States With Caps on Pain & Suffering Damages

Illinois didn't just strike down its damages cap once — it struck down two different versions, thirteen years apart, on two different constitutional theories.

Round one: special legislation

Best v. Taylor Machine Works (1997) struck a broad $500,000 cap that applied across all common-law actions — wrongful death, property damage, personal injury alike. The Illinois Supreme Court found it constituted impermissible special legislation, unfairly singling out certain categories of injury victims for a limit other victims didn't face.

Round two: separation of powers

When the legislature later enacted a narrower, medical-malpractice-specific cap, it required its own separate challenge. Lebron v. Gottlieb Memorial Hospital (2010) struck that cap down on entirely different grounds: separation of powers, holding that overriding a jury's noneconomic damages finding by statute usurps the judiciary's inherent authority to review verdicts case by case.

Why the second theory is harder to engineer around

The separation-of-powers objection in Lebron doesn't depend on how narrowly a cap is drawn or which category of plaintiff it targets — it's a structural problem with any legislative override of a jury's factual finding. That's a meaningfully harder bar to clear than the special-legislation theory in Best, which a more carefully drafted, broader-based cap might have been able to survive.

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This is general information, not legal advice, and the state comparisons above are illustrative, not an exhaustive survey. Confirm the current rule in any state with a licensed attorney there.