On November 11, 1992, a transgender inmate at the Bristol County Jail, serving a life sentence, filed a pro se lawsuit in the U.S. District Court for the District of Massachusetts against the Sheriff of the Bristol County and others under 42 U.S.C. 1983. The plaintiff asked the court for both an injunction ordering that she be provided with a sex reassignment surgery and damages, alleging that she was provided inadequate medical care for her serious medical need in violation of her constitutional rights. The medical need in question was a severe gender identity disorder, causing mental anguish to the plaintiff.
The plaintiff was later transferred to the Massachusetts Department of Corrections at Norfolk, MA. She filed a motion to amend her complaint to seek the same relief from DOC on February 8, 1993, which was granted on June 7, 1994. The case then proceeded for a long time on pre-trial discovery and motion practices.
On February 23, 1999, the plaintiff filed a motion to further amend to include the Commissioner of the DOC as a defendant, which was granted on March 4, 1999.
On September 12, 2000, the Court (Judge Mark Wolf) issued an order dismissing claims of damages against the Commissioner in his individual capacity, based on the doctrine of qualified immunity. The Court also issued a summary judgment for the Sheriff, as one of the defendants in the present case, dismissing all claims against him both in individual and official capacity. The Court cited qualified immunity of the Sheriff and lack of evidence to make out a claim of constitutional violation against him. Kosilek v. Nelson, 2000 U.S. Dist. LEXIS 13355 (D. Mass. 2000). On October 4, 2000, the plaintiff filed an appeal to the First Circuit Court of Appeals against the summary judgment.
On February 27, 2001, the First Circuit Court of Appeals issued an order, retaining jurisdiction over the case, but remanding it to the District Court to give statement of reasons for its order on September 12, 2000.
On September 14, 2001, the Court (Judge Mark Wolf) issued an order denying the plaintiff's motion for summary judgment. The non-jury trial finally commenced on February 4, 2002.
At trial, counsel for the plaintiff represented that she was seeking an injunction requiring that she be provided with treatment in prison for gender identity disorder consistent with the Harry Benjamin Standards of Care for treatment of gender identity disorder. More specifically, the plaintiff requested an order that the defendant retain a doctor who specializes in treating gender identity disorders to evaluate the plaintiff, authorize that doctor to prescribe any treatment deemed appropriate, and provide the treatment prescribed by that doctor. That treatment could require hormone treatment therapy and sex reassignment surgery.
On March 22, 2002, the First Circuit Court of Appeals issued a per curiam order affirming the summary judgment of the District Court (Judge Mark Wolf) on September 12, 2000 for the reasons stated in that judgment. Kosilek v. Nelson, 29 Fed. Appx. 621 (1st Cir. Mass. 2002).
Following the trial, the Court (Judge Mark Wolf) issued its judgment for the defendant on August 28, 2002. The Court did not find any violations of the Eighth Amendment by the Commissioner of the DOC. The Court found that the plaintiff's severe gender identity disorder constitutes a serious medical need, for which she has not received adequate medical treatment. However, the Court found that the defendant was not deliberately indifferent to the substantial risk of serious harm to the plaintiff, as he did not appreciate the substantial risk posed to the plaintiff due to lack of medical qualifications and failing to make the inference necessary from the facts of the case, and also had legitimate security concerns, as well as concerns about political controversy. The Court did not issue an injunction or otherwise order the DOC to do something, but it expressed its expectations that the Commissioner would be put on notice of the plaintiff's serious medical need and provide adequate medical care for it. Kosilek v. Maloney, 221 F. Supp. 2d 156 (D. Mass. 2002).
The plaintiff filed her motion for attorney's fees on October 30, 2002, which was denied by the Court (Judge Mark Wolf) on September 11, 2003. This effectively ended the present case.
However, with the present case still ongoing, the plaintiff filed another pro se lawsuit against the Massachusetts Department of Corrections and its medical officers on December 12, 2000. The case is included in the database as Kosilek v. Spencer, PC-MA-0038. The allegations in that case were substantially similar to the present one, where the plaintiff argues that the DOC violated her constitutional rights by not providing her adequate medical care for her serious medical need. The present case's outcome bears substantial influence on the proceedings of the second case. The PC-MA-0038 case is still ongoing.Zhandos Kuderin - 04/03/2014