(PC) Cortinas v. Neel

• Court: District Court, E.D. California
• Decided: May 17, 2022
• Docket: 2:21-cv-00611
• Status: Unknown

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 LARRY WILLIAM CORTINAS, No. 2:21-cv-0611 AC P 12 Plaintiff, 13 v. ORDER AND FINDINGS AND RECOMMENDATIONS 14 KATHERINE NEEL, et al.,

15 Defendants. 16 17 Plaintiff, a state prisoner proceeding pro se, seeks relief pursuant to 42 U.S.C. § 1983 and 18 has requested leave to proceed in forma pauperis pursuant to 28 U.S.C. § 1915. Plaintiff also 19 moves for a temporary restraining order or preliminary injunction. 20 I. Application to Proceed In Forma Pauperis 21 Plaintiff has submitted a declaration that makes the showing required by 28 U.S.C. 22 § 1915(a). ECF No. 4. Accordingly, the request to proceed in forma pauperis will be granted. 23 Plaintiff is required to pay the statutory filing fee of $350.00 for this action. 28 U.S.C. 24 §§ 1914(a), 1915(b)(1). By this order, plaintiff will be assessed an initial partial filing fee in 25 accordance with the provisions of 28 U.S.C. § 1915(b)(1). By separate order, the court will direct 26 the appropriate agency to collect the initial partial filing fee from plaintiff’s trust account and 27 forward it to the Clerk of the Court. Thereafter, plaintiff will be obligated for monthly payments 28 of twenty percent of the preceding month’s income credited to plaintiff’s prison trust account. 1 These payments will be forwarded by the appropriate agency to the Clerk of the Court each time 2 the amount in plaintiff’s account exceeds $10.00, until the filing fee is paid in full. 28 U.S.C. 3 § 1915(b)(2). 4 II. Statutory Screening of Prisoner Complaints 5 The court is required to screen complaints brought by prisoners seeking relief against a 6 governmental entity or officer or employee of a governmental entity. 28 U.S.C. § 1915A(a). The 7 court must dismiss a complaint or portion thereof if the prisoner has raised claims that are 8 “frivolous, malicious, or fail[] to state a claim upon which relief may be granted,” or that “seek[] 9 monetary relief from a defendant who is immune from such relief.” 28 U.S.C. § 1915A(b). 10 A claim “is [legally] frivolous where it lacks an arguable basis either in law or in fact.” 11 Neitzke v. Williams, 490 U.S. 319, 325 (1989); Franklin v. Murphy, 745 F.2d 1221, 1227-28 (9th 12 Cir. 1984). “[A] judge may dismiss . . . claims which are ‘based on indisputably meritless legal 13 theories’ or whose ‘factual contentions are clearly baseless.’” Jackson v. Arizona, 885 F.2d 639, 14 640 (9th Cir. 1989) (quoting Neitzke, 490 U.S. at 327), superseded by statute on other grounds as 15 stated in Lopez v. Smith, 203 F.3d 1122, 1130 (9th Cir. 2000). The critical inquiry is whether a 16 constitutional claim, however inartfully pleaded, has an arguable legal and factual basis. 17 Franklin, 745 F.2d at 1227-28 (citations omitted). 18 “Federal Rule of Civil Procedure 8(a)(2) requires only ‘a short and plain statement of the 19 claim showing that the pleader is entitled to relief,’ in order to ‘give the defendant fair notice of 20 what the claim is and the grounds upon which it rests.’” Bell Atl. Corp. v. Twombly, 550 U.S. 21 544, 555 (2007) (alteration in original) (quoting Conley v. Gibson, 355 U.S. 41, 47 (1957)). 22 “Failure to state a claim under § 1915A incorporates the familiar standard applied in the context 23 of failure to state a claim under Federal Rule of Civil Procedure 12(b)(6).” Wilhelm v. Rotman, 24 680 F.3d 1113, 1121 (9th Cir. 2012) (citations omitted). In order to survive dismissal for failure 25 to state a claim, a complaint must contain more than “a formulaic recitation of the elements of a 26 cause of action;” it must contain factual allegations sufficient “to raise a right to relief above the 27 speculative level.” Twombly, 550 U.S. at 555 (citations omitted). “‘[T]he pleading must contain 28 something more than a statement of facts that merely creates a suspicion [of] a legally cognizable 1 right of action.’” Id. (alteration in original) (quoting 5 Charles Alan Wright & Arthur R. Miller, 2 Federal Practice and Procedure § 1216 (3d ed. 2004)). 