Mark Anthony Harris, a Louisiana state prisoner, sued three prison medical staff members under 42 U.S.C. § 1983, alleging deliberate indifference to his serious medical needs in violation of the Eighth Amendment. Harris exhausted the administrative procedures available within the state prison system, then filed suit in state court, and finally filed his federal suit. Because Harris did not file this federal lawsuit until approximately 17 months after the events at issue, the district court concluded that Harris’s claims were barred by the one-year prescription period applicable to federal civil rights suits filed in Louisiana. We conclude that Harris’s exhaustion of his administrative remedies tolled the prescriptive period and that Harris’s federal claims were timely filed. Accordingly, we REVERSE and REMAND for further proceedings.
I. BACKGROUND
On October 7, 1996, appellant Mark Anthony Harris, an inmate at the Hunt Correctional Center in St. Gabriel, Louisiana, 1 received medical treatment for a broken jaw. On October 26, 1996, doctors at the oral surgery clinic of the Earl K. Long Hospital removed the retaining wires used to set Harris’s jaw. Some thirty to forty minutes later, as Harris waited in an outside holding cell, his jaw shifted and “fell out of place,” causing him excruciating pain. Harris told the corrections officer supervising him that his jaw had “slipped” and asked to be taken back into the oral surgery clinic to have the jaw reset. The officer replied that he could not take Harris back inside the clinic. The officer instead tried to reach the clinic staff by telephone, but was unsuccessful. Harris had to return to the Hunt Correctional Center without treatment.
At the infirmary of the Correctional Center, Harris told Rose James, a licensed practical nurse, that his jaw had “fallen out of place,” that he was in great pain, and that he required emergency medical attention. James told Harris that he did not need to see the prison doctor. Instead, James made an appointment for Harris to *155 see a dentist on a non-emergency basis. Harris complained, without result.
The following morning, October 23, 1996, Harris complained to Janet Boyd, a registered nurse, about his jaw, his pain, and his need for immediate treatment. Boyd remarked that Harris already had an appointment to see the dentist and left. That afternoon, Harris was able to see Dr. Michael Hegmann, who was making his weekly rounds at the Correctional Center. Harris explained his medical problem to Dr. Hegmann. The doctor performed a cursory inspection of Harris’s mouth, told an accompanying doctor that Harris could be discharged from the clinic, and left. That evening, Harris persuaded another nurse to log his complaint and send a request for immediate treatment to the dental department.
The following afternoon, October 24, 1996, Harris was discharged from the infirmary. Dr. Hegmann’s discharge orders called for Harris to return to a working cell block and eat a normal diet. Dr. Hegmann’s discharge orders overrode the hospital surgeon’s order, issued two days earlier, that Harris remain on a liquid diet for one week. Harris filed a written administrative complaint.
Harris was scheduled for a routine follow-up appointment at the oral surgery clinic of the hospital on October 30, 1996. No medical professional saw Harris between the examination by Dr. Hegmann on October 23, 1996, and his return visit to the hospital on October 30, 1996. Harris alleges that during that week, he suffered constant and extreme pain, magnified by his struggle to eat solid food with a broken jaw. When Harris returned to the hospital’s oral surgery clinic for the follow-up appointment, an x-ray quickly verified that Harris’s jaw had rebroken. Clinic staff reset and rewired the jaw the same day.
The Louisiana prison system has established a three-step administrative review procedure for prisoner complaints. Under this system, Harris’s administrative complaint was first reviewed by the prison hospital administrator, then by the warden of the Correctional Center, and finally by the Secretary of Corrections for the State. At each level of review, Harris was denied relief. The Louisiana Department of Corrections issued the final denial of Harris’s administrative complaint on July 14, 1997.
