Arizona Department of Corrections, Rehabilitation & Reentry
Arizona's state prison system: its director and staff, the ten state prisons and private contract facilities, deaths in custody, staffing, heat, healthcare, escapes and incidents — and the long fight in federal court over the care of incarcerated people.
Parsons v. Ryan → Jensen v. Shinn → Jensen v. Thornell: the class action over healthcare and isolation in Arizona prisons, Judge Roslyn Silver's 2022 ruling, the injunction, the court's experts and monitoring, and talk of receivership.
Key moments
- March 22, 2012Litigation
Parsons v. Ryan filed
The ACLU, ACLU of Arizona, Prison Law Office and partners sued the Arizona Department of Corrections in federal court over inadequate medical, mental health and dental care and the use of solitary confinement.
Sources: ACLU of Arizona – Parsons v. Ryan
- October 2014Litigation
Parsons settlement reached
Just before trial, the state agreed to meet more than 100 health care performance measures and to give people with serious mental illness in solitary confinement at least 19 hours a week out of cell. The class covered more than 33,000 incarcerated people.
Sources: ACLU press release · ACLU of Arizona
- February 18, 2015Litigation
Court approves the Parsons settlement
A federal court approved the stipulation requiring the department to fix a health care system the plaintiffs said caused preventable deaths and injuries.
Sources: ACLU press release
- June 2018Litigation
First contempt fine: $1.4 million
The court fined the department about $1.4 million for failing to comply with the settlement's health care measures.
Sources: ACLU press release (2021, recounting the June 2018 fine)
- 2021Litigation
Second contempt finding: $1.1 million
Judge Roslyn Silver held the department in contempt a second time, fining it more than $1.1 million, and said she would use the fines to hire an independent expert to review prison health care.
Note: The ACLU release does not state the exact date; it describes the order as issued 'last night.'
Sources: ACLU press release
- June 2022Litigation
Judge Silver rules prison health care unconstitutional
After the settlement was set aside and the case went to trial (now Jensen v. Shinn), Judge Silver found the department failed to provide constitutionally adequate medical and mental health care and conditions in isolation units.
Sources: ACLU press release (July 2026, recounting the ruling) · ACLU – Jensen v. Thornell
- January 2023Leadership
Ryan Thornell named ADCRR director
Gov. Katie Hobbs appointed Ryan Thornell, then deputy commissioner of the Maine Department of Corrections, to lead ADCRR. The case caption became Jensen v. Thornell.
Sources: Office of the Governor · ADCRR – Office of the Director
- April 2023Litigation
Court issues detailed injunction
Judge Silver issued an injunction requiring substantial improvements to health care and isolation conditions. Court-appointed experts later reported repeated failures to comply.
Sources: ACLU press release
- February 11, 2025Litigation
Plaintiffs ask for a receiver
Plaintiffs moved for a court-appointed receiver to take over prison health care.
Note: The court's order lists the motion as filed Feb. 12, 2025 (Doc. 4795); the ACLU says Feb. 11.
Sources: ACLU – Jensen v. Thornell
- February 19, 2026Litigation
Receivership ordered
In a 128-page order, Judge Silver granted the motion for a receiver, writing that after nearly 14 years the state had not reached 'even a semblance of compliance.'
Sources: ACLU – Jensen v. Thornell · Court order, Doc. 5123 (PDF)
- July 17, 2026Litigation
Receiver appointed: Annette Chambers-Smith
The court appointed former Ohio corrections director Annette Chambers-Smith, who ADCRR had nominated, as receiver over health care for more than 25,000 incarcerated people, with authority over staffing, contracts and the health care budget. The state is appealing.
Sources: ACLU press release · Court order, Doc. 5307 (PDF)
- August 5, 2026Litigation
Court denies the state's request for a stay
Judge Silver denied the state's motion to stay the receivership while it appeals, finding that continued harm to incarcerated people outweighs the state's costs.
Sources: Court order, Doc. 5330 (PDF)
Coverage 53 stories
- Arizona got a partial win in its ongoing prison healthcare lawsuit. Here's what happens next

