Present: Carrico, C.J., Lacy, Hassell, Keenan, Koontz, and
Lemons, JJ., and Whiting, S.J.
TAYLOR R. WILLIS OPINION BY
SENIOR JUSTICE HENRY H. WHITING
v. Record No. 011306 April 19, 2002
JAMES G. MULLETT, M.D., ET AL.
FROM THE CIRCUIT COURT OF THE CITY OF ROANOKE
A. Dow Owens, Judge Designate
This appeal involves the constitutionality of a statute
that reduces the tolling period provided for infants' tort
claims if those claims allege medical malpractice.
I
Code § 8.01-229(A)(2)(a) provides that "[i]f an infant
becomes entitled to bring [an] action, the time during which he
is within the age of minority shall not be . . . counted as any
part of the period within which the action must be brought." In
1987, the legislature reduced this tolling period for infants
with medical malpractice claims by requiring that any such
actions brought on their behalf
shall be commenced within two years of the date of the
last act or omission giving rise to the cause of
action except that if the minor was less than eight
years of age at the time of the occurrence of the
malpractice, he shall have until his tenth birthday to
commence an action.
Code § 8.01-243.1 (the medical malpractice statute of
limitations for minors); Acts 1987 chs. 294, 645. 1
II
Taylor R. Willis was 15 years old when Doctors James G.
Mullet 2 and Michael A. Sisk, acting for their respective
employers, Radiology Associates of Roanoke, P.C., and, Roanoke
Neurological Associates, Inc. (collectively the defendants),
committed acts of alleged medical malpractice upon him from July
15 to 18, 1995. Over four years later, after he reached his
majority, 19-year-old Willis filed this medical malpractice
action against the defendants.
The defendants filed pleas of the statute of limitations
alleging that the medical malpractice statute of limitations for
minors required Willis to file this action within two years of
July 18, 1995, the date of the final alleged act of malpractice.
Willis responded that the statute was unconstitutional and,
thus, that he was entitled to the benefit of the general tolling
period for infants.
After considering argument on the pleas and memoranda of
counsel, which included copies of various study reports of
1
Code § 1-13.42(1) provides that the words "infant" and
"minor" "shall be construed to mean a person under eighteen
years of age."
2
All the pleadings filed by counsel for the defendant James
G. Mullet indicate that spelling of his last name and not the
2
legislative subcommittees, the trial court held that the medical
malpractice statute of limitations for minors was constitutional
and sustained the defendants’ pleas. Willis appeals.
III
Willis challenges the constitutionality of the medical
malpractice statute of limitations for minors because it
creates a special and reduced tolling period for infants
with medical malpractice claims as compared to infants
having other tort claims. Willis contends that this
distinction violates the equal protection and due process
rights guaranteed to him by both the United States
Constitution and the Constitution of Virginia and is a
"special law" forbidden by Article IV, Section 14 of the
Constitution of Virginia.
Equal protection and due process rights are described
in Section 1 of the Fourteenth Amendment to the United
States Constitution in the following language: "No state
shall . . . deprive any person of life, liberty, or
property, without due process of law; nor deny to any
person within its jurisdiction the equal protection of the
laws." The due process guarantees of Article I, Section 11
spelling of “Mullett” as in the captions of the motion for
judgment and some subsequent pleadings and orders.
3
of the Constitution of Virginia are virtually the same as
those of the United States Constitution.
However, the equal protection rights of Article I,
Section 11 of the Constitution of Virginia are provided in
its so-called "anti-discrimination" clause, which states:
"the right [of a person] to be free from any governmental
discrimination upon the basis of religious conviction,
race, color, sex, or national origin shall not be
abridged." The "special law" provision is in Article IV,
Section 14 of the Constitution of Virginia, which states
that "[t]he General Assembly shall not enact any local,
special, or private law . . . [g]ranting to any private
corporation, association, or individual any special or
exclusive right, privilege, or immunity."
IV
We must first determine the standard of review
applicable in assessing the constitutionality of the
medical malpractice statute of limitations for minors.
Willis maintains that this statute affects his fundamental
right to a jury trial under Article I, Section 11 of the
Constitution of Virginia and that, therefore, we must
review its constitutionality under the so-called "strict
scrutiny" test. That test requires that the statute in
dispute be necessary to promote a compelling governmental
4
interest. Mahan v. National Conservative Political Action
Comm., 227 Va. 330, 336, 315 S.E.2d 829, 832 (1984).
Willis argues that since minors have no right to bring
actions during their minority, any such actions must be
brought in the minor’s name by his next friend under the
provisions of Code § 8.01-8. Willis notes that if the next
friend, negligently or otherwise, fails to file the action
within the reduced time required under the medical
malpractice statute of limitations for minors, the minor
would lose his right to a jury trial. He asserts that this
possible loss of a right to a jury trial invalidates the
statute.