Officials of the Louisiana Department of Corrections told Harris that he must appeal the denial of his administrative complaint in the Louisiana state courts before filing a federal civil rights lawsuit. Following this instruction, Harris filed suit in the 19th Judicial District Court of Louisiana on June 30, 1997. On February 5, 1998, the state court dismissed Harris’s suit. On March 25, 1998, Harris filed this suit in the federal district court for the Middle District of Louisiana, Baton Rouge Division. Proceeding pro se and in forma pauperis, Harris asserted section 1983 claims against Hegmann, James, and Boyd for their refusals to provide medical attention and treatment between October 22 and October 30,1996.
On April 8, 1998, the magistrate judge recommended dismissal of Harris’s complaint as untimely. The magistrate judge concluded that Harris’s claims were prescribed by the one-year limitation period established by the Louisiana Civil Code, Article 3536, because Harris did not file his federal suit for 17 months after the challenged acts occurred. The magistrate judge recommended that Harris’s complaint be dismissed under 28 U.S.C. § 1915(e)(2)(B)(i), as lacking an arguable basis in law, and under 28 U.S.C. § 1915(e)(2)(B)(ii), as failing to state a claim upon which relief could be granted.
In response to the magistrate judge’s report and recommendation, Harris wrote to the district court and explained that he had waited to file his federal suit until he had exhausted his prison administrative remedies and his state law remedies. Harris argued that he should be allowed an extension of time in order to permit his case to go forward. The district court *156 treated Harris’s letter as an objection to the magistrate judge’s report and recommendations, adopted the magistrate judge’s report and recommendation, and, without requiring the defendants to answer, dismissed Harris’s federal claims with prejudice on May 21,1998.
Harris filed a timely notice of appeal. Before this court, Harris renews his contention that he timely filed his federal suit because prescription was equitably tolled while his prison administrative claims were pending in the Louisiana Department of Corrections. We agree. 2
II. THE STANDARD OF REVIEW
The Prison Litigation Reform Act (PLRA) of 1995, Pub.L. No. 104-134, 110 Stat. 1321, amended 28 U.S.C. § 1915(e)(2)(B)(i) and (ii) to require a district court “to dismiss [an]
in forma pau-peris
(IFP) prisoner civil rights suit[] if the court determines that the action is frivolous or malicious or does not state a claim upon which relief may be granted.”
Black v. Warren,
Under section 1915(e)(2)(B)(i), a district court may dismiss as frivolous a prisoner’s IFP complaint if it lacks any arguable basis in law or fact.
See Neitzke v. Williams,
In an action under section 1915, a district court may raise the defense of limitations sua sponte.
See Gartrell v. Gaylor,
III. THE LIMITATIONS ANALYSIS
Federal courts borrow state statutes of limitations to govern claims brought under section 1983.
See Burge v. Parish of St. Tammany,
Without tolling, Harris’s suit is clearly prescribed. Harris’s allegations establish that he knew in October 1996 of the refusal to provide him medical care and the identity of the persons he believed responsible for the refusal. The question is whether the pendency of Harris’s state administrative proceedings tolled the prescriptive period.
Because Harris is a state prisoner proceeding in forma pauperis, his action is governed by 42 U.S.C. § 1997e. The PLRA, which took effect on April 26, 1996, significantly amended section 1997e. Under the pre-PLRA version of section 1997e, federal district courts had discretionary authority to require a prisoner to exhaust administrative remedies inside the prison system when “appropriate and in the interests of justice,” 42 U.S.C. § 1997e(a)(1994), and when the administrative remedies provided were “plain, speedy, and effective.” The PLRA removed this discretion. Section 1997e now provides that:
[n]o action shall be brought with respect to prison conditions under section 1983 of this title, or any other Federal law, by a prisoner confined in any jail, prison, or other correctional facility until such administrative remedies as are available are exhausted.
42 U.S.C. § 1997e(a) (West Supp.1999).
Section 1997e clearly requires a state prisoner to exhaust available administrative remedies before filing a section 1983 suit and precludes him from filing suit while the administrative complaint is pending.
See Wendell v. Asher,
This court has held that “[a] district court should not require exhaustion under section 1997e if the prisoner seeks only monetary damages and the prison grievance system does not afford such a remedy.”
