1 2 3 UNITED STATES DISTRICT COURT 4 DISTRICT OF NEVADA 5 * * *
6 LUCIA RAMOS-QUIRARTE, Case No. 2:23-cv-01778-RFB-NJK 7 Plaintiff, ORDER 8 v.
9 BETTY T. OMANDAC, et. al., 10 Defendants. 11
12 13 I. INTRODUCTION 14 Before the Court is Defendants State of Nevada ex rel. Nevada Department of Corrections 15 (“NDOC”), State of Nevada ex rel. Nevada Department of Conservation and Natural Resources, 16 Division of Forestry, Betty T. Omandac, Monique K. Liefert, Amanda J. Hopkins, Christopher W. 17 Nehls, and Shelly Ann Weigert (collectively, “Defendants”)’s motion to dismiss the Complaint 18 (ECF No. 4), Defendants’ two motions for leave to file document (ECF Nos. 27, 45), and 19 Defendants’ motion to stay discovery (ECF No. 42). For the reasons stated below, the Court denies 20 the motions for leave to file document, denies the motion to dismiss without prejudice, and grants 21 the motion to stay nunc pro tunc. 22 II. PROCEDURAL BACKGROUND 23 Plaintiff commenced this case by filing a Complaint on September 5, 2023, in the Eighth 24 Judicial District Court for Clark County, Nevada. ECF No. 1-1. Plaintiff alleges that she injured 25 her shoulder while incarcerated at Florence McClure Women’s Correctional Center and asserts 26 two constitutional deliberate indifference claims under the Nevada Constitution and 42 U.S.C. § 27 1983. Defendants removed this case to the United States District Court for the District of Nevada 28 on November 1, 2023. ECF No. 1. Defendants filed a motion to dismiss the Complaint on 1 November 8, 2023. ECF No. 4. The motion to dismiss was fully briefed by November 29, 2023. 2 ECF Nos. 8, 13. On May 20, 2024, Defendants filed a motion for leave to file. ECF No. 27. It was 3 fully briefed by June 10, 2024. ECF No. 28, 31. The Court held a hearing on the instant motions 4 on June 17, 2024. ECF No. 32. On November 15, 2024, Defendants filed a motion to stay 5 discovery, (ECF No. 42), which was briefed by December 3. ECF Nos. 43, 44. Defendants filed 6 an additional motion for leave to file on December 19, 2024. ECF Nos. 45, 46. Plaintiff responded. 7 ECF No. 47. On March 26, the parties filed a joint motion for settlement conference. ECF No. 48. 8 This Order follows. 9 III. FACTUAL ALLEGATIONS 10 A. Injury 11 Plaintiff Lucia Ramos-Quirarte was incarcerated at Florence McClure Women’s 12 Correction Center (“FMWCC”), a prison facility staffed and operated by the State of Nevada 13 through NDOC. Plaintiff was assigned to the top bunk of her cell. On May 10, 2021, Plaintiff 14 began to fall as she was exiting the top bunk. This required her to grab the bunk steps with her left 15 hand, which caused her left shoulder to twist, hit the metal bunk, and land sharply on her left side, 16 causing immediate pain and injury to her left shoulder. 17 Eleven days later, on May 21, 2021, Plaintiff was seen by Defendant Omandac as part of 18 her medical intake at FMWCC. Plaintiff notified Omandac of her injury. She told Omandac that 19 she could not lift her left arm and remained in continuing and substantial left shoulder pain as a 20 result of the fall. Omandac opined that Plaintiff had pulled a muscle and told Plaintiff that she 21 would be assigned to a bottom bunk until her shoulder healed. That same day Omandac executed 22 a Health Classification and Restriction form for Plaintiff, designating Plaintiff as “[n]ot fit for NDF 23 fire suppression crew” and “[l]ower bunk only.” The form also noted that Plaintiff’s housing 24 assignment needed to be “limited to institutions or facilities with or near health care capacity to 25 treat limiting conditions.” 26 B. Initial Requests for Medical Treatment Go Ignored 27 Plaintiff’s pain and immobility persisted. Thus, on or around May 28-29, 2021, Plaintiff 28 submitted a medical kite requesting assistance because she still could not lift her left arm and 1 remained in continuing and substantial left shoulder pain. In response, Omandac told Plaintiff that 2 sick calls were only for emergencies, that she would be put on a waiting list to see a doctor, and 3 that further medical kites, absent an emergency, would result in a major charge. 4 On July 27, 2021, Plaintiff submitted a follow-up medical kite, noting: “I kited on 5-29-21 5 and I got a response saying to ‘wait for Appt.’ Then I was told I have a ‘restriction.’ What does 6 that mean? I never got called for an Appt. I check every day!” An unidentified NDOC employee 7 responded to the kite, indicating that “as of 5/21/21 you have no restrictions.” 8 Plaintiff followed up again on August 1, 2021. She submitted a Request for Reversal of 9 Medical Charges, stating: “The nurse said I could ‘not’ see the Doctor until I got X rays done. She 10 send me back to my cell.” An unidentified NDOC Medical Administrator responded to the request, 11 indicating “No - Reclass.” On August 28, 2021, Plaintiff followed up a third time. She submitted 12 a medical kite stating: “I need an Appt. I been waiting on one since 5-21-21.” The kite was received 13 and signed by an unidentified NDOC employee, but Plaintiff received no response. On August 28, 14 2021, Plaintiff submitted a fourth medical kite regarding her shoulder. In that kite she writes: “I 15 been trying to get an App since 5-21-21 and had ‘not’ gotten one yet. Your Medical Team has 16 made an ‘error’ and has put the wrong info in my Medical Record. Thanks to this Medical ‘error,’ 17 I have not been able to go to JCC [referencing the Jean Conservation Camp]. Can you please get 18 me an App ASAP so that I can clarify this issue. Is not right or fare that I been held back from JCC 19 for over 3 month’s due to a Medical Error.” The kite was received by Defendant Liefert, but there 20 was no response by NDOC. 21 On August 30, 2021, Plaintiff was transferred to a work unit at FMWCC. Upon her transfer, 22 Plaintiff informed Defendant Hopkins of her injury and pain, noting that she could not lift her left 23 arm, that she had difficulties with dressing and undressing due to the continuing pain, and that she 24 was still waiting for a doctor’s appointment with NDOC Medical. Plaintiff remained in the work 25 unit until on or about October 5, 2021. Plaintiff never received her appointment with NDOC. 26 C. Transfer from FMWCC to JCC and Aggravation of Injury 27 On October 5, 2021, Plaintiff was transferred from FMWCC to the JCC. During her intake 28 medical exam at JCC, Plaintiff spoke with Defendant Nehls. She described to Nehls the continuing, 1 painful, and entirely unresolved injury to her left shoulder. Despite this, Nehls wrote down that 2 there were no findings for continuing care and no follow up was required. Nehls did indicate that 3 he would order “Icy-Hot” for her shoulder strain and Physician’s Orders dated October 19, 2021, 4 noted “Tylenol 32mg / Ace Wrap / and Icy hot.” 5 Despite this, on November 4, Plaintiff was ordered to participate in the “pack test” which 6 required her to run or walk three miles with a 45-pound pack. Immediately after the 45-pound pack 7 was put on her shoulders, Plaintiff felt an increased and intense pain in her left shoulder. On her 8 sixth lap, the sharp pain spread from her shoulder through her neck, causing an extreme headache. 