Product 1
< Back to 2025-2026 Executive Summary

#7 Cook, Madison & St. Clair Counties, Illinois

This year, St. Clair and Madison Counties rejoin Cook County on the Judicial Hellholes® list. This trio of Illinois counties’ plain-tiff-friendly reputation has made them a magnet for asbestos claims, no-injury cases, and like their neighboring city, fellow Judicial Hellhole® St. Louis, novel baseless litigation against manufacturers of life-preserving baby formula for premature infants.

These three counties are home to a disproportionate amount of the state’s nuclear verdicts®, and Cook County most often is the chosen court. Cook County alone saw 161,064 new civil case filings in 2023, while the rest of Illinois — spread across 23 circuit trial courts— recorded 324,247. Cook County’s filings accounted for 47% of the state’s total civil docket.

A newly enacted law expanding Illinois courts’ jurisdiction may open the floodgates to lawsuits from across the nation in these counties, including cases with little real connection to the state.

Baby Formula Litigation

Like the City of St. Louis, Madison and St. Clair counties are home to a wave of litigation that threatens the health and lives of the most vulnerable among us: premature infants relying on life-sustaining baby formula. The litigation claims that prescribed, fortified infant formula increases the risk of a life-threatening intestinal disease in preemies called necrotizing enterocolitis (NEC), pinning the blame for tragic loss on the manufacturers. This misguided litigation potentially jeopardizes a critical nutritional lifeline for at-risk infants.

The products’ labels are regulated by the Food and Drug Administration. The FDA does not require warnings about NEC risk because the science simply doesn’t support such claims.

The American Academy of Pediatrics stated unequivocally in a response to these lawsuits: “Courtrooms are not the best place to determine clinical recommendations for the care of infants.” The organization emphasized that special formulas for preterm infants are an essential source of nutrition, pre-scribed by doctors in neonatal intensive care units.

The NEC Society echoed these sentiments and cautioned that “such litigation may result in unintended harmful consequences for babies and the elimination of potentially beneficial therapy choices.”

Mead Johnson and Abbott have tirelessly argued that Madison and St. Clair counties are not the proper venue for this litigation. Neither company is based in Illinois, and most plaintiffs in the litigation are out-of-state.

Venue Challenge

In June 2025, the Fifth District appellate court dealt a blow to their efforts, finding that thousands of cases could proceed in Madison County. The court was satisfied with a Madison County court’s finding that the venue was proper, stating Abbott maintained “other offices” in the county because at least two employees worked from home in Madison County. They also found that Mead Johnson did not meet its burden in establishing improper venue because the company did not know how much it earned in sales in the county.

Now, the Illinois Supreme Court has been asked to weigh in. Mead Johnson has appealed to the high court after the Fifth District Court allowed additional baby formula cases to proceed in Madison County. The appellate court dismissed Mead Johnson’s appeal on procedural grounds, citing a mismatch in case captions among consolidated cases, which it said deprived it of jurisdiction.

Mead Johnson argues the court prioritized form over substance and also challenges the trial court’s findings on jurisdiction and venue. The company contends that the court wrongly relied on outdated corporate filings to establish general jurisdiction, despite Mead Johnson’s 2018 relocation from Illinois to Indiana, and that it imposed an unrealistic venue standard given that baby formula sales occur indirectly through wholesalers and retailers.

“Although the products at issue are sold and used nationwide, well over 90% of these claims filed nationally against Mead Johnson are in Madison and St. Clair Counties.”
– Petition for Leave to Appeal, Mead Johnson v. Destin Jupiter, No. 132080 (Ill. filed Sep. 10 2026).

Legislature Invites Forum Shopping in Illinois Courts

In July 2025, Governor JB Pritzker signed into law S.B. 328, a bill that will open Illinois courts to even more lawsuits from across the country.

The new law invites plaintiffs’ lawyers to sue out-of-state corporations in Illinois on behalf of plaintiffs who live elsewhere. It subjects any corporation that registers to do business in the state to general personal jurisdiction, meaning that, by registering, the company is considered to have consented to being sued for any purpose, including actions unrelated to its conduct in the state. In addition, plaintiffs’ lawyers can assert, under the new law, that even companies that have not registered to do business in Illinois are “deemed” to have consented to have lawsuits against them decided in Illinois by pointing to activity the business has conducted in the state.

The new law applies to lawsuits alleging injuries from exposure to any substance that is capable of causing injury. This includes not only the asbestos claims that Illinois is already well known for, but also claims stemming from food, medication, infant formula, and more. Lawyers will undoubtedly file these lawsuits in Cook, Madison, and St. Clair counties because of their plaintiff-friendly reputations.

As lawyers bring more unrelated cases from out of state into Illinois courts, Illinois residents will find it more difficult to have their matters resolved in a timely and efficient manner.

The Illinois Legislature was named a Lawsuit Infernoin a report released by the American Tort Reform Association following the passage of this troublesome legislation.

Plaintiffs’ Lawyers’ Campaign Contributions

Plaintiffs’ lawyers are pouring millions of dollars into state political campaigns to preserve Illinois’ favorable civil justice environment. From September 2024 through September 2025, the Illinois Trial Lawyers Association PAC raised almost $580,000 for statewide races.

