IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF FLORIDA TALLAHASSEE DIVISION
HECTOR DEMONTALVO, D.O.C. # P55925, Plaintiff,1 vs. CASE NO. 4:23-cv-475-MW-MAF RICKY DIXON, et al., Defendants. ________________________/ REPORT AND RECOMMENDATION Plaintiff, a prisoner proceeding pro se and in forma pauperis,2 initiated this case by filing a civil rights complaint pursuant to 42 U.S.C. § 1983, alleging Defendants violated her Eighth and Fourteenth Amendment rights for failing to diagnose and treat her gender dysphoria. ECF No. 1. She subsequently filed a second amended complaint. ECF No. 10. The Court found it sufficient to alert the Defendants of the nature and basis of Plaintiff’s
claims. ECF No. 11.
1 Plaintiff identifies as a female; thus, female pronouns are used throughout. 2 The docket reflects some confusion here. The Court granted Plaintiff’s in forma pauperis (IFP) motion, reduced the filing fee to $350, and assessed a partial filing fee. ECF No. 7. But several weeks later, the entire $402 filing fee was paid as if Plaintiff was not proceeding IFP (the complaint was filed before the increase to $405). ECF No. 8. Then, DOC made a partial payment from Plaintiff’s account. ECF No. 15. The Clerk calculated and refunded an overpayment of $82. Id. Plaintiff never filed anything to signal an abandonment of her IFP motion. Because of that, and since the total amount accepted by the Clerk was the reduced $350 fee, Plaintiff has IFP status. Defendants Dixon, Martinez, Kline, Harrell, McLaughlin, and Cardinez (“FDC Defendants”) filed a motion to dismiss. ECF No. 32. The remaining
Defendant, Dr. Leacock, also filed a motion to dismiss. ECF No. 35. Plaintiff filed responses to both. ECF Nos. 44, 43 (respectively). FDC Defendants filed a reply. ECF No. 48. The motions are ripe for review.
I. Allegations of the Second Amended Complaint, ECF No. 103 Plaintiff is a transgender inmate at the Florida Department of Corrections (“FDOC”). Though biologically male, she identifies as a female. FDOC has a three-step process in place to diagnose and treat inmates with
gender dysphoria (“GD”), codified in FDOC procedure 403.012.4 Plaintiff believes she has GD and availed herself of the process. During the first step, she was “diagnosed” with GD at Columbia Correctional.5 Pursuant to policy,
she was then transferred to Wakulla Correctional for a more intensive evaluation and assessment. In Plaintiff’s case, this was performed by Dr. Leacock, a psychologist who contracts with FDOC through Centurion. After
3 This account of the facts comes from the second amended complaint (“complaint”). See ECF No. 10 at 7-11. The Court accepts the complaint’s non-conclusory factual allegations as true at the motion to dismiss stage. See Oladeinde v. City of Birmingham, 963 F.2d 1481, 1485 (11th Cir. 1992), cert. denied, 113 S. Ct. 1586 (1993). Any new or additional facts included in Plaintiff’s responses “cannot substitute for missing allegations in the complaint.” Dorman v. Aronofsky, 36 F.4th 1306, 1317 (11th Cir. 2022). 4 Plaintiff cites this procedure number and “incorporates [it] by reference.” ECF No. 10 at 7. FDC Defendants provide a copy in full as “Exhibit A” of their motion. ECF No. 32-1. 5 Plaintiff’s use of the term “diagnosed” is conclusory, discussed infra. the 90-day assessment, the completed evaluation and recommendations are reviewed by the Gender Dysphoria Review Team (“GDRT”)6 who enter a final
disposition. After the assessment and review, Plaintiff was denied entry into the GD program. While not clearly stated, it is evident from the complaint that Dr.
