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discussing U.S. Customs and Border Protection policy requiring "Border Patrol Agents who encounter individuals who are injured ... to take immediate action to obtain medical attention for the injured party"
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Civil Action No. DR-22-CV-00005-AM/VRG
2023-10-02
Maria E. Markowitz CROY, Individually and as Personal Representative of the Estate of James Paul Markowitz, Deceased; and Aaliyah Brittany Soto, as Next Friend of P.J.M., a Minor Child, Plaintiffs, v. UNITED STATES of America, Defendant.
Jeffrey M. Wise, Pro Hac Vice, Langford and Wise, PLLC, Dallas, TX, for Plaintiffs. Huiju Jeon, U.S. Attorney's Office, San Antonio, TX, for Defendant.
Jeffrey M. Wise, Pro Hac Vice, Langford and Wise, PLLC, Dallas, TX, for Plaintiffs. Huiju Jeon, U.S. Attorney's Office, San Antonio, TX, for Defendant. ORDER ALIA MOSES, Chief United States District Judge
Pending before the Court is the Report and Recommendation of the Honorable Victor R. Garcia, United States Magistrate Judge. (ECF No. 49.) As explained below, the Court ADOPTS the Report.
I. PROCEDURAL BACKGROUND
Maria E. Markowitz Croy ("Croy"), as an individual and as personal representative of the estate of James Markowitz ("Markowitz"), and Aaliyah Brittany Soto, as next friend of P.J.M., a minor ("Soto"), (collectively, "the Plaintiffs"), commenced this action on February 2, 2022, when they filed a Complaint against the United States of America ("Defendant"). (ECF No. 1.). The Plaintiffs alleged negligence under the Federal Tort Claims Act ("FTCA"), among other claims. (ECF No. 1.) This Court referred this action to Judge Garcia on February 2, 2022. On November 21, 2022, the Plaintiffs moved for leave to amend their Complaint (ECF No. 31), which Judge Garcia granted. (ECF No. 32.) On November 22, 2022, the Plaintiffs filed their First Amended Complaint, which streamlined the original Complaint. (ECF No. 33.) The First Amended Complaint raises four causes of action: (1) negligence under the FTCA; (2) failure to train and supervise under the FTCA; (3) survivor's cause of action under Texas law; and (4) wrongful death under Texas law. (ECF No. 33.)
On December 6, 2022, the Defendant filed a Motion to Dismiss the First Amended Complaint. (ECF No. 35.) The Plaintiffs filed a response on January 6, 2023 (ECF No. 41), and the Defendant replied on January 31, 2023. (ECF No. 48.) On May 1, 2023, Judge Garcia entered his Report and Recommendation. (ECF No. 49.) On May 15, 2023, the Defendant filed objections to the Report. (ECF No. 50.) The Plaintiffs raised no objections to the Report, but they responded to the Defendant's objections on May 26, 2023. (ECF No. 51.) On June 2, 2023, the Defendant filed a sur reply. (ECF No. 52.)
II. FACTUAL BACKGROUND
It is alleged in the First Amended Complaint that on February 4, 2022, Customs and Border Protection ("CPB") agents stopped James Markowitz ("Markowitz") while he was alone in his vehicle near Brackettville, Texas. (ECF No. 33 at ¶ 7.) Markowitz surrendered immediately, and was arrested at approximately 3:30 p.m. (Id.) Markowitz "was taken into the CBP's care, custody and control." (Id. at ¶ 11.) "While in ICE custody . . . CBP agents observed that Markowitz was in distress" at approximately 6 p.m., but "CBP agents did not summon an ambulance until approximately 6:26 p.m." (Id. at ¶ 8.) Shortly before midnight, Markowitz was pronounced dead at the Val Verde Regional Medical Center while in CPB custody. (Id. at ¶ 6.) Markowitz was survived by his mother, Croy, and infant daughter P.J.M., "who was born approximately six months after his death." (Id.) An autopsy on Markowitz's body "revealed the presence of methamphetamine and cocaine, as well as a clear plastic baggie which he is believed to have ingested while in CPB custody." (Id. at ¶ 9.)
The First Cause of Action alleges negligence under the FTCA. (Id. at 3.) CPB agents are required to follow U.S. Customs and Border Protection's National Standards on Transport, Escort, Detention and Search ("Policy") Sections 4.3 and 4.10. (Id. at ¶¶ 13-14.)
Although the Policy was attached to the Plaintiff's response to the Defendant's Motion to Dismiss rather than the First Amended Complaint, the Court reviews this language because the First Amended Complaint references it Caldera v. Bank of N.Y. Mellon, No. I7-CV-1 16, 2017 WL 10841722 at *1, *3 (W.D. Tex. Apr. 11, 2017) (allowing outside material on a Rule 12(b)(6) motion to dismiss because it was referenced in the complaint); see also Gen. Retail Servs., Inc. v. Wireless Toyz Franchise, LLC, 255 Fed App'x 775, 783 (5th Cir. 2007) ("It is well known that when 'matters outside the pleading' are presented with a motion to dismiss under Rule 12(b)(6), a district court has complete discretion to either accept or exclude the evidence.").
Policy Section 4.3 states in relevant part:
Upon a detainee's entry into any CBP hold room, officers/agents must ask detainees about, and visually inspect for any sign of injury, illness, or physical or mental health concerns and question the detainee about any prescription medications. Observed or reported injuries or illnesses should be communicated to a supervisor, documented in the appropriate electronic system(s) of record, and appropriate medical care should be provided or sought in a timely manner. (ECF No. 41 at 14.)
Policy Section 4.10 also states in relevant part:
Emergency medical services will be called immediately in the event of a medical emergency (e.g., heart attack, difficulty breathing) and the call will be documented in the appropriate electronic system(s) of record. Officers/Agents must notify the shift supervisor of all medical emergencies as soon as possible after contacting emergency services. (Id. at 17.)
It is alleged that CBP agents "failed to screen Markowitz and monitor his health while he was in their custody, care and control" as evidenced by an agent being called to observe Markowitz at 6 p.m., even though Markowitz was in custody since 3:30 p.m." (ECF No. 33 at ¶ 14.) The CPB agent allegedly observed Markowitz in "medical distress" at 6 p.m., but emergency medical care was not called until 6:26 p.m. "when it was too late." (Id.) Among other things, CBP agents failed "to evaluate and treat Markowitz's serious medical risks and needs . . . failed to recognize signs and symptoms of drug intoxication; failed to adequately supervise Markowitz; failed to provide or obtain medical treatment for Markowitz; and . . . failed to provide or obtain medical treatment to Markowitz when he was requesting treatment . . . [and] failed to monitor Markowitz's condition by not paying attention to video images of Markowitz in custody and/or failed to monitor his condition after arrest. (Id. at ¶¶ 15-17.) The Plaintiffs seek compensatory damages "[a]s a direct and proximate result of" the Defendant's violations. (Id. at ¶ 18.) The Plaintiffs claim that the Defendant's acts and omissions were negligent under Texas law, and the FTCA makes the Defendant liable for same. (Id. at ¶¶ 19-20.)
The Second Cause of Action alleges a failure to train and supervise under the FTCA. (Id. at 5.) "Defendant failed to adequately train and supervise its CBP agents regarding: 1) the required National Standards; 2) recognizing signs and symptoms of drug intoxication; 3) adequate supervision of un-handcuffed detained persons; 4) providing or obtaining medical treatment for detained persons; and 5) providing or obtaining medical treatment to individuals in custody requesting treatment." (Id. at ¶ 22.) "Defendant's deliberate indifference in failing to train based on the obviousness of the need for training has resulted in a number of claims, including Markowitz's." (Id. at ¶ 22.) The Defendant, through its policies and practices along "with deliberate, callous, and conscious indifference[,] failed to implement" the policies and practices needed to adequately provide and assist Markowitz "during his struggle to survive while in custody" and instead implemented policies and practices that "actually interfered with or prevented Markowitz from receiving the protection, assistance, and care he deserved." (Id. at ¶ 25.) "Defendant knew that it was acting against the clear dictates of current law, and knew that as a direct consequence of its deliberate decisions," Markowitz's death "in all reasonable probability would occur." (Id. at ¶ 26.) Again, the Plaintiffs allege that the Defendant's previously mentioned violations directly and proximately caused the Plaintiffs to sustain compensatory damages. (Id. at ¶ 28.)
