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Health and Hospital Corporation of Marion Cty. v. Talevski

Updated Sep 5, 2026

In brief

People may sue state-run nursing facilities under Section 1983 to enforce the Federal Nursing Home Reform Act rights at issue.

Where it stands
Decided

Decided 7-2 · June 8, 2023 · Opinion by Justice Jackson

What it’s about
Gorgi Talevski's family sued a state-run nursing facility for allegedly using unnecessary chemical restraints and improperly discharging him in violation of the Federal Nursing Home Reform Act.
Who it affects
Nursing-home residents and their families can bring Section 1983 claims against state-run facilities for violations of these protections. For example, a resident alleging unnecessary chemical restraints may seek to enforce the federal right in court.

Summary: written with AI from the case record.

Illustration for Health and Hospital Corporation of Marion Cty. v. Talevski
Conceptual illustration · AI-generated

What it's about

The Supreme Court ruled that individuals can sue state-run facilities under Section 1983 for violating rights established by this Act.

The decision confirms that some federal funding laws can create personal rights that individuals may enforce through Section 1983.

Question presented

1. Whether the Court should reexamine its holding in Maine v. Thiboutot, 448 U.S. 1 (1980), that 42 U.S.C. § 1983 provides a cause of action for third-party beneficiaries of Spending Clause programs to enforce federal funding conditions. 2. Whether the Federal Nursing Home Reform Act’s transfer and medication rules create any individually enforceable rights under § 1983.

What the Court decided

The vote

  • Joined the judgment
  • Concurred in a separate opinion
  • Dissented
  • Wrote an opinion
Majority · 4joined the Court's opinion
  1. Jacksonwrote the opinion
  2. Sotomayor
  3. Kagan
  4. Kavanaugh
Concurring · 3agreed with the result, wrote separately
  1. Roberts
  2. Gorsuchwrote separately
  3. Barrettwrote separately
Dissenting · 2disagreed with the result
  1. Thomaswrote a dissent
  2. Alitowrote a dissent
7 justices joined the judgment (3 writing separately), 2 dissented.

From the opinions

“The provisions at issue “unambiguously create §1983-enforceable rights.””

— Justice Ketanji Brown Jackson(majority)

What's next

Lower courts must apply the decision when residents bring these Section 1983 claims. State-run nursing facilities and agencies must account for the possibility of federal lawsuits over the transfer, discharge, and medication protections.

Documents

3

Docket activity

9
  • New analysis added

    Sep 5, 2026 · Court records

  • AI analysis generated: Impact Analysis

    Sep 5, 2026 · Generated

  • AI analysis generated: Opinion Summary

    Sep 5, 2026 · Generated

  • New analysis added

    Sep 5, 2026 · Court records

  • AI analysis generated: Case Briefing

    Sep 5, 2026 · Generated

Show 4 more
  • Case data updated: status, opinion_date

    Sep 5, 2026 · Court records

  • Opinion added: opinion

    Jun 8, 2023 · Court records

  • Brief added: Petition

    Nov 23, 2021 · Court records

  • Brief added: Questions Presented

    Court records

More questions

3
What did the Supreme Court rule in Talevski?
The Court ruled that the Federal Nursing Home Reform Act provisions at issue create individual rights enforceable through Section 1983.
Who is affected by the Talevski decision?
Residents of state-run nursing facilities and their families may bring federal claims over improper discharges, transfers, or unnecessary chemical restraints.
What happens next after Talevski?
Lower courts will apply the ruling to future claims. State-run facilities may face lawsuits alleging violations of these federal resident protections.

Sources

Primary materials plus reporting. Best-effort analysis: this explainer relies on a mix of primary materials and trusted secondary sources. Official filings and opinions remain authoritative.

Checked Sep 5, 2026Methodology

Court records and filings

Reporting and analysis