9 By the eighth lap, Plaintiff was in such pain that she felt like she was going to faint, and she 10 informed an unidentified NFF employee that she had to stop the pack test. The unidentified NFF 11 employee informed Plaintiff that Defendant Nehls would follow up with her about the exacerbated 12 injury. 13 Four days passed and Plaintiff did not receive any follow up from Defendant Nehls. On 14 November 8, 2021, Plaintiff was moved from JCC cell #32E to JCC #2, where she was initially 15 assigned a top bunk. Following Plaintiff’s objection that she needed a bottom bunk due to the 16 swelling and inflammation of her shoulder, an unidentified NFF employee again informed Plaintiff 17 that Defendant Nehls would follow up with her about the exacerbated left shoulder injury. 18 That same day, Plaintiff submitted a medical kite, asking “Can I please see medical 19 attention as soon as possible?” This plea was accompanied by the notation: “My shoulder got re- 20 hurt with the Pack test and my arm got swollen all the way to my wrist. Now they moved me to a 21 top bunk and I can’t get up to the top bunk without hurting my arm.” Defendant Nehls finally saw 22 Plaintiff that day, and Nehls, along with the supervising Lieutenant, proceeded to initiate a transfer 23 from JCC back to FMWCC to evaluate Plaintiff’s left shoulder. Plaintiff arrived at the FMWCC 24 infirmary, where she was treated by Defendant Weigert and Omandac, and received a follow up 25 the next morning. 26 The Progress Notes from the follow up on November 9, 2021, note that Plaintiff had 27 shoulder pain and swelling after the pack test and that Plaintiff had a history of shoulder pain 28 beginning with her fall from the top bunk five months earlier. The notes also stated that Plaintiff 1 was unable to lift her arm forward more than 90 degrees, to the side more than 45 degrees, and 2 unable to reach her back. That same day, Defendant Omandac ordered an x-ray to be taken for her 3 left shoulder. 4 D. Plaintiff Never Receives X-Ray Results or Further Treatment Despite 5 Additional Requests 6 Plaintiff’s pain and swelling continued. A little over a month later, on December 15, 2021, 7 Plaintiff submitted a medical kite to Defendant Weigert: “I was brought back from JCC on 11-8- 8 21 due to my shoulder. The Doctor [referencing Defendant Omandac] said she was going to submit 9 for an approval for X rays. I have gotten called. My shoulder still hurts a lot and my arm is still a 10 little swollen. Have they approved my X ray?” The only response Plaintiff received was a form 11 stamp which stated, “[Y]ou’re on doctor’s sick call list wait for appt.” About a week later, on 12 December 21, 2021, Plaintiff received a call to see the doctor, but an unidentified NDOC 13 Correctional Nurse told her that she could not see the doctor until x-rays were taken of her 14 shoulder. 15 On December 28, 2021, Plaintiff submitted a second medical kite to Defendant Weigert, 16 again inquiring about the pending x-rays and informing Weigert that she was still in intense pain. 17 Weigert never responded to the kite. 18 Plaintiff submitted a third medical kite to Defendant Weigert on January 9, 2022, stating, 19 “I kitted you on 12-15-21 about my shoulder hurting and my left harm [arm] still swollen, you put 20 me on to see the Doctor on 12-21-21. The Nurse that saw me ‘did not’ let me see the Doctor, she 21 said I needed to have my X ray done first. Am I on the list for X rays? I was brought back from 22 JCC on 11-9-21 on Medical, due to my shoulder. It still hurts and my whole arm still swelled up.” 23 Weigert responded, “We do have an x-ray ordered for you. With facility lockdown you will have 24 your x-ray with our next group.” By January 19, 2022, the x-rays still had not been confirmed or 25 performed. Weigert informed Plaintiff she would look into the pending x-rays. 26 Plaintiff was again transferred to a working unit on February 22, 2022. On February 25, 27 Plaintiff was called to see an unidentified NDOC caseworker to sign a work release form. Plaintiff 28 informed the caseworker that she was still experiencing pain in her shoulder, that she could not 1 lift, push, or otherwise work with her left arm, and that she was still awaiting x-rays. The NDOC 2 caseworker still required Plaintiff to sign the work release and instructed her to keep an eye on the 3 workers list. 4 On March 6, 2022, about ten months after the initial injury and four months after the pack 5 test, Plaintiff finally received x-rays on her left shoulder and was informed that the doctor would 6 call her with the result of the x-ray. On March 14, 2022, an unidentified shift commander called 7 Plaintiff about a potential work assignment. During the call, Plaintiff inquired about the status of 8 her x-ray results and complained of her injury. The shift commander said “okay” and hung up. 9 On March 28, 2022, Plaintiff was released from prison without receiving the results of her 10 x-rays, any follow-up with a doctor about those x-rays, a diagnosis, or further treatment. After her 11 release, Plaintiff sought medical treatment for her injured shoulder, where it was revealed that she 12 had a tear in her rotator cuff that necessitated surgery. 13 IV. LEGAL STANDARD 14 An initial pleading must contain “a short and plain statement of the claim showing that the 15 pleader is entitled to relief[.]” Fed. R. Civ. P. 8(a). The court may dismiss a complaint for “failure 16 to state a claim upon which relief can be granted[.]” Fed. R. Civ. P. 12(b)(6). In ruling on a motion 17 to dismiss, “[a]ll well-pleaded allegations of material fact in the complaint are accepted as true and 18 are construed in the light most favorable to the non-moving party.” Faulkner v. ADT Sec. Servs., 19 Inc., 706 F.3d 1017, 1019 (9th Cir. 2013) (citations omitted). 20 To survive a motion to dismiss, a complaint need not contain “detailed factual allegations,” 21 but it must do more than assert “labels and conclusions” or “a formulaic recitation of the elements 22 of a cause of action . . . .” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. 23 Twombly, 550 U.S. 544, 555 (2007)). In other words, a claim will not be dismissed if it contains 24 “sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face,” 25 meaning that the court can reasonably infer “that the defendant is liable for the misconduct 26 alleged.” Id. at 678 (internal quotation and citation omitted). The Ninth Circuit, in elaborating on 27 the pleading standard described in Twombly and Iqbal, has held that for a complaint to survive 28 dismissal, the plaintiff must allege non-conclusory facts that, together with reasonable inferences 1 from those facts, are “plausibly suggestive of a claim entitling the plaintiff to relief.” Moss v. U.S. 2 Secret Serv., 572 F.3d 962, 969 (9th Cir. 2009). 