The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
WILLIAM BASEMORE, : Civil No. 1:22-CV-01700
:
Plaintiff, :
:
v. :
:
THEODOOR VOORSTAD, et al., :
:
Defendants. : Judge Jennifer P. Wilson
MEMORANDUM
Pending before the court are Defendants’ motions to dismiss the amended
complaint. (Docs. 78, 80, 114.) Also pending is Plaintiff’s unsupported motion
for relevance. (Doc. 93.) The court will grant the motion to dismiss filed by
Defendant Herb, but will refrain from addressing the remaining pending motions to
dismiss for sixty days to allow Plaintiff to present the necessary order from the
United States Bankruptcy Court for the Southern District of Texas confirming the
opt-out of the Plan’s Third-Party Release. The court will also deem the motion for
relevance as withdrawn.
PROCEDURAL HISTORY
Plaintiff initiated this action by filing a complaint under 42 U.S.C. § 1983
against nine defendants in October of 2022. (Doc. 1.) Of the nine defendants,
Plaintiff could only identify the following six: (1) Theodoor Voorstad,
(“Voorstad”), the medical director at the State Correctional Institution at Camp
Hill, Pennsylvania (“SCI-Camp Hill”); (2) William Nicklow (“Nicklow”), Deputy
Superintendent of Centralized Services at SCI-Camp Hill; (3) Laurel Harry
(“Harry”), Facility Manager at SCI-Camp Hill; (4) Beth Herb (“Herb”),
Correctional Health Care Administrator at SCI-Camp Hill; (5) Tony Heist
(“Heist”), the Facility Grievance Coordinator at SCI-Camp Hill; and (6) Keri
Moor, Assistant Chief Grievance Officer for the Pennsylvania Department of
Corrections (“DOC”). (Id, pp. 3–5, 7–8.)1 The remaining three defendants were
identified as unknown, with one identified as a nurse and the other two identified
as the “Contracted Medical Health Vendor.” (Id., pp. 5, 7–8.) The complaint
raised an Eighth Amendment deliberate indifference to a serious medical need
claim, a Fourteenth Amendment due process claim, and a First Amendment right
to freedom of expression claim all stemming from Plaintiff’s discontinued course
of hormone treatment at SCI-Camp Hill. (Id., pp. 14–17.) On November 10, 2022,
Plaintiff identified the two unnamed medical vendor defendants as Wellpath Care
(“Wellpath”) and Centurion Managed Care (“Centurion”). (Doc. 6.)
Following service, the eight named defendants filed motions to dismiss the
complaint for failure to state a claim under Fed. R. Civ. P. 12(b)(6). (Docs. 19, 25,
28.) Before these motions were addressed by the court, Plaintiff filed a motion to
1 For ease of reference, the court utilizes the page numbers from the CM/ECF header.
amend the complaint. (Doc. 30.) On February 27, 2023, the court granted
Plaintiff’s motion and filed the amended complaint. (Doc. 33.)
In the amended complaint, Plaintiff identified two additional defendants: (1)
Matt Grimes (“Grimes”), a “Psychologist” at SCI-Camp Hill; and (2) Ademola
Bello (“Bello”) a Psychiatrist at SCI-Camp Hill. (Doc. 32, p. 2.) Plaintiff
continued to identify an unnamed defendant: “Jane Doe”, a registered nurse at SCI-
Camp Hill. (Id., p. 3.) In March and April of 2023, all Defendants filed motions to
dismiss the amended complaint pursuant to Fed. R. Civ. P. 12(b)(6). (Docs. 46,
48, 60.) On March 30, 2023, Plaintiff filed a motion to amend/correct the amended
complaint. (Doc. 53.) However, a review of this document demonstrated that
Plaintiff was not seeking leave to file a second amended complaint, but instead to
notify the court that there was an error in the amended complaint asserting that
Defendant Grimes does not have a qualifying Master’s Degree and requesting
discovery to prove that such a degree exists. (Id.)
On February 1, 2024, the court entered a memorandum and order dismissing
all claims without prejudice except the Eighth Amendment claim against
Defendant Voorstad. (Docs. 75, 76.) The court granted Plaintiff leave to amend
the complaint. (Doc. 76.)
On February 27, 2024, Plaintiff filed a second amended complaint. (Doc.
77.) This second amended complaint named Voorstad, Herb, and Wellpath as
Defendants. (Id.) In March of 2024, all Defendants filed motions to dismiss the
second amended complaint. (Docs. 78, 80.) Plaintiff filed a motion of relevancy
on June 6, 2024. (Doc. 93.)
On November 1, 2024, while these motions were pending, Defendant
Voorstad filed a suggestion of bankruptcy stating that Wellpath had filed
bankruptcy in the United States Bankruptcy Court in the Southern District of
Texas. (Doc. 95.) The court then stayed the action on February 14, 2025. (Doc.
