Lead Opinion
OPINION
Thirteen disabled Maryland state prisoners incarcerated at the Roxbury Correctional Institution (RCI) in Hagerstown, Maryland, brought this suit against RCI; the Maryland Department of Public Safety and Correctional Services (MDPSCS); Richard Lanham, the Commissioner of the Maryland Division
The district court granted summary judgment for Appellees. Relying on our decision in Torcasio v. Murray,
I.
Although Appellees dispute many of the factual allegations made by the prisoners, we set forth the facts in the light most favorable to the prisoners for purposes of evaluating the appropriateness of summary judgment. See Anderson v. Liberty Lobby, Inc.,
Prisoners at RCI, disabled and non-disabled alike, receive medical attention when necessary from Prison Health Services, Inc. (PHS), a private medical care contractor. PHS provides a broad array of medical services, including general dispensary services, sick-call services, and infirmary services. In addition, PHS uses Washington County Hospital as an adjunct medical care provider for medical services that cannot be performed at the prison.
Prisoners may complain about the medical care provided (or not provided) through an Administrative Remedy Procedure (ARP) in place at the prison. Pursuant to this procedure, a prisoner fills out an ARP form to complain about medical care he has received or to request medical attention, which is transmitted to the Warden. The Warden
Six of the thirteen disabled prisoners in this case — Granville Amos, William Smith, Michael Smith, Howard Megginson, Gary Ralph, and Boris Prymerman— contend that prison officials were deliberately indifferent to their serious medical needs in violation of the Eighth Amendment.
In spite of all efforts by staff, the problems with prescription medications has [sic] persisted through most of November due to the non-delivery by the Pharmacy. It is recognized that these difficulties do not negate the medical suppliers [sic] obligation to provide these medications. The new Pharmacy is now on line and it is anticipated that a dramatic lessening of lapses of this type will occur.
(J.A. at 888.)
Appellant William Smith is partially paralyzed and wheelchair dependent, and suffers from bilateral carpal tunnel syndrome, hypertension, and lymphocytic leukemia. In 1992, a physician suggested that Smith consider undergoing surgery to correct his carpal tunnel syndrome. Unidentified prison employees then told Smith that he had been scheduled for carpal tunnel surgery, but the surgery was never performed. In addition, in 1992, a physician recommended diagnostic tests to ascertain the cause of Smith’s back pain. Like the surgery, the tests have never been performed.
Appellant Michael Smith, also paralyzed and confined to a wheelchair, suffers from chronic back pain, hypertension, and bladder problems. In 1988, he was prescribed Valium to prevent leg spasms, and received Valium until his release from prison in 1991. In 1993, he was incarcerated again, first at the Maryland Penitentiary, and then, beginning in December 1994, at RCI. Although Smith received Valium while incarcerated at the Maryland Penitentiary, medical staff at RCI prescribed substitute medication that was not as effective as Valium. Smith submitted two “Sick-Call Request & Encounter Forms,” one on December 9, 1995, and another on March 14,1995. Each requested that a physician see him about the problem with his medication. On March 17, 1995, Dr. Charles E. Potts of the prison medical staff wrote to Smith that he would “arrange for a meeting with you next week to address your concerns.” (J.A. at 866.) A few weeks later, in April 1995, Smith’s Valium prescription was renewed.
Appellant Howard Megginson, also paralyzed and confined to a wheelchair, suffered recurrent urinary tract infections while imprisoned at RCI. He filed two ARPs “concerning the urine [sic] infection.” (J.A. at 727.) In both instances, according to his own testimony, in response to the ARPs, he was seen and treated by physicians.
Appellant Gary Ralph has “cerebral palsy, [a] history of a femoral fracture, and chronic back pain.” (J.A. at 602.) In June 1995, he began experiencing severe back and leg pain. At some point, after he began experiencing back and leg pain, Ralph filed ARPs informing the Warden of his condition and need for medical attention. As of June 27, 1995, Ralph was no longer assigned to RCI. In August 1995, Ralph received treatment at the University of Maryland Hospital where further diagnostic testing was recommended. Subsequently, “[specialists have recom
Appellant Prymerman, who has “a lumbosacral fracture with chronic back pain” (J.A. at 602), “can walk with [a] cane or crutches, but uses [a] wheelchair most of [the] time due to pain” (J.A. at 830). On November 7, 1991, Dr. Donald Patterson recommended surgery for his back problem. A notation on Prymerman’s medical chart, dated December 1. 1992, states: “[S]till waiting on spinal fusion decision by Dr. Patterson. He (Mr. Prymerman) continues complaining of severe pain.” (J.A. at 830.) Prymerman never filed an ARP regarding the recommended back surgery.
II.
We begin with the statutory claims.
The prisoners contend “that the view expressed by this Court in Torcasio, that the statutes do not apply to prisons and prisoners, was incorrect.” (Appellants’ Br. at 20.) They claim that the ADA and the Rehabilitation Act apply to state prisons because both statutes are written in broad terms that clearly encompass state correctional facilities. Even if the coverage of the statutes is ambiguous, they argue, “any such ambiguity is entirely overcome by regulations promulgated by the [Department of Justice], to which Congress delegated the authority to implement the statutes.” (Appellants’ Br. at 20.)
In Torcasio, the principal issue was whether it was clearly established at the time the plaintiff in that case was imprisoned that Title II of the ADA and § 504 of the Rehabilitation Act apply to state prisons, and whether the individual defendants in that case were entitled to dismissal of the claims against them on qualified immunity grounds. We held that it was not clearly established that the statutes applied to state prisons, and that therefore the individual defendants were entitled to qualified immunity. See id. at 1352. While deciding only that the applicability of the ADA and the Rehabilitation Act to state
A.
