Robinson v. Federal Bureau of Prisons

District Court, District of Columbia·Decided July 13, 2023·No. Civil Action No. 2022-1098·Published

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.”

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

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 condition had “deteriorated” because of the inadequate diagnosis and healthcare management dur- ing his incarceration. Id. ¶¶ 57–58. Ultimately, in August 2022, Hicks alleges that the Superior

Court granted his compassionate-release motion. Id. ¶ 65.2 Although he is now no longer incar- cerated, Hicks alleges that the “mismanagement of his medical care” while incarcerated by BOP “pose[s] severe consequences and health problems in restarting a healthy life” and that his “kid- neys have been irreversibly damaged.” Id. ¶ 66.

In April 2022, Robinson (at first without Hicks) sued BOP over its use of the multiplier.

Free access — add to your briefcase to read the full text and ask questions with AI

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

Robinson v. Federal Bureau of Prisons (Robinson v. Federal Bureau of Prisons) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

City of Los Angeles v. Lyons
461 U.S. 95 (Supreme Court, 1983)
United States v. Mitchell
463 U.S. 206 (Supreme Court, 1983)
Lujan v. Defenders of Wildlife
504 U.S. 555 (Supreme Court, 1992)
Rockwell International Corp. v. United States
549 U.S. 457 (Supreme Court, 2007)
Scott v. District of Columbia
139 F.3d 940 (D.C. Circuit, 1998)
Coalition for Underground Expansion v. Mineta
333 F.3d 193 (D.C. Circuit, 2003)
Smalls, Eugene C. v. United States
471 F.3d 186 (D.C. Circuit, 2006)
Larsen v. US Navy
525 F.3d 1 (D.C. Circuit, 2008)
American Nat. Ins. Co. v. FDIC
642 F.3d 1137 (D.C. Circuit, 2011)
Yanci Dupree v. Burtell Jefferson
666 F.2d 606 (D.C. Circuit, 1981)
Clapper v. Amnesty International USA
133 S. Ct. 1138 (Supreme Court, 2013)
Jackson v. Bush
448 F. Supp. 2d 198 (District of Columbia, 2006)
Youngin's Auto Body v. District of Columbia
775 F. Supp. 2d 1 (District of Columbia, 2011)
Little v. FENTY
689 F. Supp. 2d 163 (District of Columbia, 2010)
Steel Co. v. Citizens for a Better Environment
523 U.S. 83 (Supreme Court, 1998)