No-Injury Lawsuits

Biometric Information Privacy Act

Illinois lawmakers enacted the Biometric Information Privacy Act in 2008, but it lied dormant until 2015 when plaintiffs’ lawyers discovered its business potential. BIPA provides a private right of action to a person whose fingerprint, voiceprint, hand or facial scan, or similar information is collected, used, sold, disseminated, or stored in a manner that does not meet the law’s requirements.

Since 2019, when the Illinois Supreme Court ruled that plaintiffs’ lawyers could seek BIPA damages on behalf of individuals who had not experienced an actual injury, “more than 1,500 BIPA lawsuits have been filed in Illinois state and federal courts, transforming BIPA into a potent tool for class action attorneys.”

Enacted in August 2024, S.B. 2979 limits the number of violations occurring to a single instance, regardless of how many times a business scans or transmits a person’s biometric information. That legislation overturned a 2023 Illinois Supreme Court ruling finding otherwise, allowing statutory damages to accumulate for every scan. Even with this reform, the liability exposure businesses face under BIPA remains high because, when a class action includes thousands of people, each can seek $1,000 or $5,000 in damages.

The U.S. Court of Appeals for the Seventh Circuit is considering a case that will determine whether this legislation applies retroactively to pending cases filed before the enactment date. The key issue is whether a plaintiff may recover damages for a single BIPA violation — such as the general act of fingerprint collection — or for each individual instance in which he clocked in and scanned his fingerprint. The case involves a Union Pacific truck driver who alleges that his employer scanned and retained his fingerprint data without express permission, disclosure, or consent. Originally filed in Cook County, the case was removed to federal court under diversity jurisdiction. After that court ruled that the legislation did not apply retroactively, it allowed an immediate appeal to the Seventh Circuit in June 2025.

Unsurprisingly, BIPA litigation continues following the 2024 legislative reform. For example, in March 2025, plaintiffs’ lawyers filed a class action in Cook County against the popular haircare brand Living Proof, alleging that the company collected and stored users’ selfies through its “Hair Quiz” and “Haircare Advisor” tools, which were designed to recommend products based on hair type. In June 2025 in a separate case, an Illinois appellate court upheld a Cook County ruling that certified a class of 800 current and former ITS Technologies & Logistics employees, who claimed their employer used time clocks that scanned handprints in violation of BIPA.

Genetic Information Privacy Act

The Illinois’ Genetic Information Privacy Act, enacted in 1998, addresses the disclosure and use of an individual’s genetic information. It restricts employers from requiring genetic testing as a condition of employment and states that the results of genetic testing cannot be used to affect the terms of employment. It includes a private right of action that allows any “aggrieved person” to collect $2,500 for a negligent violation and $15,000 for a reckless or intentional violation, plus attorneys’ fees and litigation expenses, regardless of whether they experienced any actual loss. Given their immense success under BIPA, plaintiffs’ lawyers have started exploiting GIPA’s broad definition of “genetic information” and the availability of sub-stantial statutory damages to generate lucrative class action lawsuits targeting businesses across the state.

GIPA class action lawsuits filed in 2025 include:

  • January 2025: Class action filed against Compass Group over pre-employment questions about family medical history (Cook County Circuit Court)
  • March 2025: Class action filed against MV Transportation Company over pre-employment requirement to divulge family medical history (U.S. District Court for the Northern District of Illinois – covers Cook County)
  • May 2025: Class action filed against Buffalo Wild Wings over pre-employment questions about private medical histories (Cook County Circuit Court)
  • June 2025: Class action filed against Abbott Laboratories over on-boarding materials containing questions about family medical history (Northern District Court)
  • August 2025: Class action lawsuit filed against City of Evanston over pre-employment questions about family medical history (Cook County Circuit Court)
  • October 2025: Class action filed against CSL Plasma over pre-employment questions about family medical history (U.S. District Court for the Southern District of Illinois – covers Madison and St. Clair Counties)
Food & Beverage Litigation

Illinois ranked in the Top 3 states for the most class action lawsuits against food and beverage makers in 2024, moving up from previous years. The state also ranks third for hosting the most consumer class actions against cosmetic companies. Only fellow Judicial Hellholes® New York and California are home to more of these types of lawsuits.

Some of the suits also come from other problematic counties. For example, one particularly ridiculous lawsuit alleged that a breakfast cereal manufacturer misrepresented the number of servings in its Cocoa Pebbles and Fruity Pebbles cereals, claiming the box had fewer than 15 servings, as labeled. That lawsuit, which was transferred to the Southern District of Illinois from St. Clair County, was brought on behalf of all individuals who purchased the two cereals during a five-year period (Illinois has a particularly long statute of limitations for such claims). After the court denied a motion to dismiss in March 2025, finding that the complaint raised factual issues about whether a reasonable consumer would be misled, the lawsuit was voluntarily dismissed, likely indicating a settlement.