Anthony Torcasio, a Virginia state prisoner who alleged that he was disabled because of his “morbid obesity,” filed an action against officials of the Virginia Department of Corrections (VDOC), claiming that they had failed reasonably to accommodate his disability in violation of the ADA and the Rehabilitation Act. See Torcasio,
1.
On appeal, we began our analysis with the language of the two statutes and noted “that certain portions of both statutes employ language which, when viewed in isolation, appears all-encompassing.” Id. at 1344. Title II of the ADA prohibits “public entities” from discriminating against disabled individuals: “[N]o qualified individual with a disability shall, by reason of such disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of a public entity, or be subjected to discrimination by any such entity.” 42 U.S.C.A. § 12132 (West 1995). A “public entity” is broadly defined under the statute to be “any State or local government” and “any department, agency, special purpose district, or other instrumentality of a State or States or local government.” 42 U.S.C.A. § 12131(1) (West 1995) (emphasis added). Similarly, the Rehabilitation Act prohibits discrimination against disabled individuals “under any program or activity receiving Federal financial assistance,” 29 U.S.C.A. § 794(a) (West Supp.1997) (emphasis added), and defines “program or activity” to include “all of the operations of ... a department, agency, special purpose district, or other instrumentality of a State or of a local government.” 29 U.S.C.A. § 794(b)(1)(A) (emphasis added).
We recognized the apparent breadth of the statutory language, but stated: “We are not persuaded that this language ... even viewed in isolation from the arguably narrowing text found elsewhere in the acts, brings state prisons ‘squarely’ within the reach of these acts.” Torcasio,
Our reluctance to extend the coverage of the statutes to state prisons and prisoners absent a far clearer expression of congressional intent was grounded on the “ordinary rule of statutory construction” that Congress must make its intention to alter the constitutional balance between the States and the Federal Government unmistakably clear in the statute’s language:
*595 [I]f Congress intends to alter the “usual constitutional balance between the States and the Federal Government,” it must make its intention to do so “unmistakably clear in the language of the statute.” Atascadero State Hospital v. Scanlon,473 U.S. 234 , 242,105 S.Ct. 3142 , 3147,87 L.Ed.2d 171 (1985); see also Pennhurst State School and Hospital v. Halderman,465 U.S. 89 , 99,104 S.Ct. 900 , 907,79 L.Ed.2d 67 (1984)____ Congress should make its intention “clear and manifest” if it intends to pre-empt the historic powers of the States, Rice v. Santa Fe Elevator Corp.,331 U.S. 218 , 230,67 S.Ct. 1146 , 1152,91 L.Ed. 1447 (1947), or if it intends to impose a condition on the grant of federal moneys, Pennhurst State School and Hospital v. Halderman,451 U.S. 1 , 16,101 S.Ct. 1531 , 1539,67 L.Ed.2d 694 (1981); South Dakota v. Dole,483 U.S. 203 , 207,107 S.Ct. 2793 , 2796,97 L.Ed.2d 171 (1987). “In traditionally sensitive areas, such as legislation affecting the federal balance, the requirement of clear statement assures that the legislature has in fact faced, and intended to bring into issue, the critical matters involved in the judicial decision.” United States v. Bass,404 U.S. 336 , 349,92 S.Ct. 515 , 523,30 L.Ed.2d 488 (1971).
Will v. Michigan Dep’t of State Police,
In applying this “clear statement” principle, we determined that “[i]t cannot be disputed that the management of state prisons is a core state function.” Id. at 1345; see also id. (citing Procunier v. Martinez,
We determined that the unwillingness of federal courts to intrude into the core state function of managing prisons “is in significant measure motivated by the realization
With these principles in mind, we determined that applying the ADA and the Rehabilitation Act to state prisons would improperly alter the “usual constitutional balance between the States and the Federal Government,” Atascadero,
In addition to determining that the definitional sections of the ADA and the Rehabilitation Act relied upon by the plaintiff, namely 42 U.S.C.A. § 12131(1) and 29 U.S.C.A. § 794(b)(1)(A), do not state in unmistakably clear terms that the ADA and the Rehabilitation Act apply to state prisons and prisoners, we also determined that other operative provisions of the statutes “are much less naturally read as including state prisons than are the aforementioned provisions.” Torcasio,
[e]ven the name ascribed to Title II [of the ADA] — “Public Services” — connotes a ban on discrimination in services provided to the public, not in the prison context where the public is excluded. State prisons thus do not fit neatly within the definition of “public entities” to which the ADA applies.
Id. Second, we pointed to 42 U.S.C.A. § 12131(2), in which the ADA defines a “qualified individual with a disability” as a person who “meets the essential eligibility requirements for the receipt of services or the participation in programs or activities.” We held that correctional facilities “do not provide ‘services,’ ‘programs,’ or ‘activities’ as those terms . are ordinarily understood.” Torcasio,
2.
After assessing the statutory language and relevant constitutional principles, we analyzed the manner in which our sister Circuits have addressed the question of whether the ADA and the Rehabilitation Act apply to state prisons. We began by noting that the Ninth Circuit has “squarely held that the Rehabilitation Act applies to prisons.” Id. at 1349 (citing Bonner v. Lewis,
In Gates v. Rowland,39 F.3d 1439 , 1446-47 (9th Cir.1994), the court considered*597 “how the Act is to be applied in a prison setting,” and observed, “[t]he Act was not designed to deal specifically with the prison environment; it was intended for general societal application. There is no indication that Congress intended the Act to apply to prison facilities irrespective of the reasonable requirements of effective prison administration.” Thus, the court held that “the applicable standard for the review of the Act’s statutory rights in a prison setting [is] equivalent to [the standard for] the review of constitutional rights in a prison setting.” Id. at 1447.
