KAYATTA, Circuit Judge.
Plaintiff Angel Sanchez, a widower and the executor of his wife's estate, sued his wife's doctors for medical malpractice. As it turned out, those doctors were federal employees, against whom claims are forever barred unless brought within the two-year limitations period Congress allowed under the Federal Tort Claims Act ("FTCA"), as opposed to the three-year period allowed by Massachusetts law for medical malpractice claims. As it also turned out, those doctors' status as federal employees was not readily apparent to one who undertook no investigation. Mr. Sanchez's lawyers both made no such investigation and waited more than two years before presenting his claim. Based on our prior, controlling holding in a closer case, Gonzalez v. United States, 284 F.3d 281
The accuracy of the allegation that the doctors were negligent is not yet at issue in this stage of this lawsuit. Otherwise, the material facts of this case, especially those relating to the procedural history and posture of the suit, are undisputed. Cf. Merlonghi v. United States, 620 F.3d 50, 54 (1st Cir. 2010).
Dr. Rafaela Sanchez
Mr. Sanchez retained legal counsel at some point prior to February 2010. Counsel waited until April 11, 2012—35 ½ months after Dr. Sanchez's death—to file suit on Mr. Sanchez's behalf against Dr. Cotter in Massachusetts state court. Nine days later, they filed an amended complaint, adding Dr. Dennis as a defendant. Unbeknownst to Mr. Sanchez and his counsel, as employees of LCHC both doctors were deemed to be federal employees under the Federally Supported Health Centers Assistance Act of 1992, Pub. L. 102-501, 42 U.S.C. § 233. As we have explained before, see Gonzalez v. United States, 284 F.3d 281, 286, 288, 291 (1st Cir. 2002), and explain again below, tort claims against such doctors for malpractice within the scope of their employment are claims against the United States, barred if not properly pursued within two years of their accrual (as opposed to three years under Massachusetts law, see Mass. Gen. Laws ch. 260, § 2A).
The United States removed the case to federal court, and substituted itself as the defendant. See 28 U.S.C. § 2679(d). The district court dismissed the suit for lack of subject matter jurisdiction after finding it time-barred. Mr. Sanchez appeals.
Federal courts lack jurisdiction over claims against the United States unless the government has waived its sovereign immunity. See, e.g., F.D.I.C. v. Meyer, 510 U.S. 471, 475, 114 S.Ct. 996, 127 L.Ed.2d 308 (1994). Absent waiver, this immunity applies to tort claims against federal employees for conduct within the scope of their employment. Cf. 28 U.S.C. §§ 1346(b)(1), 2679; Merlonghi v. United States, 620 F.3d 50, 54 (1st Cir. 2010). The FTCA is "a limited waiver" of that immunity, Abreu v. United States, 468 F.3d 20, 23 (1st Cir. 2006), giving federal courts jurisdiction over civil claims against the government for death or injury "caused by the negligent or wrongful act or omission of any employee of the Government ... 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).
The FTCA's limited waiver of immunity comes with an expiration date. Specifically, an FTCA claim is "forever barred unless it is presented in writing to the appropriate Federal agency within two years after such claim accrues or unless action is begun within six months after" the agency denies the claim. Id. § 2401(b).
It is undisputed that, in this case, Drs. Cotter and Dennis were federal employees at the time of their alleged malpractice, the FTCA applies to the claims brought against them (now against the United States), and Mr. Sanchez did not present his claim to any federal agency, or file suit, within two years of his wife's death. The district court therefore dismissed this lawsuit, finding that it lacked subject matter jurisdiction to hear a case against the United States not allowed under the FTCA.
Mr. Sanchez argues that under the "discovery" rule, his claim did not accrue until May 27, 2010, at the earliest. Alternatively, he argues that the running of the two-year
Questions of exhaustion and timeliness pose similar potential bars to this lawsuit. They may both be seen as jurisdictional bars. See, e.g., Román-Cancel v. United States, 613 F.3d 37, 42 (1st Cir.2010) (timeliness); Barrett ex rel. Estate of Barrett v. U.S., 462 F.3d 28, 37 (1st Cir.2006) (exhaustion); Acosta v. U.S. Marshals Serv., 445 F.3d 509, 513 (1st Cir.2006)(same); Gonzalez v. United States, 284 F.3d 281, 287, 291 n. 11, 293 (1st Cir.2002) (treating timeliness as jurisdictional in affirming dismissal of an unexhausted claim, and concluding that section 2679(d)(5) did not apply). Alternatively, either or both may be seen as nonjurisdictional, but essential, claim-processing rules. See, e.g., Kwai Fun Wong v. Beebe, 732 F.3d 1030, 1039 (9th Cir.2013) (en banc) (concluding that section 2401 constitutes a non-jurisdictional claim-processing rule); Glade ex rel. Lundskow v. United States, 692 F.3d 718, 723 (7th Cir.2012) (exhaustion requirement is not jurisdictional and may be waived). In either event, we certainly have some "leeway to choose among threshold grounds for denying audience to a case." Sinochem Int'l Co. Ltd. v. Malaysia Int'l Shipping Corp., 549 U.S. 422, 431, 127 S.Ct. 1184, 167 L.Ed.2d 15 (2007) (citations and internal quotation marks omitted).
