OPINION
STATEMENT OF THE CASE
Appellant-Plaintiff, Marsha Ledbetter (Ledbetter), appeals the trial court's Order in favor of Appellees-Defendants, Robert Hunter, M.D. (Hunter), Lawrence Benken, M.D. (Benken), and Ball Memorial Hospital (the Hospital) (collectively, Appellees), dismissing Ledbetter's medical malpractice claim under the Privileges and Immunities Clause of the Indiana Constitution.
We reverse and remand for further proceedings.
ISSUE
Ledbetter raises one issue on appeal, which we restate as follows: whether the trial court erred in dismissing Ledbetter's medicаl malpractice claim, holding that the statute of limitations for minors, contained in the Indiana Medical Malpractice Act, did not violate the Privileges and Immunities Clause of the Indiana Constitution.
FACTS AND PROCEDURAL HISTORY
Trenda Ledbetter (Trenda) was born at the Hospital in Muncie, Indiana, on November 25, 1974, Prenatal care was provided and the birth was attended by Hunter and Benken. Trenda alleged that medical malpractice by the attending physicians triggered birth complications, causing serious and permanent physical and mental injuries. On April 22, 1994, within two years of her eighteenth birthday, Trenda filed a medical malpractice claim against the Appellees, who subsequently moved to dismiss Trenda's Complaint, contending that her claim was barred by the Indiana Medical Malpractice Act's statute of limitation. On August 11, 1994, after hearing oral argument on the motions, the trial court entered judgment granting the motions of the Appellees.
Trenda appealed. On June 30, 1995, this court reversed the trial court's Order dismissing Trenda's claim and remanded this cause to the trial court to determine whether the Indiana statute of limitations for medical malpractice as applied to minors is constitutional under the Indiana Constitution's Privileges and Immunities Clause, as discussed in Collins v. Day, 644 *1098 N.E.2d 72 (Ind.1994). The next day, on July 1, 1995, Trenda died. On July 2, 1997, her mother was substituted as plaintiff.
On March 22, 2002, Ledbetter filed her brief on remand in opposition to the Appel-lees' motion to dismiss. On May 28, 2002, Appellees filed their response briefs. Subsequently, on June 27, 2002, Ledbetter filed a reply brief. On August 12, 2008, after conducting a hearing, the trial court ordered Ledbetter's Complaint dismissed with prejudice. ~
Ledbetter now appeals. Additional. facts will be provided as necessary.
DISCUSSION AND DECISION
Ledbetter contends that the trial court erred by finding that the statute of limitations with regard to minors, as contained in the Indiana Medical Malpractice Act, did not violate the Privileges and Immunities Clause of the Indiana Constitution. Specifically, she argues that the' application of the Collins two-pronged test reveals the unconstitutionality of the statute of limitations as it applies to minor victims. In support of her contention, Ledbetter first advances the result of various Non-party Requests for Production upon numerous medical malpractice insurance carriers to demonstrate that the state interest underlying the Medical Malpractice Act's statute of limitations-the threat of a reduction in available healthcare services-either never was, or no longer is, compelling. Secondly, Ledbetter asserts that not all minor victims of medical malpractice are treated the same. In particular, Led-better alleges that the statute creates two subclasses of minor medical malpractice victims: those with parents who choose to file a claim on behalf of their minor child and those minors whose claims are extinguished because their parents fail to act.
I. Standard of Review
When a party challenges a statute based upon a violation of the Indiana Constitution, our standard of review is well-settled. "Every statute stands before us clothed with the presumption of constitutionality until clearly overcome by a contrary showing." Boehm v. Town of St. John,
Moreover, we review the constitutionality of statutes with the understanding that "[the legislature has wide latitude in determining public policy, and we do not substitute our belief as to the wisdom of a particular statute for those of the legislature." Boehm,
II. History of the Statute of Limitations
Prior to Trenda's birth in 1974, the statute of limitations that applied to all claims of medical malpractice was contained in Ind.Code § 34-4-19-1. This statute pro
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vided that a medical malpractice victim had two years from the date of the negligent act or omission in which to file suit. However, by the time Trenda was born, our supreme court had issued its decision in Chaffin v. Nicosia,
[It makes practical sense particularly with respect to infants, who, because of their youth, cannot be expected to articulate their physical and mental condition or to realize and act timely to preserve their legal rights. It is not difficult to conceive of situations where the results of medical malpractice upon an infant could remain undiscovered for a number of years.