We then acknowledged that the Eleventh Circuit, in Harris v. Thigpen,
Next, we discussed the Tenth Circuit’s determination that the Rehabilitation Act “is inapplicable to federal prisoners.” See id. at 1350. We noted that “[i]n Williams v. Meese,
B.
Subsequent to our decision in Torcasio, at least three of our sister Circuits have confronted the issue of whether the ADA and the Rehabilitation Act apply to state prisons. See White v. Colorado,
In Bryant v. Madigan,
It is very far from clear that prisoners should be considered “qualified individual[s]” within the meaning of the Act. Could Congress really have intended disabled prisoners to be mainstreamed into an already highly restricted prison society? Most rights of free Americans, including*598 constitutional rights such as the right to free speech, to the free exercise of religion, and to marry, are curtailed when asserted by prisoners; and there are formidable practical objections to burdening prisons with having to comply with the onerous requirements of the Act, especially when we reflect that alcoholism and other forms of addiction are disabilities within the meaning of the Act and afflict a substantial proportion of the prison population.
Id. at 248. Chief Judge Posner stated further that “Judge-made exceptions to laws of general applicability are justified to avoid absurdity.” Id. at 248-49 (citation omitted). An exception to the ADA for prisoners, he suggested, “though not express, may have textual foundation in the term ‘qualified individual.’ ” Id. at 249. Despite strongly suggesting that the ADA does not apply to prisons, the Bryant court ultimately left the question open by determining that even if the Act applied, the plaintiff had failed to state a claim. See id. at 249 (“Even if there were (as we doubt) some domain of applicability of the Act to prisoners, the Act would not be violated by a prison’s simply failing to attend to the medical needs of its disabled prisoners.”).
Recently, the Seventh Circuit, in an opinion again authored by Chief Judge Posner, recanted its strong suggestion in Bryant that the ADA has no application to prisons. In Crawford v. Indiana Dep’t of Corrections,
Beginning with the plain language of the statute, the Crawford court conceded that “[ijnearceration itself is hardly a ‘program’ or ‘activity’ to which a disabled person might wish access.” Id. (citing Bryant,
Prisoners are not a favored group in society; the propensity of some of them to sue at the drop of a hat is well known; prison systems are strapped for funds; the practical effect of granting disabled prisoners rights of access that might require costly modifications of prison facilities might be the curtailment of educational, recreational, and rehabilitative programs for prisoners, in which event everyone might be worse off.
Id. The court conceded still further that “the special conditions of the prison setting license a degree of discrimination that would not be tolerated in a free environment,” and admitted that “application [of the ADA] to prisoners might produce some anomalies.” Id. Nevertheless, the court reversed the course it had taken in Bryant and determined that the broad statutory language brought state prisons within the statutes’ scope.
The court recognized that statutes are often interpreted in a manner that creates an exception to broad statutory language. See id. at 484-85. As an example, the court noted that courts have uniformly excluded prisoners employed in a prison from the minimum-wage and maximum-hours provisions of the Fair Labor Standards Act (FLSA), despite the fact that the “FLSA defines ‘employee’ sweepingly; prisoners fall within [the statute’s] literal scope; and there is no express exception for or applicable to prisoners.” Id. at 484 (citations omitted). Although acknowledging that “the failure to exclude prisoners from the [ADA] may well ... have been an oversight,” id. at 487, the court nevertheless stated that “courts do not create exceptions to statutes every time it seems that the legislature overlooked something,” id. at 484.
Without mentioning our explication in Torcasio of the clear statement rule, the Crawford court determined that the rule is inapplicable to the question of whether the ADA and the Rehabilitation Act apply to state prisons — despite agreeing that “[p]rison ad
The Crawford court concluded by reinstating the prisoner’s suit. The court recognized that on remand, the defendant might be able to show that there was no reasonable accommodation possible, or that any necessary accommodation would impose an undue burden on the prison system. See id. at 487. “Terms like ‘reasonable’ and ‘undue’ are relative to circumstances,” the court opined, “and the circumstances of a prison are different from those of a school, an office, or a factory, as the Supreme Court has emphasized in the parallel setting of prisoners’ constitutional rights.” Id. (citing Turner v. Safley,
Drawing heavily from the Seventh Circuit’s Crawford opinion, the Third Circuit also recently held that the ADA and the Rehabilitation Act apply to state correctional facilities. See Yeskey v. Pennsylvania Dep’t of Corrections,
The court recognized that we had questioned in Torcasio the applicability of the ADA and the Rehabilitation Act to state prisons, but held that our analysis in that case was “seriously flawed.” Id. According to Yeskey, our “extension of the clear statement rule was unwarranted [because] Will, Atascadero, and Pennhurst ” — eases we cited in Torcasio as support for applying the clear statement rule — “all involved instances in which there had been no express waiver or abrogation of the state’s traditional immunity from suit.” Id. In contrast, the court opined, the ADA and the Rehabilitation Act each contain an express abrogation of the Eleventh Amendment ’ immunity of the States. See id. at 172-73 (citing 42 U.S.C.A. § 2000d-7(a)(l) (West 1994) (Rehabilitation Act); 42 U.S.C.A. § 12202 (West 1995) (ADA)).