106.) On May 16, 2025, Defendants Wellpath and Voorstad entered a status report
stating that on April 30, 2025, the Bankruptcy Court confirmed Wellpath’s plan of
reorganization and extended the automatic stay until May 7, 2025. (Doc. 112.) On
May 19, 2025, the court entered an order lifting the stay in the above captioned
matter. (Doc. 113.)
On August 19, 2025, Defendants Wellpath and Voorstad filed a motion to
dismiss alleging that Plaintiff did not elect to opt out of the Plan’s Third-Party
Release. (Doc. 114.) On September 8, 2025, the court received Plaintiff’s
response to the motion to dismiss alleging that the opt out packet was delayed,
resulting in an inability to meet the deadline to opt out of the Plan’s Third-Party
Release. (Doc. 116.) Plaintiff asked the court to not dismiss the claims against
Wellpath and Defendant Voorstad. (Id.) On September 29, 2025, the court entered
an order stating that it could not change Plaintiff’s status under the Third-Party
Release in the Wellpath Bankruptcy and that “Plaintiff will have to seek the proper
relief from the bankruptcy court.” (Doc. 117.) The court entered a second stay in
this action to allow Plaintiff to seek relief from the Bankruptcy Court. (Id.) On
November 25, 2025, Plaintiff filed a supplemental motion in opposition to
Defendants’ motion to dismiss stating that she submitted a motion seeking relief to
opt out to the Bankruptcy Court and asking that this court deny Defendants’
motion to dismiss. (Docs. 120, 121.)
The court reviewed the docket in the Wellpath Bankruptcy, and confirmed
that Plaintiff filed two motions seeking to have her opt out deemed timely. In re
Wellpath SF Holdco, LLC, No. 24-90566 (Bankr. S.D. Tex.), Docs. 806, 810. The
motions were considered during a hearing on November 25, 2025 and the docket
summarizes the minutes of that proceeding and includes the following statement:
“Motions granted; orders to be entered by the Court on: 806, 810, 787.” Id., Docs.
836, 1011. However, none of the remaining documents on the Bankruptcy Court’s
docket appear to address Documents 806 and 810. Therefore, it is unclear if there
is an order granting Plaintiff the relief sought from the Bankruptcy Court.
JURISDICTION AND VENUE
The court has jurisdiction over Plaintiff’s action pursuant to 28 U.S.C. §
1331, which allows a district court to exercise subject matter jurisdiction in civil
cases arising under the Constitution, laws, or treaties of the United States. Venue
is proper in this district because the alleged acts and omissions giving rise to the
claims occurred at SCI-Camp Hill, located in Cumberland County, Pennsylvania,
which is located within this district. See 28 U.S.C. § 118(b).
MOTION TO DISMISS STANDARD
In order “[t]o survive a motion to dismiss, a complaint must contain
sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible
on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp.
v. Twombly, 550 U.S. 544, 570 (2007)). A claim is plausible on its face “when the
plaintiff pleads factual content that allows the court to draw the reasonable
inference that the defendant is liable for the misconduct alleged.” Id. (quoting
Twombly, 550 U.S. at 556). “Conclusory allegations of liability are insufficient” to
survive a motion to dismiss. Garrett v. Wexford Health, 938 F.3d 69, 92 (3d Cir.
2019) (quoting Iqbal, 556 U.S. at 678–79). To determine whether a complaint
survives a motion to dismiss, a court identifies “the elements a plaintiff must plead
to state a claim for relief,” disregards the allegations “that are no more than
conclusions and thus not entitled to the assumption of truth,” and determines
whether the remaining factual allegations “plausibly give rise to an entitlement to
relief.” Bistrian v. Levi, 696 F.3d 352, 365 (3d Cir. 2012) abrogated on other
grounds by Mack v. Yost, 968 F.3d 311 (3d. Cir. 2020).
When ruling on a motion to dismiss under Rule 12(b)(6), the court must
“accept all factual allegations as true, construe the complaint in the light most
favorable to the plaintiff, and determine whether, under any reasonable reading of
the complaint, the plaintiff may be entitled to relief.” Phillips v. County of
Allegheny, 515 F.3d 224, 233 (3d Cir. 2008) (quoting Pinker v. Roche Holdings,
Ltd., 292 F.3d 361, 374 n.7 (3d Cir. 2002)). In addition to reviewing the facts
contained in 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. Mayer v. Belichick, 605 F.3d 223, 230 (3d Cir. 2010) (citing
Pension Benefit Guar. Corp. v. White Consol. Indus., Inc., 998 F.2d 1192, 1196
(3d Cir. 1993)).
