MEMORANDUM OPINION AND ORDER
THIS MATTER is before the Court on Defendants’ Motion to Dismiss Counts I and II of the First Amended Complaint for Lack of Subject Matter Jurisdiction and to Dismiss ACL Hospital as a Party, filed June 10, 1999 [Doc. No. 105]; Plaintiffs Motion for Partial Summary Judgment that Plaintiff Prevails on her [Emergency Medical Treatment and Active Labor Act] EMTLA Claims Against ACL Hospital, filed June 10, 1999 [Doc. No. 113]; Defendant’s Motion for Judgment on the Pleadings, filed June 10, 1999 [Doc. No. 109]; Defendants’ Motion for Partial Summary Judgment that the New Mexico Medical Malpractice Cap Does Not Apply to the U.S. Government, filed June 10, 1999 [Doc. No. 117]; Unopposed Motion by Defendant United States to File Surreply, filed June 21, 1999 [Doc. No. 126]; and United States’ Motion to Strike Unsigned Changes to Plaintiffs’ Expert’s Deposition Testimony, filed June 28, 1999 [Doc. No. 134], The Court having considered the motions, responses, replies, relevant law, and being otherwise fully informed, finds that Defendant’s Motion to Dismiss Counts I and II and Plaintiffs’ Motion for Partial Summary Judgement that the New Mexico Medical Malpractice Cap Does Not Apply to the U.S. Government are well taken and will be GRANTED; that Plaintiffs’ Motion for Partial Summary Judgement that Plaintiff Prevails on her EMTLA Claims, Defendant’s Unopposed Motion to File a Surreply, and Defendant’s Motion to Strike Unsigned Changes will be DENIED AS MOOT; and that Defendant’s *1297 Motion for Judgment on the Pleadings is not well taken and will be DENIED.
BACKGROUND
Plaintiffs Michael Cheromiah (senior) and Dianne Cheromiah here bring suit against the United States Government, seeking damages for the death of their adult son, Michael Cheromiah (junior). Plaintiffs assert a claim for medical malpractice under the Federal Tort Claims Act, two claims under the Emergency Medical Treatment and Active Labor Act (“EMTALA”), and a claim for loss of consortium.
For the purposes of resolving these motions, the Court finds that the following are the undisputed material facts:
Indian Health Services (“IHS”), an agency of the United States government, owns and operates the Acoma Canoncito Laguna Hospital (“ACL Hospital”), located within the bounds of Acoma tribal land. IHS operates ACL Hospital pursuant to a lease agreement with the Acoma Tribe. The hospital provides 24-hour emergency service primarily to members of the Aco-ma Tribe and residents of other neighboring reservations. ACL Hospital participates in the Medicare system, routinely making claims on behalf of its many Medicare eligible patients.
Michael Cheromiah (junior) went to the emergency room at ACL Hospital four times between October 31 and November 4, 1995, seeking treatment for an acute respiratory problem. Doctors at ACL Hospital failed to diagnose or treat what later turned out to be a bacterial infection, even after having been informed that Che-romiah’s family physician suspected such an infection. When Cheromiah made his fourth and final trip to the emergency room, his condition was so dire that the attending physician ordered his immediate transfer to a hospital in Albuquerque offering more complete services. By the time Cheromiah arrived at the Albuquerque hospital he was in cardiac arrest. During the attempts to save his life, doctors discovered a hole in his heart caused by the undiagnosed and untreated bacterial infection. Despite the efforts to save him, Michael Cheromiah (junior) died on November 4, 1995. He was 20 years old.