3 V. DISCUSSION 4 The Court now turns to the merits of the motions. Defendants move to dismiss Plaintiff’s 5 complaint in its entirety. Defendants assert four arguments. First, they argue that Plaintiff’s Nevada 6 constitutional claim is one for medical malpractice. It is thus barred (1) because of the one-year 7 statute of limitations under NRS 41A.097(2) and (2) because Plaintiff failed to file a supporting 8 affidavit as required by NRS 41A.071. Next, Defendants argue that Plaintiff’s Nevada 9 constitutional claim fails because there is no private right of action for damages for deliberate 10 indifference to a serious medical need under Article I, Section 6 of the Nevada Constitution. Next, 11 Defendants argue that, even if the Court recognized such an action, Plaintiff’s Complaint should 12 still be dismissed because she fails to allege deliberate indifference under either the federal or 13 Nevada Constitution. Finally, Defendants assert that they are entitled to qualified immunity. The 14 Court addresses each argument in turn, before turning to the motion to stay and motions for leave 15 to file. 16 A. Statutory Requirement under NRS 41A.097 17 First, Defendants argue that Plaintiff’s state constitutional claim is one for professional 18 negligence or medical malpractice, rather than one for deliberate indifference to a serious medical 19 need, and should therefore be dismissed because of (1) the one-year statute of limitations and (2) 20 the failure to attach an affidavit as required by NRS 41A.071. The Court disagrees. 21 Defendants’ argument fails to recognize that Plaintiff brings a claim against Hopkins, who 22 is a correctional officer and not a medical provider, and thus an action for professional negligence 23 does not apply here. Moreover, Defendants conceded at oral argument that Plaintiff could 24 potentially pursue claims for negligence, gross negligence, or intentional infliction of emotional 25 distress against the non-medical correctional officers, rather than a professional negligence or 26 malpractice claim. The Court therefore rejects this argument as to Hopkins. 27 With respect to Omandac, Weigert, and Nehls, the Court finds that the determination of 28 whether Plaintiff must sue the remaining medical provider defendants under NRS 41A.097 turns 1 on whether there is a private damages action for a claim of deliberate indifference to a serious 2 medical need under the Nevada Constitution. For the reasons stated below, the Court finds that 3 there is. Therefore, Plaintiff’s claim will not be construed as a medical malpractice claim under 4 NRS 41A.097. It also follows that Defendants’ remaining statutory arguments fail because neither 5 the one-year statute of limitations nor the affidavit requirement apply to Plaintiff’s claim for 6 deliberate indifference under the Nevada constitution.1 Instead, the Court finds, and Defendants 7 do not dispute, that Plaintiff’s Nevada constitutional claim would be timely under either the two- 8 year personal injury limitations period that applies to tort claims brought under § 1983, or the four- 9 year catch-all limitations period under NRS 11.220. Therefore, Defendants’ motion to dismiss on 10 these grounds is denied. 11 B. Private Right of Action Under Nevada Constitution 12 Next, Defendants assert that if Plaintiff is pursuing a constitutional claim, instead of one 13 for professional negligence or malpractice, then there is no private right of action under the Nevada 14 Constitution and the claim must be dismissed. The Court disagrees. 15 As a threshold matter, the Court finds that there is no controlling Nevada precedent on 16 whether a private damages action exists for a claim of deliberate indifference to a serious medical 17 need under Article I, Section 6 of the Nevada Constitution. The Court further finds that the use of 18 certification rests in the sound discretion of the federal court. See Lehman Bros. v. Schein, 416 19 U.S. 386, 391 (1974) (“[Certification’s] use in a given case rests in the sound discretion of the 20 federal court.”); In re McLinn, 744 F.2d 677, 681 (9th Cir. 1984) (certification is discretionary and 21 should be limited to compelling situations). “Where the state’s highest court has not decided an 22 issue, the task of the federal courts is to predict how the state high court would resolve it.” Giles 23 v. Gen. Motors Acceptance Corp., 494 F.3d 865, 872 (9th Cir. 2007). 24 The Court finds, by applying the framework established by the Nevada Supreme Court in
25 1 Indeed, the Court is foreclosed from applying the statute of limitations period for medical malpractice to a 26 claim under the Nevada constitution. See Nev. Rev. Stat. Ann. § 11.220 (“An action for relief, not hereinbefore provided for, must be commenced within 4 years after the cause of action shall have accrued, regardless of whether 27 the underlying cause of action is analogous to that of any other cause of action with a statute of limitations expressly prescribed by law.”); see also U.S. Bank, N.A. v. Thunder Properties, Inc., 503 P.3d 299, 304 n.3 (Nev. 2022) (noting 28 that the NRS 11.220 amendment superseded the doctrine of analogous limitations for any claim filed after May 27, 2021); Martel v. HG Staffing, LLC, 519 P.3d 25, 29 (Nev. 2022) (same). 1 Mack v. Williams, that Plaintiff has brought a cognizable claim under the Nevada Constitution. 2 522 P.3d 434 (Nev. 2022); see also Vandecar v. Daniels, No. 2:20-CV-02150-ART-BNW, 2024 3 WL 4349430, at *4 (D. Nev. Sept. 30, 2024) (denying a motion to dismiss plaintiff’s claims for 4 damages under Article 1, §§ 6, 8, and 9 of the Nevada Constitution, noting that “Mack provides 5 the framework for establishing whether a provision of the Nevada Constitution contains a right of 6 action and whether that right of action permits damages actions”); Cardenas-Ornelas v. Wickham, 7 No. 2:21-CV-00030-ART-VCF, 2024 WL 4368152, at *5 (D. Nev. Sept. 30, 2024) (allowing 8 plaintiff’s claim under Article 1, Section 6 of the Nevada Constitution to proceed because the Mack 9 “factors favor recognizing an implied right of action for damages”). 10 i. Legal Standard 11 In Mack v. Williams, the Nevada Supreme Court held that Article 1, Section 18 of the 12 Nevada Constitution contained an implied right of action for damages. 522 P.3d at 441. The court 13 first reasoned that under longstanding Nevada constitutional law, provisions like Article 1, Section 14 18 that prohibit the government from violating rights are “self-executing”: they implicitly contain 15 a cause of action, whether or not the legislature created one. Id. at 442. Recognizing that a 16 “damages remedy does not automatically follow from the conclusion that a private right of action 17 exists,” the court formally adopted a three-part framework from California Supreme Court case 18 Katzberg v. Regents of Univ. of California, 58 P.3d 339, 342-43 (2002), to “approach, on a case- 19 by-case basis, whether to recognize a damages action for violations of an at-issue self-executing 20 constitutional provision.” Id. at 442. At step one, a court considers whether the language or history 21 of the constitutional provision at issue evinces an intent to authorize or withhold damages. Id. 22 Absent clear indication of intent, a court moves on to step two, a “constitutional tort analysis,” 23 which favors implying a constitutional remedy when doing so is “consistent with the purpose of 24 and necessary to enforce the provision[.]” Id. at 445, 448. Finally, at step three, a court considers 25 whether “special factors counsel[] hesitation.” Id. at 445. 