The possibility that some minors may ultimately see
their rights lapse due to the responsible adult’s
negligence was discussed in a subcommittee report. Report
of the Joint Subcommittee Studying the Liability Insurance
Crisis and the Need for Tort Reform, House Doc. No. 12,
1986, at 7. Presumably, this possibility was considered
and resolved when the General Assembly weighed the merits
of the medical malpractice statute of limitations for
minors. See Industrial Dev. Auth. v. La France Cleaners &
Laundry Corp., 216 Va. 277, 282, 217 S.E.2d 879, 883 (1975)
(in determining reasonableness of statute, courts look to
what legislature could have known at time of its
5
enactment). The legislature was thus free to presume that
some adult responsible for the minor’s welfare, usually a
parent, would act diligently and prudently to protect the
minor's interests. See Washabaugh v. Northern Virginia
Const. Co., 187 Va. 767, 773, 48 S.E.2d 276, 279 (1948)
("primary duty to inform, advise, and protect a child . . .
is upon the parents"). Moreover, we will not question "the
propriety, wisdom, necessity and expediency of [this]
legislation." City of Richmond v. Fary, 210 Va. 338, 346,
171 S.E.2d 257, 263 (1969).
The parties agree that if an action is brought by a
next friend within the reduced tolling period of the
medical malpractice statute of limitations for minors, the
minor would have a right to a jury trial on disputed
factual claims. Accordingly, the issue is simply one of
the validity of the legislative time limitation on Willis's
right of action. Such a limitation does not deny a
fundamental constitutional right. See Hess v. Snyder Hunt
Corp., 240 Va. 49, 53, 392 S.E.2d 817, 820 (1990)
(imposition of statute of repose no denial of fundamental
constitutional right).
Indeed, because a legislature may abolish "a cause of
action, [it] may [also] extinguish a cause of action by the
imposition of a statute of limitations" without affecting a
6
fundamental constitutional right. Pulliam v. Coastal
Emergency Servs., Inc., 257 Va. 1, 13, 509 S.E.2d 307, 314
(1999) (analogizing imposition of statute of limitations to
validate statute imposing medical malpractice cap). Hence,
we reject Willis's claim that the medical malpractice
statute of limitations for minors effectively denies him
the right of a jury trial.
V
Because we conclude that the enactment of the medical
malpractice statute of limitations for minors does not involve
the denial of Willis's asserted fundamental constitutional right
to a jury trial, we apply the so-called "rational basis" test in
reviewing its constitutionality under due process, equal
protection, and special legislation provisions. Under that
test, legislation passes constitutional muster under procedural
due process requirements if it "guarantees a litigant the right
to reasonable notice and a meaningful opportunity to be heard."
Etheridge v. Medical Ctr. Hosps., 237 Va. 87, 97, 376 S.E.2d
525, 530 (1989). It also complies with substantive due process
requirements "if [it] has a reasonable relation to a proper
purpose and is not arbitrary or discriminatory." Pulliam, 257
Va. at 21, 509 S.E.2d at 318.
Legislation meets equal protection requirements "if the
legislature could reasonably have concluded that the challenged
7
classification would promote a legitimate state purpose." Id.
Further, a statute does not transgress special legislation
proscriptions if it bears "a reasonable and substantial relation
to the object sought to be accomplished by the legislation."
Id. at 18, 509 S.E.2d at 317 (citations and internal quotations
omitted).
In applying the rational basis test, we accord a
presumption of constitutionality to the statute, "uphold[ing]
statutory classifications if they bear some rational
relationship to a legitimate legislative interest or purpose."
Mahan, 227 Va. at 335-36, 315 S.E.2d at 832. Also, under this
test, if any state of facts reasonably can be conceived that
would sustain the necessity for the legislation and the
reasonableness of its classifications, that state of facts at
the time of the legislative enactment must be assumed. King v.
Virginia Birth-Related Neurological Injury Comp. Program, 242
Va. 404, 410 n.3, 410 S.E.2d 656, 662 n.3 (1991) (sustaining
validity of Birth-Related Neurological Injury Compensation Act);
Etheridge, 237 Va. at 102, 376 S.E.2d at 533 (sustaining
validity of legislative limitation of recoveries in medical
malpractice actions).
VI
Willis’s primary contentions are that the medical
malpractice statute of limitations for minors violates one or
8
more of the above constitutional provisions because it
unreasonably, arbitrarily, and irrationally creates different
tolling periods for two classes of infants, those with medical
malpractice claims and those with other tort claims, without
evidence to justify the distinction. 3 In support, he cites: (1)
the evidence presented to the legislative subcommittee of the
limited number of claims made by such parties after they had
reached their majority; (2) the lack of a study of the effect of
a reduction of the tolling period for such claims on medical
liability insurance premiums; and (3) the lack of evidence to
support the legislature's assertion that medical malpractice
claims are much more "complex" than other tort claims, thereby
justifying a shortened tolling provision to prevent stale
medical malpractice claims by infants.
In response, the defendants note the legislative
subcommittee's statement of the background of this and other
medical malpractice legislation "to alleviate the 'medical
malpractice insurance crisis.'" Report of the Joint
Subcommittee Studying the Liability Insurance Crisis and the
3
Willis relies upon a number of cases in other
jurisdictions to support his primary and other contentions. We
do not discuss them because they were generally decided under
constitutional and statutory provisions differing from those
involved in this case. Those cases and other cases containing
conflicting opinions are noted in a recent ALR annotation.