The Third Cause of Action is the survivors' causes of action. (Id. at 6.) Specifically, Croy raises this claim as Markowitz's surviving parent, and Soto raises this claim on behalf of the minor, who is Markowitz's surviving child. (Id. at ¶ 30.) The claim alleges that the Defendant's wrongful conduct caused Markowitz's death, and Markowitz "would have been entitled to bring this action against Defendant if he had lived." (Id. at ¶¶ 31-33.) "The Decedent's right of action for wrongful and negligent conduct against the Defendant survive in favor of the heirs, legal representatives, and the estate of the Deceased," and "Defendant is liable to Plaintiffs for the loss of Markowitz's life and pain and suffering," for which the Plaintiffs seek compensatory damages. (Id. at ¶¶ 33-34.)
Lastly, the Fourth Cause of Action is a wrongful death claim. (Id. at 7.) This claim alleges that the Defendant's conduct, which caused Markowitz's death, also resulted in "loss of a family relationship, love, support, services, emotion [sic] pain and suffering, and for their acts and infliction of emotional distress," for which the Plaintiffs seek compensatory damages. (Id. at ¶¶ 37-38.) The Plaintiffs also allege other damages related to these claims. (Id. at 7-8.)
III. STANDARD OF REVIEW
A district court judge may designate a magistrate judge to submit "proposed findings of fact and recommendations for the disposition . . ." of a motion. 28 U.S.C. § 636(b)(1)(B). Federal law provides in relevant part:
Within fourteen days after being served with a copy, any party may serve and file written objections to such proposed findings and recommendations as provided by rules of court. A judge of the court shall make a de novo determination of those portions of the report or specified proposed findings or recommendations to which objection is made. A judge of the court may accept, reject, or modify, in whole or in part, the findings or recommendations made by the magistrate judge. Id. § 636(b)(1).
"Under the plain language of 28 U.S.C. § 636(b)(1), Fed. R. Civ. P. 72(b), and all of the relevant cases, a district court must engage in de novo review where a party has objected to a magistrate[ judge's] decision. However . . . the 'clearly erroneous, abuse of discretion and contrary to law' standard of review . . . is appropriate only where there has been no objection to the magistrate[ judge's] ruling." United States v. Wilson, 864 F.2d 1219, 1221 (5th Cir. 1989). "The clearly erroneous or contrary to law standard of review is highly deferential and requires the court to affirm the decision of the magistrate judge unless, based on the entire evidence, the court reaches a definite and firm conviction that a mistake has been committed. The clearly erroneous standard does not entitle the court to reverse or reconsider the order simply because it would or could decide the matter differently." Singh v. Wal-Mart Stores, Inc., No. 18-CV-1120, 2021 WL 706774, at *1 (W.D. Tex. Feb. 23, 2021) (citations and quotation marks omitted).
Frivolous, conclusory, or general objections can be ignored. Battle v. U.S. Parole Comm'n, 834 F.2d 419, 421 (5th Cir. 1987), overruled on other grounds by Douglass v. United Servs. Auto. Ass'n, 79 F.3d 1415 (5th Cir. 1996), abrogated on other grounds 28 U.S.C. § 636(b)(1). If a party fails to timely file written objections to the report and recommendation, that party cannot obtain appellate review of unobjected-to proposed factual findings and legal conclusions that the district court accepts. Wallace v. Mississippi, 43 F.4th 482, 495 (5th Cir. 2022). Arguments that are raised for the first time after a report and recommendation is filed are generally waived unless they concern subject matter jurisdiction. See, e.g., Firefighters' Ret. Sys. v. EisnerAmper, L.L.P., 898 F.3d 553, 559 (5th Cir. 2018); Star v. Sec'y of U.S. Dep't of Homeland Sec., No. 19-CV-053-DC, 2021 WL 8055635, at *3 (W.D. Tex. Feb. 18, 2021) ("Because a challenge to the Court's subject matter jurisdiction may never be forfeited or waived, the Court must consider [the Defendant's] new argument regarding subject matter jurisdiction.").
IV. ANALYSIS
The Defendant objects to four recommendations from the Report and Recommendation. Specifically, the Defendant objects to the recommendations that: (1) the discretionary function exception does not apply to the negligence claim based on the untimely contact of emergency services ("negligence claim") under Rule 12(b)(1); (2) the negligence claim should not be dismissed under Rule 12(b)(6); (3) the wrongful death claim should not be dismissed under Rule 12(b)(6); and (4) the survival claim should not be dismissed under Rule 12(b)(6). (ECF No. 50 at 3, 6-7, 8-9, 12-14.) These objections are reviewed de novo, while all other portions of the Report are subject to the "clearly erroneous, abuse of discretion and contrary to law" standard. Wilson, 864 F.2d at 1221. In this case, the Court finds no clear error in those portions of the Report to which no one objected.
Although the Report and Recommendation appears to suggest that one claim concerns a failure to provide timely medical care (ECF No. 49 at 14-15) and another claim concerns the failure to timely contact emergency services (ECF No. 49 at 13-14), these claims are one and the same.
The Court has reviewed the portions of the Report and Recommendation and approves of the findings of Judge Garcia, as discussed below. The Defendant's four objections are thus overruled. A. Rule 12(b)(1) Objection and the Negligence Claim
The Report and Recommendation finds that the Rule 12(b)(1) motion to dismiss the negligence claim under the FTCA's discretionary function exception should be denied for two reasons. First, Policy Section 4.10 creates a non-discretionary duty because (1) it covers when an agent must act (i.e., immediately) and what agents must do (i.e., contact emergency services and notify a shift supervisor), and (2) although agents can use their discretion to define a medical emergency like in Dorsey v. Relf, 559 Fed. App'x 401, 403 (5th Cir. 2014), the policy in this case lacks "the same discretionary, i.e. sufficiency, language as the policy in Dorsey." (ECF No. 49 at 13.) Second, even if Section 4.10 is discretionary, the decision concerning when to contact medical services is not the type of decision that the discretionary function exception intends to prevent because like in Carcamo-Lopez v. Does 1 through 20, 865 F. Supp. 2d 736 (W.D. Tex. 2011), the main consideration here was Markowitz's health and the agents did not need to weigh allocating scarce resources or confronting a broad emergency situation.' " (ECF No. 49 at 14.)
"Motions filed under Rule 12(b)(1) of the Federal Rules of Civil Procedure allow a party to challenge the subject matter jurisdiction of the district court to hear a case." Fed. R. Civ. P. 12(b)(1). "The burden of proof for a Rule 12(b)(1) motion to dismiss is on the party asserting jurisdiction," which is the plaintiff. Ramming v. United States, 281 F.3d 158, 161 (5th Cir. 2001) (citation omitted). "When a Rule 12(b)(1) motion is filed in conjunction with other Rule 12 motions, the court should consider the Rule 12(b)(1) jurisdictional attack before addressing any attack on the merits." Hitt v. City of Pasadena, 561 F.2d 606, 608 (5th Cir. 1977) (per curiam). "The district court . . . has the power to dismiss for lack of subject matter jurisdiction on any one of three separate bases: (1) the complaint alone; (2) the complaint supplemented by undisputed facts evidenced in the record; or (3) the complaint supplemented by undisputed facts plus the court's resolution of disputed facts." Williamson v. Tucker, 645 F.2d 404, 412 (5th Cir. 1981).