3 “[A] complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to 4 relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting 5 Twombly, 550 U.S. at 570). “A claim has facial plausibility when the plaintiff pleads factual 6 content that allows the court to draw the reasonable inference that the defendant is liable for the 7 misconduct alleged.” Id. (citing Twombly, 550 U.S. at 556). In reviewing a complaint under this 8 standard, the court must accept as true the allegations of the complaint in question, Hosp. Bldg. 9 Co. v. Trs. of the Rex Hosp., 425 U.S. 738, 740 (1976) (citation omitted), as well as construe the 10 pleading in the light most favorable to the plaintiff and resolve all doubts in the plaintiff’s favor, 11 Jenkins v. McKeithen, 395 U.S. 411, 421 (1969) (citations omitted). 12 III. Complaint 13 The complaint alleges that defendants Neel, Bobbala, Sahota, Soltanian, Lynch, and Gates 14 violated plaintiff’s rights under the First and Eighth Amendments1 when they retaliated against 15 him by withholding medical treatment. ECF No. 1. 16 Plaintiff alleges that after years of being prescribed methadone—which was discontinued 17 as punishment for filing lawsuits—he has developed an addiction to heroin—which he uses to 18 treat his chronic pain. Id. at 4-5. On May 15, 2020, Gates issued a final response to a health care 19 appeal stating that plaintiff was receiving tramadol for pain but failed to enforce that decision, 20 which Soltanian refused to honor. Id. at 6. It appears that Bobbala may have issued a similar 21 decision at an earlier stage of the appeal. Id. When plaintiff informed Gates that he continued to 22 be deprived of pain medication, Gates did nothing. Id. Soltanian and Bobbala similarly 23 continued to allow plaintiff to suffer in pain despite multiple medical forms requesting treatment 24 for pain caused by damage to plaintiff’s cervical and lumbar spine. Id. Sahota also failed to

25 1 Plaintiff also cites the Fourteenth Amendment. However, because plaintiff was in custody at 26 CSP, Sacramento at the time of the alleged violations, it appears that he was a convicted prisoner and not a pretrial detainee. His deliberate indifference claims therefore arise under the Eighth 27 Amendment. See Vazquez v. County of Kern, 949 F.3d 1153, 1163-64 (9th Cir. 2020) (citation omitted) (Fourteenth Amendment applies to pretrial detainees while the Eighth Amendment 28 applies to convicted prisoners). 1 provide plaintiff with pain treatment despite reviewing fifteen complaints about plaintiff’s pain as 2 a member of the reasonable accommodation panel. Id. 3 On July 10, 2020, Soltanian determined that plaintiff required medication assisted 4 treatment for his heroin abuse and an appointment was scheduled for August 9, 2020. Id. at 4. 5 During the appointment, plaintiff asked Soltanian why he would not provide treatment— 6 presumably for plaintiff’s pain—and Soltanian responded that he would not treat plaintiff unless 7 he dismissed his litigation against the medical department. Id. Soltanian then stopped all of 8 plaintiff’s pain medication and Soltanian and Neel prevented plaintiff’s August 9, 2020 9 appointment from taking place. Id. 10 On August 20, 2020, plaintiff filed a health care appeal regarding access to the medication 11 assisted treatment program which was reviewed by Sahota, who responded that the appointment 12 for medication assisted treatment was pending. Id. at 5. Plaintiff subsequently sent additional 13 requests to Sahota regarding his need for treatment from an addiction physician, but those 14 requests were ignored. Id. at 6. Plaintiff further alleges that Bobbala and Neel conspired to deny 15 him access to an addiction physician, and that Bobbala scheduled plaintiff for an April 5, 2021 16 appointment with an addiction physician after plaintiff dismissed her from litigation. Id. at 5. 17 Finally, plaintiff alleges that Lynch has failed to intervene despite being notified through 18 grievances and correspondence from plaintiff and advocacy groups that plaintiff is being denied 19 medical treatment. Id. at 7. 20 IV. Analysis 21 A. Defendant Neel 22 The complaint makes only conclusory assertions that Neel prevented plaintiff from seeing 23 an addiction physician and fails to identify any specific actions by this defendant. “Liability 24 under § 1983 must be based on the personal involvement of the defendant,” Barren v. Harrington, 25 152 F.3d 1193, 1194 (9th Cir. 1998) (citing May v. Enomoto, 633 F.2d 164, 167 (9th Cir. 1980)), 26 and “[v]ague and conclusory allegations of official participation in civil rights violations are not 27 sufficient,” Ivey v. Bd. of Regents, 673 F.2d 266, 268 (9th Cir. 1982) (citations omitted). 