Michael Cheromiah (junior) was an enrolled member of the Laguna Tribe. Dianne Cheromiah is an enrolled member of the Acoma Tribe and Michael Cheromi-ah (senior) is an enrolled member of the Laguna Tribe. 1
Currently before the Court are numerous motions of the parties. The United States moves to dismiss the two claims pled under the EMTLA, arguing that the United States has not waived immunity from suit under these provisions and that this Court is therefore without jurisdiction to entertain these claims. Plaintiffs, for their part, have moved for summary judgment on the EMTLA claims and the United States has moved to file a surreply to this motion. Additionally, Plaintiffs seek partial summary judgment in their favor that the New Mexico Medical Malpractice Cap does not apply to the United States government, arguing in this context that Acoma tribal law should control this case. Finally, the United States seeks judgement on the pleadings as to Plaintiffs’ claim for loss of consortium and seeks to substitute itself in place of ACL Hospital as a named defendant in the case.
STANDARD OF REVIEW
A. Motion to Dismiss for Lack of Jurisdiction Under Rule 12(b)(1)
Federal courts are courts of limited jurisdiction and may only exercise jurisdiction when specifically authorized to do so.
Castaneda v. INS,
Rule 12(b)(1) motions to dismiss for lack of subject matter jurisdiction typically take two forms: a facial challenge or a factual challenge.
Holt v. United States,
A court, however, is required to convert a Rule 12(b)(1) motion to dismiss into a Rule 12(b)(6) motion or a Rule 56 summary judgment motion when “resolution of the jurisdictional question is intertwined with the merits of the case.”
Holt,
B. Motion for Judgement on the Pleadings Under Rule 12(c)
A Rule 12(c) motion for judgment on the pleadings is governed by the same standards as a Rule 12(b)(6) motion to dismiss.
Mock v. T.G. & Y.,
C. Motion for Summary Judgment Under Rule 56
Summary judgment is an integral part of the Federal Rules of Civil Procedure, which are intended to “‘secure the just, speedy and inexpensive determination of
*1299
every action.’ ”
Celotex Corp. v. Catrett,
The movant bears the initial burden of showing “there is an absence of evidence to support the nonmoving party’s case.”
Bacchus Indus., Inc. v. Arvin Indus., Inc.,
Although the material submitted by the parties in support of and in opposition to the motion must be construed liberally in favor of the party opposing the motion,
Harsha v. United States,
ANALYSIS
The Court will first address whether the United States Government is immune from suit under the EMTLA. Finding that it is, the Court will dismiss Counts I and II of the Complaint and deny the other motions related to these counts as moot. The Court will then address whether ACL Hospital is a proper defendant under the remaining claims, concluding that the United States government should be substituted in place of the Hospital in the Complaint. The Court will then turn to Plaintiffs’ Motion that the New Mexico Medical Malpractice Cap Does Not Apply to the United States government. Because the Court concludes that Acoma tribal law must control this case, the Court will likewise find that the New Mexico Malpractice Cap does not apply in this case. Finally, the Court will address Defendant’s Motion for Judgement on the Pleadings as to Plaintiffs’ loss of consortium claim. Because Defendant’s argument regarding this count is based entirely on New Mexico law, which does not apply to this case, the Court will deny this motion at this time.
1. Plaintiffs’ EMTLA Claims and Sovereign Immunity
Plaintiffs may not pursue their EMTLA claims against the United States unless it has waived its sovereign immunity from suit under the statute.
Department of Army v. Blue Fox, Inc.,
A waiver of sovereign immunity must be “ ‘unequivocally expressed’ in the statutory text.”
Blue Fox,
The EMTLA provides, in pertinent part, as follows:
[a]ny individual who suffers personal harm as a direct result of a participating hospital’s violation of a requirement of this section may, in a civil action against the participating hospital, obtain those damages available for personal injury under the law of the State in which the hospital is located, and such equitable relief as is appropriate.
42 U.S.C. § 1395dd(d)(2)(A). Although there are other enforcement mechanisms available under the Act, this is the only part that speaks to the private right to sue. See 42 U.S.C. § 1395dd(d).
As the text plainly shows, no mention is made of the United States government or any hospital owned or maintained by the United States. The statute thus contains no “unequivocally expressed” waiver of sovereign immunity.
See Lebron v. Ashford Presbyterian Comm. Hospital,
In an effort to resist this conclusion, Plaintiffs cite two district court cases for the proposition that the EMLTA contains “a waiver” of state sovereign immunity which, by implication, supports the conclusion that the United States has also waived immunity from suit under the statute.