Asbestos

Cook, Madison, and St. Clair Counties remain hotspots for asbestos claims, attracting plaintiffs from across the country due to their favorable litigation environments. Plaintiffs’ firms continue to choose this trio of counties as their preferred destinations while defendants bear the burden of fighting what are often unsubstantiated claims. Through July 2025, these three Illinois counties each ranked in the Top 5 courts in the nation for the most asbestos lawsuit filings, accounting for nearly 40% of all asbestos filings nationwide, with Madison and St. Clair Counties topping the list.

In 2024, the trio of counties accounted for more than 47% of all asbestos filings nationwide. Madison County was the top jurisdiction, with 882 filings. St. Clair County ranked second, with 820 filings — a 22% increase from the prior year. Cook County rounded out the Top 5 with 176 filings — a 13.5% increase from 2023. St. Clair County is the most popular court in the country by far to file lawsuits claiming that a person’s lung cancer resulted from asbestos exposure, rather than other causes. Each asbestos lawsuit filed in St. Clair and Cook County names, on average, 85 to 90 businesses as defendants, a much higher number than most other jurisdictions.

Illinois Supreme Court Extends Time Limit to Bring Asbestos Claims Against Employers

This year, the Illinois Supreme Court issued a long-awaited decision in a case that will result in more asbestos litigation and other occupational disease claims. The court held that a 2019 amendment to the Illinois Workers’ Occupational Diseases Act allows plaintiffs to file claims against their employers outside the workers’ compensation system even after the 25-year statute of repose for claims alleging latent injuries has expired. A positive aspect of the decision is that the court recognized that this legislative change cannot retroactively revive time-barred claims. Nevertheless, as local attorneys have observed, “employers can anticipate a rise in civil lawsuits as employees can now bypass the restrictions imposed by the Act’s exclusivity provisions.” The ruling will further increase asbestos litigation in places such as Madison, St. Clair, and Cook counties.

Nuclear Verdicts®

Illinois courts have a reputation for producing nuclear verdicts®. Over a ten-year period, in personal injury trials, Illinois courts returned the sixth-most verdicts above $10 million in the country. Illinois also placed in the Top 10 states for nuclear verdicts® in all cases against businesses in 2024. These verdicts are most frequent in Cook County, but also occur in St. Clair and Madison counties. This is one of the factors that attracts plaintiffs’ lawyers to the jurisdictions.

For example, in 2024, a St. Clair County trial that blamed specialized formula for a premature infant’s health conditions resulted in a $60 million verdict against its manufacturer in the first verdict of its kind. Other recent nuclear verdicts® include:

  • March 2025: $10.5 million wrongful death verdict in Cook County
  • May 2025: $35 million verdict in auto-accident case in Madison County
  • June 2025: $20.5 million medical liability verdict in Cook County

Other Litigation Issues

Climate Change

In February 2024, the City of Chicago sued oil and gas companies, claiming that the industry falsely advertised its products as safe and promoted their use while knowing of potentially negative environmental effects. In so doing, the city joined several other state and local governments that are attempting to regulate the energy industry through litigation. Piecemeal litigation in state courts is an inappropriate and ineffective way to tackle climate change, a matter of national and global significance deserving of a coordinated international response. In a disappointing May 2025 decision, the federal court in Northern Illinois granted the city’s request to have this national issue decided in the Cook County Circuit Court, where it was originally filed, rather than in federal court.

Ethylene Oxide

Cook County hosts novel lawsuits blaming exposure to ethylene oxide (EtO) for cancer.

EtO is a critical chemical used across numerous industries. It serves as a building block in products like antifreeze, recyclable packaging, fiberglass, personal care items, and some pharmaceuticals. In healthcare, EtO is indispensable for sterilizing medical devices such as pacemakers, catheters, and surgical tools — protecting patients from life-threatening infections. Given its widespread use, the U.S. Environmental Protection Agency has detected EtO in ambient air throughout the Chicago region. Reports indicate that “companies in the Chicago area and elsewhere . . . increasingly have been targeted in recent years for lawsuits from trial lawyers seeking big payouts and relying on government reports indicating long exposure to EtO could increase … risk” of developing cancer.

In July 2025, a Round Lake, Illinois resident, who has lived in the community since 1974, filed suit in Cook County against Baxter International, alleging that emissions of ethylene oxide from its medical device manufacturing facility caused his prostate cancer. Approximately 15 similar cases have been filed in Cook County by plaintiffs claiming various cancers linked to the Round Lake site.

In addition, a Cook County lawsuit in which residents who lived near another medical device sterilization plant blamed Eto emissions for their cancer diagnoses resulted in a $48 million settlement against another company, Steris, this year. Similar lawsuits remain pending against other corporations in the Chicago area.

An International Reputation as Plaintiff-Friendly Jurisdiction

Following a crash of a Boeing 737 at Muan International Airport in South Korea of a flight arriving from Thailand, the estate of a South Korean passenger sued Boeing in Cook County. The aircraft experienced engine failure, and the landing gear failed to deploy, resulting in the deaths of 179 passengers, including the decedent. Of all places, the plaintiff chose to bring the lawsuit against Boeing, which is incorporated in Delaware and has its headquarters in Virginia, in Cook County. The case was removed to the U.S. District Court for the Northern District of Illinois in September 2025.

Latest News