Christopher Hall, Annotation, Medical Malpractice Statutes of
Limitation Minority Provisions, 71 A.L.R. 5th 307 (1999).
9
Need for Tort Reform, Senate Doc. No. 11, 1987, at 5.
Additionally, they note the following parts of the
subcommittee's findings and recommendations:
Insurers find it difficult to adequately assess the risk
exposure of health care providers who treat minors because
of the long tail on the claim. Under Virginia law, a minor
has until his [eighteenth] birthday to file a claim. Code
§§ 8.01-1-13.42, -229(A)(2)(a). It is extremely difficult
to document or prove or disprove events which occurred as
long as twenty years ago for birth-related injuries. This
problem is compounded by the inherent complexity of medical
malpractice cases.
Recognizing (i) the particular and severe insurance
availability problems facing physicians, (ii) the need of
insurers for predictability of risk exposure and (iii) the
effect of the provisions tolling the two-year statute of
limitations during minority on the availability of insurers
to adequately assess their risk of loss, the joint
subcommittee recommends that the statute of limitations, as
it applies to minors in medical malpractice actions, be
modified. . . . The proposal is based on a similar
provision in Indiana law and would require actions by
minors who are injured by malpractice while under the age
of six to commence the action before reaching age eight. A
minor six years of age or older who is injured by medical
malpractice would not have the benefit of any tolling
provision. The joint subcommittee believes that this
proposal will accomplish the goal of relieving the
insurance availability crisis while affording reasonable
protection to an injured minor. 4
Id. at 13.
In the two cases sustaining the constitutional validity of
the medical malpractice cap imposed by Code § 8.01-581.15, we
said that "the necessity for and the reasonableness of
10
classification are primarily questions for the legislature. If
any state of facts can be reasonably conceived . . . that would
sustain [the classification] that state of facts at the time the
law was enacted must be assumed." Pulliam, 257 Va. at 18-19,
509 S.E.2d at 317; Etheridge, 237 Va. at 102, 376 S.E.2d at 533
(quoting Martin's Ex'rs v. Commonwealth, 126 Va. 603, 612-13,
102 S.E. 77, 80 (1920)). Thus, this Court will not "second
guess" the legislature's judgment and determine the necessity
for and reasonableness of the classification. Etheridge, 237
Va. at 102 n.4, 376 S.E.2d at 533 n.4. Moreover, "a
classification will not be ruled unconstitutional merely because
it causes some inequality or some discrimination." Id. at 104,
376 S.E.2d at 534.
Given these principles and the background of this
legislation and applying the rational basis test, we hold that
the legislature could reasonably provide different tolling
periods and statutes of limitation without violating any of the
constitutional provisions relied upon by Willis. Specifically,
we cannot say from a due process standpoint that the challenged
legislation: (1) does not give prospective litigants reasonable
notice and an opportunity to be heard; (2) lacks a reasonable
relation to the proper public purposes of "relieving the
4
The legislature modified a part of this recommendation by
extending the tolling period to the minor’s eighth birthday and
11
insurance availability crisis" and eliminating stale medical
malpractice claims of infants; or (3) is arbitrary or
discriminatory in differentiating between infants with medical
malpractice claims and infants with other tort claims.
Accordingly, we hold that the medical malpractice statute of
limitations for minors does not violate the due process clauses
of the United States Constitution or the Constitution of
Virginia. See Pulliam, 257 Va. at 21, 509 S.E.2d at 318;
Etheridge, 237 Va. at 97, 376 S.E.2d at 530.
We also think that the legislature could have concluded
that the challenged classification in the medical malpractice
statute of limitations for minors would promote the legitimate
state purposes of "relieving the insurance availability crisis"
and eliminating stale medical malpractice claims of infants.
For that reason, the statute passes muster under the Equal
Protection Clause of the United States Constitution. 5 See
Pulliam, 257 Va. at 21, 509 S.E.2d at 318; Etheridge, 237 Va. at
104, 376 S.E.2d at 534.
the resulting limitation to the minor’s tenth birthday.
5
Article I, Section 11 of the Constitution of Virginia, the
anti-discrimination clause, does not apply to this statute
because its classification is based solely on the type of tort
claim made by an infant, not his "religious conviction, race,
color, sex, or national origin," as proscribed in this
constitutional provision. See Etheridge, 237 Va. at 103 n.5,
376 S.E.2d at 533 n.5.
12
Finally, with the background of the two subcommittees'
reports, we cannot say that the classification resulting from
the medical malpractice statute of limitations for minors does
not bear a reasonable and substantial relation to public welfare
by "relieving the insurance availability crisis." We thus
conclude that the statute is not special legislation in
violation of Article IV, Section 14 of the Constitution of
Virginia. See Pulliam, 257 Va. at 18, 509 S.E.2d at 317;
Etheridge, 237 Va. at 103-04, 376 S.E.2d at 534. 6
For these reasons, we hold that the trial court correctly
sustained the defendants' pleas of the statute of limitations.
Accordingly, the judgment of the trial court will be
Affirmed.
6
We have considered Willis’s remaining contentions and find
them meritless.
13