Lead Opinion
¶1 Petitioner Jaryd Schroeder challenges the constitutionality of RCW 4.16.190(2), which eliminates tolling of the statute of limitations for minors in the context of medical malpractice claims. We hold that RCW 4.16.190(2) violates article I, section 12 of the Washington State Constitution, and we therefore reverse the trial court’s summary judgment order dismissing Schroeder’s medical malpractice action.
FACTS
¶2 On May 22, 2001, Schroeder sought treatment from the respondents, Dr. Steven Weighall and Columbia Basin Imaging. Schroeder was nine years old at the time and suffered from headaches, nausea, dizziness, weakness in his legs, and double vision. He underwent an MRI (magnetic resonance imaging), which Weighall reviewed and found to be normal. Schroeder’s symptoms persisted.
¶3 On either November 9 or 19, 2009,
¶4 On January 13, 2011, the day before his 19th birthday, Schroeder filed a medical malpractice action against Weighall, Columbia Basin Imaging PC, and a third party subsequently dismissed by stipulation. Weighall assertеd that the action was barred by the statute of limitations codified at RCW 4.16.350 and subject to the minority tolling exemption codified at RCW 4.16.190(2).
¶5 RCW 4.16.350 provides that a lawsuit alleging medical malpractice must be filed within three years of the “act or omission” giving rise to the claim or one year after the patient “discovered or reasonably should have discovered” that the injury was caused by the act or omission in question. The statute also imputes a parent’s or guardian’s knowledge to the injured minor. RCW 4.16.350. RCW 4.16-.190(1) provides that the statute of limitations applicable to any legal action shall be tolled during a plaintiff’s minority, incompetency, or incarceration, but RCW 4.16.190(2) eliminates tolling for minors in medical malpractice actions.
¶6 Schroeder and his mother discovered Weighall’s alleged omission in November 2009. On that date, Schroeder was still a minor. If not for RCW 4.16.190(2), the one-year statute of limitations applicable to his claim would have tolled until his 18th birthday on January 14, 2010. In reality, the combined effect of RCW 4.16.350 and .190(2)
¶7 Schroeder appealed the dismissal directly to this court, arguing that RCW 4.16.190(2) violated article I, section 10 and article I, section 12 of the Washington State Constitution.
ANALYSIS
Standard of Review
¶8 We review the constitutionality of a statute de novo. Kitsap County v. Mattress Outlet,
Article I, Section 12
¶9 Article I, section 12 of the Washington Constitution provides that “[n]o law shall be passed granting to any citizen, class of citizens, or corporation other than municipal, privileges or immunities which upon the same terms shall not equally belong to all citizens, or corporations.” As we have noted in several recent cases, this court has construed article I, section 12 as “substantially similar” to the federal equal protection clause for many, many years. Seeley v. State,
1. RCW 4.16.190(2) Grants an “Immunity” under Article I, Section 12
¶10 In Grant County I, we held that article I, section 12, unlike the federal equal protection clause, applies to special interest legislation — laws that confer a benefit on a privileged or influential minority. Grant County I,
¶11 After Grant County II, we have subjected legislation to a two-part test under this “privileges” prong of article I,
¶12 Not every benefit constitutes a “privilege” or “immunity” for purposes of the independent article I, section 12 analysis. Rather, the benefits triggering that analysis are only those implicating “fundamental rights . . . of . . . state . . . citizenship.” Vance, 29 Wash, at 458.
¶13 The benefit that RCW 4.16.190(2) confers is limited liability — an immunity from suits pursued by certain plaintiffs. This court has long recognized that the privileges and immunities contemplated in article I, section 12 include the right to pursue common law causes of action in court.
