No. 21-806October Term 2022Decided Jun 8, 2023
Health and Hospital Corporation of Marion Cty. v. Talevski
People may sue state-run nursing facilities under Section 1983 to enforce the Federal Nursing Home Reform Act rights at issue.
Case status
- Current stage
- Decided
- Latest event
- Decision released Jun 8, 2023
- 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. The Supreme Court ruled that individuals can sue state-run facilities under Section 1983 for violating rights established by this Act.
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.
- Case path
United States Court of Appeals for the Seventh Circuit / Decision released Jun 8, 2023
- Area
Decided Supreme Court case
Briefing
What it's about
The Court decided that two Federal Nursing Home Reform Act protections—against improper transfers or discharges and unnecessary chemical restraints—create rights that people may enforce under Section 1983 (a federal civil-rights law). It affirmed the Seventh Circuit's decision for Talevski's family.
Vote
The Court ruled 7-2 in an opinion by Justice Ketanji Brown Jackson, joined by Justices Sotomayor, Kagan, and Kavanaugh. Justice Gorsuch and Justice Barrett wrote concurrences, and Chief Justice Roberts also concurred; Justices Thomas and Alito each wrote dissents.
“The provisions at issue “unambiguously create §1983-enforceable rights.””
Impact
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.
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.
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.
Decision
What the Court decided
People may sue state-run nursing facilities under Section 1983 to enforce the Federal Nursing Home Reform Act rights at issue.
Impact
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.
Not official Court text.
Vote
- Vote split
- 7-2
- Majority author
- Ketanji Brown Jackson
Majority
- Ketanji Brown Jackson(author)
- Sonia Sotomayor
- Elena Kagan
- Brett M. Kavanaugh
- John G. Roberts, Jr.(concurring)
- Neil Gorsuch(concurring, author)
- Amy Coney Barrett(concurring, author)
Dissenting
- Clarence Thomas(author)
- Samuel A. Alito, Jr.(author)
Opinion documents
Timing
Decided June 8, 2023
The Court released its decision 212 days after oral argument on November 8, 2022. The median for cases argued in November is 160 days.
Related cases




Grounding
- Grounding
- Primary materials plus reporting.
- Note
- 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, 2026
- Method
- Methodology
Primary materials10
Supreme Court docket 21-806
docket | Sep 5, 2026
Primary case document
Supreme Court document | Sep 5, 2026
CourtListener docket record
docket | Sep 5, 2026
Questions Presented
brief | Mar 12, 2026
opinion
opinion | Jun 8, 2023
Petition
brief | Nov 23, 2021
SupremeCourt.gov
official | Sep 5, 2026
SupremeCourt.gov
official | Sep 5, 2026
SupremeCourt.gov
official | Sep 5, 2026
SupremeCourt.gov
official | Sep 5, 2026