Id. at 871.
For religious reasons, Ledbetter did not file suit on Trenda's behalf at the time of her birth and, for similar reasons, declined to do so at any time thereafter. Nevertheless, Ledbetter understood that under Indiana law, Trenda could decide up to two years after her eighteenth birthday whether to sue Appellees. Ledbetter informed Trenda of her right to sue when she reached the age of majority.
However, in 1975, the statute of limitations, as stipulated in Chaffin, unexpectedly changed with the passage of the Indiana Medical Malpractice Act. Under the Act, a medical malpraсtice claim must be filed within two years of the date of the act, omission, or neglect, except that a minor less than six years of age has until the minor's eighth birthday to commence a suit, See I.C. § 84-18-7-1-1(b). Additionally, the statute included a retroactive clause, applicable to Trenda's claim, which changed her statute of limitations from her twentieth birthday to her eighth birthday. Unaware of the change in the law, Trenda, onee she reached eighteen, commenced the instant case in accordance with the two-year statute of limitations in effect on the date of her birth.
II. Indiana Medical Malpractice Act
Ledbetter now contends that the statute of limitations with regard to minors, as included in the Indiana Medical Malpractice Act, violates the Privileges and Immunities Clause of the Indiana Constitution under the Collins v. Day,
In its landmark decision of Collins, our supreme court abandoned the traditional Fourteenth Amendment serutiny analysis in favor of an independent analysis of Indiana's equal privileges clause. Prior to Collins, Indiana's equal privileges clause and the federal Constitution's privileges and immunities clause were considered coextensive and thought to protect identical rights. See Johnson,
First, the disparate treatment accorded by the legislation must be reasonably *1100 related to inherent characteristics which distinguish the unequally treated classes. Second, the preferential treatment must be uniformly applicable and equally available to all persons similarly situated. Finally, in determining whether a statute complies with or violates Section 283, courts must exercise substantial deference to legislative discretion.
Id.
However, five years later, our supreme court expanded Collins' second prong analysis in Martin v. Richey,
Turning to the merits of the case at hand, we will discuss each prong under Collins separately.
A. Disparate Treatment
As to the first prong, Collins requires us to examine whether the disparate treatment accorded by the legislation is reasonably related tо the inherent characteristics which distinguish the unequally treated classes. See Collins,
Ledbetter initially contends that the statute of limitations under the Indiana Medical Malpractice Act is unconstitutional because it distinguishes between minors injured by medicаl malpractice and minors injured by other torts. Specifically, Led-better asserts that minor victims of medical malpractice are expressly mandated to file their suit within two years of the injury, or by their eighth birthday if injured in the first six years of life, whereas minor victims of other torts have until two years after the legal disability is removed. 1 See I.C. § 34-11-6-1.
Defining the unequally treated classes as the minor victims of medical malpractice versus the minor victims of other torts, precedent establishes that this disparate treаtment is justified because it reasonably relates to the goal of maintaining sufficient medical treatment and control-Ting malpractice insurance costs. In Johnson, our supreme court noted that immediately prior to the enactment of the Indiana Medical Malpractice Act several medical malpractice insurance policies in the State ceased or limited their medical malpractice insurance coverage because of unprofitability. See Johnson,
most children by the time they reach the age of six years are in a position to verbally communicate their physical complaints to parents or other adults having a natural sympathy with them. Such communications and the persons whom they reach may to some appreciable degree stand surrogate for the lack of maturity and judgment of infants in this matter.