The pleadings of self-represented plaintiffs are to be liberally construed and
held to a less stringent standard than formal pleadings drafted by attorneys. See
Erickson v. Pardus, 551 U.S. 89, 94 (2007); Fantone v. Latini, 780 F.3d 184, 193
(3d Cir. 2015), as amended (Mar. 24, 2015). Self-represented litigants are to be
granted leave to file a curative amended complaint even when a plaintiff does not
seek leave to amend, unless such an amendment would be inequitable or futile.
See Est. of Lagano v. Bergen Cnty. Prosecutor’s Off., 769 F.3d 850, 861 (3d Cir.
2014); see also Phillips, 515 F.3d at 245. A complaint that sets forth facts which
affirmatively demonstrate that the plaintiff has no right to recover is properly
dismissed without leave to amend. Grayson v. Mayview State Hosp., 293 F.3d
103, 106 (3d Cir. 2002).
DISCUSSION
A. Summary of Second Amended Complaint
The second amended complaint names Voorstad, Herb, and Wellpath as
Defendants. (Doc. 77.) Plaintiff alleges that while housed at SCI-Camp Hill on
July 22, 2020, she had a Tele-Med video meeting with Dr. Ademola Bello and was
diagnosed as Gender Dysphoric. (Id., p. 4.) Plaintiff alleges that Dr. Bello told her
that “[t]hey may start your right away,” with hormone therapy. (Id.) She states
that treatment started on July 24, 2020. (Id.) She states that hormone therapy was
“abruptly/peremptorily” stopped and in a meeting with Defendant Voorstad was
told “[y]ou have to wait like everyone else” and “If I do it for you we’ll have to do
it for everyone.” (Id.) Plaintiff alleges that eight months after her diagnosis, she
was told that her diagnosis was “stripped away.” (Id., p. 5.) Plaintiff states she
was told that proper channels were not taken in her care and treatment and that
proper channels were now being followed. (Id.)
Plaintiff alleges that on September 28, 2022, she brought her family history
of cardiovascular complaints to the medical department’s attention. (Id., p. 6.) On
October 10, 2022, Plaintiff states that she met with Physician Assistant Justin
Rutherford and confirmed that her age group put her at risk. (Id.)
Plaintiff alleges that she filed a grievance. (Id.) Plaintiff states that
chemical castration is clinically documented as the end results of treatment and
that she was never afforded birth control options as stipulated in the consent form.
(Id.) She alleges that Defendant Voorstad’s maladministered treatment and the
deprivation of birth control options led to physicochemical changes that have
altered her reproductive functioning. (Id.)
Plaintiff states that she identifies as female and a lesbian. (Id., pp. 6, 8.)
Plaintiff states that she was deprived of hormone treatment for eighteen months.
(Id., p. 6.)
Based on these facts, Plaintiff brings Eighth Amendment and Equal
Protection claims against Defendant Voorstad. (Id., pp. 9–10, 12.) Plaintiff
alleges that Wellpath and Defendant Herb failed to properly train staff in the
treatment of Gender Dysphoria. (Id., pp. 11–12.)
B. Defendant Herb’s Moton To Dismiss Will Be Granted.
On March 12, 2024, Defendant Herb filed a motion to dismiss the amended
complaint pursuant to Fed. R. Civ. P. 12(b)(6). (Doc. 78.) Plaintiff has failed to
allege any personal involvement on the part of Defendant Herb. Therefore, the
motion will be granted and the claims dismissed.
Plaintiff bases liability on Defendant Herb’s position as Correctional Health
Care Administrator. However, Plaintiff fails to allege that Defendant Herb is a
medical professional. Instead, Plaintiff alleges that she is an administrator. (Doc.
77, p. 11.)
Prison officials violate the Eighth Amendment when they act with deliberate
indifference to a prisoner’s serious medical needs. See Estelle v. Gamble, 429 U.S.
97, 104–05 (1976). To sustain a constitutional claim under the Eighth Amendment
for inadequate medical treatment, a plaintiff must make (1) an objective showing
that her medical needs were serious, and (2) a subjective showing that the
defendants were deliberately indifferent to those medical needs. See Pearson v.
Prison Health Serv., 850 F.3d 526, 534 (3d Cir. 2017). A serious medical need is
“one that has been diagnosed by a physician as requiring treatment or is so obvious
that a lay person would easily recognize the necessity for a doctor’s attention.”
Monmouth Cty. Corr. Inst'l Inmates v. Lanzaro, 834 F.2d 326, 346–47 (3d Cir.
1987) (citation omitted). A prison official is deliberately indifferent when he or
she “knows of and disregards an excessive risk to inmate health or safety.”
Farmer v. Brennan, 511 U.S. 825, 837 (1994).
The Third Circuit has stated that “[p]rison officials who are not physicians
are entitled to defer to the medical judgment of staff physicians, see Durmer v.
