In the
United States Court of Appeals
For the Seventh Circuit
____________________
No. 12‐3536
JEROME AUGUTIS,
Plaintiff‐Appellant,
v.
UNITED STATES OF AMERICA,
Defendant‐Appellee.
____________________
Appeal from the United States District Court for the
Northern District of Illinois, Eastern Division.
No. 12‐C‐2451 — George M. Marovich, Judge.
____________________
ARGUED SEPTEMBER 13, 2013 — DECIDED OCTOBER 9, 2013
____________________
Before BAUER, FLAUM, and ROVNER, Circuit Judges.
FLAUM, Circuit Judge. After doctors at a Veterans Affairs
hospital amputated his right leg below the knee, Jerome Au‐
gutis filed an administrative claim for medical malpractice
under the Federal Tort Claims Act (FTCA). When his claim
was denied, he requested reconsideration; when that too was
denied, he filed suit in federal court. By this time, however,
over five years had elapsed since the amputation. The dis‐
trict court dismissed the case because under the FTCA the
2 No. 12‐3536
United States is liable only to the extent a private party
would be under state law, and in Illinois plaintiffs must
bring medical malpractice claims within four years of the al‐
legedly negligent act or omission. Augutis now appeals. He
contends that the FTCA does not incorporate Illinois’s four‐
year limit, that the limit is preempted by the FTCA’s own
statute of limitations, and that it does not bar his suit in any
case. We affirm the decision of the district court.
I. Background
On July 14, 2006, Jerome Augutis underwent reconstruc‐
tive surgery on his right foot at the Edward Hines, Jr. VA
Hospital in Hines, Illinois. Complications led doctors to am‐
putate his leg below the knee on September 22. Augutis al‐
leges that his amputation was the result of negligent treat‐
ment, and on July 11, 2008 he timely filed an administrative
complaint with the Department of Veterans Affairs. The De‐
partment denied the claim on September 27, 2010 and in‐
structed Augutis that he had six months to request reconsid‐
eration or file suit.
Augutis timely filed a request for reconsideration on
March 21, 2011. On October 3, 2011, the Department wrote to
inform him that “our office has not completed our reconsid‐
eration,” but that, “[b]ecause the six‐month period [during
which no lawsuit may be filed] has passed, suit can now be
filed in Federal district court, or, additional time can be per‐
mitted to allow the agency to reach a decision.” The letter
also noted that “FTCA claims are governed by a combination
of Federal and state laws” and that “[s]ome state laws may
limit or bar a claim or law suit.” Three days later, on October
6, the Department formally denied Augutis’s request for re‐
consideration. The denial letter explained that “a tort claim
No. 12‐3536 3
that is administratively denied may be presented to a Feder‐
al district court for judicial consideration … within 6
months,” although it again noted that “[s]ome state laws
may limit or bar a claim or law suit.”
Augutis filed suit in federal court on April 3, 2012, over
five years after the alleged malpractice occurred, but within
six months of the Department’s final dismissal. The United
States filed a motion to dismiss, pointing to Illinois’s statute
of repose, 735 ILCS 5/13‐212(a), which requires a medical
malpractice claim to be brought within four years of the date
the alleged malpractice occurred. The district court granted
the motion, observing that the FTCA makes the United
States liable for personal injuries caused by its negligence
“only to the extent it would be liable as a private person un‐
der Illinois law.” Because Augutis could not sue a private
party in 2012 for malpractice that occurred in 2006, it rea‐
soned, he could not sue the United States under the FTCA,
either.
II. Discussion
We review the district court’s grant of a motion to dismiss
de novo. Reger Dev., LLC v. Nat’l City Bank, 592 F.3d 759, 763
(7th Cir. 2010).