26 ii. Discussion 27 First, the Court finds that Article 1, Section 6 is a self-executing provision. Article 1, 28 Section 6 of the Nevada Constitution mirrors the Cruel and Unusual Punishment Clause of the 1 Eight Amendment to the United States Constitution. It states: “Excessive bail shall not be required, 2 nor excessive fines imposed, nor shall cruel or unusual punishments be inflicted, nor shall 3 witnesses be unreasonably detained.” Nev. Const. art. I, § 6. Similarly to Article 1, Section 18, this 4 provision “prohibit[s] certain conduct” by the government and imposes “a limitation” on 5 government conduct, specifically by prohibiting excessive bail, excessive fines, cruel or unusual 6 punishment, and the unreasonable detention of witnesses. See Mack, 522 P.3d at 442 (quoting 7 Jensen v. Cunningham, 250 P.3d 465, 481-82 (Utah 2011)). Under Nevada Supreme Court 8 precedent, such “prohibitory provisions” are “self-executing.” See id.; Wilson v. Koontz, 348 P.2d 9 231, 232, 233-34 (1960); Wren v. Dixon, 161 P.2d 722, 729 (1916); Alper v. Clark Cnty., 571 10 P.2d 810, 811 (1977). It thus follows from these decisions that this self-executing provision 11 “contains a private cause of action . . . regardless of any affirmative legislative authorization.” See 12 Mack, 522 P.3d at 444 (finding that “self-executing rights require no specific language or 13 procedure for their private enforcement”). 14 Next, the Court applies the three-part framework of Katzberg to assess the availability of 15 money damages for violations of this self-executing provision. Id. First, the Nevada Supreme 16 Court treats “the plain language of the Constitution as controlling to the extent the language therein 17 expresses an intention to grant or to withhold a private right of action” for damages. Id. at 444. 18 Here, the language of Article 1, Section 6 neither authorizes nor prohibits money damages. As 19 with Mack, the Court does not find that the “absence of language in the Nevada Constitution 20 regarding a private damages action to enforce [Article 1, Section 6] as a limitation on the 21 judiciary’s inherent powers to recognize such an action.” Id. Thus, “although the Nevada 22 Constitution does not address enforcement of [this] individual right[], it also does not foreclose an 23 implied right of action for money damages based on violations of [this] right[].” Id. Finding no 24 affirmative indication of intent, the Court turns to the second part of this test. 25 The second part of the test, requiring a “constitutional tort analysis,” relies on § 874 A of 26 the Restatement (Second) of Torts. Id. at 445. Section 874A of the Restatement indicates that “a 27 remedy should exist for violations of a prohibitory constitutional provision if such a remedy is (1) 28 in furtherance of the purpose of the provision and (2) is needed to assure the effectiveness of the 1 provision.” Id. at 447 (citing Restatement (Second) of Torts § 874A (1979)). The Restatement also 2 lists several factors to consider in applying that analysis: (1) “[t]he nature of the legislative 3 provision,” (2) “[t]he adequacy of existing remedies,” (3) the extent to which a tort action 4 “supplement[s] or interfere[s] with” existing remedies and enforcement, (4) “[t]he significance of 5 the purpose” of the provision, (5) “[t]he extent of the change in tort law,” and (6) “[t]he burden” 6 on the judiciary. Id. at 448 (citing Restatement (Second) of Torts § 874A cmt. h. (1979)). 7 These factors favor recognizing an implied right of action for damages. As the United 8 States Supreme Court has noted, the “primary concern of the drafters [of the prohibition against 9 cruel and unusual punishment] was to proscribe ‘tortures,’” Estelle v. Gamble, 429 U.S. 97, 102 10 (1976), and the claim for deliberate indifference arose out of the recognition that a failure to treat 11 incarcerated people “may actually produce physical ‘torture’” and thus constituted the 12 “unnecessary and wanton infliction of pain,” which the framers intended to proscribe through the 13 passage of the Eighth Amendment. Id. As Nevada’s Constitution has a nearly identical prohibition, 14 it is reasonable to infer that such concerns were likewise the origin for its adoption. Thus, the 15 nature of the provision of Article 1, Section 6 is “both important and fundamental.” Katzberg, 58 16 P.3d at 357 (2002); Mack, 522 P.3d at 449 (“The nature of the constitutional provision protects a 17 fundamental right and is specific regarding the type of conduct which is prohibited.”); Cardenas- 18 Ornelas, 2024 WL 4368152, at *5 (“Section 6 is, like Section 18, a significant Constitutional 19 right.”). Recognizing a private action for damages would further the purpose of this provision. 20 Recognizing a private action for damages is also needed to assure the effectiveness of the 21 provision. As the Nevada Supreme Court concluded in Mack, this Court is not persuaded that other 22 state law tort claims, such as negligence, would be an adequate alternative remedy for violations 23 of Nevada’s cruel and unusual punishment prohibition. Id. at 448 (“[W]e reject the NDOC parties’ 24 assertion that state tort law provides meaningful redress for invasions of the constitutional right at 25 issue here.”); see also Cardenas-Ornelas, 2024 WL 4368152, at *5 (finding that existing alternative 26 remedies to Article 1, Section 6 “like state tort law serve ‘different interests’ than constitutional 27 guarantees”). 28 As Mack noted, the Constitution imposes higher standards than state tort law and it is 1 inappropriate to apply a lower standard to alleged constitutional violations. See Mack, 522 P.3d at 2 448 (“A state actor’s legal obligation under a state constitution ‘extends far beyond that of his or 3 her fellow citizens’ under tort law[.]”); Cardenas-Ornelas, 2024 WL 4368152, at *5 (“Tort law 4 establishes generally duties between members of the community, while constitutional remedies 5 provide higher standards[.]”). This higher standard recognizes that state tort law and constitutional 6 law serve vitally different roles. For example, state tort law is designed to regulate relationships 7 among private individuals, whereas constitutional provisions impose obligations on state actors to 8 protect and defend individual rights. See, e.g., Dorwart v. Caraway, 58 P.3d 128, 137 (Mont. 2002) 9 (agreeing with “authorities that there is a great distinction between wrongs committed by one 10 private individual against another and wrongs committed under authority of the state”); Binette v. 11 Sabo, 710 A.2d 688, 699 (Conn. 1998) (noting “important distinction between the tortious 12 misconduct of one private citizen toward another, on the one hand, and the violation of a citizen’s 13 constitutional rights by a police officer, on the other”). An implied right of action for damages 14 ensures that a defendant’s alleged violation is assessed by the higher standards required to protect 15 and enforce the rights enshrined in the state constitution. 