28 Because plaintiff has not alleged any facts showing the necessary personal involvement by Neel, 1 he has not stated any claims against her. 2 B. Eighth Amendment 3 “[T]o maintain an Eighth Amendment claim based on prison medical treatment, an inmate 4 must show ‘deliberate indifference to serious medical needs.’” Jett v. Penner, 439 F.3d 1091, 5 1096 (9th Cir. 2006) (quoting Estelle v. Gamble, 429 U.S. 97, 104 (1976)). This requires plaintiff 6 to show (1) “a ‘serious medical need’ by demonstrating that ‘failure to treat a prisoner’s condition 7 could result in further significant injury or the unnecessary and wanton infliction of pain,’” and 8 (2) “the defendant’s response to the need was deliberately indifferent.” Id. (some internal 9 quotation marks omitted) (quoting McGuckin v. Smith, 974 F.2d 1050, 1059-60 (9th Cir. 1992)). 10 Deliberate indifference is established only where the defendant subjectively “knows of and 11 disregards an excessive risk to inmate health and safety.” Toguchi v. Chung, 391 F.3d 1051, 12 1057 (9th Cir. 2004) (citation and internal quotation marks omitted). 13 Plaintiff’s allegations are sufficient to state Eight Amendment claims against defendants 14 Sahota, Soltanian, and Lynch based on the failure to provide pain medication and medication 15 assisted treatment, and they will be required to respond to the complaint. The allegations are also 16 sufficient to state claims for relief against Bobbala and Gates based on the denial of pain 17 medication, and they will be required to respond to those claims. However, plaintiff fails to state 18 Eighth Amendment claims against Bobbala and Gates based on the denial of medication assisted 19 treatment. There are no facts indicating that Gates had any involvement with plaintiff’s 20 appointment with an addiction physician, and the complaint states only that Bobbala scheduled 21 plaintiff for an appointment with an addiction physician, with no facts showing that Bobbala was 22 involved in the denial and delay in treatment up to that point. 23 C. First Amendment 24 A viable First Amendment claim for retaliation must include the following five elements: 25 “(1) An assertion that a state actor took some adverse action against an inmate (2) because of (3) 26 that prisoner’s protected conduct, and that such action (4) chilled the inmate’s exercise of his First 27 Amendment rights, and (5) the action did not reasonably advance a legitimate correctional goal.” 28 Rhodes v. Robinson, 408 F.3d 559, 567-68 (9th Cir. 2005) (footnote and citations omitted). 1 Plaintiff has sufficiently alleged that Soltanian’s denial of medical treatment was motivated by 2 plaintiff’s ongoing litigation. However, the complaint does not allege sufficient facts to 3 demonstrate that Lynch, Gates, Sahota, and Bobbala’s conduct was also motivated by plaintiff’s 4 protected conduct. Although plaintiff makes general claims that these defendants’ conduct was 5 motivated by his pending lawsuits, he fails to provide any facts that would support this assertion. 6 The mere fact that plaintiff had litigation pending while his medical treatment was denied or 7 delayed, without more, does not support an inference that the litigation was what motivated 8 defendants’ conduct. 9 V. Leave to Amend 10 For the reasons set forth above, the court finds that the complaint does not state any 11 cognizable claims against defendant Neel. The complaint also fails to state any cognizable claims 12 for retaliation—except against defendant Soltanian—and does not state claims for deliberate 13 indifference against defendants Bobbala and Gates based on the denial of medication assisted 14 treatment. However, it appears that plaintiff may be able to allege facts to remedy this and he 15 will be given the opportunity to amend the complaint if he desires. 16 Plaintiff may proceed forthwith to serve defendants Bobbala, Sahota, Soltanian, Lynch, 17 and Gates on the cognizable claims identified above in Section IV, or he may delay serving any 18 defendant and amend the complaint. 