In order to take advantage of the FTCA’s “limited waiv‐
er” of sovereign immunity, Luna v. United States, 454 F.3d
631, 634 (7th Cir. 2006), a claimant must present his claims to
the appropriate agency within two years of the date that the
claims accrue. 28 U.S.C. § 2401(b). If the agency fails to make
a final disposition within six months, the claim is deemed
denied and the claimant may file in federal court. 28 U.S.C.
§ 2675(a). Alternatively, the claimant can give the agency
4 No. 12‐3536
more time to resolve the claim; if the claim is eventually de‐
nied, the claimant has another six months to file a lawsuit. 28
U.S.C. § 2401(b).
A claimant who clears these procedural hurdles is not au‐
tomatically free to recover under the FTCA, however. That is
because the FTCA’s jurisdictional grant only covers “circum‐
stances 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.” Morisch v. United
States, 653 F.3d 522, 530 (7th Cir. 2011) (quoting 28 U.S.C.
§ 1346(b)(1)); see also 28 U.S.C. § 2674 (“The United States
shall be liable … in the same manner and to the same extent
as a private individual under like circumstances … .”). Put
another way, the FTCA “incorporates the substantive law of
the state where the tortious act or omission occurred.” Mid‐
west Knitting Mills, Inc. v. United States, 950 F.2d 1295, 1297
(7th Cir. 1991).
The government contends that the Illinois statute of re‐
pose for medical malpractice claims, 735 ILCS 5/13‐212, is
substantive law, and thus bars Augutis’s suit even though he
complied with the FTCA’s own procedural requirements. We
agree.
A. Illinois’s statute of repose is part of the substantive
law of the state where the tortious act or omission
occurred
Section 13‐212 of the Illinois Code of Civil Procedure
states that “[e]xcept as provided in Section 13‐215 of this Act,
no action for damages for injury or death against any physi‐
cian or hospital … shall be brought more than 2 years after
the date on which the claimant knew … of the existence of
No. 12‐3536 5
the injury … but in no event shall such action be brought more
than 4 years after the date on which occurred the act or omission or
occurrence alleged in such action to have been the cause of such
injury or death.” 735 ILCS 5/13‐212(a) (emphasis added).
Illinois courts have described section 13‐212 as a “bifur‐
cated” provision that “provid[es] both a statute of limita‐
tions and a statute of repose.” Kanne v. Bulkley, 715 N.E.2d
784, 787 (Ill. App. Ct. 1999). Statutes of limitations and stat‐
utes of repose are close cousins, but they serve different
goals and operate in slightly different ways. “[A] statute of
limitations is a procedural device … [whose] running simply
bars suit. A statute of repose by contrast is substantive. It ex‐
tinguishes any right to bring any type of cause of action
against a party, regardless of whether such action has ac‐
crued.” Boggs v. Adams, 45 F.3d 1056, 1060 (7th Cir. 1995) (ci‐
tation and internal quotation marks omitted). Statutes of re‐
pose “give[] effect to a policy different from that advanced
by a period of limitations,” namely, “terminat[ing] the possi‐
bility of liability after a defined period of time, regardless of a
potential plaintiff’s lack of knowledge.” Mega v. Holy Cross
Hosp., 490 N.E.2d 665, 668 (Ill. 1986) (emphasis added).
In keeping with these labels, Illinois courts have consist‐
ently construed the four‐year limit in section 13‐212 as a sub‐
stantive limit on liability, not a procedural bar to suit. See,
e.g., Orlak v. Loyola Univ. Health Sys., 885 N.E.2d 999, 1003 (Ill.
2007); Cunningham v. Huffman, 609 N.E.2d 321, 325 (Ill. 1993);
Ferrara v. Wall, 753 N.E.2d 1179, 1181–82 (Ill. App. Ct. 2001).
Indeed, in Hinkle v. Henderson, 85 F.3d 298 (7th Cir. 1996), we
described the section as “an excellent example of how stat‐
utes of limitations and statutes of repose operate.” Id. at 301.
