Robinson v. Federal Bureau of Prisons

CourtDistrict Court, District of Columbia
DecidedJuly 13, 2023
DocketCivil Action No. 2022-1098
StatusPublished

This text of Robinson v. Federal Bureau of Prisons (Robinson v. Federal Bureau of Prisons) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Robinson v. Federal Bureau of Prisons, (D.D.C. 2023).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

JONTE ROBINSON et al.,

Plaintiffs,

v. Civil Action No. 22-1098 (TJK)

FEDERAL BUREAU OF PRISONS,

Defendant.

MEMORANDUM OPINION AND ORDER

For many years, the Bureau of Prisons, or BOP, assessed kidney function differently for

black inmates than for non-black inmates. Plaintiffs—one former and one current black inmate

whose kidneys were assessed under that method—sue BOP because they say that policy caused

them medical injuries and resulted in denial of their compassionate-release requests. They claim

that BOP’s race-based kidney-assessment method violated the Administrative Procedure Act, as

well as their rights under the Fifth and Eighth Amendments. BOP, emphasizing that it has now

changed the policy at issue to a race-neutral one, moves to dismiss for lack of subject-matter ju-

risdiction and failure to state a claim. The Court finds that BOP has not waived its sovereign

immunity, so Plaintiffs may not pursue claims for monetary damages against it. And Plaintiffs

lack standing to pursue their other claims seeking declaratory or injunctive relief. Thus, the Court

will grant BOP’s motion to dismiss but will allow Plaintiffs time to seek leave to file an amended

complaint if they so choose.

I. Background

According to the operative complaint, BOP relies on the estimated Glomerular Filtration

Rate (“eGFR”) to measure the level of kidney disease in an inmate. ECF No. 14 (“Compl.”) ¶ 2. When properly functioning, kidneys remove serum creatinine—a waste “byproduct of muscle ac-

tivity”—from the bloodstream. Id. ¶ 28 n.12. To assess kidney function, the eGFR therefore

measures blood concentration of serum creatinine, with lower eGFR scores generally reflecting

poorer kidney function. Id. ¶¶ 3, 28 n.12, 29. In the BOP context, eGFR scores below 60 for three

straight months support a formal stage-three chronic-kidney-disease diagnosis. Id. ¶¶ 30 & n.14,

34, 54; see also id. ¶ 43 n.28 (“Chronic kidney disease is defined as damaged kidneys or a glomer-

ular filtration rate (i.e., a measure of kidney function) <60 mL/min/1.73 m2 for more than 3

months.” (quotation omitted)).

Until recently, BOP used a race-based multiplier to calculate eGFR scores for black in-

mates but not others.1 See Compl. ¶¶ 1–7, 88. To do so, BOP would multiply black inmates’ raw

eGFR scores by 1.2. Id. ¶¶ 5, 30; see also id. ¶ 3 (BOP elevated black inmates’ raw eGFR scores

by “approximately 21%.”). According to the complaint, the multiplier emerged in the 1990s based

on “a faulty assumption that Black persons have, on average, greater muscle mass than White

persons hence different blood creatinine levels.” Id. ¶ 4; see also id. ¶ 37. This view then sup-

ported “the use of race as a proxy for an artificial multiplier applied exclusively to a Black person’s

eGFR results.” Id. ¶ 4. The result: black individuals’ kidneys “appear healthier,” causing their

kidney disease to go “undetected” and leading to “negative clinical consequences.” Id. ¶ 38. Ac-

cording to Plaintiffs, the assumption underlying the multiplier has been “overwhelmingly de-

bunked and rejected by the scientific community.” Id. ¶ 4; see also id. ¶¶ 36–37.

1 BOP refers to this as the “African-American eGFR Multiplier,” but it is more technically known as the “Modification of Diet in Renal Disease” and “CKD-EPI formula.” Compl. ¶ 3 & n.2. The Court will refer simply to “the multiplier.”