Leacock found Plaintiff did not meet the GD diagnosis criteria and the GDRT accepted his findings. This is because Plaintiff alleges that the second step of the process “is to measure the GD that was diagnosed” in step one, not allow for “a second diagnosis.” ECF No. 10 at 9. She alleges that in practice,
step two “has become an opportunity to do a second unwritten, undocumented diagnosis where a heightened standard is applied that no inmate can meet unless the individual psychologist chooses to let them pass.”7 ECF No. 10 at 8. Further, she alleges Defendants “are involved in an
active conspiracy…denying inmates who have a diagnosis and should have received accommodations” in order to limit the number of people in the program. Id. at 11. She alleges Dr. Leacock and the FDC Defendants have
conspired to violate her Eighth and Fourteenth Amendment rights and that
6 The GDRT is comprised of the FDC Defendants minus Secretary Dixon. 7 Plaintiff alleges the “heightened standard” took effect after 2019, so she was treated differently to inmates assessed in 2018-2019. This is the basis of her Equal Protection claim. ECF No. 10 at 10-11. The effective date of FDOC’s current GD policy was November 13, 2019. ECF No. 32-1 at 1. each was deliberately indifferent to her serious medical needs. Her Fourteenth Amendment claim is via the Equal Protection clause.
Plaintiff sues each Defendant in their individual and official capacities. She seeks nominal damages against all Defendants, punitive damages against FDC Defendants, injunctive relief, and cost of litigation (filing fee).
II. Defendants’ Motions to Dismiss, ECF Nos. 32, 35 As a threshold matter, Plaintiff concedes several of FDC Defendants’ arguments in her response, ECF No. 44. She “abandons” the official capacity
claims against all FDC Defendants because she agrees they are entitled to Eleventh Amendment immunity. Id. at 1. She also agrees her injunctive relief claim is insufficient because she “fails to allege future harm.” Id. Though she
states she “abandons her claim for injunctive relief,” she couches it by saying it will “be raised by motion at a later time.”8 Id. She states the same thing in her response to Dr. Leacock’s motion, despite that motion not raising the issue. ECF No. 43 at 1. The official capacity claims against FDC Defendants
and the request for injunctive relief against all Defendants should be dismissed.
8 Plaintiff did not include a request to amend her complaint or a showing that she would be able to sufficiently cure the defect if given an opportunity to amend. Cf. Alberto v. Sec’y, Fla. Dep’t of Corr., 770 F. App’x 467, 469 (11th Cir. 2019). Further, given the Court’s ultimate findings, any amendment as to injunctive relief would be futile. In their motion, FDC Defendants argue that punitive damages are unavailable to Plaintiff. ECF No. 32 at 27. As pointed out in their reply,
Plaintiff’s response fails to address the punitive damages issue. ECF No. 48 at 2; see also ECF No. 44. FDC Defendants are correct that this requires the Court to deem the claim abandoned. See Jones v. Bank of Am., N.A., 564 F.
App'x 432, 434 (11th Cir. 2014) (“A party's failure to respond to any portion or claim in a motion indicates such portion, claim or defense is unopposed. Also, when a party fails to respond to an argument or otherwise address a claim, the Court deems such argument or claim abandoned.”) (citations
omitted). Plaintiff’s request for punitive damages against FDC Defendants should be dismissed. This leaves the Eighth Amendment, Equal Protection, and conspiracy
claims seeking nominal damages and cost of litigation against FDC Defendants in their individual capacity and Dr. Leacock in his individual and official capacity. As to these claims, all Defendants argue dismissal is warranted because Plaintiff fails to state a claim upon which relief can be
granted. See ECF Nos. 32, 35. FDC Defendants also assert qualified immunity. ECF No. 32 at 24-25.
III. Standard of Review – Motion to Dismiss To survive a motion to dismiss under Fed. R. Civ. P. 12(b)(6), a plaintiff must allege enough facts in the complaint that show entitlement to relief is plausible. Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (2007). “Asking for
plausible grounds…does not impose a probability requirement at the pleading stage.” Id. at 556. Instead, a claim is plausible when the court can draw “a reasonable inference that the defendant is liable for the misconduct
alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009); See also Wilborn v. Jones, 761 F. App’x 908, 910 (11th Cir. 2019). At this stage, “all well-pleaded facts are accepted as true, and the reasonable inferences therefrom are construed in the light most favorable to
the plaintiff.” Garfield v. NDC Health Corp., 466 F.3d 1255, 1261 (11th Cir. 2006) (internal marks omitted.) Courts must disregard any conclusory allegations or legal conclusions masquerading as fact, assume the
remaining facts are true—however doubtful—and determine if those facts are sufficient to proceed. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). The pleading standard is flexible, and pro se complaints are held to less stringent standards than those drafted by an attorney. Wright v.