The first part, we said, “is a statute of limitations, because its
6 No. 12‐3536
running is contingent on accrual—plaintiff must have ‘dis‐
covered’ his injury.” Id. The second part, by contrast, “is a
statute of repose, because it begins to run regardless of ‘dis‐
covery’ and sets an outer limit within which a cause of action
must be brought.” Id.
Augutis argues that 735 ILCS 5/13‐212 is not actually
substantive law because statutes of repose ordinarily begin
to run regardless of discovery, while Illinois allows the four‐
year limit to be tolled by the doctrine of fraudulent conceal‐
ment. See DeLuna v. Burciaga, 857 N.E.2d 229, 243–44 (Ill.
2006). It is true that Illinois courts have recognized that ap‐
plying a fraudulent concealment exception to section 13‐212
creates an “arguable logical inconsistency.” Id. at 242. But
even so, they have continued to treat the section as a statute
of repose that serves substantive, not procedural, goals. See,
e.g., Orlak, 885 N.E.2d at 1003. Similarly, in Hinkle, we recog‐
nized that section 13‐212 was “substantive, extinguishing the
right to bring a cause of action,” 85 F.3d at 301, even though
we later noted that Illinois has “expressly except[ed] …
fraudulent concealment from the operation of the statute of
repose.” Id. at 304. We continue to take the Illinois courts at
their word when they describe section 13‐212 as a substan‐
tive limitation on the cause of action for medical malprac‐
tice.1
1 Several of our sister circuits have also treated statutes of repose as
substantive provisions despite a fraudulent concealment exception. See
Huddleston v. United States, 485 Fed. App’x 744, 745–46 (6th Cir. 2012);
Sanford v. Shea, 103 Fed. App’x 878, 881 (6th Cir. 2004); Appletree Square I,
Ltd. P’ship v. W.R. Grace & Co., 29 F.3d 1283, 1285 (8th Cir. 1994); cf. First
United Methodist Church of Hyattsville v. U.S. Gypsum Co., 882 F.2d 862, 866
(continued...)
No. 12‐3536 7
Augutis also argues that even if section 13‐212 is a statute
of repose, it is preempted by the FTCA’s own procedural
scheme. Although we presume that Congress does not in‐
tend to supplant state law, we recognize that “state law may
be preempted by federal legislation either by express provi‐
sion, by implication, or by a conflict between federal and
state law.” Frank Bros., Inc. v. Wis. Dept. of Trans., 409 F.3d 880,
885 (7th Cir. 2005) (internal quotation marks omitted). None
of those circumstances is present here, however. The FTCA
does not expressly preempt state statutes of repose, nor does
it impliedly preempt state substantive law; to the contrary, it
expressly incorporates it. See 28 U.S.C. §§ 1346(b); Molzof v.
United States, 502 U.S. 301, 305 (1992) (“[T]he extent of the
United States’ liability under the FTCA is generally deter‐
mined by reference to state law.”). And here there is no con‐
flict between state and federal law because it was possible
for Augutis to have satisfied the requirements of both re‐
gimes.
Augutis filed his administrative claim within two years
of the date that his cause of action accrued. Although he did
not receive a response for twenty‐six months, by which time
the statute of repose had run, after six months he was free to
bring an action in federal court under 28 U.S.C. § 2675(a) (the
“deemed denied” provision). In other words, Augutis had
approximately eighteen months to file suit while complying
(...continued)
(4th Cir. 1989) (noting that Maryland expressly applied its fraudulent
concealment statute to the medical malpractice statute of repose, but not
to its statute of repose for improvements to realty).
8 No. 12‐3536
with both the FTCA procedures and the Illinois statute of re‐
pose. By choosing instead to continue pursuing his adminis‐
trative claim, Augutis allowed the statute of repose’s four‐
year clock to expire, extinguishing his nascent federal claim.
That result was unfortunate—and Augutis may understand‐
ably feel frustrated with the pace of the administrative
claims process—but that cannot cause us to expand the
FTCA’s limited waiver of sovereign immunity.
