Opinion for the Court filed by Circuit Judge GARLAND.
Since 1993, a consent decree has governed how the District of Columbia provides “early and periodic screening, diagnostic, and treatment services” under the Medicaid Act. The District has now asked the district court to vacate that decree on two grounds: that an intervening Supreme Court decision has made clear that the plaintiffs lack a private right of action to enforce the Medicaid Act, and that in any event the District has come into complianсe with the requirements of the Act. After the district court rejected the District’s first argument, the District appealed without waiting for resolution of the second—which remains pending. Because we conclude that the court’s rejection of one of the District’s two arguments does not constitute an order “refusing to dissolve [an] injunction[ ]” within the meaning of 28 U.S.C. § 1292(a)(1), we dismiss the appeal for lack of jurisdiction.
I
In 1993, the plaintiffs filed a class action complaint under 42 U.S.C. § 1983, alleging that the District of Columbia was violating the Medicaid Act, 42 U.S.C. § 1396
et seq.
In particular, the plaintiffs alleged that the District was failing to properly administer the Act’s child health provisions—known as “early and periodic screening, diagnostic, and treatment” (EPSDT) services. 42 U.S.C. § 1396a(a)(43);
id.
§ 1396d(r);
see
Compl. at 37 (J.A. 275). Although the District argued that the plaintiffs had no private right to enforce those provisions under 42 U.S.C. § 1983, the district court disagreed,
Wellington v. District of Columbia,
The District - sought appellate review, but it ultimately dismissed its appeal in *1260 fаvor of entering into a comprehensive settlement. The district court approved the settlement and, in January 1999, entered the Settlement Order at issue here. That Order contains detailed requirements governing the District’s EPSDT services. The Order, together with subsequent remedial orders, continues in effect today.
In 2009, the District moved, pursuant to Rule 60(b)(5) and (6) of the Federal Rules of Civil Procedure, to terminate the Settlement Order and related orders.
1
The District made two arguments in support of its motiоn. First, it contended that the Supreme Court’s intervening decision in
Gonzaga University v. Doe,
In response to the District’s motion, the plaintiffs sought discovery as to whether the District was in fact in compliance with the Medicaid Act. Opposing that request, the District argued that the parties should first brief the private right of action issue. “If the Court agrees with the District that no private light of action exists ..., expensive and time consuming discovery will have been avoided. If the Court rules against the District, discovery can commence.” Defs.’ Opp. to Pis.’ Mot. for Disc. at 3 (J.A. 679). The court adopted the District’s suggestion and put discovery on hold. Order on Pls.’ Mot. for Disc, at 1-2 (J.A. 683-84).
In August 2010, after briefing and argument on the private right of action issue, the district court concluded that relief on that ground was unwarranted for three reasons. First, noting that motions under Rule 60(b) must be brought “within a reasonable time,” Fed.R.Civ.P. 60(c)(1), the court held that the District had “prejudice[d] Plaintiffs’ interests in finality and repose” by waiting seven year’s after
Gonzaga
was issued before filing its motion.
Salazar v. District of Columbia,
Based on this reasoning, the district court issued an order denying the District’s motion to terminate “as to the private right of action issue.” Id. at 272. The District аppealed immediately, without seeking a ruling on its alternative ar *1261 gument that it had come into compliance with the statute. As of the date of this decision, nothing further has transpired with respect to the compliance issue in the district court. The plaintiffs have not renewed their request for discovery, the District has not sought judgment, and the court has not ruled. See Oral Arg. Recording at 7:15-7:45; Civil Docket for Case No. 1:93-cv-00452 (as of Mar. 6, 2012).
II
Because we are a court of limited jurisdiction, our inquiry must always begin by asking whether we have jurisdiction to decide a particular appeal.
See United States v. E-Gold, Ltd.,
Under 28 U.S.C. § 1291, our appellate jurisdiction generally extends only to the “final decisions” of district courts.
Carson v. American Brands, Inc.,
The District invokes one such exception, 28 U.S.C. § 1292(a)(1), which gives this court jurisdiction over appeals from “[interlocutory orders ... granting, continuing, modifying, refusing or dissolving injunctions, or refusing to dissolve or modify injunctions.” In the District’s view, the district court’s rejection of its private cause of action argument falls within that exception. According to the District, by rejecting that argument, the court “refus[ed] to dissolve [an] injunction[ ].” Id.
The exception provided by § 1292(a)(1) is a limited one, and the Supreme Court has “construed [it] narrowly.”
Carson,
After a series of decisions by the Supreme Court and this court, the scope of § 1292(a)(1) is now relatively clear, though resistant to brief summary. If the interlocutory order in question is one “clearly granting or denying a specific request for injunctive relief’—or, for purpоses of this case, one clearly denying a specific request to dissolve an injunction—it falls within the plain text of § 1292(a)(1) and is appeal-able without any further showing.
