Boyce v. Cox - Eighth Amendment Prison Conditions
Summary
The Seventh Circuit Court of Appeals issued an opinion in Boyce v. Cox, concerning an inmate's Eighth Amendment claim regarding dental care. The court reversed in part, affirmed in part, and remanded the case, impacting the application of exhaustion of administrative remedies for prisoner lawsuits.
What changed
The Seventh Circuit Court of Appeals issued an opinion in Boyce v. Cox (Docket No. 24-1796) on March 17, 2026. The case involves an inmate's claim under 42 U.S.C. § 1983 alleging deliberate indifference to his need for dental care by prison dentist Dr. Francis Catino and dental assistant Ashley Cox, violating the Eighth Amendment. The appellate court reviewed the district court's grant of summary judgment, which was based on the inmate's alleged failure to exhaust administrative remedies.
The court reversed in part, affirmed in part, and remanded the case. This decision affects how prisoner lawsuits concerning conditions of confinement, specifically medical and dental care, are handled regarding the exhaustion of internal grievance procedures. While the specific outcome for the parties is determined by the remand, the ruling clarifies the application of 42 U.S.C. § 1997e(a) in the Seventh Circuit, potentially influencing future filings by inmates and the defense strategies of correctional facility staff.
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by Pryor](https://www.courtlistener.com/opinion/10809789/anthony-boyce-v-ashley-cox/#o1)
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March 17, 2026 Get Citation Alerts Download PDF Add Note
Anthony Boyce v. Ashley Cox
Court of Appeals for the Seventh Circuit
- Citations: None known
- Docket Number: 24-1796
Judges: Pryor
Combined Opinion
by Pryor
In the
United States Court of Appeals
For the Seventh Circuit
No. 24-1796
ANTHONY BOYCE,
Plaintiff-Appellant,
v.
ASHLEY COX and FRANCIS CATINO,
Defendants-Appellees.
Appeal from the United States District Court for the
Central District of Illinois.
1
No. 23-cv-03175 — Jonathan E. Hawley, Magistrate Judge.
ARGUED SEPTEMBER 3, 2025 — DECIDED MARCH 17, 2026
Before SCUDDER, KIRSCH, and PRYOR, Circuit Judges.
PRYOR, Circuit Judge. Anthony Boyce, a prisoner at Western
Illinois Correctional Center, proceeding without a lawyer,
brought suit under 42 U.S.C. § 1983 alleging the prison dentist
Dr. Francis Catino and dental assistant Ashley Cox were de-
liberately indifferent to his need for dental care, in violation
1
Judge Hawley is now a district judge in the Central District of Illinois.
2 No. 24-1796
of the Eighth Amendment. On appeal, Boyce claims the dis-
trict court erred in granting summary judgment for the de-
fendants on the ground that he failed to exhaust his adminis-
trative remedies within the prison as required by 42 U.S.C.
§ 1997e(a). After careful review of the record as well as the
written and oral arguments of counsel, we reverse in part, af-
firm in part, and remand.
I. BACKGROUND
A. Conduct Underlying Boyce’s Suit
We review a “grant of summary judgment de novo, con-
struing all facts and drawing all reasonable inferences in the
light most favorable to the non-moving party.” Johnson v.
Dominguez, 5 F.4th 818, 824 (7th Cir. 2021). We do not vouch
for the objective truth of these facts or take any position on
Boyce’s ultimate chance of success on the merits. Berry v. Pe-
terman, 604 F.3d 435, 438 (7th Cir. 2010).
Boyce, an inmate at Western, experienced extreme tooth
pain and requested dental care from Western medical staff. In
July 2022, Western’s medical director, Dr. Trusewych, exam-
ined Boyce and found cavities, swollen gums, abscesses, and
bleeding. Due to the seriousness of Boyce’s condition, Dr.
Trusewych referred Boyce to Western’s dental staff.