The court implicitly recognized that the clear statement rule has been applied by the Supreme Court in cases where there was an express abrogation, by Congress of the States’ Eleventh Amendment immunity, see, e.g., Gregory v. Ashcroft,
The court acknowledged the looming “specter of federal court management of state prisons,” resulting from application of the ADA and the Rehabilitation Act. Id. at 174; see also id. (“ ‘[I]f the ADA applies to
We remain firmly convinced that Torcasio ’s explication of the clear statement principle and its application to the issue before us is both thorough and persuasive. Torcasio accurately outlined the parameters of the clear statement rule, stating that Congress must speak clearly in the statutory text when it intends to alter the traditional balance between the states and the federal government. See
Our conclusion today that Torcasio was rightly decided, and that the Rehabilitation Act and the ADA do not apply to state prisons, is fortified by the interpretive analyses undertaken by the Ninth, Seventh, and Third Circuits in determining that the statutes have application in the state prison context, by the extraordinary lengths to which those circuits have gone to acknowledge the chaos that will likely result from their holdings, and, in some cases, by the efforts they have made to limit the reach of their holdings. Most importantly, each of the Circuits holding that the Rehabilitation Act and the ADA apply to state prisons has gone to extraordinary lengths to acknowledge the chaos likely to result from their holdings. See, e.g., Crawford,
Accordingly, we hereby reaffirm that state prisons cannot be subjected to the ADA and the Rehabilitation Act unless there has been a clear and plain statement from Congress permitting federal intrusion into this area of historic state control. Furthermore, we con-
C.
Not surprisingly, the prisoners and the Justice Department contend that Torcasio was wrongly decided. (Appellants’ Br. at 23-25; DOJ Br. at 12-21.) First, they argue that courts are to apply the clear statement rule only where statutory intent is ambiguous, see Gregory,
Relying on the broad, non-specific language of the statutes, the prisoners and the Justice Department argue that “the operations of state or local correctional facilities fall quite naturally within the terms ‘programs’ and ‘activities.’ ” (DOJ Br. at 19; accord Appellants’ Br. at 23.) We cannot agree. “[I]nearceration, which requires the provision of a place to sleep, is not a ‘program’ or ‘activity.’ ” Bryant,
We also concluded in Torcasio that “[t]he terms ‘eligible’ and ‘participate’ imply voluntariness on the part of an applicant who seeks a benefit from the state; they do not bring to mind prisoners who are being held against their will.” Id. The prisoners and the Justice Department contend that our suggestion that the ADA and the Rehabilitation Act are inapplicable to programs and services that are obligatory in nature was incorrect because “the terms ‘eligible’ and ‘participate’ do not, as Torcasio stated,’imply voluntariness’ or mandate that an individual seek out or request a service to be covered.” (DOJ Br. at 20 (citation omitted) (quoting Torcasio,
Furthermore, the introductory language of both statutes reveals that Congress did not clearly express an intention to make the statutes applicable to state prisons and prisoners. Under the ADA, Congress determined that “the Nation’s proper goals regarding individuals with disabilities are to assure equality of opportunity, full participation, independent living, and economic self-sufficiency for such individuals.” 42 U.S.C.A.
Similarly, the Rehabilitation Act’s introductory language does not manifest an intention by Congress to make the Rehabilitation Act applicable to state prisons. The introductory section of the Rehabilitation Act states:
(3) disability is a natural part of the human experience and in no way diminishes the right of individuals to—
(A) live independently;
(B) enjoy self-determination;
(C) make choices;
(D) contribute to society;
(E) pursue meaningful careers; and
(F) enjoy full inclusion and integration in the economic, political, social, cultural, and educational mainstream of American society.
29 U.S.C.A. § 701(a)(3) (West Supp.1997). This introductory language, like that of the ADA, does not even hint at an intention by Congress to make the ADA applicable to state prisons. Indeed, the contrary inference — that Congress never contemplated that the Rehabilitation Act would apply to state prisons' — is readily drawn. Disabled and nondisabled prisoners alike, because of their inability to live in a free society, neither “live independently,” “enjoy self-determination,” nor “enjoy full inclusion and integration in the economic, political, social, cultural, and educational mainstream of American society.” Cf. Crawford,
Congress simply has not spoken through the ADA or the Rehabilitation Act with anywhere near the clarity and the degree of specificity required for us -to conclude that state prisons are subject to the statutes. Neither the prisoners nor the Department of Justice are able to direct us to statutory language or legislative history to the contrary. Indeed, the legislative history of both the ADA and the Rehabilitation Act is silent on the applicability of the statutes to state prisons.
[T]he legislative history does not inveigh against this conclusion. When the ADA was enacted in 1990, the Rehabilitation Act had been law for seventeen years and a number of cases had held it applicable to prisons and prisoners, yet Congress did not amend that Act or alter any language so as to extirpate those interpretations.
Id. at 174 n. 7; accord Crawford,
Appellees do not argue that had Congress expressed with unmistakable clarity an intention to regulate state correctional facilities through the ADA and the Rehabilitation Act, it would nonetheless have been without the authority to do so. Presumably, Appellees decline to make such an argument in light of Garcia v. San Antonio Metro. Transit Auth.,
Second, in addition to arguing that the clear statement rule should not apply because the statutes are unambiguous, the prisoners contend that the clear statement rule may be applied only where “the proposed application of federal law would infringe upon a core function going to the ‘heart of representative government,’ e.g., ‘the authority of the people of the States to determine the qualifications of their most important government officials.’ ” (Appellants’ Br. at 24 (quoting Gregory,
The Justice Department argues that the “extension of the clear' statement rule [in Torcasio ] was unwarranted ... [because] both Section 504 and Title II of the ADA contain an unequivocal expression of Congressional intent to overturn the constitutionally guaranteed immunity of the several states.” (DOJ Br. at 16 (quotation omitted) (citing 42 U.S.C.A. § 2000d-7(a)(l) (West 1994); 42 U.S.C.A. § 12202 (West 1995))); accord Yeskey,
Gregory is closely analogous. See
In Gregory, the Supreme Court determined that it could not “conclude that the statute plainly covers appointed state judges,”
[Ijnasmuch as this Court in Garcia has left primarily to the political process the protection of the States against intrusive exercises of Congress’ Commerce Clause powers, we must be absolutely certain that Congress intended such an exercise. “[T]o give the state-displacing weight of federal law to mere congressional ambiguity would evade the very procedure for lawmaking on which Garcia relied to protect states’ interests.”