The Defendant contends that it objected to the Magistrate Judge's decision not to consider the affidavit attached to the Defendant's Motion to Dismiss because the Defendant incorporated the affidavit into its objection. (ECF No. 52 at 4 n.2.) The Defendant's contention is wrong because it provided no specific objection to that part of the Report. Battle, 834 F.2d at 421. Regardless, the affidavit can be considered, but need not be, because a court is not mandated to review material outside the pleadings. State of Ala. ex rel. Baxley v. Woody, 473 F.2d 10, 12 (5th Cir. 1973) ("[A] District Court may consider outside matter attached to a motion to dismiss without first converting it into a motion for summary judgment if the material is pertinent to the question of the District Court's jurisdiction since it is always the obligation of a federal court to determine if it has jurisdiction.") (emphasis added); see also Green v. Forney Eng'g Co. 589 F.2d 243, 246-47 (5th Cir. 1979) (suggesting that the court has discretion to decide matters outside the pleadings on motions to dismiss for lack of subject matter jurisdiction and failure to state a claim upon which relief can be granted). The Magistrate Judge correctly outlined and applied the law concerning whether the affidavit could be considered under Rule 12(b)(1) and Rule 12(b)(6). (ECF No. 49 at 5-6). Accordingly, the Court finds no error in the Magistrate Judge's decision not to consider the affidavit, and this Court will focus only on the First Amended Complaint for both branches of the motion to dismiss.
"The FTCA waives the United States' sovereign immunity in tort claims brought against any government employee acting in the scope of his employment." Barron v. United States, 31 F.4th 347, 349 (5th Cir. 2022) (citing 28 U.S.C. § 1346(b)(1)). " 'But sovereign immunity is not waived if the government employee is 'perform[ing] a discretionary function or duty on the part of a federal agency.' " Id. (quoting 28 U.S.C. § 2680(a)). "Two conditions must be met for this exception to apply. First, the conduct in question must be 'discretionary in nature.' " Id. (quoting United States v. Gaubert, 499 U.S. 315, 322, 111 S.Ct. 1267, 113 L.Ed.2d 335 (1991)). "To be discretionary, an action must involve 'an element of judgment or choice.' " Id. at 350 (quoting Gaubert, 499 U.S. at 322, 111 S.Ct. 1267). "A function is not discretionary if a government regulation requires a particular action because, in that case, 'the employee has no rightful option but to adhere to the directive.' " Id. (quoting Gaubert, 499 U.S. at 322, 111 S.Ct. 1267). On the other hand, a function is discretionary if the applicable rule "leaves it to a federal agency or employee to determine when and how to take action." MS Tabea Schiffahrtsgesellschaft MBH & Co. KG v. Bd. of Comm'rs. of Port of New Orleans, 636 F.3d 161, 166 (5th Cir. 2011). "[O]nce the government has made a decision to act the government is responsible for acts negligently carried out even though discretionary decisions are constantly made as to how those acts are carried out." Wysinger v. United States, 784 F.2d 1252, 1253 (5th Cir. 1986); see also Rise v. United States, 630 F.2d 1068, 1072 (5th Cir. 1980) (finding that the discretionary function did not apply where the government, after blood testing the plaintiff and then believing that it could not provide adequate care, referred the plaintiff to a healthcare provider because the government agreed to undertake medical care, which meant that the government accepted responsibility for rendering that care non-negligently).
"Second, the conduct must be 'of the kind that the discretionary function exception was designed to shield.' " Barron, 31 F.4th at 349-50 (quoting Gaubert, 499 U.S. at 322-23, 111 S.Ct. 1267). Specifically, the decision in issue must be "grounded in social, economic, or public policy." Schiffahrtsgesellschaft, 636 F.3d at 166. "Because the purpose of the exception is to prevent judicial second-guessing of legislative and administrative decisions grounded in social, economic, and political policy through the medium of an action in tort, when properly construed, the exception protects only governmental actions and decisions based on considerations of public policy. Spotts v. United States, 613 F.3d 559, 568 (5th Cir. 2010) (quotation marks and citations omitted). If a regulation allows employee discretion, the regulation creates a 'strong presumption' that the discretionary act authorized by the regulation involves the same policy considerations that led to the creation of the regulation." Davis v. United States, 597 F.3d 646, 650 (5th Cir. 2009) (per curiam) (quoting Gaubert, 499 U.S. at 324, 111 S.Ct. 1267). "In light of this presumption, to survive a motion to dismiss based on the discretionary function exception, a complaint 'must allege facts which would support a finding that the challenged actions are not the kind of conduct that can be said to be grounded in the policy of the regulatory regime' . . . . In determining whether the exception bars a suit against the Government, our focus is on the nature of the action taken and whether that action is susceptible to policy analysis." Schiffahrtsgesellschaft, 636 F.3d at 166 (quoting Gaubert, 499 U.S. at 324-25, 111 S.Ct. 1267). "Decisions about 'when, where, and how to allocate limited resources within the exigencies of an emergency' are the types of policy decisions protected by the discretionary function exception." Id. (quoting Freeman v. United States, 556 F.3d 326, 328, 341-43 (5th Cir. 2009) (involving Hurricane Katrina recovery efforts)). Detention facility administrators also have discretion to regulate their facilities. See Overton v. Bazzetta, 539 U.S. 126, 132, 123 S.Ct. 2162, 156 L.Ed.2d 162 (2003).
The United States Court of Appeals for the Fifth Circuit stated:
[A]s virtually every act of a government employee involves at least a modicum of choice, we must exercise restraint when applying the discretionary function exception. If courts were not to exercise restraint, the government would be insulated from nearly all tort liability, thereby frustrating the very purposes that motivated enactment of the FTCA - a classic example of the exception swallowing the rule. Johnson v. Sawyer, 980 F.2d 1490, 1502 (5th Cir. 1992), vacated on other grounds, 47 F.3d 716 (5th Cir. 1995) (citation and quotation marks omitted) (cleaned up).
Here, the discretionary function exception does not apply to this claim. First, the Court "must exercise restraint when applying the discretionary function exception." Johnson, 980 F.2d at 1502. Second, even if Policy Section 4.10 includes an element of judgment, the failure to timely contact emergency services implicates no relevant public policy considerations. The Defendant "had only one issue to consider, namely, Plaintiff's health." Carcamo-Lopez, 865 F. Supp. 2d at 758. Based on the First Amended Complaint, which states that Markowitz was in the Defendant's custody when agents observed Markowitz "in distress," the Defendant did not need to weigh the allocation of scarce resources. Id.; ECF No. 33 at ¶¶ 8, 11. Ultimately, the Defendant's decision involved "merely the execution of a safety policy chosen by higher level officials, albeit one requiring discretion to implement," as well as "the question of the best course of action from a medical perspective." Carcamo-Lopez, 865 F. Supp. 2d at 757-758. Third, although Carcamo-Lopez is not binding precedent, it applies to the alleged facts in this case because both cases involve individualized medical attention. Although binding Fifth Circuit cases like Freeman suggest that the discretionary function usually applies in the context of emergencies, those cases involved mass emergencies, like Hurricane Katrina recovery efforts. 556 F.3d at 328; see also Davis, 597 F.3d at 649. Fourth and finally, if the discretionary function exception applied to the decision challenged here, "the government could never be liable for . . . negligence under the FTCA, which is not the case." Carcamo-Lopez, 865 F. Supp. 2d at 756-57 (discussed in the context of medical negligence); see also Wysinger, 784 F.2d at 1253 ("[O]nce the government has made a decision to act the government is responsible for acts negligently carried out even though discretionary decisions are constantly made as to how those acts are carried out."). The Defendant has discretion, but it is not absolute. Accordingly, the Rule 12(b)(1) motion to dismiss the negligence claim under the discretionary function exception shall be denied.
