The opinion
IN THE COMMONWEALTH COURT OF PENNSYLVANIA
Ex Rel. Antonio Bundy, :
Petitioner :
:
v. : No. 444 M.D. 2020
: Submitted: April 9, 2021
Secretary John E. Wetzel, :
Secretary of Pennsylvania Prisons, :
Respondent :
BEFORE: HONORABLE MARY HANNAH LEAVITT, Judge
HONORABLE MICHAEL H. WOJCIK, Judge
HONORABLE ELLEN CEISLER, Judge
OPINION NOT REPORTED
MEMORANDUM OPINION
BY JUDGE LEAVITT FILED: October 29, 2021
Antonio Bundy, pro se, has filed a petition for review in the nature of a
mandamus action against the Secretary of Corrections,1 John E. Wetzel. Bundy
seeks to compel the Secretary to provide him with medical care for his chronic skin
condition. The petition asserts violations of the Eighth Amendment to the United
States Constitution;2 Article I, Section 13 of the Pennsylvania Constitution;3 and the
Department of Corrections’ (Department) regulations and policies. The Secretary
has filed preliminary objections seeking the dismissal of Bundy’s petition for review,
which we sustain in part and overrule in part.
1
The caption of this case incorrectly identifies this officer as the Secretary of Pennsylvania Prisons.
2
U.S. CONST. amend. VIII. It states: “[e]xcessive bail shall not be required, nor excessive fines
imposed, nor cruel and unusual punishments inflicted.” Id.
3
PA. CONST. art. I, §13. It provides: “[e]xcessive bail shall not be required, nor excessive fines
imposed, nor cruel punishments inflicted.” Id. Pennsylvania’s constitutional prohibition against
cruel and unusual punishment is coextensive with the Eighth Amendment of the United States
Constitution and affords no broader protection. Tindell v. Department of Corrections, 87 A.3d
1029, 1036, n.8 (Pa. Cmwlth. 2014).
Bundy is an inmate incarcerated at the State Correctional Institution
(SCI) at Forest.4 Petition, ¶2. In December of 2019, he submitted a “sick call”5
request for medical services related to his chronic skin condition, psoriasis. Id., ¶3.
Prison medical staff saw Bundy and prescribed an ointment, Triamcinolone
Acetonide, but did not inform him that he would be charged a fee for the visit or the
medication. Id., ¶¶3-4. On January 2, 2020, Bundy received his monthly inmate
account statement and learned that the Department had deducted $10.00 for the
medical visit and medication. Id., ¶4. Bundy asserts that under the Department’s
policy relating to co-payment for medical services, DC-ADM 820, he must receive
advance notice before being charged a medical fee. Id., ¶3.
Bundy alleges that he was seen three times for the same skin problem
in 2019 and was prescribed different ointments. Bundy asserts that under the
Department’s regulation at 37 Pa. Code §93.126 he should not have been charged
any fee. Id., ¶6.
4
Subsequently, Bundy notified the Court that he had been transferred to SCI-Smithfield.
5
The term “sick call” is “the process used by inmates who experience non-emergent
medical/dental problems to access medical services; an examination by a physician, physician[’]s
assistant, nurse practitioner, or nurse.” COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF
CORRECTIONS, POLICY STATEMENT: CO-PAYMENT FOR MEDICAL SERVICES (2009), available at
https://www.cor.pa.gov/About%20Us/Pages/DOC-Policies.aspx (last visited October 28, 2021)
(DC-ADM 820).
6
The regulation on the prison medical services program states, in pertinent part, as follows:
(d) The Department will not charge a fee to an inmate for any of the following:
***
(16) Medication prescription subsequent to the initial medication
prescription provided to an inmate for the same illness or condition.
37 Pa. Code §93.12(d)(16).
2
Bundy challenged the adequacy of the prison medical care and the
charges through the Department’s internal grievance procedure. Id., ¶7. The
Department’s Chief Grievance Officer denied Bundy’s final appeal in the grievance
process, explaining that his sick call was for non-urgent care. Id., Ex. at 9.7 In that
situation, the Department’s policy requires an inmate to pay a fee for any non-
emergency medical service. Id.