Newsome, 795 F.2d 964, 967 (11th Cir. 1986). That said, “a complaint must still contain either direct or inferential allegations respecting all material elements of a cause of action.” Snow v. DirecTV, Inc., 450 F.3d 1314, 1320
(11th Cir. 2006). This is to prevent a “largely groundless claim” from proceeding through discovery. Dura Pharmaceuticals, Inc. v. Broudo, 544 U.S. 336, 347 (2005).
“To state a cause of action under § 1983, a plaintiff must allege that (1) there was an act or omission that deprived [plaintiff] of a constitutional right, privilege, or immunity and (2) the act or omission was committed by a person
acting under color of state law.” Evans v. St. Lucie Cnty. Jail, 448 Fed. App’x 971, 973 (11th Cir. 2011) (citing Hale v. Tallapoosa Cnty., 50 F.3d 1579, 1582 (11th Cir.1995). There is no dispute that Defendants were acting under color of state law. The question then, turns to whether there was an act or omission
that violated Plaintiff’s constitutional rights. IV. Discussion
A. FDOC’s Gender Dysphoria Policy9 At the heart of Plaintiff’s claims is a disagreement and dissatisfaction with portions of FDOC’s GD policy and Dr. Leacock’s (lack of a) diagnosis. Plaintiff does not challenge the policy as written, but rather how she views it
is being implemented based on her interpretation of its language and how it “should be” implemented. E.g., ECF No. 10 at 8. It is important to first view
9 FDOC Procedure Number 403.012. See ECF No. 32-1 at 1-7. the policy and three-step process as written.10 The policy is titled “Identification and Management of Inmates
Diagnosed with Gender Dysphoria.” ECF No. 32-1 at 1. Its purpose is “to provide guidelines for a medical appraisal, mental health screening, evaluation and treatment of inmates meeting criteria for a diagnosis of [GD].” Id. at 2. It defines several terms, including the GDRT,11 GD, and transgender.
The distinction between someone who is transgender and someone who has GD is an important one. Transgender is a “general term used for [a person] whose gender identity does not conform to the typical expectations
associated with the gender they were assigned at birth.”12 Id. GD, however, is a mental health diagnosis that a transgender person may or may not have, because it “refers to discomfort or distress experienced by an individual” due
to “a perceived discrepancy between [their] gender identity and [their] gender assigned at birth.”13 Id. The policy specifies that, “a transgender inmate may
10 Plaintiff classifies the steps differently than the policy does. She considers step one to be “the diagnosis,” step two the “assessment” and step three “disposition.” Id. at 7. Her labels are conclusory in light of the plain language of the policy. 11 The GDRT is “composed of the Chief of Medical Services, Chief of Mental Health Services, Chief of Security Operations, Chief of Classification Management, and the Prison Rape Elimination Act (PREA) Coordinator.” Id. 12 For example, “a male-to-female transgender [person] refers to a biological male who identifies as, or desires to be, a member of the female gender” and vice-versa. Id. 13 Plaintiff lists a summary of the DSM-5 criteria for a GD diagnosis, which includes a showing of two or more of six listed symptoms for at least 6 months. ECF No. 10 at 9. But note the DSM-5 states “the condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning.” Criteria for or may not qualify for a diagnosis of [GD] depending on her/his level of distress or impairment.”14 Id. at 2-3 (emphasis added).
Step One - Screening and Identification For inmates who believe they suffer from GD, step one of the process is “screening and identification.” Id. at 3. It may result in a provisional diagnosis.15 Id. at 3. The policy explicitly states “[a]ll initial diagnoses of
[GD] will be provisional until a comprehensive assessment can be completed by a psychologist credentialed to diagnose and treat [GD] and the results are reviewed by the GDRT.”16 Id. (emphasis added). The provisional
diagnosis is the responsibility of “mental health staff.” Id. It “must be a consensus of the MDST17 or, if not available, a clinician credentialed to diagnose and treat [GD].” Id. Step one takes place at the inmate’s assigned
institution. If they receive a provisional diagnosis, they are transferred to an institution that can accommodate step two. Id. at 4.