Id. at 464,
Finally, both the prisoners and the Department of Justice contend that “even if this Court were to adhere to the view that it is ambiguous on the face of the statutes whether they apply to state prisons, any such ambiguity is definitively resolved by DOJ regulations.” (Appellants’ Br. at 26; accord DOJ Br. at 8-12.) They argue that DOJ regulations applying the statutes to state prisons must be accorded “the greatest possible weight and deference in interpreting the statutes.” (Appellants’ Br. at 21; accord
The regulations promulgated under the Rehabilitation Act adopt the Uniform Federal Accessibility Standards (UFAS), which apply to federal agencies and entities receiving federal financial assistance. See 28 C.F.R. § 42.522(b) (1996). UFAS lists jails, prisons, reformatories, and “[o]ther detention or correctional facilities” as institutions to which UFAS standards apply. See 41 C.F.R. subpt. 101-19.6, app. A, at 150 (1996). UFAS standards regulate in minute detail the construction and maintenance of buildings of federal agencies and institutions receiving federal funding. UFAS standards consume 87 pages in the Code of Federal Regulations, see 41 C.F.R. subpt. 101-19.6, app. A, at 140-227, and include requirements for, inter alia, the construction, modification, or installation of ground and floor surfaces, parking and passenger loading zones, curb ramps, ramps, stairs, elevators, platform lifts, windows, doors, entrances, drinking fountains and water coolers, water closets, toilet stalls, urinals, lavatories and mirrors, bathtubs, shower stalls, toilet rooms, sinks, handrails, grab bars, tub and shower seats, alarms, telephones, assembly areas, and dwelling units, see id.
The regulations promulgated under the ADA permit covered entities building new or altering existing facilities to follow either UFAS or the ADA Accessibility Guidelines for Buildings and Facilities (ADAAG). See 28 C.F.R. § 35.151(c) (1996). Amendments to the ADAAG, adopted as an Interim Final Rule, effective December 20, 1994, by the Architectural & Transportation Barriers Compliance Board, include specific accessibility guidelines for “detention and correctional facilities.” 59 Fed.Reg. 31,676, 31,770-72 (1994); see also 36 C.F.R. pt. 1191, app. A, at 782-84 (1996). The Department of Justice has proposed adoption of the interim final rule. See 59 Fed.Reg. at 31,808. Like the byzantine UFAS standards, ADAAG standards intricately regulate the construction or modification of existing covered facilities and consume 129 pages of the Code of Federal Regulations. See 36 C.F.R. pt. 1191, app. A, at 663-792. ADAAG requirements specific to “detention and correctional facilities” address, inter alia, specifications for prison visiting areas, medical care facilities, and restrooms; the “dispersion” of “accessible cells” within the correctional facility; accommodations for inmates with hearing impairments; and the appropriate height of prison beds. See id. at 782-84.
The prisoners and the Justice Department contend that in the event of ambiguity over whether the statutes apply to state prisons we must defer to the Justice Department’s interpretation of the statutes as set forth in the regulations. They make this contention “as if we were interpreting a statute which has no implications for the balance of power between the Federal Government and the States.” Riley,
Finally, if nothing else convinced us that the ADA and the Rehabilitation Act do not apply to state prisons, the Ninth Circuit’s decision in Gates would. See
The Ninth Circuit’s decision in Gates reveals the futility of applying the statutes in the prison context. Gates makes clear that Congress did not contemplate that the statutory requirement that “reasonable accommodation” be made for disabled individuals (unless doing so would impose an “undue burden”) would apply to state correctional facilities. See Gates,
III.
After the district court granted summary judgment for Appellees on the prisoners’ ADA and Rehabilitation Act claims, a hearing was held on Appellees’ motion for summary judgment on the Eighth Amendment claims of prisoners Amos, William Smith,
The six prisoners contend that the district court erred in granting summary judgment on their Eighth Amendment claims. They argue that they presented evidence of inadequate medical care sufficient to withstand summary judgment. According to the prisoners, the evidence viewed in the light most favorable to them establishes that Appellees Lanham, the Commissioner of the Maryland Division of- Corrections, and Galley, the Warden of RCI, knew about but failed to take appropriate measures to remedy serious risks to their health.
We review a district court’s grant of summary judgment de novo. See Higgins v. E.I. DuPont de Nemours & Co.,
A.
The prisoners sued MDPSCS; RCI; Lanham, in his official capacity as the Commissioner of the Maryland Division of Corrections; and Galley, in his official capacity as the Warden of RCI. Lanham and Galley contend that
the only Appellees in this case are two state institutions and two individuals in their official capacity, See Amended Complaint caption. J.A. 29. These Appellees are immune from any suit for monetary damages under § 1983. See Will v. Michigan Department of State Police,491 U.S. 58 ,109 S.Ct. 2304 ,105 L.Ed.2d 45 (1989). For this reason alone, defendants are entitled to summary judgment on the Eighth Amendment claims.
(Appellees’ Br. at 44; see also DOJ Br. at 13 (noting that “the plaintiffs in this ease have not sued any of the defendants in their individual capacities”).) The prisoners concede that they “failed to specify in their Complaint for damages that the defendants were named ‘in their individual capacities,”’ but argue that “the court should look to the totality of the Complaint as well as the course of proceedings to determine whether the defendants received sufficient notice of potential exposure to liability.” (Appellants’ Br. at 45 n.39.)