The Defendant contends for the first time that even if the discretionary function exception does not apply, the Court still lacks subject matter jurisdiction because the Defendant's decision concerning timely care for Markowitz falls under two Texas emergency care statutes, which involve a level of negligence that is punitive and thus barred under the FTCA. (ECF No. 50 at 12-13 (citing Tex. Civ. Prac. & Rem. Code §§ 74.151-.152)). This argument is not waived because it concerns subject matter jurisdiction. Star, 2021 WL 8055635, at *3. One statute states in relevant part that "[a] person who in good faith administers emergency care is not liable in civil damages for an act performed during the emergency unless the act is wilfully or wantonly negligent." Tex. Civ. Prac. & Rem. Code § 74.151(a); Howell v. City of Towing Assoc., 717 S.W.2d 729, 731 (Tex. App. 1986) (finding a driver directed to call emergency services was not providing emergency care under Section 74.151's predecessor statute); see also Rosell v. Cent. W. Motor Stages, Inc., 89 S.W.3d 643, 658 (Tex. App. 2002) (stating that Howell found that "telephoning or radioing for emergency medical assistance at scene of accident or emergency by tow truck driver not act included within meaning of 'administering emergency care' as set out in statute"); Eoff v. Hal & Charlie Peterson Found., 811 S.W.2d 187, 192 (Tex. App. 1991) (finding no emergency care under Section 74.151's predecessor statute where witnesses helped transport the plaintiff to the emergency room). The other statute states in relevant part that "[p]ersons not licensed or certified in the healing arts who in good faith administer emergency care as emergency medical service personnel are not liable in civil damages for an act performed in administering the care unless the act is wilfully or wantonly negligent." Id. § 74.152. The term "emergency medical care" has a unique meaning, which entails diagnosis and treatment. Id. § 74.001(a)(7); Crocker v. Babcock, 448 S.W.3d 159, 165 (Tex. App. 2014). Willful or wanton negligence is gross negligence. See, e.g., Ho v. Johnson, No. 09-15-00077-CV, 2016 WL 638046, at *11 (Tex. App. Feb. 18, 2016). Gross negligence requires conscious indifference, which is punitive and thus prevents jurisdiction under the FTCA. Salas v. United States, No. DR-22-CV-00007-AM, 667 F.Supp.3d 380, 386-87 (W.D. Tex. Mar. 31, 2023) (citing 28 U.S.C. § 2674).
Here, neither statute applies because the Court has found no case law establishing that contacting emergency services entails providing emergency care under these statutes. See, e.g., Howell, 717 S.W.2d at 731; ECF No. 33 at ¶¶ 13-14. Therefore, the Defendant's Rule 12(b)(1) motion to dismiss the negligence claim under this jurisdictional argument shall be denied. B . Rule 12(b)(6) Objections
The Defendant's three remaining objections to the Report are under Rule 12(b)(6). Motions to dismiss for failure to state a claim are appropriate when a defendant attacks the complaint because it fails to state a legally cognizable claim. Fed. R. Civ. P. 12(b)(6). "A pleading that states a claim for relief must contain . . . a short and plain statement of the claim showing that the pleader is entitled to relief . . . ." Fed. R. Civ. P. 8(a)(2). Federal Rule of Civil Procedure 12(b)(6) authorizes the dismissal of a complaint that "fail[s] to state a claim upon which relief can be granted . . . ." Fed. R. Civ. P. 12(b)(6). "To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to 'state a claim to relief that is plausible on its face.' " Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)).
"A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Iqbal, 556 U.S. at 678, 129 S.Ct. 1937. Accordingly, "[w]hile a complaint attacked by a Rule 12(b)(6) motion to dismiss does not need detailed factual allegations, a plaintiff's obligation to provide the grounds of entitlement to relief requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do." Twombly, 550 U.S. at 555, 127 S.Ct. 1955 (internal citations, quotations, and alterations omitted); accord Ackerson v. Bean Dredging LLC, 589 F.3d 196, 208 (5th Cir. 2009). "Nor does a complaint suffice if it tenders 'naked assertion[s]' devoid of 'further factual enhancement.' " Iqbal, 556 U.S. at 696, 129 S.Ct. 1937 (quoting Twombly, 550 U.S. at 557, 127 S.Ct. 1955). Instead, "[f]actual allegations must be enough to raise a right to relief above the speculative level . . . ." Twombly, 550 U.S. at 555, 127 S.Ct. 1955. That is, there must be "a 'showing,' rather than a blanket assertion, of entitlement to relief." Id. at 556 n.3, 127 S.Ct. 1955 (quoting Fed. R. Civ. P. 8(a)(2)).
"[W]here the well-pleaded facts do not permit the court to infer more than the mere possibility of misconduct, the complaint has alleged but it has not 'shown' that the pleader is entitled to relief." Iqbal, 556 U.S. at 679, 129 S.Ct. 1937 (alteration omitted) (quoting Fed. R. Civ. P. 8(a)(2)). A Rule 1 2(b)(6) motion to dismiss "is viewed with disfavor and is rarely granted." Kaiser Aluminum & Chem. Sales, Inc. v. Avondale Shipyards, Inc., 677 F.2d 1045, 1050 (5th Cir. 1982) (quotation omitted). Therefore, the complaint must be liberally construed in a plaintiff's favor, all reasonable inferences must be drawn in favor of a plaintiff's claims, and the factual allegations of the complaint must be taken as true. See Campbell v. Wells Fargo Bank, N.A., 781 F.2d 440, 442 (5th Cir. 1986).
In ruling on a Rule 12(b)(6) motion to dismiss, courts generally should not go beyond the pleadings, and must limit their inquiry to the facts stated in the complaint. See Fed. R. Civ. P. 12(d); Lovelace v. Software Spectrum Inc., 78 F.3d 1015, 1017 (5th Cir. 1996). Thus, to evaluate a Rule 12(b)(6) motion to dismiss, a court may consider: (1) the pleadings and any attachments to the pleadings, Collins v. Morgan Stanley Dean Witter, 224 F.3d 496, 498 (5th Cir. 2000); (2) documents incorporated into the complaint by reference, Dorsey v. Portfolio Equities, Inc., 540 F.3d 333, 338 (5th Cir. 2008); (3) documents that a defendant attaches to its motion to dismiss if those documents are referred to in a plaintiffs complaint and are central to a plaintiffs claim, see Scanlan v. Tex. A&M Univ., 343 F.3d 533, 536 (5th Cir. 2003); (4) matters of public record, Cinel v. Connick, 15 F.3d 1338, 1343 n.6 (5th Cir. 1994); and (5) information subject to judicial notice. Dorsey, 540 F.3d at 338.
1. Negligence Claim
The Report states that the Rule 12(b)(6) motion to dismiss the negligence claim should not be dismissed because (1) although not elaborate, the First Amended Complaint alleges that Markowitz was in the Defendant's custody when he was in medical distress; (2) the Defendant's agents allegedly waited nearly 30 minutes to call emergency services; (3) the Defendant's alleged failure to timely contact emergency services caused Markowitz to die, as well as other harm to the Plaintiffs; and (4) reasonable inferences must favor the plaintiffs on a motion to dismiss. (ECF No. 49 at 14-15).
Under the FTCA, "[t]he United States shall be liable . . . in the same manner and to the same extent as a private individual under like circumstances . . . ." 28 U.S.C. § 2674. Local law, which in this case is Texas law, must apply. Johnson v. Sawyer, 47 F.3d 716, 727 (5th Cir. 1995). The elements of a negligence claim in Texas are: (1) duty; (2) breach of that duty; and (3) damages proximately caused from that breach. IHS Cedars Treatment Ctr. of DeSoto, Tex., Inc. v. Mason, 143 S.W.3d 794, 798 (Tex. 2004); see also Bustamante v. Ponte, 529 S. W.3d 447, 456 (Tex. 2017). A detention center owes a duty of reasonable care to a detainee. See generally Jackson v. Ford, No. A-10-CA-522-SS, 2012 WL 12882850 (W.D. Tex. Mar. 21, 2012), affd 544 Fed. App'x 268 (5th Cir. 2013) (context of correctional facility).