19 Plaintiff will be required to complete and return the attached notice advising the court how 20 he wishes to proceed. If plaintiff chooses to amend the complaint, he will be given thirty days to 21 file an amended complaint. If plaintiff elects to proceed on the complaint as screened, the court 22 will proceed to serve the complaint. A decision to go forward without amending the complaint 23 will be considered a voluntarily dismissal without prejudice of all claims against defendant Neel; 24 the retaliation claims against defendants Bobbala, Sahota, Lynch, and Gates; and of the deliberate 25 indifference claims against defendants Gates and Bobbala based on the denial of medication 26 assisted treatment. 27 If plaintiff chooses to file a first amended complaint, he must specify how the conditions 28 about which he complains resulted in a deprivation of his constitutional rights. Rizzo v. Goode, 1 423 U.S. 362, 370-71 (1976). Also, the complaint must allege in specific terms how each named 2 defendant is involved. Arnold v. Int’l Bus. Machs. Corp., 637 F.2d 1350, 1355 (9th Cir. 1981). 3 There can be no liability under 42 U.S.C. § 1983 unless there is some affirmative link or 4 connection between a defendant’s actions and the claimed deprivation. Id.; Johnson v. Duffy, 5 588 F.2d 740, 743 (9th Cir. 1978). Furthermore, “[v]ague and conclusory allegations of official 6 participation in civil rights violations are not sufficient.” Ivey v. Bd. of Regents, 673 F.2d 266, 7 268 (9th Cir. 1982) (citations omitted). 8 Plaintiff is also informed that the court cannot refer to a prior pleading in order to make 9 his first amended complaint complete. Local Rule 220 requires that an amended complaint be 10 complete in itself without reference to any prior pleading. This is because, as a general rule, an 11 amended complaint supersedes the original complaint. Loux v. Rhay, 375 F.2d 55, 57 (9th Cir. 12 1967) (citations omitted), overruled in part by Lacey v. Maricopa County, 693 F.3d 896, 928 (9th 13 Cir. 2012) (claims dismissed with prejudice and without leave to amend do not have to be re-pled 14 in subsequent amended complaint to preserve appeal). Once plaintiff files a first amended 15 complaint, the original complaint no longer serves any function in the case. Therefore, in an 16 amended complaint, as in an original complaint, each claim and the involvement of each 17 defendant must be sufficiently alleged. 18 VI. Motion for a Temporary Restraining Order or Preliminary Injunction 19 Plaintiff has filed a motion for temporary restraining order or preliminary injunction in 20 which he requests an order directing that his appointment with an addiction physician be kept and 21 that his pain medication be adjusted to an effective dose. ECF No. 2 at 3. He asserts that absent 22 the relief requested, his constitutional rights will continue to be violated. Id. at 2. 23 A temporary restraining order is an extraordinary measure of relief that a federal court 24 may impose without notice to the adverse party if, in an affidavit or verified complaint, the 25 movant “clearly show[s] that immediate and irreparable injury, loss, or damage will result to the 26 movant before the adverse party can be heard in opposition.” Fed. R. Civ. P. 65(b)(1)(A). The 27 standard for issuing a temporary restraining order is essentially the same as that for issuing a 28 preliminary injunction. Stuhlbarg Int’l Sales Co. v. John D. Brush & Co., 240 F.3d 832, 839 n.7 1 (9th Cir. 2001) (stating that the analysis for temporary restraining orders and preliminary 2 injunctions is “substantially identical”). 3 “A plaintiff seeking a preliminary injunction must establish that he is likely to succeed on 4 the merits, that he is likely to suffer irreparable harm in the absence of preliminary relief, that the 5 balance of equities tips in his favor, and that an injunction is in the public interest.” Winter v. 6 Nat. Res. Def. Council, Inc., 555 U.S. 7, 20 (2008) (citations omitted). The propriety of a request 7 for injunctive relief hinges on a threat of irreparable injury that must be imminent in nature. See 8 Caribbean Marine Servs. Co. v. Baldrige, 844 F.2d 668, 674 (9th Cir. 1988) (“Speculative injury 9 does not constitute irreparable injury sufficient to warrant granting a preliminary injunction.” 10 (citing Goldie’s Bookstore, Inc. v. Superior Ct., 739 F.2d 466, 472 (9th Cir. 1984))). 