See Helton v. Phelps County Regional Medical Center,
Plaintiffs also expend much energy arguing: (a) that the United State’s government’s sovereign immunity is implicitly waived by the fact that the statute provides for suit against any “participating hospital”; (b) that the legislative history expresses an intent for the statute to apply to public as well as private hospitals; and (c) that as a matter of public policy, the United States should be amendable to suit under the EMTLA. The Court, however, can give no weight or consideration to these arguments. As noted above, a waiver of immunity by the United States must be “unequivocally expressed in the statutory text.”
Blue Fox,
Accordingly, because the United States remains immune from suit under the EMTLA, this Court lacks subject matter jurisdiction over these claims and Counts I and II of the Complaint must be dismissed. All motions related to these Counts will also be denied as moot.
2. ACL Hospital as a Named Defendant
The United States next argues that under the remaining FTCA and associated loss of consortium claims ACL Hospital is not a proper defendant and requests that it be substituted in place of the Hospital. See 28 U.S.C. §§ 1346(b), and 2671-2680 (providing for substitution). Plaintiffs argue only that ACL Hospital is a proper defendant to the EMTLA claims. Having dismissed these claims for lack of subject matter jurisdiction, this argument plainly fails. Further, as previously noted by this Court, “the law unequivocally provides for substitution.” Memorandum Opinion and Order of February 24, 1999. Therefore, the United States Government will be substituted in place of ACL Hospital who shall be dismissed from the Complaint.
3. The FTCA and the Application of Acoma Tribal Law
Plaintiffs’ seek a ruling from this Court that the New Mexico Medical Malpractice Cap does not apply to the United States government. In this context, Plaintiffs argue that because the torts alleged in this case occurred within the exterior boundaries of the Acoma Tribe, on tribal land, the law of New Mexico does not apply to this case at all. Rather, Plaintiffs assert, the FTCA requires that the law of the Acoma Tribe govern this case. The United States responds that the law of New Mexico governs, as previously held by one court in this district.
The FTCA provides, in pertinent part, as follows:
the district courts ... shall have exclusive jurisdiction of civil actions on claims against the United States, for ... personal injury or death caused by the negligent or wrongful act or omission of any employee of the Government while acting within the scope of his office or employment, under circumstances where the United States, if a private person, would be liable to the claimant in accordance with the law of the place where the act or omission occurred.
28 U.S.C. § 1346(b)(1). Plaintiffs’ argument that the law of the Acoma Tribe controls this case is simple and direct and based entirely on the text of the statute, as follows: the statutory text provides that the United States shall be liable “in accor *1302 dance with the law of the place where the act or omission occurred;” the medical malpractice alleged in this case occurred within the boundaries of the Acoma Tribe, on tribal lands; therefore, pursuant to the plain language of the text, the law of the tribe controls this case. The logic of this simple syllogism is compelling.
The Supreme Court has stated that “[i]t is clear ... that the term ‘place’ in the Federal Tort Claims Act means the political entity ... whose laws shall govern the action against the United States ‘in the same manner and to the same extent as a private individual under like circumstances.’ ”
Hess v. United States,
However, contrary to the assertion of the United States in its Response Memorandum and imprecise statements in the case law, “the law of the place” does not mean simply “the law of the state.” Rather, it means just what it says, “the law of the
place.”
Thus, in the District of Columbia, the law of the District is applied to FTCA claims,
Gelley v. Astra Pharmaceutical Products Inc.,
On the other hand, because this case involves questions of tribal jurisdiction, the situation presented here is more complex then with the territories. The FTCA makes the United States liable only “under circumstances where the United States, if a private person, would be liable” according to the law of the place. 28 U.S.C. § 1346(b)(1);
see also Hess,
Before addressing this question directly, the Court must pause to recognize the principles embodied in federal case law which inform any analysis of the exercise of Indian sovereign authority. The Supreme Court has recognized that, “[t]hrough various Acts governing Indian tribes, Congress has expressed the purpose of ‘fostering tribal self-government.’ ”
Merrion v. Jicarilla Apache Tribe,
[i]t is clearly established law that Indian tribes do not derive their sovereign powers from congressional delegation. Rather, tribal sovereignty is inherent, and tribes retain ‘attributes of sovereignty over both their members and their territory, to the extent that sovereignty has not been withdrawn by federal statute or treaty.’