In Biggs v. Meadows,
In Biggs, we noted that the Supreme Court has “declined to resolve[ ] a split among the federal circuit courts on the appropriate way to treat a complaint that fails to state explicitly the capacity in which a defendant is sued under § 1983.” Biggs,
B.
To the extent the prisoners seek injunctive relief against Appellees under § 1983,
In the context of an Eighth Amendment claim based on a deprivation of medical attention, the objective component “is satisfied only if the medical need of the prisoner is ‘serious.’ ” Shakka,
We conclude that the evidence, viewed in the light most favorable to the prisoners, cannot support a finding that Lanham and Galley were deliberately indifferent to the prisoners’ serious medical needs.
Further, there is no evidence, either direct or circumstantial, to suggest that Lanham or Galley had any knowledge of the medical needs of Appellants William Smith, Michael Smith, and Boris Prymerman. The record establishes that these prisoners failed to file ARPs informing the Warden of then-medical needs. Accordingly, there is no evidence that Lanham or Galley knew of and deliberately ignored their medical needs that could support a finding of deliberate indifference.
Appellant Howard Megginson filed two ARPs informing the Warden of his recurring urinary tract infection. Thus, prison officials were aware of his medical need. Megginson failed, however, to produce evidence suggesting that Lanham or Galley was deliberately indifferent to his need for medical attention. Megginson himself stated, under oath, that after he filed ARPs, medical staff promptly responded and provided appropriate medical attention for his recurring urinary tract infection. As such, Megginson’s Eighth Amendment claim is meritless; the evidence “is so one-sided that [Appellees] must prevail as a matter of law.” Anderson,
Finally, like the other prisoners, Appellant Gary Ralph failed to raise a genuine issue of material fact over whether Lanham or Galley were deliberately indifferent to his medical needs. In an affidavit, Ralph stated that he was “scheduled for surgery while in prison four different times but I have never been provided the recommended surgery on my back.” (J.A. at 159.) The evidence shows, however, that by June 27,1995, Ralph was no longer incarcerated at RCI. As such, Ralph’s prayer for declaratory and injunctive relief is moot. See Williams v. Griffin,
Even if Ralph’s prayer for injunctive relief is not moot, he failed to attach supporting documents to his affidavit, or to forecast any evidence whatsoever supporting his claim that back surgery had been scheduled on four occasions but never performed. Contrary evidence in the record reveals that specialists “recommended conservative treatment for [Ralph’s] lumbosacral disc disease,” not surgery. (J.A. at 602.) To avoid the entry of summary judgment, Ralph was required to demonstrate through “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits” that there was a genuine issue of material fact on each element on which he would carry the burden of proof at trial. See Fed.R.Civ.P. 56(c); see also Celotex,
Ralph also stated in his affidavit that he began suffering severe back and leg pain in June 1995, and that at some undesignated time he filed ARPs with the Warden requesting medical attention. The failure of Galley to provide Ralph with medical attention after his transfer from RCI on June 27, 1995, however, cannot constitute deliberate indifference. Cf. Farmer,
In sum, we find that Lanham and Galley acted reasonably in ensuring that the prisoners received appropriate medical attention and treatment. Because “prison officials who act reasonably cannot be found liable under the Cruel and Unusual Punishments Clause,” Farmer,
IV.
For the foregoing reasons, we affirm the district court’s grant of summary judgment for Appellees on the prisoners’ statutory and constitutional claims.
AFFIRMED.
Notes
. The claims of the remaining prisoners were brought solely under the Rehabilitation Act and the ADA.
. Because Congress has directed that Title II of the ADA be interpreted in a manner consistent with § 504 of the Rehabilitation Act, see 42 U.S.C.A. §§ 12134(b), 12201(a) (West 1995), we combine the analysis of the prisoners’ ADA and Rehabilitation Act claims, see Shafer v. Preston Mem’l Hosp.,
. The district court also stated that "[p]resumably, the court will at least adhere to the Torcasio holding relating to the issue of qualified immunity, thereby removing any monetary damage claims under the two Acts.” (J.A. at 41 n.l.)
.The prisoners also contend that the district court erred in holding, in accord with Torcasio, that Appellees are entitled to qualified immunity from suit for damages under the ADA and the Rehabilitation Act. They argue that unlike the plaintiff in Torcasio, they seek statutory damages from MDPSCS and RCI, two state governmental entities to which the defense of qualified immunity is not available. (Appellants’ Br. at 32-35.)
. In the case before us, Appellees filed a motion to dismiss the Rehabilitation Act claims, arguing that RCI receives no federal financial assistance. The district court denied the motion, holding that because the Maryland Department of Corrections receives federal funds, and because RCI is a program or activity administered by state government, both entities are subject to the Rehabilitation Act. For purposes of this appeal, we assume without deciding that Appellees MDPSCS and RCI receive federal financial assistance.
. See also Duffy v. Riveland,
. The dissent considers our statement that the legislative history of the statutes is silent on the applicability of the statutes to state prisons to be a concession “that the legislative histories of the Rehabilitation Act and the ADA do not forbid application [of the statutes] to state prisons.” Post at 614 (emphasis added). To the contrary, congressional silence over whether the Rehabilitation Act and the ADA apply to state prisons buttresses our conclusion that Congress has failed to slate with unmistakable clarity that the statutes apply in the state prison context.