16 Additionally, state tort claims, such as negligence, evolved from the common law whereas 17 a claim for deliberate indifference arises from the Nevada Constitution. These different legal bases 18 provide distinct frameworks for establishing claims. For example, negligence claims require a 19 case-by-case inquiry into the existence of a duty. In a constitutional claim, however, such a duty 20 is established by the state constitution. Thus, in an ordinary negligence claim, “the reasonableness 21 of the health care provider’s actions can be evaluated by jurors on the basis of their common 22 knowledge and experience,” and, in a professional negligence claim, “the jury can only evaluate 23 the plaintiff’s claim after presentation of the standards of care by a medical expert.” Szymborski 24 v. Spring Mountain Treatment Ctr., 403 P.3d 1280, 1284-85 (Nev. 2017). Unlike either an ordinary 25 or professional negligence claim, the legal obligation not to engage in cruel and unusual 26 punishment does not have to be established by and arise out of a jury’s evaluation of community 27 or medical standards, but out of the Nevada Constitution. When a plaintiff brings a case alleging 28 a constitutional violation, the court determines the existence of a duty as a constitutional matter, 1 rather than requiring the plaintiff to establish such a duty through medical expert testimony or 2 reliance on a jury’s common knowledge or experience. More generally, while the contours of a 3 state tort claim, such as whether a duty has been breached, are typically resolved by juries, the 4 contours of a constitutionally provided protection are generally established by a court, as this is 5 the entity that is charged with interpreting constitutional rights. See Wisconsin v. Mitchell, 508 6 U.S. 476, 483 (1993); R.A.V. v. City of St. Paul, 505 U.S. 377, 381 (1992); Tom v. Sutton, 533 7 F.2d 1101, 1105-06 (9th Cir. 1976). Consequently, state tort claims fall short as alternatives to 8 state constitutional claims because they do not involve the unique constitutional duties and 9 protections that arise under the Nevada Constitution as interpreted and enforced by the courts. 10 Furthermore, the Nevada legislature has erected additional barriers to state tort claims that 11 are not applicable to state constitutional claims. For example, in order to bring a medical 12 malpractice claim, plaintiffs must provide an affidavit from a medical expert. See Limprasert v. 13 PAM Specialty Hosp. of Las Vegas LLC, 550 P.3d 825, 831 (Nev. 2024) (“The Legislature has 14 created a tightly scripted scheme for professional negligence actions in Nevada that limits recovery 15 for noneconomic damages, mandates settlement conferences, and more.”). The failure to do so 16 leads to dismissal. Id. (“[T]he general rule under Nevada’s statutory scheme is that any 17 professional negligence action filed without a supporting affidavit must be dismissed.”). 18 Additionally, Nevada caps punitive damages on tort claims, but no similar cap exists for claims of 19 deliberate indifference. For all these reasons, state tort claims are not a meaningful alternative 20 remedy for constitutional violations. 21 Finally, while Nevada has “waived sovereign immunity under some circumstances, it has 22 retained immunity for state officials exercising discretion.” Carey v. Nevada Gaming Control Bd., 23 279 F.3d 873, 878 (9th Cir. 2002) (citing Ortega v. Reyna, 953 P.2d 18, 23 (Nev. 1998)). This 24 discretionary immunity “precludes claims against state officers based on acts or omissions relating 25 to a ‘discretionary function,’ even if that discretion is abused.” Jones v. Las Vegas Metro. Police 26 Dep't, 873 F.3d 1123, 1133 (9th Cir. 2017). However, “the Legislature has not provided for a state- 27 law equivalent of qualified immunity in the manner it exists under federal law[.]” Mack, 522 P.3d 28 at 451. Therefore, while a Plaintiff forced to rely on a negligence, or other state tort, claim would 1 face the hurdle of discretionary immunity, there would be no such barrier to their state 2 constitutional claim. Finding negligence an adequate alternative to a state constitutional claim risks 3 undermining the state’s public policy that “state actors should generally take responsibility when 4 they commit wrongs.” Id. (internal citation omitted). The Nevada Supreme Court has specifically 5 held that qualified immunity “is not a defense available to state actors sued for violations of the 6 individual rights enumerated in Nevada’s Constitution.” Id. Forcing Plaintiffs to rely on a 7 negligence claim, where immunity remains a defense, would circumvent the state court’s finding 8 in denying immunity for state constitutional claims. 9 Further, the test to establish whether state actors are entitled to discretionary-function 10 immunity requires a consideration of whether their decision “(1) involves an element of individual 11 judgment or choice and (2) is based on considerations of social, economic, or political policy.” 12 Sandoval v. Las Vegas Metro. Police Dep't, 756 F.3d 1154, 1168 (9th Cir. 2014) (cleaned up) 13 (quoting Martinez v. Maruszczak, 168 P.3d 720, 729 (Nev. 2007)). Yet, a constitutional violation 14 is not measured against social, economic, or political policies. State tort claims, which allow such 15 considerations, are once again not an adequate alternative to a constitutional claim. See, e.g., 16 Brown v. State, 674 N.E.2d 1129, 1140 (N.Y. 1996) (“Common-law tort rules are heavily 17 influenced by overriding concerns of adjusting losses and allocating risks, matters that have little 18 relevance when constitutional rights are at stake.”). 19 While the Nevada Supreme Court primarily considered the existence of alternative 20 remedies in their analysis, none of the other Restatement factors disfavor recognizing a private 21 right of action. Mack, 522 P.3d at 448; see also Katzberg, 58 P.3d at 357. Rights of action for 22 Section 6 would not interfere with existing remedies and enforcement, nor would it burden the 23 judiciary. Courts will evaluate claims under this right of action using the same well-developed 24 standards they regularly apply for alleged Eight Amendment violations. See e.g., Wolf v. Nevada 25 ex rel. Nevada Dep't of Corr., No. 3:22-cv-00308-MMD-CSD, 2024 WL 2051623, at *6 (D. Nev. 26 Feb. 23, 2024), report and recommendation adopted, 2024 WL 1406554 (D. Nev. Apr. 1, 2024) 27 (“[C]ourts within this district have applied the same legal standard to Article 1, Section 6 of the 28 Nevada Constitution as are applied to the Eighth Amendment, and have allowed such claims to 1 proceed in federal court.”); Meeks v. Nevada Dep't of Corr., 3:18-cv-00431-MMD-WGC, 2020 2 WL 8084979, at *19 (D. Nev. Nov. 10, 2020), report and recommendation adopted, 2021 WL 3 53619 (D. Nev. Jan. 6, 2021) (“Courts within this district have applied the same legal standards to 4 the cruel and unusual punishment corollary included in Article 1, Section 6. . . as are applied to 5 the corollaries in the United States Constitution, and have allowed such claims to proceed.”); 6 Vickers v. Godecki, No. 2:20-cv-01401-GMN-NJK, 2023 WL 2435110, at *2 (D. Nev. Mar. 8, 7 2023) (“[The] Court applies the same legal standards to the cruel and unusual punishment 8 provision in Article 1, Section 6 of the Nevada Constitution as it does to the cruel and unusual 9 punishment provision of the Eighth Amendment of the U.S. Constitution.”). As this analysis favors 10 a damages action to vindicate deliberate indifference rights under the Nevada Constitution, this 11 Court moves to the third part of the test. 12 The Nevada Supreme Court identified deference to legislative judgment, avoidance of 13 adverse policy consequences, considerations of