Here, the Plaintiffs sufficiently allege negligence based on a failure to timely contact emergency services. First, the Plaintiffs allege that Markowitz was in the Defendant's custody when he was found in "medical distress." (ECF No. 33 at ¶ 8.) Although the phrase "medical distress" is undefined, the First Amended Complaint must be liberally construed in the Plaintiffs' favor. Campbell, 781 F.2d at 442. This allegation sufficiently establishes that the Defendant owed a duty to Markowitz. Jackson, 2012 WL 12882850, at *2. Second, the Plaintiffs allege that a duty was breached because they allege that the Defendant, through its agents, waited nearly 30 minutes after Markowitz was found in distress to contact emergency services. (ECF No. 33 at ¶¶ 8, 14.) Third, the Plaintiffs, by inference, allege that Markowitz died from the delayed care. (ECF No. 33 at ¶ 14.) This allegation supports proximate cause. Fourth, the Plaintiffs allege that they sustained damages, especially as they are the mother and child of decedent Markowitz. (ECF No. 33 at ¶¶ 39-40.). Fifth and finally, the Defendant waived its argument characterizing this claim as a medical malpractice claim because it failed to raise it in its Motion to Dismiss. See, e.g., Firefighters' Ret. Sys., 898 F.3d at 559. Therefore, this negligence claim shall not be dismissed under Rule 12(b)(6).
Contrary to the Defendant's contention, the argument concerning medical malpractice is not analyzed under Rule 12(b)(1). See D.A. v. United States, No. EP-22-CV-00295-FM, 663 F.Supp.3d 715, 722-45, 745-46 (W.D. Tex. Mar. 23, 2023) (publication pending) (discussing medical negligence claim in the Rule 12(b)(6) context rather than the subject matter jurisdiction context).
2. Survival Claim
The Report states that the survival claim should not be dismissed under Rule 12(b)(6) because (1) a survival claim is a decedent's personal injury claim favoring the decedent's heirs, legal representatives, and estate and (2) the Plaintiffs alleged a negligence claim on behalf of Markowitz in their capacity as Markowitz's heirs and as Markowitz's estate's personal representative. (ECF No. 49 at 15.)
Texas law states that "[a] cause of action for personal injury to the health, reputation, or person of an injured person does not abate because of the death of the injured person or because of the death of a person liable for the injury." Tex. Civ. Prac. & Rem. Code § 71.021(a). "A personal injury action survives to and in favor of the heirs, legal representatives, and estate of the injured person. The action survives against the liable person and the person's legal representatives." Id. § 71.021(b). "To file a survival action, the claimant must plead the elements of the decedent's cause of action and" their authority to prosecute the suit. Davis v. Bills, 444 S.W.3d 752, 757 (Tex. App. 2014). "[T]he claimant must prove a death and the occurrence of a wrongful act . . . If the alleged wrongful act is negligence, the claimant must establish that the defendant's negligent act or omission was a substantial factor in bringing about the decedent's death, and without it, the death of the decedent would not have occurred." Id.
Here, the Plaintiffs sufficiently allege a survival claim. First, the Plaintiffs include Markowitz's mother and child. Davis, 444 S.W.3d at 757; ECF No. 33 at ¶¶ 6, 30. Second, as previously discussed, the Plaintiffs allege that the Defendant was negligent, and that that negligence caused Markowitz's death. (ECF No. 33 at 8, 14, 39-40.) Therefore, the survival claim shall not be dismissed under Rule 12(b)(6).
3. Wrongful Death Claim
The Report states that the wrongful death claim should not be dismissed under Rule 12(b)(6) because (1) a wrongful death claim imposes liability on a person who negligently injured another, which resulted in death and (2) the Plaintiffs allege that the Defendant's negligence caused Markowitz's death. (ECF No. 49 at 15-16.)
Under Texas law, "[a] person is liable for damages arising from an injury that causes an individual's death if the injury was caused by the person's or his agent's or servant's wrongful act, neglect, carelessness, unskillfulness, or default." Tex. Civ. Prac. & Rem. Code § 71.002(b). Thus, the elements of a wrongful death claim are (1) "wrongful or negligent conduct of the defendant" and (2) "proximate cause resulting in death." Schippers v. Mazak Props., Inc., 350 S.W.3d 294, 298 (Tex. App. 2011). A wrongful death claim "is for the exclusive benefit of the" decedent's parents and children. Id. § 71.004(a).
Here, the Plaintiffs sufficiently allege a wrongful death claim. The Plaintiffs include Markowitz's mother and child. Id.; ECF No. 33 at ¶ 6. Moreover, as previously discussed, the Plaintiffs alleged that the Defendant was negligent, and that negligence caused Markowitz's death. (ECF No. 33 at ¶¶ 8, 14, 39-40.) Therefore, the wrongful death claim shall not be dismissed under Rule 12(b)(6).
V. CONCLUSION
Accordingly, the Report (ECF No. 49) is ADOPTED and APPROVED in full. The Defendant's Motion to Dismiss [ECF No. 35] is DENIED.
REPORT AND RECOMMENDATION
VICTOR ROBERTO GARCIA, UNITED STATES MAGISTRATE JUDGE
TO THE HONORABLE ALIA MOSES, CHIEF UNITED STATES DISTRICT JUDGE:
The Court referred the above-captioned matter to the undersigned for initial proceedings consistent with 28 U.S.C. § 636(b). This matter is pending before the Court on a Motion to Dismiss filed by the United States of America, Defendant, under Federal Rule of Civil Procedure (FRCP) 12(b)(1), and in the alternative, FRCP 12(b)(6). For the following reasons, it is recommended that Defendant's Motion to Dismiss [ECF No. 35] be GRANTED IN PART and DENIED IN PART. Plaintiffs' claims regarding screening Mr. Markowitz and failure to train and supervise CBP agents should be DIMISSED WITHOUT PREJUDICE.
Dismissals based on lack of subject matter jurisdiction are without prejudice. Campos v. United States, 888 F.3d 724, 738 (5th Cir. 2018).
I. BACKGROUND
A. Procedural Background
On February 2, 2022, Plaintiffs filed their Complaint against the United States. (Compl., ECF No. 1.) After Defendant filed a Motion to Dismiss, Plaintiffs moved for leave to amend their complaint, which was granted. (Mot. for Leave, ECF No. 31; Order Granting Leave, ECF No. 32.) Plaintiffs filed their First Amended Complaint on November 22, 2022. (First Am. Compl., ECF No. 33.) In that pleading, Plaintiffs assert negligence under the Federal Tort Claims Act (FTCA), "Failure to Train and Supervise under the FTCA," survival, and wrongful death. (Id. at 3-7) On December 12, 2022, Defendant filed this Motion to Dismiss, arguing Plaintiff's claims should be dismissed under the discretionary function exception to the FTCA or, in the alternative, for failure to state a claim. (Mot. to Dismiss at 1.) Plaintiff filed a Response to the Motion (Pl.'s Resp, ECF No. 41), and Defendant filed a Reply. (Reply, ECF No. 48.)
B. Factual Background
The following facts are in the Plaintiffs' complaint and incorporated into the Defendant's Motion. (First Am. Compl. at 1-3; Mot. to Dismiss at 1-2.) James Paul Markowitz was arrested "by U.S. Immigration and Customs Enforcement ('ICE')" agents on February 4, 2020, around 3:30 p.m. (First Am. Compl. at 3). After his arrest, he remained in ICE custody at an "agency station." (Id.) At 6 p.m., "CBP agents observed [he] was in distress." (Id. at 3.) The agents "summon[ed] an ambulance [at] approximately 6:26 p.m." (Id.) Mr. Markowitz tragically died at Val Verde Regional Medical Center later that night. (Id. at 1.) An autopsy revealed Mr. Markowitz had ingested a small bag containing cocaine and methamphetamine prior to his death. (Id. at 3.)