Int’l Ass’n of Machinists & Aerospace Workers, AFL-CIO v. Eastern Air Lines, Inc.,
We apply this analysis in the following sections.
A
The first issue is whether the district court’s August 2010 order is one that clearly denies a specific request to dissolve an injunction, and hence is appealable without a further showing.
See I.A.M.,
*1263
The August 2010 order did nothing more than reject the first of two reasons the District offered in support of dissolution, leaving argument on and resolution of the second rationale pending. Indeed, as the terms of the order make clear, it did not deny the District’s motion in its entirety, but only “as to the private right of action issue.”
Salazar,
The crux of the District’s contrary argument is that: “It does not matter what the district court may yet do” in ruling on the remaining rationale; “what matters is that the order in question indisputably did refuse to dissolve or modify the Settlement Order.” District Reply Br. 6. The implications of this argument are sweeping: in a more complicated case, it would permit a party to present five, or ten, or a hundred arguments for vacating an injunction, and then appeal each time the court decided аny one of them. This would certainly leave the barrier against piecemeal appeals with as many holes as Swiss cheese. 5
Switzerland Cheese
itself makes clear that it does indeed matter whether there is something more that the district court “may yet do.” There, the Supreme Court held that the plaintiffs could not appeal the denial of a motion for summary judgment on a request for a permanent injunction, because a trial on unresolved factual issues was still in the offing.
This court reached a similar result in
Center for National Security Studies,
The District objects that barring an appeal at this juncture “would еlevate form
*1264
over substance” because this court “plainly would have jurisdiction if the District had filed two separate motions (rather than one motion with two separate grounds) and the district court had denied one of them.” District Br. 3. We do not believe that appellate jurisdiction can be conjured so easily. First, had the District attempted to simultaneously file separate motions seeking the same relief and differing only in their rationales, the district court might well have consolidated them by exercising its inherent authority to order its proceedings.
See United States v. Western Elec. Co.,
Nor is there any reason to be embarrassed about “elevatfing] form over substance” under these circumstances. After all, form-over-substance is precisely the point of a doctrine that distinguishes between an order that “clearly” denies a “specific” request to dissolve an injunction, and one that does so only “in practical effect.” Accordingly, the District can justify an appeal at this time only if the August 2010 order falls within the latter category.
B
As we have discussed, an interlocutory order that does not expressly refuse to grant or dissolve an injunction may still be appealable under § 1292(a)(1) if it has the “practical effeсt” of doing so. Although a number of cases have shed light on the meaning of “practical effect,” none has extended the term as far as would be required to cover the order at issue here.
Carson
itself held that a district court’s refusal to grant a joint motion to enter a consent decree containing injunctive relief was in practical effect the denial of an injunction.
See
We need not decide whether to take the still further step that would be
*1265
required to cover the district court’s August 2010 order: that is, characterizing an order rejecting only one of two grounds supporting a motion to dissolve an injunction as having the practical effect of refusing dissolution. Although a “practical effect” order is appealable without more if it “affect[s] predominantly all of the merits,”
I.AM.,
1. The District maintains that the denial of its requested relief threatens “serious, perhaps irreparable consequence” because continuation of the сhallenged orders will “divert [the District’s] increasingly scarce financial and human resources.” Reply Br. 7. “[E]ach day that they are in place,” the District declares, the orders cost it attorneys’ fees, impose litigation burdens, and “consumfe] the time and resources of government officials.”
Id.
at 8-9. These kinds of injuries, however, are generally insufficient to warrant immediate appeal in a “practical effect” case. As we have explained, “[t]he cost and delay associated with litigation does not serve to establish irreparable harm” under
Carson. Western Elec., 777
F.2d at 30;
see I.A.M.,
The District also contends that continuation of the orders “threatens ‘serious, perhaps irreparable’ harm to separation of powers and democratic principles” because it “deprives] its current elected officials of their ‘designated legislative аnd executive functions’ ” until the district court issues a final order. Reply Br. 7 (quoting
Home v. Flores,
*1266
To begin with, the strength of the District’s concern about the Settlement Order’s fiscal and democratic consequences is cast in doubt by its rеcent vintage. The District waited
seven years
after the Court issued
Gonzaga
before bringing its.motion to terminate based on that decision, and it has not explained why its concern only recently became so pressing.