Bundy alleges that the medications prescribed for his psoriasis do “not
work,” leaving him with a painful condition prone to infection. Petition, ¶¶9, 10.
Bundy further alleges that, presently, he is not receiving any treatment or medication
for his skin. Id., ¶10.
Based upon these allegations, Bundy asserts that the Secretary has
violated his rights under the Eighth Amendment to the United States Constitution
and Article I, Section 13 of the Pennsylvania Constitution. Bundy also asserts that
the co-payment charges violated the Correctional Institution Medical Services Act
(Medical Services Act), 61 Pa. C.S. §§3301-3307. Petition, ¶10.8 He seeks an order
compelling the Secretary to provide him medical treatment for his psoriasis; to return
the funds deducted for co-payment charges; and to comply with the Department’s
regulations and policies regarding medical services and co-payments.
7
Courts reviewing preliminary objections may not only consider the facts pled in the petition, “but
also any documents or exhibits attached to it.” Allen v. Commonwealth of Pennsylvania,
Department of Corrections, 103 A.3d 365, 369 (Pa. 2014).
8
Bundy alleges a violation of Section 902-B of The Administrative Code of 1929, Act of April 9,
1929, P.L. 177, added by the Act of April 9, 1990, P.L. 115, 71 P.S. §310-2, which permits the
Department to contract with the federal government to house inmates in federal prisons. However,
he makes no factual allegations or seeks any relief related to this provision. Therefore, he has
waived this claim.
3
In response, the Secretary filed preliminary objections. The Secretary
asserts, first, that because there is no constitutional right to free medical services,
this Court lacks jurisdiction over the challenge to the co-payment charges. The
Secretary next asserts that Bundy has not stated a claim for a violation of the Eighth
Amendment because he has received treatment from the prison’s medical staff, and
the allegations about the ineffective treatment of his medical problems do not rise to
the level of a constitutional violation. Finally, the Secretary contends that Bundy
has not stated a claim under 42 U.S.C. §19839 because he has not established any
personal involvement by the Secretary in the alleged wrongs. Preliminary
Objections ¶¶23, 28.10
A writ of mandamus is an extraordinary remedy used to compel the
performance of a ministerial act or mandatory duty where a petitioner establishes (1)
a clear legal right to relief, (2) a corresponding duty in the respondent, and (3) a lack
of any other adequate and appropriate remedy. Tindell, 87 A.3d at 1034. The
9
Section 1983 allows a citizen to challenge conduct by a state official whom he claims has
deprived him of his constitutional rights. Owens v. Shannon, 808 A.2d 607, 609 n.6 (Pa. Cmwlth.
2002). It states in relevant part:
Every person who, under color of any statute, ordinance, regulation, custom, or
usage, of any State ... 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[.]
42 U.S.C. §1983.
10
The Secretary objected to improper service, contending that Bundy failed to effectuate proper
service of the petition on the Attorney General of Pennsylvania. Subsequently, this Court ordered
Bundy to serve his petition on the Attorney General. Bundy filed an amended certificate of service
showing service of the petition on the Attorney General. By order dated December 21, 2020, this
Court overruled the Secretary’s preliminary objection to improper service and ordered the parties
to file briefs addressing the Secretary’s remaining two preliminary objections.
4
purpose of mandamus is not to establish rights but, instead, to enforce rights that
have been clearly established. Id.
In considering preliminary objections, this Court must consider as true
all well-pleaded material facts set forth in the petition and all reasonable inferences
that may be drawn from those facts. Torres v. Beard, 997 A.2d 1242, 1245 (Pa.
Cmwlth. 2010). We “need not accept as true conclusions of law, unwarranted
inferences from facts, argumentative allegations, or expressions of opinion.” Id. To
sustain preliminary objections, “it must appear with certainty that the law will not
permit recovery, and any doubt should be resolved by a refusal to sustain them.” Id.