We therefore conclude that, as a substantive limitation on
the tort of medical malpractice, the Illinois statute of repose
is part of “the substantive law of the state where the tortious
act or omission occurred.” Midwest Knitting Mills, 950 F.2d at
1297. In so doing, we join two of our sister circuits, which
have also determined that “an FTCA claim does not lie
against the United States where a statute of repose would
bar the action if brought against a private person in state
court.” Anderson v. United States, 669 F.3d 161, 165 (4th Cir.
2011); Smith v. United States, 430 Fed. App’x 246, 246–47 (5th
Cir. 2011) (per curiam); cf. Huddleston v. United States, 485
Fed. App’x 744, 745–46 (6th Cir. 2012) (dismissing an FTCA
suit where the plaintiff did not file his administrative claim
until after the state statute of repose had run).
B. Augutis’s FTCA claim is barred by the Illinois stat‐
ute of repose for medical negligence claims
Augutis filed his FTCA action in federal court six months
after the Department of Veterans Affairs denied his request
for reconsideration, but over five years after the allegedly
negligent act or omission occurred. The Illinois statute of re‐
pose states that “in no event shall [a medical malpractice ac‐
tion] be brought more than 4 years after the date on which
No. 12‐3536 9
occurred the act … alleged in such action to have been the
cause of such injury or death.” 735 ILCS 5/13‐212(a).
Augutis briefly suggests that his administrative claim
was an “action” within the meaning of section 13‐212, but
that is not what the word means in this context. An action
must be filed in a court, not with a federal agency. See 735
ILCS 5/2‐201(a) (“Every action, unless otherwise expressly
provided by statute, shall be commenced by the filing of a
complaint.”). In passing, he also argues that he was under a
“legal disability” during the pendency of his administrative
claim. Like fraudulent concealment, legal disability can toll
the statute of repose. See 735 ILCS 5/13‐212(c). However, the
purpose of section 13‐212(c) is “to protect the rights of those
who are not competent to do so themselves.” DeLuna, 857
N.E.2d at 239 (emphasis added). As Augutis alleges nothing
that would call into question his competency to file a federal
action—one that, as discussed above, he was free to bring six
months after he filed his administrative claim pursuant to 28
U.S.C. § 2675(a)—that provision is inapposite here.
Finally, Augutis argues that the United States ought to be
equitably estopped from invoking the statute of repose be‐
cause the letters he received from the Department of Veter‐
ans Affairs caused him to believe he could delay filing suit in
district court. As a general matter, equitable estoppel does
not apply to statutes of repose. See McCann v. Hy‐Vee, Inc.,
663 F.3d 926, 930 (7th Cir. 2011). Yet even if Illinois were to
recognize an estoppel exception, and even if equitable es‐
toppel were available against the federal government (an
open question, see Solis‐Chavez v. Holder, 662 F.3d 462, 471
(7th Cir. 2011)), that doctrine cannot help Augutis. As the
government points out, the Department’s first letter to Augu‐
10 No. 12‐3536
tis was sent on September 27, 2010—i.e., shortly after the
four‐year repose period had elapsed. Equitable estoppel re‐
quires that there be some detriment to the party that reason‐
ably relies on another party’s misrepresentation. See LaBonte
v. United States, 233 F.3d 1049, 1053 (7th Cir. 2000). But by the
time Augutis received anything to rely on, his claim had al‐
ready been extinguished.2
In short, this is not a case “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 oc‐
curred.” 28 U.S.C. § 1346(b)(1). Accordingly, Augutis’s FTCA
claim is barred.
III. Conclusion
For the foregoing reasons, we AFFIRM the district court’s
dismissal of Augutis’s case.
2 We do not mean to imply that the Department’s September 27, 2010
letter was in fact misleading. Although there is no need to decide that
question, we note that the language at issue is required by 28 C.F.R.
§ 14.9(a).