- Appeals court puts Arizona prison health care takeover on hold

- Appeals court blocks part of Arizona prison healthcare order

- Receiver Will Run Arizona Prison Health Care October 19 After Monitors Flagged Deaths That May Have Been Preventable

- Criminal Justice & Policing Fundamental Rights Health Supreme Court clears the way for receiver to run Arizona prison healthcare

- Judge rejects appeal, allowing Arizona prison health care takeover to proceed

- Supreme Court allows court-appointed receiver can take over Arizona prison health care system

- Supreme Court Rejects Arizona’s Attempt to Halt Court-Ordered Oversight of Prison Health Care

- Supreme Court clears the way for receiver to run Arizona prison healthcare
- Supreme Court Lets Federal Takeover of Arizona Prison Healthcare Begin Oct. 19

- ACLU asks U.S. Supreme Court to reject Arizona’s bid to delay prison healthcare oversight

- Arizona prison health care issue heads to U.S. Supreme Court

- Arizona Asks Supreme Court to Halt Federal Takeover of Prison Health Care
- Arizona asks US Supreme Court to halt prison healthcare takeover in ‘Hail Mary’ filing

- Arizona asks US Supreme Court to block prison health care takeover
- Receiver set to start for Arizona prison health care system

- Judge rejects bid by to delay takeover of Arizona’s prison health care system
- Judge won’t delay receiver’s takeover of Arizona’s unconstitutional prison healthcare system
- Judge rejects Arizona's request to delay prison health care takeover
- Arizona says judge turned to ‘last resort’ fix for prison healthcare too soon
- Arizona prisons seek delay of healthcare receiver order
- Federal Judge Orders Receivership of Arizona Prisons over Health Care Failures
- Federal Judge Appoints Receiver to Oversee Healthcare in Arizona Prisons
- Federal judge appoints receiver to run Arizona prison health care
- Federal judge taps official to oversee Arizona’s prison healthcare system
- Jensen v. Thornell
- Judge finalizes Arizona prison healthcare takeover
- Receiver appointed in Arizona prison healthcare reform case
- Arizona legislature funding half of needed prison health care workers despite judge’s order
- Here's what a new receiver overseeing Arizona prison health care could do, journalist says
- Arizona Department of Corrections appeals ruling on prison health care takeover
- Receivership for Arizona's prison health care system has been a long time coming, ACLU lawyer says
- 'Every other option exhausted': Judge orders control of Arizona prison health care
- Judge orders takeover of Arizona prison health care following years of barbaric medical neglect
- Judge seizes control of Arizona’s prison health care after 14 years of failures
- Federal judge orders takeover of Arizona prison health care system
- Federal court orders receiver to oversee Arizona prison health system
- Judge orders takeover of Arizona prison health care operations after years of violations
- Lawyers say Arizona prison health care improvement is so slow, judge should appoint a receiver
- Monitoring reports show prison health care provider NaphCare, Arizona still noncompliant after 2022 case
- NaphCare, Arizona prisons still noncompliant with court healthcare standards
- Judge mulls third contempt case against Arizona for failing to improve prison health care
- Federal Judge Finds Arizona’s Prison Health Care Is "Plainly Grossly Inadequate" and Unconstitutional
- Arizona's privatized prison health care has been failing for years. A new court case could change that
- Arizona prison nurse says Centurion directed her to falsify report, evading $100,000 fine
- Judge Holds Arizona Department of Corrections in Contempt for the Second Time in Three Years
- Federal Judge Holds Arizona Prison Officials in Contempt of Court a Second Time for Violating Prisoners' Health Care Rights
- Arizona Fined $1M For Failing To Improve Prison Health Care
- Arizona Wants To Renegotiate Prison Health Care Settlement
- Arizona Prison Officials Found in Contempt for Massive Prison Health Care Scandal
- Arizona's Prisons Boss Found in Contempt Over Inmate Care
- Corizon Health Whistleblower Ordered To Testify In Federal Court About Arizona Prison Conditions
- Judge Threatens Arizona Prison Officials With Contempt For 'Pervasive and Intractable Failures'