Gender Dysphoria. Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. (emphasis added). 14 This is consistent with the DSM-5 criteria discussed supra at n.13. 15 While the policy does not define “provisional,” the ordinary meaning is “serving for the time being; temporary.” Provisional. Merriam-Webster.com, https://www.merriam- webster.com/dictionary/provisional. (Accessed Oct. 7, 2024). 16 Throughout, the policy uses distinguishing terminology like “known or potential [GD] inmates,” as well as “provisional diagnosis” and “formal diagnosis.” Id. at 3, 4, 7. 17 The Multidisciplinary Services Team (MDST) “refers to staff representing different professions and disciplines, which has the responsibility for ensuring access to necessary assessment, treatment, continuity of care and services to inmates in accordance with their identified mental health needs.” Id. at 2. Step Two – Assessment and Evaluation The second step is the “assessment” of GD which involves “completion
of the Psychological Evaluation for Gender Dysphoria18… by the evaluating psychologist, who must be credentialed in the diagnosis and treatment of [GD].” Id. At the first appointment, the psychologist explains “potential
treatment and permissible accommodations” as well as “the potential consequences of a [GD] diagnosis” and obtains a mental health evaluation or treatment consent form from the inmate. Id. The evaluation takes place within the next 90 days.19 Id. Then, the completed psychological evaluation
form is sent to the GDRT for “review and final disposition.”20 Id. Step Three - Treatment If an inmate is formally diagnosed with GD, they are treated according
to their treatment plan at a designated GD institution. Id. at 4, 7. To receive treatment, “inmates must remain at a mental health designation of S-2 or
18 FDOC Form DC4-643E. 19 Plaintiff alleges the assessment includes “weekly appointments with a counselor, see[ing] a doctor for a tanner screening,” and the completion of “a personality inventory test, IQ test,” and the DC4-643E form. ECF No. 10 at 7. 20 Part of GDRT’s role is to “review recommendations for the treatment and management of inmates diagnosed with [GD] to ensure individualization in the decision-making process.” Id. at 3. Plaintiff argues that GDRT cannot “review a diagnosis of GD and approve or disapprove.” ECF No. 10 at 9. But as program administrators, they have inherent authority to accept or deny inmates entry into the GD program based on and consistent with the inmate’s formal diagnosis. This is not a case where Plaintiff was formally diagnosed with GD yet denied treatment or entry into the program. higher.”21 Id. at 5. Treatments range from individual and group therapy to hormone therapy. Id. Some of the accommodations provided to those with a
formal diagnosis are alternative canteen items, opposite gender uniforms, and female hair standards. Id. at 6. While not addressing the policy in great detail, the Eleventh Circuit has
commented that it “properly attends to inmates' individualized medical needs.” Keohane v. Fla. Dep't of Corr. Sec'y, 952 F.3d 1257, 1267 (11th Cir. 2020); see also Barnhill v. Inch, No. 4:18-CV-564-MW/MAF, 2020 WL 6049559, at *6 (N.D. Fla. Aug. 28, 2020), report and recommendation
adopted, No. 4:18CV564-MW/MAF, 2020 WL 6048744 (N.D. Fla. Oct. 13, 2020) (same). However, in both cases the dispute was over treatment, not diagnosis.