The Secretary argues that this Court lacks jurisdiction over Bundy’s
challenge to the co-payment deductions because they do not implicate any
constitutional rights. As an aside, the Secretary observes that this Court also lacks
appellate jurisdiction over this claim because charges for medical care are not
adjudications of the Department appealable to this Court.
In Bronson v. Central Office Review Committee, 721 A.2d 357 (Pa.
1998), an inmate challenged the confiscation of his civilian clothing. The
Pennsylvania Supreme Court held that the Commonwealth Court lacks both
appellate and original jurisdiction over inmate appeals of grievance and misconduct
decisions by prison officials. It explained that prison inmates do not enjoy the same
level of constitutional protections as non-incarcerated citizens. A constitutional
deprivation cannot be litigated unless the inmate can show unlawful interference
with a personal or property interest that has not been limited by Department policy
as necessary to operate the prison.
5
Pursuant to the Medical Services Act, the Department established the
Medical Services Program, which requires “inmates to pay a fee to cover a portion
of the actual costs of the medical services provided.” 61 Pa. C.S. §3303(a). The
Department’s regulation requires the inmate to make a $5.00 co-payment for any
non-emergency medical service provided at the inmate’s request. 37 Pa. Code
§93.12(c)(1), (e). An inmate is not charged a fee when he requires “[m]edical
treatment for a chronic or intermittent disease or illness.” 37 Pa. Code §93.12(d)(7).
The Department’s policy provides several examples of “chronic” medical diseases
or illnesses: asthma, congestive heart failure, coronary artery disease, diabetes,
dyslipidemia, hepatitis C, HIV, and hypertension. See DC-ADM 820, Glossary of
Terms. Psoriasis is not listed as an example of a chronic medical disease or illness.
The Department’s policy governing medical co-payments does not
implicate Bundy’s constitutional rights. In Portalatin v. Department of Corrections,
979 A.2d 944, 949 (Pa. Cmwlth. 2009), we stated that there is “no constitutional
right to free medical services and prescription medicine.” Even if there were such a
right, it has been limited by Department regulations. Therefore, this Court lacks
jurisdiction over Bundy’s request for a writ of mandamus directing the Secretary to
return the co-payments drawn from his inmate account.
The Secretary next argues that Bundy’s petition does not state a claim
under the Eighth Amendment because the Secretary, a non-physician defendant,
cannot be considered deliberately indifferent for failing to respond to Bundy’s
medical complaints when his petition alleges that he was treated by the prison’s
medical staff. Further, Bundy’s claim fails because a disagreement over the
treatment of his psoriasis does not state an Eighth Amendment claim.
6
To state a claim under the Eighth Amendment, “a prisoner must allege
acts or omissions sufficiently harmful to evidence deliberate indifference to serious
medical needs.” Tindell, 87 A.3d at 1038. To establish deliberate indifference, the
inmate must establish that: “(i) the prison official knew of and disregarded an
excessive risk to inmate health or safety; (ii) the prison official was aware of facts
from which an inference could be drawn that a substantial risk of serious harm exists;
and (iii) the prison official drew the inference” that there was a substantial risk of
serious harm. Id.
Prison medical staff are afforded considerable latitude in the diagnosis
and treatment of an inmate’s medical problems, and “[c]ourts will ‘disavow any
attempt to second-guess the propriety or adequacy of a particular course of treatment
. . . (which) remains a question of sound professional judgment.’” Kretchmar v.
Department of Corrections, 831 A.2d 793, 799 (Pa. Cmwlth. 2003) (citing Inmates
of Allegheny County Jail v. Pierce, 612 F.2d 754, 762 (3d Cir. 1979)). “Thus, ‘the
key question . . . is whether [prison officials] have provided [the inmate] with some
type of treatment, regardless of whether it is what [the inmate] desires.’” Rivera v.
