Health and Hospital Corporation of Marion County v. Talevski

A plaintiff may file a federal civil rights claim for violation of the Federal Nursing Home Reform Act (FNHRA). Justice Ketanji Brown Jackson authored the 7-2 majority opinion of the Court. The Court first considered whether FNHRA can create rights enforceable through Section 1983. Section 1983 allows private parties to sue for deprivations of any any “rights, privileges, or immunities secured by the Constitution and laws” of the United States. The phrase “and laws,” without modifiers, means that the rights at issue need not fall within a specific category (e.g., civil rights) or through a specific power of Congress. The Court then considered whether FNHRA unambiguously created a right to be enforced via § 1983 and concluded that it does. A law unambiguously creates a right enforceable via § 1983 if “the provision in question is ‘phrased in terms of the persons benefited’ and contains ‘rights-creating,’ individual-centric language with an “unmistakable focus on the benefited class.” The provisions at issue here addressing unnecessary restraint and predischarge notice pass that stringent test; they unambiguously confer rights on residents of nursing-home facilities. Finally, the Court considered whether FNHRA creates a comprehensive enforcement scheme that is incompatible with individual enforcement under § 1983. While FNHRA does have a complex enforcement scheme, that scheme is not incompatible with individual enforcement under § 1983 and does not suggest Congress intended to preclude § 1983 enforcement. Justice Neil Gorsuch wrote a concurring opinion to point out two questions the petitioners could have raised but did not and called for the resolution of those questions another time in another case. Justice Amy Coney Barrett authored a concurring opinion, in which Chief Justice John Roberts joined, cautioning that while she agreed with the disposition in this particular case, courts must “tread carefully before concluding that Spending Clause statutes may be enforced through § 1983.” Justice Clarence Thomas authored a dissenting opinion arguing that laws passed pursuant to Congress’s spending power cannot secure rights within the meaning of § 1983. Justice Samuel Alito authored a dissenting opinion, in which Justice Thomas joined, arguing that while FNHRA does create individual rights, the remedial scheme of the Act forecloses enforcement of those rights via § 1983.