government fiscal policy, practical issues of proof, 14 and the competence of courts to assess particular types of damages as the relevant special factors 15 to consider in recognizing a damages action. Mack, 522 P.3d at 449. First, the Court finds no 16 legislative judgments regarding a damages action for constitutional violations exists to which to 17 accord deference. Id. Second, a private right of action for money damages would not impose new 18 limitations on government conduct, given the developed status of deliberate indifference 19 jurisprudence. Id. Third, a private right of action for damages would impact legislative fiscal policy 20 if plaintiffs succeed in their suits against state actors. Fourth, a damages action for retrospective 21 harm presents no practical issues of proof different from other typical cases managed by the 22 judiciary. Id. Fifth, the court is equipped to assess damages in this case. Damages simply do not 23 represent a revolutionary or remarkable remedy, but, instead, remain a traditional remedy for 24 legally recognized wrongs. Id. (internal quotation marks omitted). Hence, the overwhelming force 25 of the special factors support identification of a private right of action. 26 Accordingly, considering the results of the Nevada Supreme Court’s three-part test, this 27 Court finds that there is a state constitutional claim for deliberate indifference under Nevada law 28 and will allow Plaintiff’s state cause of action to proceed beyond this stage. 1 C. Adequacy of the Complaint 2 Next, the Defendants argue that, even if the Court does find that Plaintiff’s Nevada 3 constitutional claim is cognizable, Plaintiff has failed to adequately allege that Defendants were 4 deliberately indifferent to her serious medical need. Thus, both the Nevada and federal 5 constitutional claims should be dismissed. Specifically, Defendants argue that Plaintiff has failed 6 to show that the course of treatment the doctors chose was medically unacceptable under the 7 circumstances and that the Defendants chose this course in conscious disregard of an excessive 8 risk to her health. The Court again disagrees. 9 i. Legal Standard 10 To state a claim under 42 U.S.C. § 1983, a plaintiff must allege two essential elements: (1) 11 the violation of a right secured by the Constitution or laws of the United States; and (2) that the 12 alleged violation was committed by a person acting under color of state law. West v. Atkins, 487 13 U.S. 42, 48 (1988). 14 The Eighth Amendment prohibits the imposition of cruel and unusual punishment and 15 “embodies ‘broad and idealistic concepts of dignity, civilized standards, humanity, and decency.’” 16 Estelle, 429 U.S. at 102. A prison official violates the Eighth Amendment when he acts with 17 “deliberate indifference” to the serious medical needs of a prisoner. Farmer v. Brennan, 511 U.S. 18 825, 828 (1994). “To establish an Eighth Amendment violation, a plaintiff must satisfy both an 19 objective standard—that the deprivation was serious enough to constitute cruel and unusual 20 punishment—and a subjective standard—deliberate indifference.” Snow v. McDaniel, 681 F.3d 21 978, 985 (9th Cir. 2012) (overruled on other grounds). To establish the first prong, “the plaintiff 22 must show a serious medical need by demonstrating that failure to treat a prisoner’s condition 23 could result in further significant injury or the unnecessary and wanton infliction of pain.” Jett v. 24 Penner, 439 F.3d 1091, 1096 (9th Cir. 2006) (internal quotation marks omitted). 25 To satisfy the deliberate indifference prong, a plaintiff must show “(a) a purposeful act or 26 failure to respond to a prisoner’s pain or possible medical need and (b) harm caused by the 27 indifference.” Id. “Indifference may appear when prison officials deny, delay or intentionally 28 interfere with medical treatment, or it may be shown by the way in which prison physicians provide 1 medical care.” Id. (internal quotations omitted). This requires that the prison official “knows of 2 and disregards an excessive risk to inmate health or safety; the official must both be aware of facts 3 from which the inference could be drawn that a substantial risk of serious harm exists, and he must 4 also draw the inference.” Farmer, 511 U.S. at 837; see also Peralta v. Dillard, 744 F.3d 1076, 1086 5 (9th Cir. 2016). 6 A mere difference of medical opinion cannot support a claim of deliberate medical 7 indifference. Toguchi v. Chung, 391 F.3d 1051, 1058 (9th Cir. 2004). Instead, a plaintiff must 8 show “that the chosen course of treatment was medically unacceptable under the circumstances, 9 and was chosen in conscious disregard of an excessive risk to [the prisoner’s] health.” Id. (internal 10 quotation marks and citations omitted) (alteration in original). When a prisoner claims deliberate 11 indifference based on a delay in providing medical treatment, they must show that the delay led to 12 further harm. See Shapley v. Nevada Bd. of State Prison Comm’rs, 766 F.2d 404, 407 (9th Cir. 13 1985) (holding that “mere delay of surgery, without more, is insufficient to state a claim of 14 deliberate medical indifference”). Prison officials who know of a substantial risk to a prisoner’s 15 health and safety are liable only if they responded unreasonably to the risk, even if the harm 16 ultimately was not averted. Farmer, 511 U.S. at 844. 17 The standard for deliberate indifference is “less stringent in cases involving a prisoner’s 18 medical needs . . . because the State’s responsibility to provide inmates with medical care 19 ordinarily does not conflict with competing administrative concerns.” Snow, 681 F.3d at 985 20 (internal quotations omitted). Thus, in deciding whether there has been deliberate indifference, 21 courts “need not defer to the judgment of prison doctors or administrators.” Id. at 985 (internal 22 quotations omitted). 23 ii. Discussion 24 The Court finds that the allegations in the Complaint are sufficient to state a state and 25 federal claim for deliberate indifference against the Defendants Omandac, Weigert, Nehls, and 26 Hopkins.2 27 28 2 The Court does not find that Plaintiff has alleged sufficient facts to state a claim for deliberate indifference 1 The Court first reiterates its finding pursuant to Mack that the state and federal claims for 2 deliberate indifference overlap in terms of their jurisprudence and standards. 3 There is no dispute that the Defendants in this case were acting under color of state law or 4 that Plaintiff’s rotator cuff tear, which caused her substantial pain and rendered her unable to lift 5 her arm for ten months, is an objectively serious medical need. See Colwell v. Bannister, 763 F.3d 6 1060, 1066 (9th Cir. 2014) (“Indications that a plaintiff has a serious medical need include ‘[t]he 7 existence of an injury that a reasonable doctor or patient would find important and worthy of 8 comment or treatment; the presence of a medical condition that significantly affects an individual’s 9 daily activities; or the existence of chronic and substantial pain.’”). 10 The named Defendants were also deliberately indifferent under the subjective prong of the 11 deliberate indifference test. The Complaint plausibly alleges that Omandac, Nehls, Weigert, and 12 Hopkins (a) were aware of Plaintiff’s continuing and unmitigated pain and ignored it, and (b) 13 disregarded her underlying injury to a degree that posed an excessive risk to her health. 