¶14 This court has also recognized that “[m]edical malpractice claims are fundamentally negligence claims, rooted in the common law tradition.” Putman v. Wenatchee Valley Med. Ctr., PS,
2. There Is No Reasonаble Ground for Limiting Medical Malpractice Defendants’ Liability to Patients Injured during Minority
¶15 The article I, section 12 reasonable ground test is more exacting than rational basis review. Under the reasonable ground test a court will not hypothesize facts to justify a legislative distinction. See, e.g., City of Seattle v. Rogers,
¶16 This court addressed a statute similar to RCW 4.16.190(2) in DeYoung v. Providence Medical Center,
¶17 The evidence in question was a report by the National Association of Insurance Commissioners finding that
¶18 Under DeYoung, the relationship of the class of persons affected by RCW 4.16.190(2) to the goal of reducing insurance costs must be deemed “too attenuated to survive [even] rational basis scrutiny” unless RCW 4.16.190(2) will have a significantly greater effect on insurance premiums than the eight-year statute of repose did. Id. The respondents in this case offer no evidence for this greater effect, but they speculate that it might have motivated the legislature to enact the minority tolling statute: “[T]he legislature, mindful of DeYoung, [might have] believed that . . . medical malpractice claims of nondisabled minors are numerous enough that eliminating tolling as to their claims would materially affect [medical malpractice insurance] rates.” Br. of Resp’ts at 43 n.29.
¶19 Such speculation might suffice under rational basis review. DeYoung,
¶20 In addition to their insurance premium theory, the respondents advance another argument on behalf of the minority tolling statute: that it serves the important pur
¶21 We recognize — as we did in DeYoung — that “compelling a defendant to answer a stale claim is a substantial wrong, and setting an outer limit to operation of the discovery rule is [thus] an appropriate aim.” DeYoung,
¶22 The respondents attempt to explain this distinction by arguing that “parents or guardians may, and often do, sue on an injured child’s behalf.” Br. of Resp’ts at 19. According to the respondents, an injured minor’s parent or guardian has a “vested interest in recover [y],” which prevents RCW 4.16.190(2) from having any significant preclusive effect on minors’ medical malpractice claims. Wash.
¶23 This explanation, of course, directly conflicts with thе respondents’ assertion that the minority tolling statute will eliminate so many medical malpractice claims that insurance rates will drop as a result. If the statute is to be justified on the basis that it will greatly reduce medical malpractice claims, it cannot also be justified on the ground that it will not prevent very many plaintiffs from having their day in court. If it is to be justified on the basis that it is a substantial wrong to permit even one stale medical malpractice claim to proceed, then there can be no rational explanation for the legislature’s failure to eliminate tolling for other incompetent plaintiffs.
3. RCW 4.16.190(2) Also Raises Concerns Underlying Our State Equal Protection Cases
¶24 RCW 4.16.190(2) also raises concerns other than special interest favoritism. While the statute clearly confers a benefit on one group of citizens, it also has the potential to burden a particularly vulnerable minority. Our Grant County analysis emphasized article I, section 12’s concern with special interest legislation, but it did not overrule our long line of article I, section 12 cases addressing laws that burden vulnerable groups. In those cases— our state equal protection cases based on article I, section 12 — we have characterized article I, section 12 analysis as “substantially similar” to federal equal protection analysis. Seeley,
¶25 Those state equal protection cases therefore hold that article I, section 12 requires us to apply different levels of scrutiny depending on whether the challenged law burdened a suspect class, a fundamental right, an important right or semisuspect class, or none of the above. E.g., State v. Hirschfelder,
¶26 Notably, RCW 4.16.190(2) also has the potential to burden a particularly vulnerable population not accountable for its status. In Schaaf, we declined to hold that children were a semisuspect class, but we did so because we concluded that children in general were more socially integrated — and thus better represented in the democratic рrocess — than the “ ‘discrete and insular minorities’ ” considered suspect classes for purposes of federal equal protection analysis. Schaaf,
CONCLUSION
¶27 For the foregoing reasons, we find that RCW 4.16.190(2) violates articlе I, section 12 of the Washington Constitution. We therefore reverse the trial court’s order dismissing Schroeder’s claim.
Notes
The record contains conflicting information as to the date of the second MRI, but the difference is irrelevant to the questions presented here.
Weighall also argued that the action was barred by RCW 4.16.350(3), the eight-year statute of repose for medical malpractice actions, but the parties subsequently agreed to stay the proceedings pending this court’s decision in Unruh v. Cacchiotti,
If RCW 4.16.190(2) had not applied, the one-year statute of limitations would have tolled until Schroeder’s 18th birthday. Had this occurred, Schroeder’s filing date would have fallen just within the one-year statute of limitations applicable to claims discovered after the typical three-year statute had run. RCW 4.16.350(3).