Whitley v. Hunt,
In
Rodriguez v. Holmes,
Louisiana courts recognize four distinct factual situations involving a legal inability to act which may toll prescription;
(1) when courts are legally closed; (2) when administrative or contractual restraints delay the plaintiffs action; (3) when the defendant prevents the plaintiff from bringing suit; and (4) when the plaintiff does not know nor reasonably should know of the cause of action.
In re Medical Review Panel Proceeding Vaidyanathan,
Harris could not file this federal civil rights suit until he exhausted the available state administrative remedies, as section 1997e requires. This exhaustion requirement functioned as a “legal cause which prevented the courts or their officers from taking cognizance of or acting on the plaintiffs action.”
Id.
(prescription tolled during exhaustion of state habeas remedies);
see also Whitley v. Hunt,
IV. THE CLAIM FOR DELIBERATE INDIFFERENCE
The magistrate judge recommended dismissal of Harris’s suit under both sections 1915(e)(2)(B)(i) and (ii). The remaining question is whether Harris’s complaint states a claim upon which relief may be granted. We conclude that his complaint does allege facts that present a cognizable claim for relief.
“[I]nadequate medical care by a prison doctor can result in a constitutional violation for purposes of a § 1983 claim when that conduct amounts to deliberate indifference to [the prisoner’s] serious medical needs, constituting] the unnecessary and wanton infliction of pain proscribed by the Eighth Amendment.”
Stewart v. Murphy,
In Estelle, the Supreme Court concluded:
[Djeliberate indifference to serious medical needs of prisoners constitutes the “unnecessary and wanton infliction of pain” proscribed by the Eighth Amendment. This is true whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards in intentionally denying or delaying access to medical care or intentionally interfering with the treatment once prescribed. Regardless of how evidenced, deliberate indifference to a prisoner’s serious illness or injury states a cause of action under § 1983.
Estelle,
To state an Eighth Amendment claim, a plaintiff must allege a deprivation of medical care sufficiently serious to show that “the state has abdicated a constitutionally-required responsibility to attend to his medical needs,”
Bienvenu v. Beauregard Parish Police Jury,
In this case, Harris alleges that the repair of his broken jaw had failed before he even left the surgery clinic. He alleges that Dr. Hegmann and nurses Boyd and James ignored his urgent and *160 repeated requests for immediate medical treatment for his broken jaw and his complaints of excruciating pain. Harris alleges facts demonstrating that all three defendants were made aware of, and disregarded, a substantial risk to Harris’s health when they denied him treatment. Harris’s factual allegations satisfy both the objective and subjective components of an Eighth Amendment claim; he states a claim upon which relief may be granted.
V. CONCLUSION
We hold that the Louisiana prescription period was tolled during the pendency of Harris’s administrative complaint. Harris timely filed this suit in federal district court within one year after he received final notice that his administrative complaint was dismissed. Harris’s factual allegations state an Eighth Amendment deliberate indifference claim against each of the defendants. The dismissal of Harris’s claims is REVERSED and this case is REMANDED for further proceedings.
REVERSED and REMANDED.
Notes
. Harris is now a prisoner al the Allen Correctional Center in Kinder, Louisiana.
. Harris argues that tolling applies both to the time during which he pursued his administrative remedies and to the time during which he pursued his state court lawsuit. Because Harris filed his federal complaint within one year of the final action on his administrative complaint, we need not reach the question of whether the pendency of the state lawsuit tolled the prescriptive period.
. This court has previously held that the exhaustion requirement under amended section 1997e is not jurisdictional.
See Underwood,
. The courts of appeals have divided over the question of whether a prisoner seeking solely
*158
monetary damages has a duty to exhaust when the state prison system does not provide monetary damages as a remedy. This court and the Ninth and Tenth Circuits do not require exhaustion when monetary damages are sought but such a remedy is unavailable.
See Whitley v. Hunt,
. Louisiana courts refer to this suspension of prescription as the doctrine of
contra non valentem agere nulla praescriptio. Burge,