2 Plaintiffs are two black inmates for whom BOP applied the multiplier to calculate their

eGFR scores and whose compassionate-release requests were allegedly denied or delayed as a

result. Compl. ¶¶ 1, 7, 67–68.

In 2000, Plaintiff Jonte Robinson pleaded guilty to aiding and abetting two murders and

was sentenced to 25 years’ incarceration. Compl. ¶ 16. He alleges he has an “array of illnesses

that include kidney disease and hypertension.” Id. ¶ 21. So, in September 2020, during the

COVID-19 pandemic, Robinson requested compassionate release from BOP. Id. ¶ 23. He cited

“progressive illness or a debilitating injury.” Id. BOP denied his request. Id.

Robinson next turned to the federal courts for compassionate release. Compl. ¶ 24. Rob-

inson’s raw eGFR scores preceding his compassionate-release hearing were 56, 57, and 58. Id.

¶¶ 29, 32. But BOP told the compassionate-release court that because Robinson is black, it had

applied the multiplier and, based on his adjusted eGFR score above 60, it would not diagnose

Robinson with chronic kidney disease. Id. ¶¶ 29–30, 33–34. Robinson alleges, however, that he

“should have been diagnosed with [chronic kidney disease].” Id. ¶ 29. If BOP had so diagnosed

him, and had the court instead considered his raw eGFR scores, Robinson alleges “he would have

most likely been granted compassionate release.” Id. ¶¶ 32; see id. ¶ 39 (The multiplier “jeopard-

ized his compassionate release application.”). In the end, the court denied Robinson’s compas-

sionate-release request. Id. ¶ 26; see also United States v. Robinson, No. 04-cr-128 (RDM),

2021 WL 1318027, at *9 (D.D.C. Apr. 8, 2021). Robinson appealed, again challenging BOP’s

use of the multiplier, but the D.C. Circuit affirmed. Compl. ¶ 27; see also United States v. Robin-

son, 853 F. App’x 681 (D.C. Cir. 2021).

Beyond the denial of his compassionate-release application, Robinson alleges that he con-

tinues to receive “substandard medical care” as a result of the multiplier because he is not receiving

3 treatment to prevent further damage to his kidneys. Compl. ¶¶ 32, 39, 40. As just one example,

he claims, BOP has “repeatedly” prescribed him with high doses of ibuprofen, a drug toxic to

kidneys, and which “may have contributed to his declining kidney function over time.” Id. ¶ 41

(citation omitted). The medical expert that reviewed Robinson’s medical records for his compas-

sionate-release hearing also determined that he faced a tenfold risk of dying from COVID-19 com-

pared to the average healthy American. Id. ¶ 21.

Plaintiff Reginald Hicks was convicted for crimes “which involved murder” and began

serving a life sentence for those crimes in 1995. Compl. ¶ 47. Like Robinson, Hicks moved for

compassionate release. Id. ¶ 51. Among other things, Hicks argued to the Superior Court of the

District of Columbia that he should be released because he had chronic kidney disease, which

“placed him at a high risk of severe illness and death from COVID-19.” Id. ¶¶ 50–51. The court

denied his motion in June 2021 because Hicks had not received the COVID-19 vaccine. Id. ¶ 51.

Hicks later received his vaccine, so on appeal, the District of Columbia Court of Appeals remanded

the case back to the Superior Court for it to consider his eligibility for compassionate release based

on his new vaccination status. Id. ¶ 55.

On remand, the government argued that the Superior Court still should not grant compas-

sionate release to Hicks based on a chronic-kidney-disease diagnosis because BOP had never so

diagnosed him. Compl. ¶ 56. The government argued that Hicks’s then-recent eGFR score, 58,

would not support a chronic-kidney-disease diagnosis because the multiplier brought his adjusted

score above 60. Id. A doctor that conducted an independent review of Hicks’s records, however,

concluded that he should have been diagnosed with stage-three chronic kidney disease and that his

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