That day, Boyce saw Dr. Catino, who examined him and
informed Boyce that he had a hole in his tooth. Boyce re-
quested “to have [his] teeth filled,” “to be sent out to [a] spe-
cialist,” and “to have [his] teeth cleaned.” Dr. Catino declined,
explaining that Boyce could not get his teeth cleaned at West-
ern. Instead, Dr. Catino scheduled a tooth extraction for
Boyce. The dental assistant, Cox, when speaking with Boyce,
also informed him that Western did not clean teeth or give out
No. 24-1796 3
mouthwash to prisoners. Boyce was prescribed “antibiotic
pills and told he would be put in for tooth fillings for his cav-
ities.”
B. Illinois Prisoner Grievance Process
As a prisoner at Western, Boyce was required to follow the
Illinois grievance process outlined in the state’s prison proce-
dural rules. Turley v. Rednour, 729 F.3d 645, 649 (7th Cir. 2013).
In Illinois, a prisoner must first submit a grievance usually
within 60 days after the discovery of the incident giving rise
to the grievance. 20 ILL. ADMIN. CODE § 504.810(a). The griev-
ance officer then considers the grievance and forwards his
findings and recommendation to the Chief Administrative
Officer. Id. at § 504.830(e). If unsatisfied with the response
from the Chief Administrative Officer, the inmate may appeal
to the Administrative Review Board within 30 days, which
will then submit a recommendation to the Director of Illinois
Department of Corrections. Id. at § 504.850(a), (d). The Direc-
tor issues the Department’s final determination. Id. at
§ 504.850(e).
C. Boyce’s Grievance
On September 20, 2022, Boyce submitted a grievance form
stating he was experiencing extreme tooth pain. Boyce ex-
plained that since November 2021 he had been asking for his
teeth to be cleaned and that his teeth hurt. The grievance re-
layed that Boyce had been examined by Dr. Catino in July
2022, and Dr. Catino observed a hole in Boyce’s tooth. The
grievance stated that Dr. Catino informed Boyce that the fa-
cility did not clean teeth and that Boyce would need to have
his tooth extracted. As relief, Boyce again requested “to have
4 No. 24-1796
[his] teeth filled” and “to be sent out to [a] specialist … to have
[his] teeth cleaned.”
On September 26, 2022, Boyce saw Dr. Catino and Cox
again. They again told Boyce they did not clean teeth at West-
ern. They also notified Boyce that they would not send him
out of the facility to have his teeth cleaned. Boyce indicated
he did not feel well and asked for the extraction to be resched-
uled. Dr. Catino and Cox agreed to reschedule the extraction.
In November 2022, a grievance counselor reviewed
Boyce’s grievance and replied to Boyce’s complaint. Next, a
grievance officer determined that because Boyce’s tooth ex-
traction was being rescheduled, the grievance should be
deemed moot. The Chief Administrative Officer concurred
with the grievance officer’s recommendation. Not satisfied
with the Chief Administrative Officer’s response, Boyce filed
an appeal through the Administrative Review Board. On rec-
ommendation by the Board, the Director of the Illinois De-
partment of Corrections denied Boyce’s appeal on January 30,
2023.
D. District Court Proceedings
A few months later, Boyce, proceeding pro se, filed this
42 U.S.C. § 1983 action alleging Dr. Catino and Cox were de-
liberately indifferent to his need for adequate dental care in
violation of the Eighth Amendment. Boyce attached the Sep-
tember 20, 2022 grievance to his complaint. 2 The same day
2
Boyce also attached a different grievance he submitted to prison officials
in February 2023 alleging similar issues with his teeth, but that grievance
is not at issue in this appeal.
No. 24-1796 5
he filed his complaint, Boyce filed a motion asking for per-
mission to file a class action lawsuit.
Fulfilling the screening obligation imposed by the Prison
Litigation Reform Act (“PLRA”), 28 U.S.C § 1915A, the district
court concluded that Boyce had successfully alleged an
Eighth Amendment claim against Dr. Catino and Cox “for
their alleged deliberate indifference to [Boyce’s] serious den-
tal needs.” The district court denied, however, Boyce’s motion
to file a class action lawsuit, reasoning that “a prisoner bring-
ing a pro se action cannot represent a class of plaintiffs.” Dr.