Id. at 604. See also Martin v. Richey,
Nevertheless, our supreme court clarified in Collins that "a classification which was proper when enacted may later cease to satisfy the requirements of section 28 because of intervening changes in social or economic conditions." Collins,
These Nonparty Requests for Production span the time period of 1970, four years before the enactment of the Indiana Medical Malpractice Act, through the present. These Requests were designed to determine what significance, if any, the statute of limitations for minors had on the affordability of medical malpractice insurance. Through a myriad of questions, Led-better attempts to establish the financial importance of medical malpractice claims filed by minors and their potential adverse impact on the availability of health care nationwide. Ultimately, none of the insurance carriers could produce any documents showing that they had considered the impact of medical malpractice claims filed by minors in the calculation of their premiums. Furthermore, no responses were received indicating that there would be a loss of medical services if the statute of limitations for minors was extended to run until two years after the minor reached the age of majority. Consequеntly, Ledbetter presented us with persuasive empirical evidence effectively undermining the rationale supporting the disparate treatment as accepted by our supreme court in Johnson. 2
However, Appellees assert that a second rationale for the classification, advanced by Johnson, is not negated by Ledbetter. In Johnson, our supreme court noted that the general purpose of a statute of limitation is to encourage prompt presentation of
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claims. The success rate in challenging a claim, long after the wrong has occurred, can be diminished by reason of dimmed memories: See Johnson,
Faced with this uncontroverted empirical evidence, we conclude that the classification between minors injured by medical malpractice and minor victims of other torts is no longer reasonably related to the goal of maintaining sufficient medical treatment and controlling malpractice insurance costs. See Collins,
B. Uniformly Applicable to the Class
The second prong of Collins requires the preferential treatment to be uniformly applicable and equally available to all persons similarly situated. Id. at 80. Ledbetter now claims that not all similarly situated minors injured by medical malpractice are equally affected by the classification. In particular, Ledbetter argues that in order for injured minors to file a claim for medical malpractice, their parents must be willing to initiate the suit on thеir behalf. Consequently, Ledbetter asserts that within this subclass, there will be parents, such as Trenda's mother, who are unwilling to file suit, whereas other parents will preserve their infants' claims by commencing a lawsuit. We agree with Ledbetter that the current legislative scheme does not meet Collins' uniformity requirement.
Historically, the law has recognized that special rules are necessary to protect the legal rights of children. In this and other States, courts and legislatures have generally conferred a special status on minors with respect to their legal capacity to sue and be sued. Because of their lack of experience, judgment, knowledge, resources, and awareness, minors cannot effectively assert and protect their legal rights. That is especially true in the context of medical malpractice lawsuits with respect to infants who suffer physical, mental, or emotional injuries that are not apparent and cannot be discernеd or communicated until he or she reaches a later stage of development and is more mature.
While the vast majority of claims on behalf of infants injured by medical malpractice will still be brought within a relatively short time after the injury occurs, this all depends upon his or her own good fortune. Even though the minor possesses a statutorily guaranteed right to bring an action, he cannot assert it unless someone *1103 else, over whom he has no control, learns about it, understands it, is aware of the need to take prompt action, and in fact takes such action.
Although lawsuits asserting a violation of a minor's rights may be brought by parents or guardians, such persons have no statutory duty to assert a minor's legal claims. If parents and guardians fail to assert a minor's claim because they are neglectful, unavailable, disinterested, or because they have a conflict of interest in filing a lawsuit on behalf of the minor, the minor's legal claim can never be asserted when the statute of limitations, as included in the Indiana Medical Malpractice Act, bars the cause of action. In effect, the doors of the courthouse will forever be closed to them.
In so holding, we are mindful of the fact that the Collins court cautioned that conformity with the Privileges and Immunities Clause does not require exact precision: "lilt is almost impossible to provide for every exceptional and imaginary case, and a legislature ought not to be required to do so at the risk оf having its legislation declared void, even though appropriate and proper as applied to the general subject upon which the law intended to operate." Id. at 80. However, this is not an "exceptional" or "imaginary" case; the statute as it stands completely forecloses the opportunity to be heard to a potentially large percentage of those plaintiffs within the class. Thus, the treatment accorded by the legislation is not equally applied to all those persons who share the inherent characteristics that justify the classification. See id. at 80.
Even assuming arguendo, that the question presented by Collins' second prong here is whether the statute is unconstitutional as applied, as established by our supreme court in Martin, the result would nevertheless remain the same. See Martin,
Based on our analysis of the evidence under Collins' two-pronged test, we 'conclude that the classification between minors injured by medical malpractice and minor victims of other torts is no longer reasonably related to the goal of maintaining sufficient medical treatment and controlling malpractice insurance costs. See Collins,
CONCLUSION
Based on the' foregoing, we conclude that the trial court erred in dismissing Ledbetter's medical malpractice.
*1104 Reversed and remanded, for further proceedings consistent with this opinion.
Notes
. Thus, a minor injured when he falls off a chair in a hospital has until two years after his eighteenth birthday to bring a tort claim, whereas, a minor injured by hospital employees' medical malpractice must bring his suit within two years of the act or before his eighth birthday, if he was younger than six years old.
.' With regard to empirical evidence, the opinion of the Utah Supreme Court in Lee v. Gaufin,
