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[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
________________________
No. 19-14305
Non-Argument Calendar
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D.C. Docket No. 9:15-cv-80102-RLR
JOEL BARCELONA,
Plaintiff-Appellant,
versus
SECRETARY, DEPARTMENT OF
CORRECTIONS,
WARDEN, SOUTH BAY CF,
EWOOD FNU,
Corrections Health Care,
Defendants-Appellees.
________________________
Appeal from the United States District Court
for the Southern District of Florida
________________________
(March 2, 2021)
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Before NEWSOM, BRANCH, and ANDERSON, Circuit Judges.
PER CURIAM:
Joel Barcelona, a prisoner in the custody of the Florida Department of
Corrections (“FDOC”), appeals from the district court’s grant of summary
judgment against him in a 42 U.S.C. § 1983 lawsuit. Barcelona claims that prison
officials were deliberately indifferent to his serious medical needs, in violation of
the Eighth Amendment, because they refused to provide him with a hearing aid for
his right ear. The district court found that the officials were entitled to qualified
immunity because Barcelona only suffered from hearing loss in one ear and did not
have a clearly established right to a hearing aid under Gilmore v. Hodges, 738 F.3d
266 (11th Cir. 2013). Because Barcelona did not have a clearly established right to
a hearing aid, we affirm.
I. Background
A. Facts
Barcelona has been in the custody of the FDOC since March 21, 2005. On
June 6, 2014, after he reported that he had experienced hearing loss to prison
officials, Barcelona was seen by Dr. Arthur G. Zinaman, an audiologist. Dr.
Zinaman found that Barcelona had asymmetrical hearing loss—“a profound
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hearing loss in the right ear and only mild hearing loss in the left ear.”1 Based on
his observations, Dr. Zinaman noted that “Barcelona’s left ear would be a
candidate for a hearing aid for overall hearing due to the lack of hearing in the
right ear.” On August 12, 2014, Dr. Zinaman issued a second report noting that
“[a] mild gain device for the left ear may be beneficial . . . . Alternatively, a power
instrument for the right ear may provide speech and environmental awareness with
possible transcranial effect.”
On August 22, 2014, Dr. Raymond Herr, the Chief Medical Officer for
Corrections Healthcare Companies, reviewed Barcelona’s request for a hearing aid
for his right ear. Dr. Herr denied Barcelona’s request, finding that:
Based on the audiometry results and the adequacy of the hearing
levels in Mr. Barcelona’s left ear, he did not meet the medical criteria
guidelines for bilateral hearing loss under HSB 15.03.27(G)(2)(a)-
(b)[2] and therefore Mr. Barcelona was not a candidate for a hearing
aid. Additionally, based upon the audiometry results for the right ear,
and the profound hearing loss, it was not medically probable that a
power instrument device for the right ear could have remedied Mr.
Barcelona’s conditions.
On September 24, 2014, Barcelona filed a formal grievance with prison
officials, asserting that the decision not to provide him with a hearing aid was
1
“Profound” hearing loss is the most impaired level; “mild” hearing loss is the least
impaired level.
2
Health Services Bulletin No. 15.03.27 provided that a hearing aid recipient “must have
a bilateral (both ears) hearing loss. A recipient who has a unilateral (one ear) hearing loss is not
eligible for services.”
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inadequate medical care in violation of the Eighth Amendment and requesting that
the prison provide him a hearing aid for his right ear. Dr. Jules Heller, the medical
director for the prison, prepared a response, noting that:
Records indicate you only have hearing loss in your right ear. Per
policies and procedures, in order to be eligible for services, the
recipient must have a bilateral (both ears) hearing loss. A referral was
submitted, but denied because you do not meet this criteria based on
your evaluation with the audiologist. Based on the above information
your grievance is denied.
The Warden signed off on the response and denied Barcelona’s grievance.
Barcelona submitted an administrative appeal to the Secretary of the Department of
Corrections, but the appeal was returned “without action” because it was untimely.
On November 16, 2014, Barcelona filed another formal grievance regarding the
decision, which was also denied, as was the subsequent appeal.