11 Although plaintiff claims that his constitutional rights will continue to be violated, he has 12 not presented any facts to support that claim. Though the exhibits attached to the motion 13 demonstrate that plaintiff suffers from chronic pain and has been recommended for medication 14 assisted treatment, they also indicate that he has been referred for a pain medication adjustment 15 and is still referred for a consult for medication assisted treatment. There is no evidence that 16 plaintiff’s appointments or referrals will be cancelled. See Herb Reed Enters., LLC v. Fla. Entm’t 17 Mgmt., Inc., 736 F.3d 1239, 1251 (9th Cir. 2013) (“Those seeking injunctive relief must proffer 18 evidence sufficient to establish a likelihood of irreparable harm.”); Caribbean Marine Serv., 844 19 F.2d at 674. (“A plaintiff must do more than merely allege imminent harm sufficient to establish 20 standing; a plaintiff must demonstrate immediate threatened injury as a prerequisite to 21 preliminary injunctive relief.” (emphasis in original) (citing Los Angeles Mem’l Coliseum 22 Comm’n v. Nat’l Football League, 634 F.2d 1197, 1201 (9th Cir. 1980))). 23 Furthermore, plaintiff has since filed a notice of change of address showing that he has 24 been transferred from CSP, Sacramento—where he was allegedly being denied treatment—to 25 California Medical Facility. There is no indication that plaintiff is still under defendants’ care or 26 has a reasonable expectation of being returned to CSP, Sacramento, rendering his requests for 27 relief moot. See Nelson v. Heiss, 271 F.3d 891, 897 (9th Cir. 2001) (“[W]hen a prisoner is 28 moved from a prison, his action [for injunctive relief] will usually become moot as to conditions 1 at that particular facility” (citing Dilley v. Gunn, 64 F.3d 1365, 1368-69 (9th Cir. 1995))); 2 Johnson v. Moore, 948 F.2d 517, 519 (9th Cir. 1991) (per curiam) (claims for injunctive relief 3 related to conditions of confinement were moot where prisoner was transferred to another facility 4 and “demonstrated no reasonable expectation of returning to [the original facility].” (citing 5 Darring v. Kincheloe, 783 F.2d 874, 876 (9th Cir. 1986))). 6 For these reasons, the motion for a temporary restraining order or preliminary injunction 7 should be denied. 8 VII. Plain Language Summary of this Order for a Pro Se Litigant 9 Your request to proceed in forma pauperis is granted. That means you do not have to pay 10 the entire filing fee now. You will pay it over time, out of your trust account. 11 Some of the allegations in the complaint state claims against the defendants and some do 12 not. You have stated claims for deliberate indifference based on the denial of pain medication 13 against defendants Bobbala, Sahota, Soltanian, Lynch, and Gates. You have also stated claims 14 for deliberate indifference based on the denial of medication assisted treatment against Sahota, 15 Soltanian, and Lynch and for retaliation against Soltanian. You have not provided enough facts 16 about what Neel did to state any claims of relief against her. You also have not alleged facts 17 showing that Bobbala, Sahota, Lynch, and Gates’ conduct was motivated by your lawsuits or that 18 Bobbala and Gates denied or delayed your access to medication assisted treatment. 19 You have a choice to make. You may either (1) proceed immediately on your claims for 20 deliberate indifference based on the denial of pain medication against defendants Bobbala, 21 Sahota, Soltanian, Lynch, and Gates; your claims for deliberate indifference based on the denial 22 of medication assisted treatment against Sahota, Soltanian, and Lynch; and for retaliation against 23 Soltanian and voluntarily dismiss the other claims or (2) try to amend the complaint. If you want 24 to go forward without amending the complaint, you will be voluntarily dismissing without 25 prejudice all claims against defendant Neel; the retaliation claims against defendants Bobbala, 26 Sahota, Lynch, and Gates; and of the deliberate indifference claims based on the denial of 27 medication assisted treatment against defendants Gates and Bobbala. If you choose to file a first 28 amended complaint, it must include all claims you want to bring. Once an amended complaint is 1 filed, the court will not look at any information in the original complaint. Any claims and 2 information not in the first amended complaint will not be considered. You must complete 3 the attached notification showing what you want to do and return it to the court. Once the court 4 receives the notice, it will issue an order telling you what you need to do next (i.e. file an 5 amended complaint or wait for defendants to be served). 