II. DISCUSSION
A. STANDARD OF REVIEW
i. 12(b)(1)
"Federal courts are courts of limited jurisdiction [and it] must [be] presume[d] that a suit lies outside this limited jurisdiction . . . ." Howery v. Allstate Ins. Co., 243 F.3d 912, 916 (5th Cir. 2001) (citations omitted). As the party invoking federal jurisdiction, the plaintiff bears the burden to establish that federal jurisdiction exists. See id. "Motions filed under Rule 12(b)(1) of the Federal Rules of Civil Procedure allow a party to challenge the subject matter jurisdiction of the district court to hear a case." Ramming v. United States, 281 F.3d 158, 161 (5th Cir. 2001) (per curiam). A Rule 12(b)(1) motion to dismiss should be granted only if it appears certain that the plaintiff cannot prove a plausible set of facts that establish subject matter jurisdiction. See Lane v. Halliburton, 529 F.3d 548, 557 (5th Cir. 2008) (citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)). "[U]nder Rule 12(b)(1), the court may find a plausible set of facts by considering any of the following: (1) the complaint alone; (2) the complaint supplemented by undisputed facts evidenced in the record; or (3) the complaint supplemented by undisputed facts plus the court's resolution of disputed facts." Id. (quotation omitted).
ii. 12(b)(6)
"A pleading that states a claim for relief must contain . . . a short and plain statement of the claim showing that the pleader is entitled to relief . . . ." Fed. R. Civ. P. 8(a)(2). Federal Rule of Civil Procedure 12(b)(6) authorizes the dismissal of a complaint that "fail[s] to state a claim upon which relief can be granted . . . ." Fed. R. Civ. P. 12(b)(6). "To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to 'state a claim to relief that is plausible on its face.' " Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009) (quoting Twombly, 550 U.S. at 570, 127 S.Ct. 1955); accord Gonzalez v. Kay, 577 F.3d 600, 603 (5th Cir. 2009). "A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Iqbal, 556 U.S. at 678, 129 S.Ct. 1937. Accordingly, "[w]hile a complaint attacked by a Rule 12(b)(6) motion to dismiss does not need detailed factual allegations, a plaintiff's obligation to provide the grounds of . . . entitlement to relief requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do." Twombly, 550 U.S. at 555, 127 S.Ct. 1955 (internal citations, quotations, and alterations omitted); accord Ackerson v. Bean Dredging LLC, 589 F.3d 196, 208 (5th Cir. 2009). "Nor does a complaint suffice if it tenders 'naked assertion[s]' devoid of 'further factual enhancement.' " Iqbal, 556 U.S. at 678, 129 S.Ct. 1937 (quoting Twombly, 550 U.S. at 557, 127 S.Ct. 1955). Instead, "[f]actual allegations must be enough to raise a right to relief above the speculative level . . . ." Twombly, 550 U.S. at 555, 127 S.Ct. 1955. That is, there must be "a 'showing,' rather than a blanket assertion, of entitlement to relief." Id. at 555, 127 S.Ct. 1955 n.3 (quoting Fed. R. Civ. P. 8(a)(2)). "[W]here the well-pleaded facts do not permit the court to infer more than the mere possibility of misconduct, the complaint has alleged - but it has not 'shown' - 'that the pleader is entitled to relief.' " Iqbal, 556 U.S. at 679, 129 S.Ct. 1937 (alteration omitted) (quoting Fed. R. Civ. P. 8(a)(2)).
A Rule 12(b)(6) motion to dismiss "is viewed with disfavor and is rarely granted." Kaiser Aluminum & Chem. Sales, Inc. v. Avondale Shipyards, Inc., 677 F.2d 1045, 1050 (5th Cir. 1982) (quotation omitted); accord Lormand v. US Unwired, Inc., 565 F.3d 228, 232 (5th Cir. 2009). Therefore, the complaint must be liberally construed in the plaintiff's favor, all reasonable inferences must be drawn in favor of the plaintiff's claims, and the factual allegations of the complaint must be taken as true. See Campbell v. Wells Fargo Bank, 781 F.2d 440, 442 (5th Cir. 1986).
iii. Conversion under 12(d)
Defendant attached to its Motion an affidavit of a Border Patrol Agent. (Ex. 1 to Mot. to Dismiss, ECF No. 35-1.) Accordingly, Plaintiff requests that the Motion be converted to one for summary judgment under Federal Rule of Civil Procedure 12(d). (Pl.'s Resp. at 4-6.) Rule 12(d) requires a motion under 12(b)(6) or 12(c) to be converted to a motion for summary judgment if "matters outside the pleadings are presented to and not excluded by the court." Fed. R. Civ. P. 12(d).
If the jurisdictional question sufficiently overlaps with the merits of the case, the case should be converted to a motion for summary judgment. See Montez v. Dept. of the Navy, 392 F.3d 147, 150 (5th Cir. 2004); Tindall v. United States, 901 F.2d 53, 55 n.5 (5th Cir. 1990) (per curiam). The 5th Circuit has held that the discretionary function exception should be reviewed under the 12(b)(1) standard. Walding v. United States, 955 F. Supp. 2d 759, 770 (5th Cir. 2013) (citing Hix v. U.S. Army Corps of Eng'rs, 155 Fed. App'x 121, 128 n.8 (5th Cir. 2005); Ford v. Am. Motors Corp., 770 F.2d 465, 468 (5th Cir. 1985)). Additionally, the "Court may consider outside matter [sic] attached to a motion to dismiss without first converting it into a motion for summary judgment if the material is pertinent to the question of the District Court's jurisdiction . . ." Alabama ex rel. Baxley v. Woody, 473 F.2d 10, 12 (5th Cir. 1973); accord Kennedy v. United States, No. SA-21-CV-00441, 2021 WL 4037598, *2, 2021 U.S. Dist. LEXIS 167545 (W.D. Tex. Sept. 3, 2021). Accordingly, the undersigned can consider the affidavit when analyzing the discretionary function exception under 12(b)(1).
However, in ruling on a Rule 12(b)(6) motion to dismiss, courts generally should not go beyond the pleadings and must limit their inquiry to the facts stated in the complaint. See Fed. R. Civ. P. 12(d); Lovelace v. Software Spectrum Inc., 78 F.3d 1015, 1017 (5th Cir. 1996). A court may only consider a matter outside the pleadings if it is referenced by the plaintiff's complaint and central to the plaintiff's claim. Collins v. Morgan Stanley Dean Witter, 224 F.3d 496, 498-99 (5th Cir. 2000). Plaintiffs' First Amended Complaint does not reference the affidavit submitted by the Defendant. Therefore, the affidavit does not fit into the limited exception to Rule 12(d). Thus, the court can either disregard the affidavit or convert the Motion to Dismiss to one for summary judgment. See Arena v. Calhoun, No. SA-16-CV-01203-XR, 2017 WL 1052618 at *2, 2017 U.S. Dist. LEXIS 39197 (W.D. Tex. 2017). Because this Motion can be decided without reference to the affidavit, the undersigned will disregard the affidavit in the analysis below.
B. DISCRETIONARY FUNCTION EXCEPTION
"As the sovereign, the United States is immune from suit unless, and only to the extent that, it has consented to be sued." Truman v. United States, 26 F.3d 592, 594 (5th Cir. 1994). The FTCA is a limited waiver of the federal government's sovereign immunity from claims sounding in state tort law for money damages. Spotts v. United States, 613 F.3d 559, 566 (5th Cir. 2010). The FTCA "provides district courts with jurisdiction over monetary claims against the Government for the negligent or wrongful acts of its employees 'where the United States, if a private person, would be liable to the claimant in accordance with the law of the place where the act or omission occurred.' " Id. (quoting 28 U.S.C. 1346(b)(1)); see also Johnson v. Sawyer, 47 F.3d 716, 727 (5th Cir. 1995) (en banc). The FTCA provides that a suit against the United States is the exclusive remedy for damages for injury or loss of property "resulting from the negligent or wrongful conduct of any employee of the Government while acting within the scope of his office or employment." 28 U.S.C. § 2679(b)(1). But there are several exceptions to the FTCA's waiver of sovereign immunity which must be "strictly construed in favor of the government." Truman, 26 F.3d at 594.