Kerr-McGee v. Farley,
The Supreme Court has held that “Indian tribes possess a broad measure of civil jurisdiction over the activities of non-Indians on Indian reservation lands in which - the tribes have a significant interest:”
Washington v. Confederated Tribes of Colville Indian Reservation,
Specifically, in
Montana, supra,
“the pathmarking case concerning tribal civil authority over nonmembers,”
Strate,
[t]o be sure,«Indian tribes retain inherent sovereign power to exercise some forms of civil jurisdiction over non-Indians on their reservations, even on non-Indian fee lands. A tribe may regulate, through taxation, licensing, or other means, the activities of nonmembers who enter consensual relationships with the tribe or its members, through commercial dealing, contracts, leases, or other arrangements. A tribe may also retain inherent power to exercise civil authority over the conduct of non-Indians on fee lands within its reservation when that conduct threatens or has some direct effect on the political integrity, the economic security, or the health or welfare of the tribe.
Id. (citations omitted). As explained by the court in the more recent case, Strate, supra,
Montana thus described a general rule that, absent a different congressional direction, Indian tribes lack civil authority over the conduct of nonmembers on non-Indian land within a reservation, subject to two exceptions: The first exception relates to nonmembers who enter consensual relationships with the tribe or its members; the second concerns activity that directly affects the tribe’s political integrity, economic security, health, or welfare.
Strate,
In
Strate,
the Court addressed whether the Three Affiliated Tribes (Mandan, Hi-datsa, and Arikara) had jurisdiction over a personal injury action against a non-Indian
*1304
corporation as a result on an auto accident involving two non-Indians on a public highway maintained by the state pursuant to federally granted right-of-way over Indian lands.
Strate,
Turning to the two
Montana
exceptions, the
Strate
court concluded that the first exception, for “activities of nonmembers who enter consensual relationships with the tribe or its members,” did not apply because the auto accident involved only non-Indians, and thus, “presents no ‘consensual relationship’ [with the Tribe] of the qualifying kind.”
Id.
at 457,
In the case at bar, the facts demonstrate that the United States government operates ACL Hospital pursuant to a lease with the Acoma Tribe and that the hospital is located within the exterior boundaries of tribal lands. The United States has not asserted that the Hospital sits on non-Indian owned land and the fact that the Hospital is operated pursuant to lease with the Tribe supports the inference that the land is also owned by the Tribe. However, the Court has unfortunately not been provided any information pertaining directly to the ownership of the land. This leaves the Court unduly hampered in resolving the issues currently before it.
Nevertheless, assuming that the Hospital sits on land which, although within the territory of the tribe, is some how subject to less tribal authority-as in
Strate
and Montana^-the Court concludes that this case falls within both of the
Montana
exceptions for the exercise of tribal authority over non-tribal members.
See Montana,
Further, taking into consideration the limited scope of the second
Montana
exception as explained in
Strate,
the Court finds that this is one of the unique situations in which the conduct of non-members so impacts the “health or welfare of the tribe” that the second
Montana
exception applies as well.
Montana,
Based on the forgoing, the Court finds that if the United States were a private person, it could be sued in Acoma Tribal Court for the alleged negligence of its agents.
See
28 U.S.C. § 1346(b)(1). Thus, the Court finds that the Acoma Tribe is the relevant political entity who controls the jurisdiction in which the alleged tort occurred.
See Hess,
In reaching this conclusion, this Court must part ways with three unpublished district court opinions addressing the same issue, including one from this district.