6 In accordance with the above, IT IS HEREBY ORDERED that: 7 1. Plaintiff’s request for leave to proceed in forma pauperis (ECF No. 4) is GRANTED. 8 2. Plaintiff is obligated to pay the statutory filing fee of $350.00 for this action. Plaintiff 9 is assessed an initial partial filing fee in accordance with the provisions of 28 U.S.C. 10 § 1915(b)(1). All fees shall be collected and paid in accordance with this court’s order to the 11 appropriate agency filed concurrently herewith. 12 3. Plaintiff’s claims against defendant Neel; the retaliation claims against defendants 13 Bobbala, Sahota, Lynch, and Gates; and of the deliberate indifference claims based on the denial 14 of medication assisted treatment against defendants Gates and Bobbala do not state claims for 15 which relief can be granted. 16 4. Plaintiff has the option to proceed immediately on his claims for deliberate 17 indifference based on the denial of pain medication against defendants Bobbala, Sahota, 18 Soltanian, Lynch, and Gates; deliberate indifference based on the denial of medication assisted 19 treatment against Sahota, Soltanian, and Lynch; and retaliation against Soltanian as set forth 20 above, or to amend the complaint. 21 5. Within fourteen days of service of this order, plaintiff shall complete and return the 22 attached form notifying the court whether he wants to proceed on the screened complaint or 23 whether he wants to file a first amended complaint. If plaintiff does not return the form, the court 24 will assume that he is choosing to proceed on the complaint as screened and will recommend 25 dismissal without prejudice of all claims against defendant Neel; the retaliation claims against 26 defendants Bobbala, Sahota, Lynch, and Gates; and of the deliberate indifference claims based on 27 the denial of medication assisted treatment against defendants Gates and Bobbala. 28 //// 1 6. The Clerk of the Court shall randomly assign a United States District Judge to this 2 || action. 3 IT IS FURTHER RECOMMENDED that plaintiffs motion for a temporary 4 || restraining order or preliminary injunction (ECF No. 2) be DENIED. 5 These findings and recommendations are submitted to the United States District Judge 6 || assigned to the case, pursuant to the provisions of 28 U.S.C. § 636(b)(1). Within twenty-one days 7 || after being served with these findings and recommendations, plaintiff may file written objections 8 | with the court. Such a document should be captioned “Objections to Magistrate Judges Findings 9 || and Recommendations.” Plaintiff is advised that failure to file objections within the specified 10 || time may waive the right to appeal the District Court’s order. Martinez v. YIst, 951 F.2d 1153 11 | (9th Cir. 1991). 12 | DATED: May 16, 2022 ~ 13 ththienr—Chnp—e_ ALLISON CLAIRE 14 UNITED STATES MAGISTRATE JUDGE 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1]

1 2 3 4 5 UNITED STATES DISTRICT COURT 6 FOR THE EASTERN DISTRICT OF CALIFORNIA 7 8 LARRY WILLIAM CORTINAS, No. 2:21-cv-0611 AC P 9 Plaintiff, 10 v. PLAINTIFF’S NOTICE ON HOW TO PROCEED 11 KATHERINE NEEL, et al., 12 Defendants. 13 14 Check one: 15 _____ Plaintiff wants to proceed immediately on his claims for deliberate indifference based on 16 the denial of pain medication against defendants Bobbala, Sahota, Soltanian, Lynch, and 17 Gates; deliberate indifference based on the denial of medication assisted treatment against 18 Sahota, Soltanian, and Lynch; and retaliation against Soltanian without amending the 19 complaint. Plaintiff understands that by going forward without amending the complaint 20 he is voluntarily dismissing without prejudice all claims against defendant Neel; the 21 retaliation claims against defendants Bobbala, Sahota, Lynch, and Gates; and of the 22 deliberate indifference claims based on the denial of medication assisted treatment against 23 defendants Gates and Bobbala pursuant to Federal Rule of Civil Procedure 41(a). 24 _____ Plaintiff wants to amend the complaint. 25 26 DATED:_______________________

27 Larry William Cortinas Plaintiff pro se 28