B. Eighth Amendment Considerations Plaintiff believes she has gender dysphoria. Though provisionally diagnosed with GD by unidentified DOC staff22 during the step one screening
21 FDOC uses the following classifications for the mental health status of inmates: S-1 (no significant mental or emotional impairment); S-2 (mild to moderate mental or emotional impairment); S-3 (mild to moderate mental and/or behavioral instability). “Necessary care” is provided at levels 2 and 3. See Fla. Admin. Code R. 33-601.800(3)(e), “Close Management Referral Assessment, Form DC6-128.” This type of treatment consideration was affirmed by the Eleventh Circuit with regard to inmates suffering from varying degrees of Hepatitis C. See Hoffer v. Sec'y, Fla. Dep't of Corr., 973 F.3d 1263, 1273 (11th Cir. 2020). 22 Plaintiff does not say who performed the provisional diagnosis or what was involved, only stating she was “diagnosed by a psychologist credentialed in GD or the MDST [in phase, after a three-month assessment, Dr. Leacock concluded Plaintiff did not meet the criteria for a GD diagnosis. As a result, the GDRT denied
Plaintiff entry into the GD program. Plaintiff claims her issues are only with the assessment and review stage. ECF No. 10 at 7 (“the second and third [steps of 403.012] are the subject of this action”).23 That necessarily means she is not challenging the
stated policy in step one that all “initial diagnoses of [GD] will be provisional until a comprehensive assessment can be completed by a psychologist credentialed to diagnose and treat [GD] and the results are reviewed by
[GDRT].” ECF No. 32-1 at 3. Still, she argues that the “initial diagnosis constitutes a diagnosis according to the national standards,” so Defendants “would have been aware” she “suffered [from] GD...[and] failed to
acknowledge this or treat her.” ECF No. 44 at 2; see also ECF No. 10 at 10. A prison official’s deliberate indifference to an inmate’s serious medical needs violates the Eighth Amendment. Estelle v. Gamble, 429 U.S. 97, 104 (1976). This also applies to prison doctors. Id. It is well-established that a
“difference in medical opinion between the prison’s medical staff and the
step one] to qualify for [step two].” ECF No. 10 at 10. This simply echoes the policy requirements as to who can conduct the initial screening. See ECF No. 32-1 at 4. 23 Though she classifies the assessment/evaluation and review as steps two and three, both are encompassed in step two of the policy. inmate as to…diagnosis or course of treatment”—or even claims of medical malpractice—are insufficient to show a constitutional violation. Keohane v.
Fla. Dep’t of Corr., Sec’y, 952 F.3d 1257, 1266 (11th Cir. 2020), citing Harris v. Thigpen, 941 F.2d 1495, 1510 (11th Cir. 1991); see also Estelle, 429 U.S. at 106. Instead, a plaintiff must show “acts or omissions sufficiently harmful
to evidence deliberate indifference to serious medical needs.” Estelle, 429 U.S. at 106. “A prisoner bringing a deliberate-indifference claim has a steep hill to climb.” Keohane, 952 F.3d at 1266. This is because “the Constitution doesn't
require that the medical care provided to prisoners be perfect, the best obtainable, or even very good.” Id., citing Harris, 941 F.2d at 1510 (internal quotations omitted). “Medical treatment violates the Eighth Amendment only
when it is so grossly incompetent, inadequate, or excessive as to shock the conscience or to be intolerable to fundamental fairness.” Harris, 941 F.2d at 1505 (internal marks omitted). Accordingly, a plaintiff must allege facts that plausibly show: (1) he/she
has (or had) a serious medical need; (2) the defendant was deliberately indifferent to that need; and (3) a causal connection between the defendant’s conduct and the Eighth Amendment violation. Mann v. Taser Int’l, Inc., 588
F.3d at 1306 (11th Cir. 2009). The first prong is a showing of a serious medical need, which is “one that has been diagnosed by a physician as mandating treatment or one that
is so obvious that even a lay person would easily recognize the necessity for a doctor’s attention,” and “if left unattended, poses a substantial risk of serious harm.” Brown v. Johnson, 387 F.3d 1344, 1351 (11th Cir. 2004)
(internal marks and citations omitted). The second prong is a showing of deliberate indifference. A plaintiff must allege facts which demonstrate the prison official (1) knew of the substantial risk to the plaintiff’s health and (2) disregarded that risk by
conduct that was subjectively reckless. See Wade v. McDade, 106 F.4th 1251, 1262 (11th Cir. 2024). “Subjective recklessness” requires a showing that the “defendant was actually…aware that his [or her] own conduct caused
a substantial risk of serious harm to the plaintiff.” Id. Finally, “even if the defendant actually knew of a substantial risk to inmate health or safety, he [or she] cannot be found liable under the [Eighth Amendment] if he [or she] responded reasonably to the risk.” Id. (citing Farmer, 511 U.S. at 844-855).
