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No. 10632489
United States Court of Appeals for the Ninth Circuit
Kaneakua v. Derr
No. 10632489 · Decided July 14, 2025
No. 10632489·Ninth Circuit · 2025·
FlawFinder last updated this page Apr. 2, 2026
Case Details
Court
United States Court of Appeals for the Ninth Circuit
Decided
July 14, 2025
Citation
No. 10632489
Disposition
See opinion text.
Full Opinion
NOT FOR PUBLICATION FILED
UNITED STATES COURT OF APPEALS JUL 14 2025
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
ELIJAH M. KANEAKUA, No. 23-1587
D.C. No.
Plaintiff - Appellant, 1:22-cv-00201-DKW-WRP
v.
MEMORANDUM*
ESTELA DERR; NATHAN KWON,
Defendants - Appellees.
Appeal from the United States District Court
for the District of Hawaii
Derrick Kahala Watson, District Judge, Presiding
Argued and Submitted June 3, 2025
Honolulu, Hawaii
Before: W. FLETCHER, CHRISTEN, and DESAI, Circuit Judges.
Elijah M. Kaneakua appeals from the district court’s dismissal of his pro se
complaint seeking damages pursuant to Bivens v. Six Unknown Named Agents of
the Federal Bureau of Narcotics, 403 U.S. 388 (1971). Kaneakua alleged that
Defendants Dr. Nathan Kwon and Warden Estela Derr failed to treat him for
severe ear pain while he was incarcerated at FDC Honolulu. The key question on
*
This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
appeal is whether Kaneakua’s Eighth Amendment claim that federal prison
officials were deliberately indifferent to his medical needs arises in the same
context as Carlson v. Green, 446 U.S. 14 (1980), one of the three permissible
Bivens contexts. Ziglar v. Abbasi, 582 U.S. 120, 131 (2017).
We have jurisdiction pursuant to 28 U.S.C. § 1291. The parties are familiar
with the facts, so we do not recount them here. We review de novo a district
court’s order granting a motion to dismiss. Watanabe v. Derr, 115 F.4th 1034,
1037 (9th Cir. 2024). We liberally construe pro se pleadings and afford the
petitioner the benefit of any doubt. Ross v. Williams, 950 F.3d 1160, 1173 n.19
(9th Cir. 2020) (en banc). We reverse and remand for further proceedings
consistent with this disposition.
The district court erred by collapsing the two steps of the Bivens inquiry.
See Egbert v. Boule, 596 U.S. 482, 483, 498–99 (2022). Only when a court
“find[s] that a claim arises in a new context” does it “proceed to the second step.”
Hernandez v. Mesa, 589 U.S. 93, 102 (2020). Our precedent is clear that if
Kaneakua’s claim does not present a new Bivens context at step one, “we need not
consider the second step.” Watanabe, 115 F.4th at 1036; Stanard v. Dy, 88 F.4th
811, 818 (9th Cir. 2023).
We are bound by Abbasi, 582 U.S. at 139–40. Applying the Abbasi step-one
factors, Kaneakua’s claim does not present a new Bivens context at step one. See
2 23-1587
Watanabe, 115 F.4th at 1043.
We clarify three points. First, though the district court distinguished the
nature and severity of Kaneakua’s injury, Watanabe explained that such
distinctions are immaterial at step one to whether the claim arises in a new context.
Id. at 1041–42; see also Stanard, 88 F.4th at 817 (“[E]ven assuming that Stanard
received less deficient care than the inmate in Carlson, that difference in degree is
not a meaningful difference giving rise to a new context.”). Second, on appeal,
Defendants frame Kaneakua’s claim as implicating systemic medical management
policies at the Bureau of Prisons (BOP) and suggest that this creates a new context
through “the risk of disruptive intrusion by the Judiciary into the functioning of
other branches.” Abbasi, 582 U.S. at 140. This framing mischaracterizes
Kaneakua’s pro se complaint. “[T]he core of his complaint concerns the actions
and state of mind of Defendants in denying him . . . treatment” and does not
“simply challeng[e] a broadly applicable BOP policy.” Stanard, 88 F.4th at 818;
see Watanabe, 115 F.4th at 1040. Third, the need for an outside specialist does not
place this case in a new context. As in both Carlson and Watanabe, the “alleged
official actions include the refusal to transport [Kaneakua] to an outside hospital
and the failure to provide him competent medical attention.” Watanabe, 115 F.4th
at 1039 (citing Carlson, 446 U.S. at 16 n.1).
We remand to the district court to consider qualified immunity in the first
3 23-1587
instance. See Ecological Rts. Found. v. Pac. Lumber Co., 230 F.3d 1141, 1154
(9th Cir. 2000). In doing so, the district court should not consider medical records
that Defendants submitted as evidence at the 12(b)(6) stage. The records were not
incorporated by reference into Kaneakua’s complaint. See Khoja v. Orexigen
Therapeutics, Inc., 899 F.3d 988, 1002–03 (9th Cir. 2018).
REVERSED AND REMANDED.
4 23-1587
Plain English Summary
NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS JUL 14 2025 MOLLY C.
Key Points
01NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS JUL 14 2025 MOLLY C.