2
In
Louis v. United States,
In
Louis, Chips,
and
Azure,
all three courts observe that the law of the state in which the reservation is located has routinely been applied to FTCA claims arising from on reservation conduct.
Louis,
— F.Supp. 2d at -, slip op. at 4;
Chips,
slip op. at 4;
Azure,
slip op. at 8;
cf. Hatahley v. United States,
Next, Louis and Chips both note that “Plaintiff does not offer any supporting authority for the proposition that tribal law should be applied as ‘the law of the place’ under the FTCA.” Louis, — F.Supp.2d at - slip op. at 5; Chips, slip op. at 4. Even accepting this as true, it merely restates the point noted above, i.e., that this has never been done before. More importantly however, it is incorrect. Plaintiffs offer the statutory text as supporting authority for their argument. They need nothing else.
Azure is the only case of the three to actually address whether a private person standing in the shoes of the United States in that case would be amendable to suit in tribal court and therefore subject to the laws of the tribe. Azure, supra, slip op. at 10-11. Azure involved a non-Indian who was injured in a car accident allegedly caused by an Indian, employed by the federal government. Id. at 1-2. The non-Indian filed a FTCA claim in federal court against the United States government and the United States filed for indemnity against the Indian driver-employee. The district court was presented with a motion to dismiss by the Indian driver, arguing that he should be sued first in tribal court, or in the alternative for the application of tribal law under the FTCA. Id. at 7. Addressing the later argument, the court noted that the parties had failed to provide information regarding the ownership status of the property where the accident occurred. Assuming that the more restrictive standards for tribal authority governed, the court applied the Montana test and determined that neither exception applied. Id. at 10. Regarding the second prong, the court stated it was “unconvinced that the commission of an act of negligence by a nonmember ‘so threatens the Tribe’s political or economic security as to justify tribal regulation.” Id. Oddly, the court made no effort to address the more obvious argument: that the negligence directly effected the health or welfare of the tribe. Regardless, the present facts are distinguishable from Azure in that the Court has determined that both Montana exceptions apply, for the reasons discussed above.
Returning to Louis, which is, for all practical purposes, identical to the current case, Judge Black also stated that the parties failed to provide him with sufficient *1307 information to determine the ownership status of the lands where ACL Hospital is located. Louis, supra, at-, slip op. at 5, n. 5. Judge Black did not discuss or apply the Montana test which would govern tribal jurisdiction in this case assuming the most restrictive form of authority over the land in question. See Id. Rather, Judge Black observed that the application of tribal law to FTCA claims would be impractical because “it would subject the United States to varying and often unpredictable degrees of liability depending on the reservation that was the site of the occurrence.” Id. at n. 5. He concluded that “[t]he Court does not believe Congress intended such a result when adopting the FTCA ....” Id. Judge Black then held, without further explanation, that New Mexico law governed the case. Id.
It is here that this Court must respectfully disagree with the reasoning of
Louis, supra.
The FTCA specifically provides for “varying and unpredictable degrees of liability” by specifically providing that the law of the place where the tort occurred shall control.
See
28 U.S.C. § 1346(b)(1);
Richards v. United States,
Undoubtedly, as previously observed by this Court, “the 550 Tribes [currently recognized in this nation] clearly out rank the 50 states and various territories in number ...,” leading to a greater degree of variability than if the law of the state controlled all FTCA claims.
NLRB v. Pueblo of San Juan,
Further, the United States government stands in a unique situation in that is has also committed itself to numerous treaties with the tribes.
See Tsosie v. United States,
Finally, “[a]mbiguities in federal law have been construed generously in order to comport ... with traditional notions of sovereignty and with federal policy encouraging tribal independence.”
White Mountain Apache Tribe v. Brackert,
The United States makes two additional arguments which the Court should address but which may be rejected quickly. First, the United States asserts that if the law of the tribe is applied to this case, then this will some how triggers the FTCA exception for torts which occur in foreign countries.