14 Plaintiff notified Omandac about her injury eleven days after it occurred on May 21, 2021. 15 Plaintiff told Omandac that she could not lift her arm and remained in substantial and continuing 16 shoulder pain as a result of the fall. Instead of conducting any further diagnostics or scheduling 17 Plaintiff for a follow-up appointment, Omandac simply told Plaintiff that she had pulled a muscle. 18 A week later, almost 20 days after the injury, Plaintiff notified Omandac again, through a medical 19 kite, that her shoulder remained in continuing and substantial pain and that she still could not lift 20 her arm. Although at this time, Omandac claimed to have put Plaintiff on a waiting list to see a 21 doctor, she summarily classified Plaintiff’s request as a non-emergency and warned her that she 22 would be disciplined for sending any future medical kites. Yet, Plaintiff suggests that Omandac 23 did not actually place her on a list, given the extreme delay in her treatment. After aggravating her 24 injury at JCC, Plaintiff saw Omandac again in November 2021, four months after her original 25 shoulder injury. Omandac noted Plaintiff’s original injury, which had not been treated with 26 against Defendant Leifert. The only allegation against Leifert is that she received and ignored a kite from Plaintiff 27 regarding her misclassification, which had been preventing Plaintiff from transferring to JCC. This kite did not put Leifert on notice of Plaintiff’s injury, nor did the kite contain a request for medical treatment. Therefore, Plaintiff does 28 not plausibly allege that Leifert acted in conscious disregard of an excessive risk to Plaintiff’s health and the Court will dismiss Leifert without prejudice. 1 anything other than ineffective pain killers, and ordered x-rays, but did nothing to address 2 Plaintiff’s ongoing and unmitigated pain. Moreover, it took another four months and four follow- 3 ups from Plaintiff before she finally had these x-rays taken. Plaintiff never saw the results of these 4 x-rays nor received any further treatment for her shoulder until she was released. 5 Along with Defendant Omandac, Plaintiff also saw Defendant Wiegert in November 2021. 6 At this time, the pain and severity of Plaintiff’s shoulder injury was evident to both Omandac and 7 Weigert. Plaintiff had been experiencing the same consistent pain for nearly six months, had severe 8 swelling, and a significantly limited range of motion. Despite being on notice of these facts and 9 despite receiving a medical kite from Plaintiff a month later, which indicated that no x-rays had 10 been taken, Weigert did not take any action. Weigert’s inaction was not, as Defendants characterize 11 it, a simple “delay” between medical appointments; her inaction effectively prevented Plaintiff 12 from receiving any medical care at all. Thus, Weigert also ignored Plaintiff’s ongoing and 13 unmitigated pain. 14 The same is true for Defendants Nehls and Hopkins. When Plaintiff was transferred to the 15 work unit at FWMCC on August 30, 2021, three months after her injury, she told Defendant 16 Hopkins about her pain, including that she could not lift her left arm or perform basic tasks such 17 as dressing. She also told Hopkins that she was still waiting for an appointment with NDOC 18 medical. Hopkins took no action and Plaintiff remained in the work unit until October 5, 2021, 19 before being transferred to another work unit at JCC. This continued work, which she felt 20 compelled to do, aggravated and exacerbated Plaintiff’s injury. 21 Upon her arrival to JCC, Plaintiff informed Defendant Nehls about her shoulder injury and 22 the substantial chronic pain she had been experiencing for the past five months. Despite Nehl’s 23 knowledge of her painful, and unresolved injury, Nehls wrote down that there were “no findings 24 for continuing care” and that “no follow-up” was required. Although Nehls ordered several pain 25 relief medications for Plaintiff, including Icy-Hot and Tylenol, he was aware, from her prior 26 history, that such medications did not address her pain. Moreover, his decision to designate 27 Plaintiff as requiring no follow-up, even though she had been in continuing pain for five months, 28 represents a medically unacceptable denial of treatment or diagnosis of her underlying condition. 1 Finally, there are ample allegations that the delay in medical care created an excessive risk 2 of substantial harm to Plaintiff as well as the exacerbation of her pain. Had either Omandac or 3 Nehls responded appropriately to Plaintiff’s symptoms of continued, substantial pain and 4 immobility, Plaintiff would have been diagnosed with a rotator cuff tear and would have received 5 the appropriate treatment to address both her injury and pain. Instead, Plaintiff was transferred to 6 a work unit at FMWCC on August 30, 2021, where she remained until October 5, 2021. Then, she 7 was transferred to JCC, where she was assigned to a work unit once again. She was forced to carry 8 a 45-pound pack for three miles. This aggravated her shoulder injury to such a degree that Plaintiff 9 almost fainted from the pain, her arm was swollen from her shoulder to her hand, and her ability 10 to move her arm significantly hindered. After ten months of substantial pain, immobility, and 11 swelling, Plaintiff left the prison to learn that she had a rotator cuff tear that required surgery. 12 Therefore, the Defendants’ motion to dismiss for failure to state a claim for deliberate indifference 13 under the federal and state constitutions is denied. 14 D. Qualified Immunity 15 In their final argument, Defendants assert that they are entitled to qualified immunity on 16 the federal claim. The Court disagrees. 17 i. Legal Standard 18 “The doctrine of qualified immunity protects government officials from liability for civil 19 damages insofar as their conduct does not violate clearly established statutory or constitutional 20 rights of which a reasonable person would have known.” Pearson v. Callahan, 555 U.S. 223, 231 21 (2009). Qualified immunity is an immunity from suit rather than a defense to liability, and it 22 “ensures that officers are on notice their conduct is unlawful before being subjected to suit.” 23 Tarabochia v. Adkins, 766 F.3d 1115, 1121 (9th Cir. 2014). In deciding whether officers are 24 entitled to qualified immunity, courts consider, taking the facts in the light most favorable to the 25 nonmoving party, (1) whether the facts show that the officer’s conduct violated a constitutional 26 right, and (2) if so, whether that right was clearly established at the time. Id. 27 Under the second prong, courts “consider whether a reasonable officer would have had fair 28 notice that the action was unlawful.” Id. at 1125 (brackets in original omitted). “This requires two 1 separate determinations: (1) whether the law governing the conduct at issue was clearly established 2 and (2) whether the facts as alleged could support a reasonable belief that the conduct in question 3 conformed to the established law.” Green v. City & Cnty. of San Francisco, 751 F.3d 1039, 1052 4 (9th Cir. 2014). “A Government official’s conduct violates clearly established law when, at the 5 time of the challenged conduct, ‘[t]he contours of [a] right [are] sufficiently clear’ that every 6 ‘reasonable official would have understood that what he is doing violates that right.’” Ashcroft v. 7 al-Kidd, 563 U.S. 731, 741 (2011) (brackets in original) (quoting Anderson v. Creighton, 483 U.S. 8 635, 640 (1987)). While a case directly on point is not required for a right to be clearly established, 9 “existing precedent must have placed the statutory or constitutional question beyond debate.” Id. 10 Further, the right must be defined at “the appropriate level of generality . . . [and the court] must 11 not allow an overly generalized or excessively specific construction of the right to guide [its] 12 analysis.” Cunningham v. Gates, 229 F.3d 1271, 1288 (9th Cir. 2000); see also Ashcroft, 563 U.S. 13 at 741-42. 