These early decisions include Sherman Clay & Co. v. Brown,
Vance, 29 Wash, at 458 (fundamental rights of state citizenship include “the rights to the usual remedies to collect debts and to enforce other personal rights”); Alton V. Phillips Co. v. State,
The legislature also included this statement of purpose in its 2006 amendment to RCW 4.16.350, which reinstated the eight-year statute of repose struck down in DeYoung.
E.g., Unruh,
Dissenting Opinion
¶28 (dissenting) — Statutes of limitation are critical to the effective functioning of our civil litigation system. Such statutes provide finality in situations where memories are likely to have faded, records have been misplaced, and it is onerous to prove the relative standard of care at the time of the incident. Statutes of limitation further encourage claimants to bring actions in a timely manner while evidence is still fresh.
¶29 Although tort claims are subject by the legislature to various statutes of limitation, RCW 4.16.190 provides a tolling privilege to minors with nonmedical malpractice
¶30 In crafting the tolling exception in RCW 4.16.190(2), the legislature properly considered the differenсes between minors and adults, as well as the special circumstances facing medical malpractice defendants. RCW 4.16.190(2), therefore, comports with article I, section 12 of the Washington Constitution. Furthermore, the statute is rationally related to the legitimate state objective of decreasing medical malpractice costs and reducing the number of stale claims. Consequently, the statute comports with the Fourteenth Amendment to the United States Constitution. The plain language of RCW 4.16.190(2) and RCW 4.16.350 operate to bar Jaryd Schroeder’s claim. Because I would affirm summary judgment, I dissent.
Analysis
¶31 Statutes of limitations in gеneral operate to immunize alleged tortfeasors from lawsuits once claims become stale. Many courts, including this one, have recognized that the legislature has a legitimate interest in protecting potential defendants against stale claims. See, e.g., Stenberg v. Pac. Power & Light Co.,
¶32 RCW 4.16.190 has historically tolled statutes of limitation during a period of incompetency, which covers those under the age of 18. RCW 4.16.190 and RCW 4.16.350 were amended in 2006 as part of a complicated legislative compromise reached by our legislators, then-Governor Gregoire, the trial lawyers, physicians, hospital administrators, and government staff. Waples v. Yi,
A. RCW 4,16.190(2) Comports with Article I, Section 12 of the Washington State Constitution
¶33 In the article I, section 12 privileges and immunities context, legislation is analyzed under a two-part test: (1) whether the challenged law grants a privilege or immunity under our state constitution, Grant County II,
¶34 I agree with the majority that RCW 4.16.190 grants a privilege or immunity by affecting certain plaintiffs’
¶35 In performing a privileges and immunities analysis, we must be extremely cautious to ensure that the classes are framed correctly. Here, it is possible to define the classes in two different ways. The majority adopts Schroeder’s untenable framing of the classes — that RCW 4.16.190 grants health care providers an immunity from defending against stale claims originating from injuries to minors. This framing of the classes defies logic and does violence to article I, section 12 privileges and immunities. By framing the classes in such a way, thе majority overlooks the plain fact that statutes of limitation are the rule and tolling provisions are the exception.
¶36 RCW 4.16.190 does not create an impermissible immunity from lawsuits. Instead, it establishes a permissible privilege of tolling for minors with nonmedical malpractice tort claims and incapacitated adults. Framing the classes in this way is more in line with the plain language of the statute, which is phrased in terms of granting tolling to potential plaintiffs rather than exempting health care providers from lawsuits.
The grounds for granting a tolling privilege to minors with nonmedical malpractice tort claims and incapacitated adults are reasonable
¶37 The legislative purpose in passing RCW 4.16.190(2) and the other 2006 amendments was twofold: (1) to assist in
¶38 Eliminating the stale claims of those exempted from tolling by RCW 4.16.190(2) should reduce the total number of stale claims defendants must face. It is important to recognize, however, that eliminating all categories of tolling would have this same effect. Consequently, there must be a reasonable ground for this seemingly incremental approach.