. The dissent suggests that our reliance on Virginia Dep’t of Education v. Riley,
. Although Congress is without the authority to abrogate the Eleventh Amendment immunity of the States pursuant to its Commerce power, it may abrogate the Eleventh Amendment immunity of the States pursuant to its enforcement power under § 5 of the Fourteenth Amendment. See Seminole Tribe of Florida v. Florida, - U.S. -, -,
. The dissent claims that our holding today means that “Congress cannot make the Rehabilitation Act and the ADA applicable to state prisons or to other areas traditionally reserved to the states unless it separately lists each state agency that the statute apply to in statutory text.’’ Post at 614. Citing Gregory v. Ashcroft,
. Although purporting in Bonner to adhere to the statutory text in determining that the Rehabilitation Act applies to state prisons, see Bonner v. Lewis,
. Given our holding that the ADA and the Rehabilitation Act do not apply to state prisons and prisoners, we need not address the prisoners' claim that the district court erred in holding that Appellees are entitled to qualified immunity from suit for damages under the statutes.
. Slate officials sued in their official capacities for injunctive relief are persons (and therefore amenable to suit) "under § 1983 because 'official-capacity actions for prospective relief are not treated as actions against the State.' ” Will v. Michigan Dep’t of State Police,
. The Eighth Amendment applies to the States through the Due Process Clause of the Fourteenth Amendment. See Wilson v. Seiter,
. We do not address the objective component of the Eighth Amendment analysis, i.e., whether the prisoners' medical needs are "sufficiently serious.” Appellees apparently have conceded for purposes of this appeal that the prisoners’ medical needs are sufficiently serious (or, more properly, have conceded that the evidence is sufficient to create genuine issue of material fact on this question).
. Moreover, none of these prisoners contended (or presented evidence to support a finding) that Lanham or Galley are liable in a supervisory capacity. See Shakka v. Smith,
. Even if the private medical care providers were party to this suit, "[m]edical malpractice does not become a constitutional violation merely because the victim is a prisoner.” Estelle v. Gamble,
[T]he question whether an X-ray — or additional diagnostic techniques or forms of treatment — is indicated is a classic example of a matter for medical judgment. A medical decision not to order an X-ray, or like measures, does not represent cruel and unusual punishment. At most it is medical malpractice, and as such the proper forum is the state court....
Id. at 107,
Dissenting Opinion
dissenting in part:
I respectfully dissent in part. I disagree with Part II of the majority’s opinion, which holds that section 504 of the Rehabilitation Act of 1973, 29 U.S.C.A. § 794 (West Supp. 1997), and Title II of the Americans with Disabilities Act (the “ADA”), 42 U.S.C.A. §§ 12131-12165 (West 1995 & Supp.1997), do not apply to state prisons. Both statutes explicitly state in unambiguous terms that they apply to all of the operations of every state government agency, department, and instrumentality. State correctional departments and prisons unquestionably fall within that statutory language. Accordingly, I would reverse the district court’s grant of summary judgment to the Appellees on the Rehabilitation Act and ADA claims.
I.
The district court granted summary judgment to the Appellees on the Rehabilitation Act and ADA claims on two grounds. First, the court relied on dicta in Torcasio v. Murray,
A.
As the district court and the majority opinion correctly note, we have not previously
In order to answer that question, we must begin by examining the language of the statutes themselves. See Estate of Cowart v. Nicklos Drilling Co.,
[I]n interpreting a statute a court should always turn first to one, cardinal canon before all others. We have stated time and again that courts must presume that a legislature says in a statute what it means and means in a statute what it says there. When the words of a statute are unambiguous, then, this first canon is also the last: “judicial inquiry is complete.”
Connecticut Nat’l Bank v. Germain,
The plain language of the Rehabilitation Act and the ADA unambiguously provides that both statutes apply to all of the operations of every state government agency, department, and instrumentality. Specifically, section 504 of the Rehabilitation Act provides that “[n]o otherwise qualified individual with a disability ... shall, solely by reason of her or his disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.” 29 U.S.C.A. § 794(a) (emphasis added). The statute defines “program or activity” as “all of the operations of ... a department, agency, special purpose district, or other instrumentality of a State or of a local government ... any part of which is extended Federal financial assistance.” Id. § 794(b)(1)(A) (emphasis added). A state correctional department such as the Maryland Department of Public Safety and Correctional Services (“MDPSCS”) clearly constitutes a “department” or “agency” of a state, and a state prison such as the Roxbury Correctional Institution (“RCI”) clearly falls within the “operations” of the MDPSCS. Section 504 clearly states that it applies to “any” such state entity, and thus the plain language of the statute does not suggest any exception for state prisons.
Title II of the ADA extends the prohibition against discrimination on the basis of disability to all services, programs, and- activities that a “public entity” provides, regardless of whether the entity receives federal financial assistance. Specifically, Title II provides that “no qualified individual with a disability shall, by reason of such disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of a public entity, or be subjected to discrimination by any such entity." 42 U.S.C.A. § 12132 (emphasis added). The statute defines “public entity” as “any State or local government” and “any department, agency, special purpose district, or other instrumentality of a State or States or local government.” Id. § 12131(1)(A),(B) (emphasis added). Again, state correctional departments and state prisons clearly constitute departments or instrumentalities of a state, and Title II’s broad language does not suggest any exception for state prisons.