B. Procedural History
On January 29, 2015, Barcelona filed a pro se complaint against the
Secretary of the Florida Department of Corrections and the Warden, alleging that
prison officials had violated his Eighth Amendment rights by denying him a
hearing aid for his right ear, which had profound hearing loss.3 Barcelona’s
3
The Eighth Amendment provides: “Excessive bail shall not be required, nor excessive
fines imposed, nor cruel and unusual punishments inflicted.” U.S. Const. amend. VIII; see
Thomas v. Bryant, 614 F.3d 1288, 1303 (11th Cir. 2010) (noting that “[t]he Eighth Amendment’s
prohibition against cruel and unusual punishment” was made applicable to the States “through
the Due Process Clause of the Fourteenth Amendment”). “In the prison context . . . [t]he Eighth
Amendment can give rise to claims challenging . . . the deliberate indifference to a prisoner’s
serious medical needs.” Thomas, 614 F.3d at 1303–04. “To prevail on a claim of deliberate
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complaint was screened by a magistrate judge, who recommended dismissing the
case for failure to state a claim pursuant to 28 U.S.C. § 1915(e)(2)(B). The
magistrate judge found that Barcelona’s hearing loss was “not so severe as to
constitute a serious medical need” because “[w]hile it is undisputed from the
record that [Barcelona] in fact suffers from a hearing loss in his right ear, it is
equally clear that he does have hearing in his left ear.” The district court adopted
the magistrate judge’s recommendation and sua sponte dismissed the case.
Barcelona then appealed.
On appeal, we vacated the district court’s decision and remanded the case
for further proceedings, holding that, “[a]ssuming the truth of [Barcelona’s]
allegations . . . it appears that Barcelona has stated a non-frivolous claim and that
the district court erred in dismissing his complaint under § 1915(e)(2)(B).”
Barcelona v. Sec’y, Fla. Dep’t of Corr., 657 F. App’x 896, 898 (11th Cir. 2016).
Nevertheless, we noted that “this court has not yet addressed whether a prisoner’s
loss of hearing in one ear, which leads a doctor to prescribe a hearing aid, is
insufficient to constitute a serious medical need where the prisoner retains some
level of hearing in his other ear.” Id. at 898–99.
indifference to serious medical need . . . a plaintiff must show: (1) a serious medical need; (2) the
defendant’s deliberate indifference to that need; and (3) causation between that indifference and
the plaintiff’s injury.” Youmans v. Gagnon, 626 F.3d 557, 563 (11th Cir. 2010) (quotation
omitted; alteration adopted).
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On remand, Barcelona filed an amended complaint, alleging that Herr, 4 the
Secretary of the Department of Corrections, and the Warden (the “defendants”)
violated his Eighth Amendment rights, in both their individual and official
capacities, through deliberate indifference to his serious medical needs. As relief,
Barcelona sought compensatory damages against each defendant. After discovery,
the defendants moved for summary judgment, arguing that Barcelona failed to
show that they were deliberately indifferent to his serious medical needs, that they
were entitled to absolute immunity for the claims against them in their official
capacities, and that they were entitled to qualified immunity for the claims against
them in their individual capacities. Barcelona opposed the motion.
The district court granted the defendants’ motion for summary judgment.
As relevant to this appeal, it found that the defendants were “protected by qualified
immunity” in their individual capacities. 5 First, the district court noted that
Barcelona did “not dispute that the [d]efendants were acting within their
discretionary authority in declining to authorize a hearing aid.” Second, the district
court determined that “the constitutional question of whether [Barcelona’s]
4
Barcelona’s complaint initially identified Herr as “FNU Ewood.” When it was
subsequently determined that Herr was “FNU Enwood,” Herr was substituted in his place.
5
The district court also found that the defendants were “absolutely immune from suits
for damages” in their official capacities due to state sovereign immunity, but we do not address
this issue because Barcelona does not challenge the district court’s grant of summary judgment
to the defendants on his official capacity claims.
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asymmetrical hearing loss constituted a serious medical need” was not clearly
established in 2014 when Barcelona’s hearing aid request was denied. Barcelona
timely appealed.
II. Analysis
We review the district court’s grant of summary judgment on qualified
immunity grounds de novo, “drawing all inferences and viewing all of the evidence
in a light most favorable to the nonmoving party.” Gilmore, 738 F.3d at 272. “To
establish the defense of qualified immunity, the burden is first on the defendant to
establish that the allegedly unconstitutional conduct occurred while he was acting
within the scope of his discretionary authority.”6 Estate of Cummings v.
Davenport, 906 F.3d 934, 940 (11th Cir. 2018) (quoting Harbert Int’l, Inc. v.
James, 157 F.3d 1271, 1281 (11th Cir. 1998)).
Once an official has proved that he acted within the scope of his
discretionary authority, “the burden shifts to the plaintiff to satisfy the following
two-pronged inquiry: (1) whether the facts that a plaintiff has shown make out a
violation of a constitutional right; and (2) whether the right at issue was clearly
established at the time of the defendant’s alleged misconduct.” Gilmore, 738 F.3d
6
“To establish that the challenged actions were within the scope of his discretionary
authority, a defendant must show that those actions were (1) undertaken pursuant to the
performance of his duties, and (2) within the scope of his authority.” Estate of Cummings, 906
F.3d at 940 (quoting Harbert Int’l, 157 F.3d at 1282).