Catino and Cox then moved for summary judgment on the
ground that Boyce had not complied with the exhaustion re-
quirement of the PLRA. Boyce responded, arguing that he
had materially complied with the PLRA in light of his griev-
ance filed on September 20, 2022. The district court disagreed
and granted summary judgment for failure to exhaust Boyce’s
Eighth Amendment claim. 3
Boyce, now represented by counsel, appeals.
II. DISCUSSION
Boyce raises two issues on appeal. First, Boyce argues that
the district court erred in concluding that he failed to exhaust
his administrative remedies. Second, he maintains that the
district court erred in denying his motion for class certifica-
tion. We take both arguments in turn.
3
The parties consented to the jurisdiction of then-Magistrate Judge Haw-
ley. See 28 U.S.C. § 636 (c).
6 No. 24-1796
A. Exhaustion under the Prison Litigation Reform Act
1. Legal Standard
The PLRA requires prisoners to properly exhaust all ad-
ministrative remedies before pursuing claims in federal court.
See 42 U.S.C. § 1997e(a). “The exhaustion requirement’s pri-
mary purpose is to alert the state to the problem and invite
corrective action.” Turley, 729 F.3d at 649 (citation modified).
Accordingly, when the prisoner takes all the administrative
steps, his complaint will give the prison the necessary notice
and the opportunity to correct a problem before being drawn
into litigation. Jackson v. Esser, 105 F.4th 948, 958–59 (7th Cir.
2024). For a prisoner to properly exhaust his administrative
remedies, the prisoner must “file complaints and appeals in
the place, and at the time, the prison’s administrative rules
require.“ Pozo v. McCaughtry, 286 F.3d 1022, 1025 (7th Cir.
2002). “A prisoner who does not properly take each step
within the administrative process has failed to exhaust state
remedies.” Id. at 1024; Porter v. Nussle, 534 U.S. 516, 525 (2002)
(noting that the purpose of the exhaustion requirement is to
give officials “time and opportunity to address complaints in-
ternally”).
Because exhaustion is an affirmative defense, the defend-
ants shoulder the burden of proof. Hernandez v. Lee, 128 F.4th
866, 869 (7th Cir. 2025). We review de novo a grant of sum-
mary judgment based on a failure to exhaust. Obriecht v.
Raemisch, 517 F.3d 489, 492 (7th Cir. 2008).
2. Boyce’s Grievance Provided Sufficient Notice
It was defendants’ burden to prove that Boyce had not ex-
hausted his administrative remedies. Dr. Catino and Cox
maintain that Boyce’s September grievance was insufficient to
No. 24-1796 7
support his Eighth Amendment claim of an ongoing failure to
provide adequate dental care. Instead, Boyce’s federal com-
plaint, according to the defendants, was limited to “factual al-
legations plausibly stating a claim for relief” for conduct that
occurred on September 26, 2022, approximately six days after
Boyce’s September grievance form was completed. Accord-
ingly, Dr. Catino and Cox maintain that Boyce has failed to
exhaust his administrative remedies.
In response, Boyce contends that the September grievance
alleged ongoing violations of his right to adequate dental care
and put prison officials at Western on notice of Dr. Catino and
Cox’s deliberate indifference. Thus, Boyce maintains that he
has fully exhausted his administrative remedies. Because of
the ongoing denial of dental care, Boyce argues he did not
need to file a separate grievance complaining of the Septem-
ber 26, 2022 appointment. Boyce cites Turley in support of his
position. See 729 F.3d at 650. In that case, we explained to sat-
isfy the exhaustion requirement “prisoners need not file mul-
tiple, successive grievances raising the same issue (such as
prison conditions or policies) if the objectionable condition is
continuing.” Id. “Separate complaints about particular inci-
dents are only required if the underlying facts or the com-
plaints are different.” Id. We explained that “once a prison has
received notice of, and an opportunity to correct, a problem,
the prisoner has satisfied the purpose of the exhaustion re-
quirement.” Id.