O'Carroll, 991 F.2d 64, 69 (3d Cir. 1993), and an administrator does not become
responsible for the inmate’s medical treatment simply by virtue of reviewing an
inmate grievance.” Smith v. O’Boyle, 251 Fed. Appx 87, 89 (3d Cir. 2007).
Furthermore, DOC policy places overall responsibility for diagnosis and treatment
of Gender Dysphoria on the Department of Chief Psychiatrist, the Department
Chief of Clinical Services, and the Department Director of Psychology. DOC
Policy 13.2.1 § 19(a).
Here, Plaintiff has clearly alleged that she was under the care of multiple
medical professionals during the time period at issue. Therefore, Plaintiff has
failed to establish that Defendant Herb, in her role as Correctional Health Care
Administrator, is liable under the Eighth Amendment for the termination of
treatment. The amended complaint also does not include any facts in support of a
Fourteenth Amendment claim against Defendant Herb.
Plaintiff attempts to establish liability premised on the failure to train theory.
(Doc. 77, pp. 11–12.) Supervisory liability under § 1983 utilizes the same standard
as municipal liability. See Carter v. City of Philadelphia,181 F.3d 339, 356 (3d
Cir. 1999). A supervisor will only be liable for the acts of a subordinate if he or
she fosters a policy or custom that amounts to deliberate indifference towards an
individual’s constitutional rights. See Id. at 357. To establish supervisory liability,
a plaintiff must show that (1) a superior officer failed to employ a specific
supervisory practice; (2) the existing custom created an unreasonable risk of injury
in the absence of the specified supervisory practice; (3) the supervisor was aware
that the risk existed; (4) the supervisor was indifferent to the risk; and (5) the
underlying violation resulted from the failure to employ the supervisory practice.
Brown v. Muhlenberg Twp., 269 F.3d 205, 216 (3d Cir. 2005) (citing Sample v.
Diecks, 885 F.2d 1099, 1118 (3d Cir. 1989)). Here, Plaintiff alleges that “in being
a ward under the state [she] is also under the effects of annual report policy and
thus under the contract that governs her treatment. The BHCS’ Chief of Clinical
Services communicates directly with the medical professional, in particular
Defendant Beth Herb, in the carrying out the treatment of transgender care.” (Doc.
77, p. 11.) Nothing in this allegation establishes supervisory liability. Being in
communication with an administrator concerning the care of a patient is not
sufficient to establish liability. See Durmer, 991 F.2d at 69. Therefore, all claims
against Defendant Herb will be dismissed.
Since Plaintiff has been provided multiple opportunities to cure the defects
in her claims against Defendant Herb, and has again failed to state a claim, the
court will grant the dismissal with prejudice.
C. Additional Information is Necessary to Address Medical Defendants’
Motion to Dismiss.
Defendants Wellpath and Voorstad (“the Medical Defendants”) both have a
pending motion to dismiss the second amended complaint on its merits, Doc. 80,
and a motion to dismiss based on Plaintiff’s alleged failure to opt out of the Plan’s
Third-Party Release, Doc. 114. As the dockets in this action and in the Bankruptcy
Court currently stand, there is not sufficient information for this court to determine
whether Plaintiff has properly opted out of the Plan’s Third-Party Release.
Therefore, it cannot address the pending motion at this time. The court will grant
Plaintiff an additional sixty days to produce evidence to the court demonstrating
that she has properly opted out of the Plan’s Third-Party Release. Failure to timely
produce this evidence will result in the court granting the Medical Defendants’
second motion to dismiss based on a failure to opt out.
D. Plaintiff’s Motion for Relevance Will Be Deemed Withdrawn.
Plaintiff filed a motion for relevance on June 6, 2024. (Doc. 93.) She did
not file a brief in support of her motion.
Local Rule 7.5 states, in pertinent part, that “[w]ithin fourteen (14) days after
the filing of any motion, the party filing the motion shall file a brief in support of
the motion. . . If a supporting brief is not filed within the time provided in this rule
the motion shall be deemed to be withdrawn.” Without a brief in support of the
motion, the court has insufficient information to determine whether it is
appropriate to grant or deny the motion at this time. Therefore, the court will deem
the motion withdrawn.
CONCLUSION
For the reasons set forth above, Defendant Herb’s motion to dismiss will be
granted. Plaintiff will be granted sixty days to produce evidence to this court that
she has opted out of the Plan’s Third-Party Release. Failure to produce this
evidence will result in the Medical Defendants’ motion to dismiss being granted.
Plaintiff’s motion for relevance will be deemed withdrawn.
An appropriate order follows.
s/Jennifer P. Wilson
JENNIFER P. WILSON
United States District Judge
Middle District of Pennsylvania
Dated: February 23, 2026