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at 272. We may consider the two prongs in any order. See Pearson v. Callahan,
555 U.S. 223, 236 (2009).
“A clearly established right is one that is sufficiently clear that every
reasonable official would have understood that what he is doing violates that
right.” Mullenix v. Luna, 577 U.S. 7, 11 (2015) (quotation omitted). “[T]o
determine whether the right in question was clearly established at the time of the
violation,” we look to “cases from the United States Supreme Court, the Eleventh
Circuit, and the highest court of the state under which the claim arose.” Coffin v.
Brandau, 642 F.3d 999, 1013 (11th Cir. 2011). Although “[w]e do not require a
case directly on point . . . existing precedent must have placed the statutory or
constitutional question beyond debate.” Ashcroft v. al-Kidd, 563 U.S. 731, 741
(2011). The precedent “must be ‘particularized’ to the facts of the case.” White v.
Pauly, 137 S. Ct. 548, 552 (2017). In other words, “[t]he salient question . . . is
whether the state of the law gave the defendants fair warning that their alleged
conduct was unconstitutional.” Vaughan v. Cox, 343 F.3d 1323, 1332 (11th Cir.
2003) (quotation omitted).
A. Scope of the Defendants’ Discretionary Authority
Barcelona argues that the defendants were not acting within the scope of
their discretionary authority when they denied his requests for a hearing aid for his
right ear. But he failed to raise this argument below in his response to the
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defendants’ motion for summary judgment and has thus forfeited the argument.7
See Hall v. Flournoy, 975 F.3d 1269, 1277 n.3 (11th Cir. 2020).
B. Clearly Established Law
Barcelona next argues that it was clearly established by Gilmore that
asymmetrical hearing loss is a serious medical need. Although we held in Gilmore
that “significant and substantial hearing loss that can be remedied by a hearing aid
is a serious medical need,” that case involved bilateral hearing loss, not
asymmetrical hearing loss. 738 F.3d at 269, 278. Barcelona does not dispute that
Gilmore can be distinguished from this case on those grounds; instead, he claims
that the difference between the two cases “is trivial at best.” We disagree.
As we previously noted in this case, the Eleventh Circuit “[has] not yet
addressed whether a prisoner’s loss of hearing in one ear, which leads a doctor to
prescribe a hearing aid, is insufficient to constitute a serious medical need where
the prisoner retains some level of hearing in his other ear.” Barcelona, 657
F. App’x at 898–99. Nevertheless, even without regard to our previous statement,
7
Even if he had not forfeited this argument, “objective circumstances . . . compel the
conclusion that [the defendants’] actions were undertaken pursuant to the performance of [their]
duties and within the scope of [their] authority.” Estate of Cummings, 906 F.3d at 940 (quotation
omitted). Namely, Barcelona claims that the defendants violated his constitutional rights by
denying his requests for a hearing aid. Supervising the medical care of inmates and resolving
prison grievances are actions that are plainly within the duties and the authority of the
defendants. See, e.g., Fla. Stat. § 944.14 (“Subject to the orders, policies, and regulations
established by the department, it shall be the duty of the wardens to supervise the government,
discipline, and policy of the state correctional institutions, and to enforce all orders, rules and
regulations.”); see also Estate of Cummings, 906 F.3d at 940.
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we independently conclude that Gilmore did not give the defendants fair warning
that their alleged conduct was unconstitutional because asymmetrical hearing loss
is a substantively different impairment from bilateral hearing loss. See Gilmore,
738 F.3d at 276–77 (“Thus, for instance, if a plaintiff can ‘carry on a normal
conversation’ and hear and follow directions without the use of a hearing aid, a
court would be hard pressed to classify the plaintiff's impairment as a serious
medical need.” (quotation omitted)). Barcelona does not point to any other
precedent that would have put the defendants on notice that their failure to provide
a hearing aid to him for his asymmetrical hearing loss was unconstitutional.
Accordingly, Barcelona has failed to show that the defendants violated a clearly
established right because “existing precedent [has not] placed the . . . constitutional
question beyond debate.” Ashcroft, 563 U.S. at 741. Consequently, the defendants
are entitled to qualified immunity.
III. Conclusion
For these reasons, we affirm the district court’s grant of summary judgment.
AFFIRMED.
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