Cf. Quince Orchard Valley Citizens Ass’n v. Hodel,
Moreover, although the District repeatedly states that it was the district court that “chose” to initially address only one of its two grounds for relief, Reply Br. 1, 2, 5, that is not quite the whole story. After the District filed its motion to terminate the Settlement Order, the plaintiffs promptly filed a motion to take discovery on the factual question of whether the District was—as it contended—in compliance with federal law. The District responded by opposing the plaintiffs’ request, proposing that they not be allowed to take discovery until after the court resolved the private cause of action issue. Defs.’ Opp. to Pis.’ Mot. for Disc, at 2-3 (J.A. 678-79). “If the Court rules against thе District,” the District’s opposition said, “discovery can commence!, and] it is difficult to imagine any possible prejudice to the plaintiffs in waiting.” Id. at 3 (J.A. 679). 10 In short, it was the District’s litigation strategy, adopted by the court, that led to the bifurcation of issues; had the District not proposed bifurcation, discovery regarding compliance would have proceeded in tandem with briefing on the cause of action issue. And if the litigation had proceeded in that fashion, it is likely that by now either the District would be frеe of the Settlement Order or we would be reviewing the merits of a final decision.
Finally, the District’s inactivity in the district court after that court rejected its cause of action argument only adds to our skepticism regarding its claim of “serious, perhaps irreparable” harm. During the entire time its appeal has been pending, the District has done nothing to pursue a decision on its statutory compliance argument.
See
Oral Arg. Recording at 7:15-7:45; Civil Docket for Case No. 1:93-cv00452 (as of Mar. 6, 2012). Under these circumstances, and absent any more particularized showing of irreparable injury, we conclude that the District has failed to meet the first
Carson
requirement.
Cf. Carson,
2. The District’s contention that the court’s order satisfies the second Carson requirement because it “can be effectively challengеd only by immediate appeal,” Reply Br. 9, is even weaker than its claim of irreparable injury. The District argues that we must hear its appeal immediately because, since the date the District Court decided “the private right of action issue now before this court, no action has been taken to advance resolution of the remaining issues [of statutory compliance] raised in the District’s motion.” Id. (emphasis added). But the use of the passive voice obscures the fact that the District itself *1267 has taken no action to advance the resolution of the matter in the district court, as we have just discussed. Under these circumstances, the District’s concern is premature at best, and we have no reason to conclude that the order rejecting the District’s private cause of action argument cannot be challenged effectively once there is a ruling on its remaining compliance argument.
Accordingly, the District’s piecemeal appeal fails both Carson requirements, and we are therefore without jurisdiction to hear it аt this time. 11
III
For the foregoing reasons, we dismiss the District’s appeal for lack of jurisdiction.
So ordered.
Notes
. Under Rule 60(b), the court may grant relief from a final judgment based on, inter alia, a finding that "the judgment has been satisfied, released or discharged; ... or applying it prospectively is no longer equitable," Fed. R. Civ. P. 60(b)(5), or for "any other reason that justifies relief,” id. 60(b)(6).
.
Carson
did not itself contain the “affects predominantly all of the merits” exception, which comes from this court's decisions in
I.A.M.,
.
Cf. Western Elec.,
. The argument that the Settlement Order is an injunction for purposes of § 1292(a)(1) is quite strong, given this court’s broad definition of an injunction as any order " 'directed to a party, enforceable by contempt, and designed to accord or protect some or all of the substantive relief sought by a complaint in more than preliminary fashion,' ”
E-Gold,
. We do not mean to suggest that whenever there is something more that the district court "may yet do,” a party cannot appeal under § 1292(a)(1). Indeed, because § 1292(a)(1) authorizes appeals from "interlocutory” orders, there will always be something yet to do in the district court. We merely hold that, when a district court rejects only one of multiple grounds for dissolving an injunction, the court has not "in terms” refused to dissolve that injunction within the meaning of Carson.
. Although in
Switzerland Cheese
the Supreme Court did not describe the order at issue as one having the "practical effect” of refusing an injunction, it subsequently did so in
Carson,
explaining that the
Switzerland Cheese
petitioners' appeal had been dismissed because they were unable to show irreparable harm from waiting until the judgment was final.
. We note that, although the orders in
Switzerland Cheese
and
Center for National Security Studies
were regarded as having the practical effect of refusing injunctions, the appeal in each was ultimately dismissed for lack of jurisdiction.
See
.
Cf. I.A.M.,
. In
Carson,
by contrast, the claimed injuries were sufficiently irreparable. There, the consent decree that the district court deniеd would have directed changes in the defendant employer’s personnel policies for the benefit of the plaintiff employees.
See
. There was nothing in the District’s opposition to suggest that it planned to appeal immediately if it lost the cause of action issue; to the contrary, the filing gave every indication that if the District lost, it would move ahead on the compliance question.
. We note that under a different jurisdictional provision, 28 U.S.C. § 1292(b), "a party may ask the district court to certify, and the court of appeals to accept, an interlocutory appeal” of an order that involves " ‘a controlling question of law,' the prompt resolution of which 'may materially advance the ultimate termination of the litigation.' "
Mohawk Indus., Inc. v.
Carpenter, __U.S.__,