Pennsylvania Department of Corrections, Bureau of Health Care Services (Pa.
Cmwlth., No. 673 M.D. 2019, filed August 23, 2021) (unreported), slip op. at 6
(citing Farmer v. Carlson, 685 F.Supp. 1335, 1339 (M.D. Pa. 1988)).11
Here, the Secretary does not suggest that Bundy’s skin condition is not
a serious medical condition but argues, instead, that he is a non-medical party,
beyond the reach of a claim of deliberate indifference. The Court of Appeals for the
11
Pursuant to Commonwealth Court Internal Operating Procedures §414(a), an unreported panel
decision of this Court, “issued after January 15, 2008,” may be cited “for its persuasive value.”
210 Pa. Code §69.414(a).
7
Third Circuit has explained that, with regard to non-medical defendants, “[i]f 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). Thus, “absent 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.” Id.
Bundy’s petition alleges he has filed “formal complaint(s) with
Secretary Joh[n] E. Wetzel of the meaningless medication(s) provided which do not
have any effect to heal [his psoriasis.]” Petition, Ex. Affidavit (emphasis in original).
Given these formal complaints, it cannot be said at this stage of the proceeding that
the Secretary is justified in believing that Bundy is “in capable hands.” Spruill, 372
F.3d at 236. Because the Secretary has not taken action, Bundy has been left with
“no medication, no treatment, no care for [his] skin” and is being “left to suffer.”
Petition, ¶10.
Contrary to the Secretary’s assertion, Bundy’s petition expresses more
than a disagreement with prison medical staff over the course of his treatment of his
skin condition. Bundy alleges that he is “intentionally” being deprived of
“meaningful medical treatment/care for [his] long term chronic disease,” which
“[dries]-cracks-and bleeds and is very painful.” Petition, Ex. Affidavit. The prison’s
staff has continued to treat his psoriasis with the same ointment despite their
knowledge that it did not work. As a result, his psoriasis is continuing to spread and
causing him more pain.
8
The Secretary also argues that Bundy’s petition does not state a claim
for deliberate indifference under the Eighth Amendment because Bundy does not
allege the Secretary’s personal involvement in the alleged wrongdoing as required
under 42 U.S.C. §1983. However, Bundy has filed an “Action in Mandamus,” not
a civil rights action. As Bundy explained, he “filed this action in mandamus”
seeking a “writ issued by a court” to “order[]” another individual “to perform” an
action. Answer to Preliminary Objections ¶¶3-4.
For the reasons set forth above, the Secretary’s preliminary objection
to this Court’s jurisdiction over Bundy’s claim related to the Medical Services Act
and 37 Pa. Code §93.12 is sustained. The Secretary’s preliminary objection in the
nature of a demurrer to Bundy’s claim under the Eighth Amendment of the United
States Constitution and Article I, Section 13 of the Pennsylvania Constitution is
overruled, and the Secretary is directed to file an answer to Bundy’s petition.
____________________________________________
MARY HANNAH LEAVITT, President Judge Emerita
9
IN THE COMMONWEALTH COURT OF PENNSYLVANIA
Ex Rel. Antonio Bundy, :
Petitioner :
:
v. : No. 444 M.D. 2020
:
Secretary John E. Wetzel, :
Secretary of Pennsylvania Prisons, :
Respondent :
ORDER
AND NOW, this 29th day of October, 2021, upon consideration of the
preliminary objections filed by John E. Wetzel, Secretary of Corrections, to the
petition for review in the nature of an action in mandamus filed by Antonio Bundy,
it is hereby ORDERED that the preliminary objection to jurisdiction over the
challenge to the medical co-payments is SUSTAINED and the preliminary objection
in the nature of a demurrer to the claim of deliberate indifference to disease or illness
is OVERRULED. The Secretary shall file an answer to the petition within 30 days
of this Order.
____________________________________________
MARY HANNAH LEAVITT, President Judge Emerita