’ decision to take
the adverse action. Wisniewski v. Fisher, 857 F.3d 152, 156 (3d Cir. 2017)
(citations and quotations omitted). Typically, the plaintiff must show
“unusually suggestive temporal proximity between the protected activity
and the allegedly retaliatory action,” or “a pattern of antagonism coupled
with timing to establish a causal link.” , 834 F.3d 417,
424 (3d Cir. 2016). In some cases, causation can be established “from the
evidence gleaned from the record as a whole.” .
The first two elements are satisfied. Prison grievances are
constitutionally protected conduct, , 834 F.3d at 422, and the
denial of nutritionally adequate food is an adverse action for purposes of
a retaliation claim. , No. 23-CV-4738, 2024 WL
2331715, at *11 (E.D. Pa. May 22, 2024).
Regarding causation, Wilkins alleges that other inmates who buy
non-compliant commissary items are not removed from their diets, which
supports an inference of retaliation against him personally. The timing
of the incident is potentially suggestive: Between February and April
2024, Wilkins made multiple grievances and complaints relating to his
diet. (Doc. 1-5 at 2-6, 8-9). He was then asked to sign the DC-465-C
form on May 20, 2024, to maintain a therapeutic diet that he had already
been medically qualified to receive. Making all reasonable inferences in
Wilkins’s favor, the complaint plausibly alleges that Wilkins’s protected
activity was a “substantial or motivating factor” in the dieticians’
ultimate revocation of his therapeutic diet.
As with his Eighth Amendment claims, Wilkins has not shown any
other defendant’s personal involvement in that decision, so the claim will
proceed only against the dieticians. Although Wilkins infers further
retaliation from other dietary issues, including incidents of undercooked
food and a remark about “contaminated” food, he has not pled facts
indicating that any of the defendants were personally involved in these
incidents, nor that these incidents were related to his prior litigation and
grievances. Accordingly, his retaliation claims are limited to the
dieticians’ revocation of his therapeutic diet.
IV. CONCLUSION
Wilkins is granted leave to proceed on claims under the First and
Eighth Amendments against the state dieticians, Ms. Miller and Ms.
Wilson. In addition, those defendants will be ordered to respond
separately to Wilkins’s request for preliminary injunctive relief. An
appropriate order follows.
Dated: December 12, 2024
JOSEPH F. SAPORITO, JR.
United States District Judge