¶39 The immediate and obvious distinction between incapacitated minors and incapacitated adults is that minors are much morе likely than adults to have someone supervising them who has legal authority to act on their behalf. The legislature can reasonably assume that minors’ interests are being protected by a parent or guardian. See Harlfinger v. Martin,
¶40 Moreover, there is a valid distinction between medical malpractice and other tort claims. In revising the tolling prоvision, the legislature simply accounted for scientific and technological realities present in medical malpractice cases. Massachusetts’ highest court has wisely noted that
*584 [t]he problem of defending stale medical malpractice claims is further exacerbated by the fact that the standard of care is itself subject to rapid and dramatic change, fueled by advances in medical science and technology. From a defendant’s perspective, demonstrating the standard of care of many years past, and that the defendant’s treatment of the plaintiff did not dеviate from it, can be very difficult when, by modern standards, the same care would represent a major deviation.
Harlfinger, 435 Mass, at 43 n.8 (rejecting an equal protection challenge to a statute eliminating tolling for minors). As a consequence, the harm done by requiring a health care provider to defend against stale claims is often more profound than for other categories of tortfeasors. The distinctions underlying RCW 4.16.190(2) are, without a doubt, real and substantial.
¶41 Ultimately, RCW 4.16.190(2) represents the legislature’s pursuit of a specific policy agenda. The legislature is the governmental body responsible for identifying policy goals and implementing them. Unlike this court, the legislature possesses mechanisms for gathering public input such as hearings and committees. The United States Supreme Court has long recognized “that judicial inquiries into legislative or executive motivation represent a substantial intrusion into the workings of other branches of government.” Vill. of Arlington Heights v. Metro. Hous. Dev. Corp.,
B. The Majority Properly Refrains from Addressing the Freestanding Article I, Section 10 Argument
¶42 Thе majority properly declines to address the argument that RCW 4.16.190(2) runs afoul of article I, section 10 of the Washington State Constitution, deciding the case
¶43 Nowhere does Schroeder argue that article I, section 10 alone provides a sufficient basis for invalidating RCW 4.16.190(2). Amicus curiae Washington State Association for Justice Foundation (WSAJF) alone raises the argument that article I, section 10 provides a freestanding basis to invalidate RCW 4.16.190(2). Br. of Amicus Curiae WSAJF at 4-5.
¶44 As a general rule, we will decide a case only on the basis of the issues argued by the parties in their briefs. RAP 12.1(a); see Salstrom’s Vehicles, Inc. v. Dep’t of Motor Vehicles,
C. RCW 4.16.190(2) Comports with the Equal Protection Clause of the Fourteenth Amendment to the United States Constitution
¶45 Schroeder contends that RCW 4.16.190(2) violates the equal protection clause of the Fourteenth Amendment. The federal equal protection clause requires that similarly situated persons receive equal treatment. State v. Harner,
¶46 In analyzing state and federal equal protection challenges, we apply one of three levels of scrutiny: strict
¶47 Here, we must apply rational basis scrutiny. Minors are not a suspect class or a semisuspect class. State v. Schaaf,
¶48 In order to pass rational basis scrutiny, “the legislative classification is upheld unless the classification rests on grounds wholly irrelevant to the achievement of legitimate state objectives.” Harner,
¶49 The legislature did not single out RCW 4.16.190(2) when stating the purposes behind its 2006 amendments. It is clear, however, from the statement of purpose attached to RCW 4.16.350 that the legislative intent was to help reduce medical malpractice insurance rates and prevent defendants from having to defend against stale claims. See Laws of 2006, ch. 8, §§ 301-302. To the extent that health care providers face fewer claims, it is likely that their medical malpractice insurance premiums will decrease. The benefits of such premium decreases will be passed on to Washington state citizens. The legislature undoubtedly has broad authority and discretion over this type of social and economic policy. See Beach Commc’ns,
Conclusion
¶50 When crafting RCW 4.16.190(2), the legislature properly considered the differences between minors and adults, as well as the unique circumstances surrounding medical malpractice defense. The statute passes muster under both the reasonable ground test of article I, section 12, as well as rational basis scrutiny required by the equal protection clause of the Fourteenth Amendment. The plain language of RCW 4.16.190(2) and RCW 4.16.350 operates to bar Schroeder’s claim. Accordingly, this court should affirm summary judgment.