See
28 U.S.C. § 2680(k);
Smith v. United States,
In sum, the Court finds that, assuming the most restrictive scope of tribal authority over the lands in question, the Acoma Tribe would still have jurisdiction over a private, non-Indian entity standing in the government’s shoes, pursuant to both of the Montana exceptions. Accordingly, the Court finds that the Acoma Tribe is the “political entity” whose laws control the place where the alleged negligence occurred and, therefore, that Acoma tribal law is the “law of the place” under the FTCA. Thus, the Court holds that Acoma tribal law governs this case.
In the interest of judicial economy, the Court will
sua sponte
certify this issue for
*1309
interlocutory appeal, pursuant to 28 U.S.C. § 1292(b). As the Court’s review of the case law demonstrates, there is “substantial ground for difference of opinion” on this issue. 28 U.S.C. § 1292(b);
see Young v. Nationwide Life Ins. Co.,
4. New Mexico Medical Malpractice Cap
Plaintiffs seek a ruling that the New Mexico Medical Malpractice Cap does not apply to the United States in this case.
See
N.M.S.A. § 41-5-6(A) and (B) (limiting recovery in malpractice cases to $600,-000). If the Court were to apply New Mexico law to this case, it would likely conclude that the cap does in fact apply.
See Louis v. United States,
5. Plaintiffs’ Loss of Consortium Claims
Defendant asserts that New Mexico does not recognize a loss of consortium claim brought by the parents of an adult child. It is true that although New Mexico recognizes loss of consortium claims for the death of a minor child, State law does not permit such claims for the parents of an adult child.
See Solon v. WEK Drilling Co., Inc.,
*1310 6. Trial Briefs
Finally, in ease the United States chooses not to appeal the ruling of the Court immediately, and in anticipation of the pending trial date, currently one month away, the Court hereby orders the parties to submit trial briefs outlining the application of Acoma tribal law to the facts of this case. In the event that the government does not appeal, both briefs shall be due ten days prior to trial. The briefs shall not exceed thirty (30) pages and the parties shall provide the Court with copies of all decisions and statutes cited.
CONCLUSION
IT IS THEREFORE ORDERED that Defendants’ Motion to Dismiss Counts I and II of the First Amended Complaint for Lack of Subject Matter Jurisdiction and to Dismiss ACL Hospital as a Party [Doc. No. 105] is hereby GRANTED; Plaintiffs Motion for Partial Summary Judgment that Plaintiff Prevails on her EMTLA Claims Against ACL Hospital [Doc. No. 113] is hereby DENIED AS MOOT; Defendant’s Motion for Judgment on the Pleadings [Doc. No. 109] is hereby DENIED; Plaintiffs’ Motion for Partial Summary Judgment that the New Mexico Medical Malpractice Cap Does Not Apply to the U.S. Government [Doc. No. 117] is hereby GRANTED; Unopposed Motion by Defendant United States to File Surre-ply [Doc. No. 126] is hereby DENIED AS MOOT; and United States’ Motion to Strike Unsigned Changes to Plaintiffs’ Expert’s Deposition Testimony [Doc. No. 134]is hereby DENIED AS MOOT.
IT IS FURTHER ORDERED that Counts I, and II are hereby DISMISSED WITH PREJUDICE. Further, the United States government shall be substituted in place of ACL Hospital who shall be DISMISSED from the Complaint. In addition, the question of whether Acoma tribal law applies to this case is hereby certified for immediate interlocutory appeal. The United States is also granted leave to file a second motion to dismiss the loss of consortium claim, addressing Acoma tribal law. Finally, in the event that the government chooses not to appeal immediately, the parties are hereby ordered to submit trial briefs ten days prior to the trial date, as explained in the body of this opinion.
Notes
. In addition to the forgoing, Plaintiffs assert numerous additional "undisputed facts” in support of their motions for summary judgement, some of which Defendant does in fact dispute. Because the Court does not find it necessary' to reach the legal issues to which these facts relate, as explained below, the Court will not recite these facts here.
. The Court has not found and the parties have not cited any published opinions addressing this issue.