In accordance with the plain language of the statutes, the vast majority of courts that have addressed the issue have held that section 504 of the Rehabilitation Act and Title II of the ADA do apply to state prisons. See Yeskey v. Pennsylvania Dep’t of Corrections,
Although the majority opinion in the instant case concedes that the statutory language is broad and inclusive and that the legislative histories of the Rehabilitation Act and the ADA do not forbid application to state prisons, it argues that the statutes do not apply to state prisons because the statutes do not clearly and explicitly state that they apply to state prisons. I agree with the majority that Congress must speak clearly in the statutory text when it intends to alter the traditional balance between the states and the federal government. See Gregory v. Ashcroft,
Congress made its intent unmistakably clear with regard to the Rehabilitation Act and the ADA. As noted above, the Rehabilitation Act specifically provides that it applies to “all of the operations of ... a department, agency, special purpose district, or other instrumentality of a State or of a local government,” 29 U.S.C.A. § 794(b)(1)(A) (emphasis added), and the ADA explicitly states that it applies to “any department, agency, special purpose district, or other instrumentality of a State or States or local government,” 42 U.S.C.A. § 12131(1)(B) (emphasis added). State correctional departments and state prisons clearly constitute “department[s]” or “instrumentalities]” of the state, and the statutes clearly provide that they apply to all such state entities.
The majority suggests that Congress cannot make the Rehabilitation Act and the ADA applicable to state prisons or to other areas traditionally reserved to the states unless it separately lists each state agency that the statutes apply to in the statutory text. The Supreme Court, however, has expressly rejected such a requirement. See Gregory,
Indeed, the majority’s suggestion that the Rehabilitation Act and the ADA do not apply to obligatory or mandatory programs and services leads to anomalous results. The “voluntary” limitation that the majority opinion imposes would immunize discrimination on the basis of disability in the provision of compulsory services such as public education, mandatory vaccinations, and jury service. Yet several courts, including the Fourth Circuit, have indeed applied the' statutes to such mandatory and “involuntary” programs. See, e.g., DeVries v. Fairfax County Sch. Bd.,
In holding that the Rehabilitation Act and the ADA apply to state prisoners, Judge Posner noted:
It might seem absurd to apply the Americans with Disabilities Act to prisoners. Prisoners are not a favored group in society; the propensity of some of them to sue at the drop of a hat is well known;*616 prison systems are strapped for funds; the practical effect of granting disabled prisoners rights of access that might require costly modifications of prison facilities might be the curtailment of educational, recreational, and rehabilitative programs for prisoners, in which event everyone might be worse off. But ... there is another side to the issue. The Americans with Disabilities Act was cast in terms not of subsidizing an interest group but of eliminating a form of discrimination that Congress considered unfair and even odious. The Act assimilates the disabled to groups that by reason of sex, age, race, religion, nationality, or ethnic origin are believed to be victims of discrimination. Rights against discrimination are among the few rights that prisoners do not park at the prison gates. Although the special conditions of the prison setting license a degree of discrimination that would not be tolerated in a free environment, there is no general right of prison officials to discriminate against prisoners on grounds of race, sex, religion, and so forth. If a prison may not exclude blacks from the prison dining hall and force them to eat in their cells, and if Congress thinks that discriminating against a blind person is like discriminating against a black person, it is not obvious that the prison may exclude the blind person from the dining hall.
Crawford,
In sum, the plain language of the Rehabilitation Act and the ADA and the remedial purposes underlying both statutes clearly demonstrate that the statutes apply to state prisons. The district court therefore erred when it granted summary judgment to the Appellees on those claims on the ground that the statutes do not apply to state prisons.
B.
The district court also relied on our actual holding in Torcasio v. Murray,
Qualified immunity bars suits against state officials in their personal capacity. Courts developed the doctrine to alleviate the risk that officials’ fear of personal liability might unduly inhibit them in the discharge of then-duties. See Anderson v. Creighton,
Unlike the plaintiff in Torcasio, however, the Appellants in the instant case sued two state governmental entities (the MDPSCS and RCI) and two state officials (Richard Lanham and John Galley) in their official, representative capacities only. Sovereign immunity, rather than qualified immunity, bars suits in federal courts against state entities and state officials in their official capacity without the state’s consent. See Seminole Tribe of Fla. v. Florida, — U.S. -,-,
The Supreme Court has held, however, that Congress may abrogate the states’ sovereign immunity if it unequivocally expresses its intent to abrogate the immunity and has acted pursuant to a valid exercise of power, such as section 5 of the Fourteenth Amendment. See Seminole Tribe of Fla., — U.S. at-,
Thus, sovereign immunity, rather than qualified immunity, potentially barred the Appellants’ claims in the instant case. However, Congress clearly abrogated the states’ sovereign immunity under the Rehabilitation Act and the ADA and thus clearly authorized damage claims against state entities and state officials sued in their official capacity. The district court therefore erred when it granted summary judgment to the Appellees on the Rehabilitation Act and ADA claims on the alternative ground that qualified immunity barred the Appellants’ claim for damages under the two statutes.
II.
Accordingly, I would reverse the district court’s grant of summary judgment to the Appellees on the Rehabilitation Act and ADA claims. I would hold that the Rehabilitation Act and the ADA apply to state prisons and that qualified immunity does not bar the Appellants’ claims. Since the district court only addressed the threshold questions of the applicability of the statutes and the Appellees’ qualified immunity defense, I would remand for the district court to address the merits of the Appellants’ statutory claims in the first instance. I dissent.
I also note that I am not persuaded by the majority’s citation to Virginia Dep’t of Education v. Riley,
Less than four months after we decided Riley, Congress amended § 1412 of the IDEA. Section 1412 now provides that in order to receive federal educational funds, states must demonstrate that they have policies in effect that ensure that “[a] free appropriate public education is available to all children with disabilities residing in the State between the ages of 3 and 21, inclusive, including children with disabilities who have been suspended or expelled from school." IDEA Amendments for 1997, Pub.L. No. 105-17, § 612, 111 Slat. 37, 60 (emphasis added). Congress specifically noted in the legislative history that the amendment was merely a "clarification ],” not a change, to § 1412. S.Rep. No. 105-17, at 11 (1997). Thus, the majority’s reliance on Riley is questionable.