One such exception is the discretionary function exception, which retains the United States' immunity for: "[a]ny claim . . . based upon the exercise or performance or the failure to exercise or perform a discretionary function or duty on the part of a federal agency or an employee of the Government, whether or not the discretion involved be abused." 28 U.S.C. § 2680(a); see also Gonzalez v. United States, 851 F.3d 538, 543 (5th Cir. 2017). "It remains an open question which party retains the ultimate burden of proof on the applicability of the discretionary function exception. Regardless of which party bears the ultimate burden of proof, at the pleading stage, the plaintiff must allege a claim that is facially outside the exception." Walding, 955 F. Supp. 2d at 770 (citing St. Tammany Parish v. FEMA, 556 F.3d 307, 315 n.3 (5th Cir. 2009)).
The Supreme Court has developed a two-part test for determining whether agency conduct qualifies as a discretionary function or duty. See United States v. Gaubert, 499 U.S. 315, 322, 111 S.Ct. 1267, 113 L.Ed.2d 335 (1991). Under the first prong, the conduct must be a "matter of choice for the acting employee." Berkovitz v. United States, 486 U.S. 531, 536, 108 S.Ct. 1954, 100 L.Ed.2d 531 (1988). "The exception covers only acts that are discretionary in nature, acts that 'involve an element of judgment or choice . . . .' " Gaubert, 499 U.S. at 322, 111 S.Ct. 1267 (quoting Berkovitz, 486 U.S. at 536, 108 S.Ct. 1954); see also Gonzalez, 851 F.3d at 543. Thus, " 'it is the nature of the conduct, rather than the status of the actor, that governs whether the exception applies." Gaubert, 499 U.S. at 322, 111 S.Ct. 1267 (quoting United States v. S.A. Empresa de Viacao Aerea Rio Grandense (Varig Airlines), 467 U.S. 797, 813, 104 S.Ct. 2755, 81 L.Ed.2d 660 (1984)). If a statute, regulation, or policy leaves it to a federal agency to determine when and how to take action, the agency is not bound to act in a particular manner and the exercise of its authority is discretionary. See id. at 329, 111 S.Ct. 1267. "The requirement of judgment or choice is not satisfied" and the discretionary function exception does not apply, however, "if a 'federal statute, regulation, or policy specifically prescribes a course of action for an employee to follow,' because 'the employee has no rightful option but to adhere to the directive.' " Id. at 322, 111 S.Ct. 1267 (quoting Berkovitz, 486 U.S. at 536, 108 S.Ct. 1954). In other words, the discretionary function exception does not apply if the challenged actions in fact violated a federal statute, regulation, or policy. See id. at 324, 327, 111 S.Ct. 1267.
Further, mere use of mandatory language, such as "shall" in a policy, statute, or regulation is not conclusive of whether a non-discretionary duty exists: "the question is whether there is an element of discretion in the policy statement." Arita v. United States, 470 F. Supp. 3d 663, 689 (S.D. Tex. 2020) (citing Patel v. United States, 398 F. App'x 22, 29 (5th Cir. 2010)); Lopez v. United States Immigration & Customs Enforcement, 455 F. App'x 427, 433 (5th Cir. 2011). Further, to satisfy the first prong of the analysis, the policy must "prescribe a specific course of action for an agency or employee to follow," as opposed to more generalized statements. Gonzalez, 851 F.3d at 546; Guile v. United States, 422 F.3d 221, 231 (5th Cir. 2005).
Under the second prong of the test, "even 'assuming the challenged conduct involves an element of judgment,' " and does not violate a nondiscretionary duty, courts must decide whether the " 'judgment is of the kind that the discretionary function exception was designed to shield.' " Gaubert, 499 U.S. at 322-23, 111 S.Ct. 1267 (quoting Berkovitz, 486 U.S. at 536, 108 S.Ct. 1954). "Because the purpose of the exception is to 'prevent judicial "second-guessing" of legislative and administrative decisions grounded in social, economic, and political policy through the medium of an action in tort,' when properly construed, the exception 'protects only governmental actions and decisions based on considerations of public policy.' " Id. at 323, 111 S.Ct. 1267 (quoting Berkovitz, 486 U.S. at 537, 108 S.Ct. 1954; Varig Airlines, 467 U.S. at 814, 104 S.Ct. 2755 (internal citation omitted)). In this regard, "if a regulation allows the employee discretion, the very existence of the regulation creates a strong presumption that a discretionary act authorized by the regulation involves consideration of the same policies which led to the promulgation of the regulations." Id. at 324, 111 S.Ct. 1267. "The proper inquiry is not whether the official in fact engaged in a policy analysis when reaching his decision but instead whether his decision was susceptible to policy analysis." Gonzalez, 851 F.3d at 544 (quotations and alterations omitted). Further, "[i]n performing the two-prong test, the question of whether the government was negligent is irrelevant." Id.
In their Amended Complaint, Plaintiffs assert three main categories of breaches by the United States. Each one will be discussed in turn.
i. Failure to Properly Screen
Plaintiffs' claim that agents failed to properly screen Mr. Markowitz is barred by the discretionary function exception. Plaintiffs identify National Standards Section 4.3 as creating a non-discretionary duty to negate the first prong of the analysis. Section 4.3 states in relevant part:
Medical Issues: Upon a detainee's entry into any CBP hold room, officers/agents must ask detainees about, and visually inspect for any sign of injury, illness, or physical or mental health concerns and question the detainee about any prescription medications. Observed or reported injuries or illnesses should be communicated to a supervisor, documented in the appropriate electronic system(s) of record, and appropriate medical care should be provided or sought in a timely manner.U.S. Customs and Border Protection, National Standards on Transport, Escort, Detention, and Search, § 4.3 at 14 (Oct. 2015). As a preliminary matter, it is unclear whether Plaintiffs allege the agents failed to screen Mr. Markowitz entirely or whether they did not sufficiently screen him for health issues. (First Am. Compl. at 4). Plaintiffs make no specific allegations at all regarding the extent of the screening, if any, that occurred. Plaintiffs also do not clarify their contention in their Response to the Motion to Dismiss. (See generally, Pl.'s Resp.) Therefore, Plaintiffs fail to state a plausible set of facts showing the existence of subject matter jurisdiction.
However, even if the bare assertions put forward by Plaintiffs on the record were sufficient, the discretionary function exception still bars this claim. Although Section 4.3 uses mandatory language requiring inquisition and inspection, it does not prescribe the specific questions nor the manner of inspection; that is left to the sound discretion of the CBP agents. See § 4.3. Accordingly, Section 4.3 involves an element of discretion, and the first prong of the analysis is satisfied. See Huff v. Neal, 555 F. App'x 289, 298 (5th Cir. 2014) (per curiam).
Further, the decisions involved in the screening of Mr. Markowitz are susceptible to a policy analysis. Safety decisions by administrators and officers in a penal facility are susceptible to a policy analysis and therefore covered by the discretionary function exception. Huff, 555 F. App'x at 298; Nichols v. United States, No. 21-50368, 2022 WL 989467 at *3, 2022 U.S. App. LEXIS 8936 (5th Cir. April 1, 2022) (per curiam); Morales v. United States, EP-07-CA-44-KC, 2008 WL 2944560, at *1, 2008 U.S. Dist. LEXIS 62885, *4 (W.D. Tex. July 21, 2008); Arita, 470 F. Supp. 3d at 690-91. Therefore, Plaintiffs claims relating to a failure to screen Mr. Markowitz for health issues should be dismissed.
ii. Failure to Train or Supervise Employees
Plaintiffs' claim that Defendant failed to train or supervise its agents falls under the discretionary function exception as well. First, Plaintiffs do not point to any policy, regulation, or statute that controls Defendant's course of action regarding training or supervision of employees. Additionally, training and supervision of employees are barred by the discretionary function because it is necessarily based on policy considerations. M.D.C.G. v. United States, 956 F.3d 762, 772 (5th Cir. 2020); Walding, 955 F. Supp. 2d at 782; Rivera v. United States, No. EP-15-CV-00021-KC, 2016 WL 183708, *12, 2016 U.S. Dist. LEXIS 4651 (W.D. Tex. 2016). Therefore, the Court has no jurisdiction over this claim.
iii. Failure to Timely Contact Emergency Medical Services
However, because Plaintiffs' claim regarding failure to time contact emergency medical services is not subject to the discretionary function claim, this claim should survive Defendant's 12(b)(1) Motion to Dismiss. To show a non-discretionary duty related to this claim, Plaintiffs cite National Standards Section 4.10, which states, in relevant part:
Medical Emergencies: Emergency medical services will be called immediately in the event of a medical emergency (e.g., heart attack, difficulty breathing) and the call will be documented in the appropriate electronic system(s) of record. Officers/Agents must notify the shift supervisor of all medical emergencies as soon as possible after contacting emergency services.U.S. Customs and Border Protection, National Standards on Transport, Escort, Detention, and Search, § 4.10 at 17 (Oct. 2015). The Parties point to different cases in their arguments as to whether National Standards Section 4.10 provides a discretionary duty.
