Mathis v. CoreCivic

CourtDistrict Court, D. Arizona
DecidedOctober 22, 2024
Docket2:23-cv-00323
StatusUnknown

This text of Mathis v. CoreCivic (Mathis v. CoreCivic) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mathis v. CoreCivic, (D. Ariz. 2024).

Opinion

1 WO 2 3 4 5 IN THE UNITED STATES DISTRICT COURT 6 FOR THE DISTRICT OF ARIZONA 7 8 Jason Mathis, No. CV-23-00323-PHX-KML (MTM) 9 Plaintiff, 10 v. ORDER 11 CoreCivic, et al., 12 Defendants.

13 14 Plaintiff Jason Mathis is currently confined in the Red Rock Correctional Center in 15 Eloy, Arizona (RRCC). Mathis believes defendant Awaal, a nurse practitioner, violated the 16 Eighth Amendment and committed negligence by providing inadequate treatment for 17 Mathis’s Hepatitis C (HCV) infection. Mathis also believes defendant CoreCivic had an 18 unconstitutional policy, custom, or practice of denying HCV treatment because of its cost. 19 Awaal and CoreCivic seek summary judgment by arguing the court should ignore Mathis’s 20 evidence. The court cannot do so and the motion for summary judgment is denied. 21 I. Background 22 At all relevant times, CoreCivic was the operator and provider of healthcare to 23 prisoners at RRCC and Awaal was a nurse practitioner employed by CoreCivic. According 24 to CoreCivic, it opts to follow the Arizona Department of Corrections, Rehabilitation and 25 Reentry (ADCRR) “policy and protocols for the treatment of Hepatitis C, as set forth in 26 the ADCRR Medical Services Technical Manual.” (Doc. 27 at 1-2.) ADCRR’s written 27 policy provides prisoners diagnosed with HCV “will be evaluated for possible treatment” 28 and “[a]ntiviral treatment for HCV is indicated for all patients with HCV unless they have 1 a life expectancy of less than 12 months due to another disease, or short sentence that 2 precludes completion of treatment prior to release.” (Doc. 27-2 at 95.) Thus, the ADCRR 3 policy is that antiviral treatment is “indicated” for all prisoners with HCV but that does not 4 mean every prisoner receives antiviral treatment immediately on diagnosis. Instead, the 5 policy specifies treatment occurs “based on Priorities for Treatment criteria.” (27-2 at 95.) 6 The “Priorities for Treatment criteria” classifies each prisoner based on that 7 prisoner’s Aspartate Aminotransferase Platelet Ratio Index score (APRI score)1 and the 8 prisoner’s “fibrosis score” or stage.2 Prisoners with APRI scores 2.0 and higher or “Stage 9 III and above” were deemed high priority; prisoners with APRI scores between 0.7 and 1.9 10 or Stage II were deemed intermediate priority; and prisoners with APRI scores less than 11 0.7 or “Stage 0–Stage 1” were deemed low priority. (Doc. 27-2 at 96.) The policy did not 12 indicate when individuals at each level of priority would obtain treatment. 13 The parties agree Mathis was diagnosed with HCV before arriving at RRCC in May 14 2020. The parties also agree that Mathis was seen by medical personnel on particular dates.3 15 But the parties present starkly different views of what happened during those encounters. 16 The court must credit Mathis’s evidence and draw all inferences in his favor as the non- 17 movant, see Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255 (1986), but both parties’ 18 views of the encounters are described below to demonstrate the material factual dispute. 19

