7th Cir.

Nos. 24-1998 & 24-2210 Don Lippert v. Latoya Hughes, et al.

Nos. 24-1998 & 24-2210 Don Lippert v. Latoya Hughes, et al.

April 2, 2026 ·24-1998 ·Panel Decision ·Lee · By Aisha Johnson

The Seventh Circuit affirmed a district court's modification of a consent decree requiring the Illinois Department of Corrections to provide adequate medical care, holding that the PLRA's specific findings requirement was satisfied by the parties' stipulation and the court's explicit amendment. The court dismissed appeals regarding the extension of the decree and the removal of a procedural stipulation, concluding those issues fell outside its interlocutory jurisdiction.

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A class of prisoners in the custody of the Illinois Department of Corrections (IDOC) sued IDOC officials, alleging that the department failed to provide adequate medical and dental care, violating the Eighth Amendment. The parties settled the case and entered into a consent decree, which was approved by the district court in 2019 and amended in 2022. The decree required IDOC to create an implementation plan to rectify systemic deficiencies, overseen by an independent monitor. After IDOC failed to submit a compliant plan for years, the district court adopted the monitor's recommendations and held IDOC in contempt. IDOC subsequently filed motions under Federal Rule of Civil Procedure 60(b) to modify the decree, arguing that the district court had failed to make the specific findings required by the Prison Litigation Reform Act (PLRA) before enforcing the plan. The district court agreed that a significant change in circumstances warranted modification but refused to excise the plan entirely. Instead, it amended the decree to require the court to make PLRA findings before enforcing any specific term of the implementation plan. IDOC appealed these rulings, while the district court also extended the decree's expiration date.

The Seventh Circuit began by addressing its jurisdiction under 28 U.S.C. § 1292(a)(1), which allows review of interlocutory orders granting or modifying injunctions. The court held that it lacked jurisdiction over two of IDOC's three appeals. First, the denial of IDOC's motion to strike a stipulation stating the decree complied with the PLRA was not an injunction and did not substantially alter the legal relationship between the parties. Second, the order extending the consent decree's term merely applied the existing terms of the decree itself, which the parties had agreed to, and thus did not constitute a substantial alteration of their relationship. However, the court affirmed its jurisdiction over the denial of IDOC's motion to terminate or excise the implementation plan, as granting that request would have substantially altered the parties' relationship. On the merits, the court applied the standard from Rufo v. Inmates of Suffolk County Jail, which requires a significant change in circumstances to warrant modification. The district court correctly found that the implementation process had changed significantly because the monitor, rather than IDOC, had drafted the plan due to IDOC's noncompliance. The district court then fashioned a middle ground: it refused to excise the plan entirely but amended the decree to require the court to make specific PLRA findings under 18 U.S.C. § 3626(a)(1)(A) before enforcing any term. The Seventh Circuit affirmed this approach, noting that the amendment effectively required the court to find that any prospective relief is 'narrowly drawn, extends no further than necessary to correct the violation of the Federal right, and is the least intrusive means necessary to correct the violation of the Federal right.' The court observed that IDOC conceded during oral argument that the amendment meant the plan imposed no binding obligations until those findings were made, rendering the appeal on that specific point moot while confirming the legal standard for enforcement.

The Illinois Department of Corrections must continue implementing the approved medical care plan, but the district court cannot enforce any specific provision of that plan unless it first makes explicit findings that the provision satisfies the PLRA's requirements for narrowness, necessity, and least intrusiveness. The consent decree remains in effect until May 9, 2027, and the procedural stipulation regarding PLRA compliance remains in the decree. Future enforcement actions will require a fresh judicial determination of the PLRA factors for each contested term, rather than automatic enforcement based on the decree's text.

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