14 iii. Discussion 15 For the reasons stated above, the Court has already found that Plaintiff has sufficiently 16 alleged that Defendants Omandac, Weigert, Hopkins, and Nehls violated Plaintiff’s Eighth 17 Amendment constitutional right to be free from cruel and unusual punishment, therefore meeting 18 the first prong of the test. As to the second prong, Defendants assert that “there is no published 19 Ninth Circuit decision that would have alerted Defendants that their treatment efforts were so 20 medically unacceptable, and done in such disregard for Plaintiff’s health, that it constituted a 21 constitutional violation.” The Court disagrees. 22 At the time of the events in question, 2021 through 2022, it was well established that prison 23 staff who purposefully ignored or failed to respond to a prisoner’s known serious injury and 24 repeated requests for treatment constituted deliberate indifference to that injury. Jett v. Prenner, 25 439 F.3d 1091, 1098 (9th Cir. 2006) (holding that failing to address a prisoner’s pain and offer 26 appropriate treatment establishes deliberate indifference). That was the case even when the 27 “defendants provided medical care, medications, and specialist referrals.” See Snow, 681 F.3d at 28 986 (finding that delay, denial, and interference in providing hip surgery for two years constitutes 1 deliberate indifference despite the fact that plaintiff was seen by several healthcare providers 2 throughout the period). Plaintiff has plausibly alleged, as noted previously, that various Defendants 3 failed to take steps within their respective authority to allow Plaintiff to seek and receive treatment 4 for her injury and that their respective responses were “medically unacceptable.” Such conduct 5 was clearly established as unconstitutional. See Hamby v. Hammond, 821 F.3d 1085, 1092 (9th 6 Cir. 2016) (internal citations omitted). 7 Additionally, it was also well established by 2021 that the failure to address, or 8 disregarding a prisoner’s ongoing acute pain, was unconstitutional. See Peralta, 744 F.3d at 1086. 9 Plaintiff has also plausibly alleged that all of the Defendants disregarded her chronic acute pain. 10 Finally, it was also well established by 2021 that forcing a prisoner to engage in actions 11 that would exacerbate an injury or pain was unconstitutional. See Hamilton v. Endell, 981 F.2d 12 1062, 1067 (9th Cir. 1992) (overruled in part on other grounds) (finding that forcing plaintiff to 13 get on a flight with an injured ear after being on notice that ear injury would worsen from flight 14 constitutes deliberate indifference). Plaintiff has sufficiently alleged that the Defendants 15 exacerbated her injury, including by forcing her to perform the three-mile run or to use the top 16 bunk. 17 The Court rejects Defendants’ attempt to establish a justification for their actions at this 18 juncture. Defendants claim that any delay in medical care “was because of inmate demand and 19 security concerns like lockdown.” First, this alleged justification has not been (and cannot be) 20 established at this stage of the case. Second, Defendants’ argument does not explain their alleged 21 failure to acknowledge Plaintiff’s injury or ignore her chronic pain. Defendants have not presented 22 any authority for the proposition that they can simply ignore ongoing pain and injury for months 23 for unspecified “administrative challenges.” Therefore, the Defendants’ motion to dismiss for 24 qualified immunity is denied. 25 E. Motion to Stay 26 The Court is vested with broad discretion to manage discovery. Dichter-Mad Fam. 27 Partners, LLP v. United States, 709 F.3d 749, 751 (9th Cir. 2013) (per curiam); Surfvivor Media, 28 Inc. v. Survivor Prods., 406 F.3d 625, 635 (9th Cir. 2005); Hallett v. Morgan, 296 F.3d 732, 751 1 (9th Cir. 2002). A stay of discovery pending resolution of potentially dispositive issues furthers 2 the goal of efficiency for the courts and the litigants. Little v. City of Seattle, 863 F.2d 681, 685 3 (9th Cir. 1988) (stay of discovery pending resolution of immunity issue). Having now resolved the 4 dispositive issues, the Court finds that a stay is no longer warranted. Accordingly, Defendant’s 5 motion to stay is denied. 6 F. Motions for Leave to File Document 7 Defendants also filed two motions for leave to file a document. Defendants wish to file two 8 trial court orders, Michael Hutchinson et al. v. Eric Ramirez et al., A-23-874494-C, from the 9 Eighth Judicial District Court, and Richard Denson et al. v. State of Nevada ex rel. Nevada 10 Department of Corrections et al., A-23-883014-C, from the Eighth Judicial District Court. Both of 11 these orders found that Mack v. Williams precluded the finding of a private right of action for 12 damages under Article I, Section 6. 13 The Local Rules require the parties to obtain leave of the Court before filing any 14 supplemental briefs. L-R 7-2(g). The Court may grant leave to file supplemental authority “for 15 good cause” found. Id. “Good cause may exist either when the proffered supplemental authority 16 controls the outcome of the litigation, or when the proffered supplemental authority is precedential, 17 or particularly persuasive or helpful.” Alps Prop. & Cas. Ins. Co. v. Kalicki Collier, LLP, 526 F. 18 Supp. 3d 805, 812 (D. Nev. Mar. 17, 2021). The Court denies the motion. Hutchinson and Denson 19 are state trial court opinions, and therefore the Court finds that they are neither controlling nor 20 particularly persuasive. 21 VI. CONCLUSION 22 IT IS THEREFORE ORDERED that Defendants’ Motion to Dismiss, (ECF No. 4), is 23 DENIED. 24 IT IS THEREFORE ORDERED that Defendants’ Motion to Stay, (ECF No. 42), is 25 DENIED. A Proposed Joint Pretrial Order is due by 6/19/2025. 26 IT IS FURTHER ORDERED that the Defendants’ Motions for Leave to File Document, 27 (ECF Nos. 27, 45), are DENIED. 28 IT IS FURTHER ORDERED that Defendant Leifert is dismissed without prejudice. 1 IT IS FURTHER ORDERED that the Motion for a Settlement Conference, (ECF No. 2| 48), is GRANTED. The parties shall reach out to the assigned Magistrate Judge to set up a date for a conference. 4 5 | DATED: March 31, 2025. 6 RICHARD F. BOULWARE, II 7 UNITED STATES DISTRICT JUDGE 8 9 10 1] 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
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