Plaintiffs cite Carcamo-Lopez v. Doe to argue that, even if National Standards Section 4.10 creates contains an element of discretion to satisfy the first prong, the decision to contact emergency medical services "is not a policy decision that is protected by the discretionary function exception" under the second prong. (Pl.'s Resp. at 15.) In Carcamo-Lopez, the Court held that a Border Patrol agent's decision to drive an injured immigrant to a place more accessible for emergency medical services was not covered by the discretionary function exception. 865 F. Supp. 2d 736, 758 (W.D. Tex. 2011). The Border Patrol policy in that case stated that "Border Patrol Agents who encounter individuals who are injured are required to take immediate action to obtain medical attention for the injured party." Id. at 754. The Court held that, although that decision allowed the agent "to use his judgment when deciding how to secure medical care," he "did not have to weigh the allocation of scarce resources, nor was he confronted with a broad emergency situation." Id. at 758. He "had only one issue to consider, namely, the [immigrant's] health." Id. "[The agent's] decision may usefully be considered as one relating to the best method of delivering medical care, a balancing of the need for speed against the need for specific equipment. The Border Patrol policy sets the broad policy that medical care should be delivered to suspected aliens, but this does not mean that any action an agent takes to obtain that medical care is protected from suit." Id. at 756-57.
Defendant cites to Arita v. United States to support its position. (Mot. to Dismiss at 6-7.) In Arita, the District Court for the Southern District of Texas held that a CBP policy stating that "any observed or reported injury or illness must be reported, and appropriate medical care must be provided or sought in a timely manner" was subject to the discretionary function exception because "what constitutes 'appropriate medical care' necessarily relies on the discretion and policy judgments of the acting employees." 470 F. Supp. 3d 663, 689-90 (S.D. Tex. 2020). The agents involved "needed to balance his requests for medical aid against the medical severity, the resources available including security, the requests of other detainees, and the governmental policy and expertise in dealing with" the situation. Id. at 690.
First, the language of National Standards Section 4.10 creates a non-discretionary duty. It covers 1) when an agent must act (immediately) and 2) the actions the agents must take (contact emergency medical services and notify the shift supervisor). It could be argued that what constitutes a medical emergency is up to the discretion of the agents. Indeed, the 5th Circuit Court of Appeals has held that deciding what medical conditions are sufficient to interrupt "count" in a prison is up to the discretion of BOP officials. Dorsey v. Relf, 559 F. App'x 401, 403 (5th Cir. 2014) (per curiam). However, the policy controlling in this case does not contain the same discretionary, i.e. sufficiency, language as the policy in Dorsey. See id.; see also § 4.10. The policy at issue here states that when a medical emergency, such as difficulty breathing or a heart attack, is present an agent must immediately contact emergency medical services and notify the supervisor.
Further, even if National Standards Section 4.10 is discretionary, the decision on when to contact medical services is not the kind of decision meant to be barred by the discretionary function exception. Much like the situation presented in Carcamo-Lopez, the main consideration in this case is the health of Mr. Markowitz; the agents "did not have to weigh the allocation of scarce resources, nor was he confronted with a broad emergency situation." Carcamo-Lopez, 865 F. Supp. 2d at 758. Accordingly, the discretionary function exception does not apply, and this claim should survive Defendant's 12(b)(1) Motion.
C. Failure to State a Claim
Because the undersigned recommends Plaintiffs' claim regarding contact of emergency medical services not be dismissed under 12(b)(1), the undersigned will analyze that claim only under Defendant's alternative 12(b)(6) Motion. Plaintiffs' claim meets the plausibility pleading standard under 12(b)(6), and, therefore, the undersigned recommends the 12(b)(6) Motion to Dismiss be denied to the extent it applies to this claim.
Claims brought under the FTCA rely on tort law of the state in which the act or omission occurred. 28 USCS § 1346(b)(1). In Texas, the elements of negligence are 1) duty, 2) breach of that duty, and 3) damages proximately caused by the breach. IHS Cedars Treatment Ctr. of Desoto, Tex., Inc. v. Mason, 143 S.W.3d 794, 798 (Tex. 2004). Plaintiffs plead Defendant, through its agents, breached a duty to Mr. Markowitz by failing to provide or obtain medical treatment for Mr. Markowitz and this proximately caused damages. (First Am. Compl. at 4.) Although the factual allegations are not elaborate, Plaintiffs allege that Mr. Markowitz was in the custody of CBP when he experienced medical distress (Id.) Further, Plaintiffs claim that the agents waited 26 minutes to call emergency medical services. (Id.) Finally, they assert this alleged breach, failing to contact emergency medical services, caused Mr. Markowitz death and pain and suffering as well as loss of affection, consortium, comfort, and more for the Plaintiffs. (Id. at 4,7-8.) Making all reasonable inferences in favor of the Plaintiffs and taking their well-pleaded facts as true, the First Amended Complaint states a plausible negligence claim. Accordingly, the undersigned recommends Plaintiffs' First Amended Complaint, to the extent it asserts a negligence claim based on failure to provide timely medical care to Mr. Markowitz, not be dismissed under Federal Rule of Civil Procedure 12(b)(6).
Finally, Plaintiffs' wrongful death and survival should also not be dismissed. A survival cause of action is a personal injury claim of the decedent in favor of the heirs, legal representatives, and estate of the decedent. Tex. Civ. Prac. & Rem. Code § 71.021. Plaintiffs have alleged a negligence claim on behalf of Mr. Markowitz in their capacity as his heirs and as personal representative of his estate. (First Am. Compl. at 1, 6.) Additionally, in a wrongful death cause of action, "a person is liable for damages arising from an injury that causes an individual's death if the injury was caused by the person's or his agent's or servant's wrongful act, neglect, carelessness, unskillfulness, or default." Tex. Civ. Prac. & Rem. Code § 71.002(b). Plaintiffs allege that Defendant's negligence caused Mr. Markowitz's death. (First Am. Compl. at 7.) One of Plaintiffs' negligence claims is still pending; therefore, their survival and wrongful death causes of action should survive Defendant's 12(b)(6) Motion.
III. CONCLUSION
For the reasons set forth in this report and recommendation, it is RECOMMENDED that Defendant's Motion to Dismiss [ECF No. 35] be GRANTED IN PART and DENIED IN PART. The undersigned recommends that Plaintiffs' negligence claims related to training and supervision of CBP agents and the screening of Mr. Markowitz be DISMISSED WITHOUT PREJUDICE; the remainder of Plaintiffs' claims should remain pending.
The Parties may wish to file objections to the above recommendations. Failure to file written objections to the findings and recommendations contained in this Report and Recommendation within fourteen (14) days from the date of its receipt shall bar an aggrieved party from receiving de novo review by the District Court of the findings and recommendations contained herein, see 28 U.S.C. 636(b)(1)(C), and shall bar an aggrieved party, except on grounds of plain error, from attacking on appeal the unobjected-to proposed factual findings and legal conclusions accepted by the District Court. See Douglass v. United Servs. Auto. Ass'n, 79 F.3d 1415, 1429 (5th Cir. 1996) (en banc). This Report and Recommendation does not dispose of all issues and controversies referred to the undersigned in the above-captioned cause.
SIGNED this 1st day of May, 2023.