Boyce’s September 2022 grievance was centered around
the lack of dental care he was receiving from the prison. The
grievance stated that Boyce had been suffering from extreme
tooth pain since transferring to Western in November 2021.
He explained that when he was examined by Dr. Catino in
8 No. 24-1796
July 2022, he was notified of a hole in his tooth and the need
for a tooth extraction. Months later, Boyce filed the grievance
requesting that his tooth be filled and his teeth cleaned. In
Cox’s response, she noted that Boyce had been seen on Sep-
tember 26, 2022, for the tooth extraction, but requested the
procedure be rescheduled because Boyce was not feeling well.
Because Boyce was being rescheduled for the tooth extraction,
the prison deemed Boyce’s grievance moot.
Dr. Catino and Cox’s contention that Boyce was required
to then file a separate grievance following his September 26,
2022 appointment fails. The prison deemed Boyce’s Septem-
ber 20 grievance moot because of actions the prison took six
days later. When properly construed, Boyce’s grievance fo-
cused on the prison’s ongoing failure to provide him with ad-
equate dental care, not Dr. Catino and Cox’s conduct at a spe-
cific appointment. Clearly from the response, the prison offi-
cials deemed the objectionable condition Boyce complained of
in his September grievance continued beyond the dates iden-
tified in the form.
Boyce’s grievance was sufficient to exhaust his § 1983
Eighth Amendment claim of deliberate indifference concern-
ing his extreme dental pain. Berry, 604 F.3d at 440; Petties v.
Carter, 836 F.3d 722, 730 (7th Cir. 2016) (en banc). Cox at-
tempts to avoid this conclusion by noting that Boyce did not
mention her in his September grievance. Citing Roberts v. Neal,
745 F.3d 232 (7th Cir. 2014), Cox maintains that Boyce was re-
quired to mention Cox by name to exhaust his administrative
remedies against her. See id. at 234. Roberts is inapplicable. In
that case, the prisoner failed to identify the prison officials by
name or provide enough information in the grievance so that
the grievance officer could identify the officials. See id. at 235–
No. 24-1796 9
- Here, construing the facts in Boyce’s favor, he outlined in his grievance that he had been seen by the dental staff at West- ern in July 2022 and was left with a hole in his tooth and in extreme pain. From the prison’s investigation, this conduct was attributable to Dr. Catino and Cox. Knowing she was a target of Boyce’s complaint, the grievance counselor spoke with Cox regarding Boyce’s dental treatment. Because Boyce properly utilized Western’s grievance process and offered de- scriptive information sufficient to put the prison on notice of his claims against Dr. Catino and Cox, we conclude Boyce ex- hausted his administrative remedies under the PLRA. B. Class Certification Next, Boyce seems to argue that the district court abused its discretion in denying his request for class certification. A class action can be maintained only if the class representative “will fairly and adequately protect the interests of the class.” FED. R. CIV. P. 23(a)(4). Boyce proceeded without counsel in the district court, and the ability to protect the interest of the class depends on, among other things, the quality of counsel. Sec'y of Lab. v. Fitzsimmons, 805 F.2d 682, 697 (7th Cir. 1986) (en banc). Boyce does not engage with this principle on ap- peal. He has not shown that he was qualified to pursue claims of delayed dental care or has the capacity to protect the inter- ests of his fellow inmates. Howard v. Pollard, 814 F.3d 476, 478 (7th Cir. 2015) (per curiam). Only experienced counsel with significant resources could provide the level of support nec- essary to prosecute such a massive suit. We therefore con- clude that the district court did not abuse its discretion deny- ing without prejudice Boyce’s motion to bring a class action at this juncture. 10 No. 24-1796
III. CONCLUSION
In sum, Boyce’s September 20, 2022 grievance provided
sufficient notice to prison officials of his complaint of inade-
quate dental care by Dr. Catino and Cox. Thus, the district
court erred in granting summary judgment to the defendants
on the ground that Boyce failed to exhaust his administrative
remedies as required by the PLRA. We REVERSE in part,
AFFIRM in part, and REMAND for proceedings consistent with
this opinion.
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