The standard may be met in instances where a prisoner is subjected to repeated examples of delayed, denied, or grossly incompetent or inadequate medical care; when prison personnel fail to respond to a known
medical problem; or if prison doctors take the easier and less efficacious route in treating an inmate. See Waldrop v. Evans, 871 F.2d 1030, 1033 (11th Cir. 1989) (but highlighting that neither medical malpractice nor a difference
in medical opinion or course of treatment constitute deliberate indifference). “However, not every claim by a prisoner that he [or she] has not received adequate medical treatment states a violation of the Eighth Amendment.”
McElligott v. Foley, 182 F. 3d 1248, 1254 (11th Cir. 1999). Here, Plaintiff has failed to state a plausible Eighth Amendment claim. While it is true that GD can be a serious medical need, the facts alleged by Plaintiff do not confirm that she is suffering from it, let alone that it is severe
enough to mandate treatment or, if left untreated, would pose a substantial risk of serious harm. At best, her complaint alleges a disagreement with Dr. Leacock’s diagnosis. As discussed above, this type of diagnosis-dispute argument is insufficient to state a constitutional claim.24
Even assuming Plaintiff's provisional diagnosis could be construed as a serious medical need—something not present with the facts alleged—she has not described anything close to deliberate indifference.25 FDC
24 See supra at 12-13. 25 This is not to say a plaintiff could never state a cognizable claim with only a provisional diagnosis, nor would this dismissal prevent Plaintiff from filing a claim in the future should the facts change or her symptoms worsen and FDOC officials fail to reasonably respond. Further, nothing in the policy suggests that an inmate cannot reinitiate the process if his or her needs change due to increasing levels of distress over a 6-month period (i.e. DSM- 5 criteria). Defendants took reasonable action when Plaintiff brought her potential GD to their attention. She was afforded a provisional evaluation with mental
health staff, then transferred to a more specialized facility where a three- month evaluation occurred with staff including Defendant Leacock, a psychologist credentialed to diagnose GD. Plaintiff’s allegations fail to show
the Defendants knew there was a substantial risk to her health because after that formal evaluation, Dr. Leacock disagreed with the provisional diagnosis and found Plaintiff did not meet the GD diagnosis criteria.26 FDC Defendants, relying on that opinion, denied Plaintiff entry into the GD program. This is not
a case where Plaintiff alleges additional facts or symptoms that could show she had a condition that was “so obvious that even a lay person would easily recognize the necessity for a doctor’s attention.”27 Brown, 387 F.3d at 1351.
Thus, FDC Defendant’s reliance on Dr. Leacock’s evaluation was also a reasonable response.
26 Plaintiff claims this is circumstantial evidence of a conspiracy to limit participants in the program. ECF No. 10 at 10. But this series of events is commonplace to anyone who has been through the process of diagnostic testing, where one medical professional believes symptoms indicate a certain condition that warrants further study with a specialist, who then investigates and may rule out or disagree with the initial opinion. This is especially true in the field of mental health, where symptoms are often on a spectrum and not as clear cut as, say, a broken bone. 27 Nor is it a case where Plaintiff entered FDOC with a pre-existing diagnosis and treatment plan that FDOC unreasonably refused to continue. Plaintiff does not detail much about her claimed GD, other than vague conclusions that she “has GD,” meets the criteria, and “is suffering [from] depression, anxiety, and engaging in self-destructive behavior.” ECF No. 10 at 10. Because Plaintiff has failed to state a claim showing a serious medical need and deliberate indifference, her Eighth Amendment claims against all
Defendants should be dismissed. C. Equal Protection Claim
To establish a claim under the Equal Protection Clause of the Fourteenth Amendment, a plaintiff must show that “(1) [he or she] is similarly situated to other prisoners who received more favorable treatment; and (2) the state engaged in invidious discrimination against [him or her] based on
race, religion, national origin, or some other constitutionally protected basis.” Sweet v. Sec’y, Dep’t of Corr., 467 F.3d 1311, 1319 (11th Cir. 2006) (internal citations omitted). Put simply, the clause is “essentially a direction that all