20 1 See Carley v. Aranas, 103 F.4th 653, 656 (9th Cir. 2024) (“A patient’s APRI score, along with clinical symptoms, are reliable indicator[s] of liver fibrosis, although not definitive.”). 21 2 A “fibrosis score” is meant to reflect “the severity of liver scarring.” Furman v. Warden, 22 827 F. App’x 927, 930 n.4 (11th Cir. 2020). Under this approach “a person can be classified as F0 (no fibrosis), F1 (mild fibrosis), F2 (moderate fibrosis), F3 (severe fibrosis), or F4 23 (cirrhosis).” Id. 3 Defendants have provided Mathis’s medical records but do not state the records are 24 complete. The records do not appear to be in any particular order and contain numerous irrelevant entries. Defendants have made no specific reference to any of the records. 25 Rather, they cite only to a trio of declarations, one of which contains Mathis’s medical records as an exhibit. Defendants’ motion violates the requirement of Fed. R. Civ. P. 26 56(c)(1)(A) to cite “particular parts of materials in the record.” The court declines to comb through the materials to find medical records supporting declaratory statements. See 27 Carmen v. S.F. Unified Sch. Dist., 237 F.3d 1026, 1029 (9th Cir. 2001); see also Indep. Towers of Wash. v. Wash., 350 F.3d 925, 929 (9th Cir. 2003) (“[j]udges are not like pigs, 28 hunting for truffles buried in briefs”) (quoting United States v. Dunkel, 927 F.2d 955, 956 (7th Cir. 1991)). 1 On June 16, 2020, Mathis was seen by non-party Physician’s Assistant (PA) 2 Montgomery for an “Initial or Follow-up Visit.” (Doc. 27-2 at 43.) The medical records 3 indicate the “clinic visit [was] for following conditions: HCV.” (Doc. 27-2 at 43.) The 4 medical records also reflect PA Montgomery described Mathis as a “32 [year old] male 5 with HCV approximately 2 years ago,” and noted that Mathis’s “[l]abs [were] pending.” 6 (Doc. 27-2 at 43-46.) During this encounter PA Montgomery informed Mathis he “needed 7 the Hepatitis C treatment” but “CoreCivic policy would not approve the treatment . . . 8 because of how expensive it is.” (Doc. 30-1 at 6.) 9 On December 8, 2020, NP Awaal saw Mathis for another “Initial or Follow-up 10 Visit.” (Doc. 27-2 at 58.) The records for this encounter again indicate the “clinic visit 11 [was] for following conditions: HCV.” (Doc. 27-2 at 58.) Awaal documented that Mathis’s 12 tattoos were a “lifestyle risk factor,” and diagnosed Mathis’s HCV as “stable” with “fair” 13 control. (Doc. 27-2 at 58-59.) Mathis complained “of profuse sweating, right upper 14 abdomen pain, lethargy, difficulty sleeping, fatigue, weakness, headaches, shaking, and 15 dizziness.” (Doc. 30-1 at 7.) Awaal stated those symptoms “were probably side effects of 16 Hepatitis C.” Awaal informed Mathis he “needed the treatment, but she would not put in 17 for it.” (Doc. 30-1 at 7.) Awaal refused to request HCV treatment for Mathis because 18 “CoreCivic policy would not approve it unless [Mathis] were dying due to how expensive 19 the treatment was.” Awaal told Mathis “not to bother putting in any [Health Needs 20 Requests] regarding [HCV] or symptoms because there was nothing she could, nor would, 21 do.” (Doc. 30-1 at 7.) Mathis says he complained of symptoms, but Awaal recorded Mathis 22 “[d]enie[d] any viral symptoms.” (Doc. 27-2 at 58.) 23 On June 1, 2021, Awaal saw Mathis again and he again complained “of profuse 24 sweating, right upper abdomen pain, lethargy, difficulty sleeping, fatigue, weakness, 25 headaches, shaking, and dizziness.” (Doc. 30-1 at 8.) Awaal stated the symptoms “were 26 probably still side effects” of HCV. Awaal again informed Mathis that he “needed the 27 treatment, but she would not put in for [Mathis] to get it.” Awaal believed it would be futile 28 to do so because “it would never get approved unless [Mathis] was dying due to how 1 expensive said treatment is.” (Doc. 30-1 at 8.) Awaal informed Mathis that not providing 2 HCV treatment to him “was CoreCivic policy.” Mathis was again told not to bother 3 submitting additional health needs requests regarding HCV because there was “nothing” 4 Awaal would do. (Doc. 30-1 at 8.) Awaal’s records of that encounter indicate Mathis had 5 denied any symptoms. (Doc. 27-2 at 68.) 6 On November 1, 2021, Awaal saw Mathis again. During that visit, Mathis 7 “complained of profuse sweating, right upper abdomen pain, lethargy, difficulty sleeping, 8 fatigue, weakness, headaches, shaking, and dizziness.” (Doc.

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Mathis v. CoreCivic, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mathis-v-corecivic-azd-2024.