persons similarly situated should be treated alike” by governmental actors. City of Cleburne v. Cleburne Living Ctr., 473 U.S. 432, 439 (1985). Here, Plaintiff claims that she was “similarly situated to every person in the GD program when they were being assessed…and is entitled to have
the same standards applied to her diagnosis, assessment, and disposition as was applied to theirs.” ECF No. 10 at 10. The problem with Plaintiff's argument is that she did have the same policy applied to her as anyone else in steps one and two of the process.28 Once she got to step three, she was not similarly situated to those with a formal GD diagnosis because she did
not have one. Plaintiff makes a conclusory allegation that she was held to a “heightened” standard, without explaining how the requirements were anything other than FDC Defendants complying with their policy.29 Denying
people who do not qualify for a formal GD diagnosis entry into a program designed for those with GD does not amount to a violation of Plaintiff's equal protection rights.30 D. Remaining Claims
Plaintiff's remaining claims are conspiracy against FDC Defendants and Defendant Leacock and supervisory liability against Defendant Dixon. Additionally, FDC Defendants raise the defense of qualified immunity in their
motion to dismiss, which Plaintiff addresses in her response. The throughline requirement in each of these areas is the presence of a constitutional
28 At least as it relates to those in the program after the current policy was implemented in November 2019. To the extent Plaintiff compares herself to “participants who were assessed in 2018-2019,” ECF No. 10 at 11, she cannot be similarly situated to them, because the current policy did not exist. 29 Though Plaintiff claims “no inmate can meet” this “heightened standard,” she immediately follows by stating there is currently a “10% [approval] rate” for entry into the program. ECF No. 10 at 8. 30 See E & T Realty v. Strickland, 830 F.2d 1107, 1112 (11th Cir. 1987) (no violation of equal protection rights when the government grants “a permit to an applicant who has a nonfrivolous claim of entitlement under the pertinent legislation and [denies] a permit to another applicant who is clearly unentitled to it: the two…are not similarly situated”). violation. See e.g., Grider v. City of Auburn, Ala., 618 F.3d 1240, 1260 (11th Cir. 2010) (conspiracy claim involves an agreement to violate a plaintiff’s
constitutional rights); Mann v. Taser Int'l, Inc., 588 F.3d at 1305-1308 (11th Cir. 2009) (stating “the central tenet” of supervisory liability “is a constitutional or statutory violation”); Smith ex rel. Smith v. Siegelman, 322 F.3d 1290,
1298 (11th Cir. 2003) (finding defendants were entitled to qualified immunity where the plaintiff “failed to sufficiently allege a constitutional violation,” without “need[ing] to proceed to the next step of determining if a constitutional right was clearly established”).
Because Plaintiff has failed to state a claim concerning a constitutional violation by any of the Defendants, her remaining claims necessarily fail and FDC Defendants are entitled to qualified immunity.
V. Recommendation For the reasons discussed, it is respectfully RECOMMENDED that FDC Defendants’ motion to dismiss, ECF No. 32, and Defendant Leacock’s
motion to dismiss, ECF No. 35, be GRANTED, and the action DISMISSED for failure to state a claim on which relief may be granted. The dismissal should be with prejudice because any amendment would be futile given the
admitted facts. The dismissal should also count as a “strike” pursuant to 28 U.S.C § 1915(e)(2)(B)(ii). IN CHAMBERS at Tallahassee, Florida on October 17, 2024.
s/ Martin A. Fitzpatrick MARTIN A. FITZPATRICK UNITED STATES MAGISTRATE JUDGE
NOTICE TO THE PARTIES Within fourteen (14) days after being served with a copy of this Report and Recommendation, a party may serve and file specific written objections to these proposed findings and recommendations. Fed. R. Civ. P. 72(b)(2). A copy of the objections shall be served upon all other parties. A party may respond to another party’s objections within fourteen (14) days after being served with a copy thereof. Fed. R. Civ. P. 72(b)(2). Any different deadline that may appear on the electronic docket is for the Court’s internal use only and does not control. If a party fails to object to the Magistrate Judge’s findings or recommendations as to any particular claim or issue contained in this Report and Recommendation, that party waives the right to challenge on appeal the District Court’s order based on the unobjected-to factual and legal conclusions. See 11th Cir. Rule 3-1; 28 U.S.C. § 636(b)(1)(C).