Determining that this lawsuit should have been dismissed without prejudice due to failure to exhaust would be the narrowest approach to disposing of this appeal, because it is undisputed that Mr. Sanchez has never presented his claim to the Department of Health and Human Services. See McNeil v. United States, 508 U.S. 106, 113, 113 S.Ct. 1980, 124 L.Ed.2d 21 (1993); Celestine v. Mount Vernon Neighborhood Health Ctr., 403 F.3d 76, 84 (2d Cir.2005) (affirming a dismissal where failure to exhaust barred the claim "and would continue to bar it even if any possible unjust effects of disparities between state and federal statutes of limitations were remedied by equitable tolling."). Mr. Sanchez would then presumably present the claim to the agency within sixty days of final entry of the judgment of dismissal; the agency would deny the claim as untimely, and Mr. Sanchez would file suit anew. At that point, the FTCA's exhaustion requirement arguably would have been satisfied, leaving only the question of timeliness. With the aid of the Westfall Act, Mr. Sanchez would then present exactly the same arguments that he now presents, asking us to find that this suit was commenced within two years of when his claim accrued.
Little commends such an approach unless it is truly necessary. Nor does any party request it, each presumably recognizing that it would add expense and delay without offering any countervailing pragmatic benefit. Accordingly, as we did in Gonzalez, we find it most appropriate to forgo the question of administrative exhaustion and go straight to the question of timeliness upon which the final disposition of this case will necessarily turn.
The parties agree that our review of the district court's ruling under Rule 12(b)(1)
As noted above, the FTCA limitations period expires two years after the claim accrues. 28 U.S.C. § 2401(b). A cause of action generally accrues when the plaintiff is injured. Donahue, 634 F.3d at 623. Nevertheless, in FTCA medical malpractice cases, the "discovery rule" may delay accrual until a plaintiff knows (or reasonably should know) both that he is injured and what caused his injury; it does not, however, postpone accrual until a potential plaintiff also learns that his injury was negligently inflicted. See id.; see also United States v. Kubrick, 444 U.S. 111, 122-23, 100 S.Ct. 352, 62 L.Ed.2d 259 (1979). The discovery rule incorporates an objective standard. To delay commencement of the running of the statute of limitations, "the factual basis for the cause of action must have been inherently unknowable [that is, not capable of detection through the exercise of reasonable diligence] at the time of injury." Gonzalez, 284 F.3d at 288-89 (citation and internal quotation marks omitted); see also Ramírez-Carlo v. United States, 496 F.3d 41, 47 (1st Cir.2007). "Once a plaintiff knows of the injury and its probable cause, he/she bears the responsibility of inquiring among the medical and legal communities about whether he/she was wronged and should take legal action." Gonzalez, 284 F.3d at 289 (citing Kubrick, 444 U.S. at 123, 100 S.Ct. 352).
It is beyond reasonable dispute that the claim here accrued well before April 11, 2010. Dr. Sanchez died on April 24, 2009, after giving birth. Her injury was then, by its nature, complete and obvious. The cause—post-partum bleeding—was both known and chronicled contemporaneously. The death of a generally healthy woman in childbirth is sufficiently rare in this country today so as to make most reasonable people ask why it happened. Mr. Sanchez is apparently just such a reasonable person, who wisely and understandably turned to experts in an effort to answer that question, retaining his present law firm sometime prior to February 2010.
The decision to retain malpractice counsel following a mother's death in childbirth
Mr. Sanchez notes that the autopsy report was not available until May of 2010. The autopsy report, though, largely confirmed information in or suggested by the already available records: it listed as the cause of death postpartum DIC of unknown cause, and both placenta previa and placenta accreta as "final diagnoses." In short, it revealed no new cause of injury.
Mr. Sanchez also argues that the claim did not accrue until April 2012, when he received legible copies of the final six pages of medical reports including the handwritten intraoperative reports. He does not adequately explain, however, either what efforts were made to get them sooner, or how their absence precluded him from timely filing his claim. Cf. T.L. ex rel. Ingram v. United States, 443 F.3d 956, 964-65 (8th Cir.2006) (noting that a cause of action may not accrue until critical medical records are received, but declining to toll the limitations period where the plaintiff did not show that only the missing records held the critical information). He points to no information in these records that is both newly revealed and reasonably necessary to ascertaining the cause of the injury. In sum, in this case arising out of an unexpected nosocomial death, witnessed by identifiable professionals who chronicled the injury, its cause, and their own acts, the claim accrued at the latest by the date prior to February 2010 when Mr. Sanchez retained counsel to investigate a malpractice claim. Whether it accrued earlier, we need not decide.
There exists a long running debate over whether the concept of equitable tolling can be used to delay the running of the timeliness requirements that are conditions to the FTCA's waiver of sovereign immunity. Rather than focusing directly on the language and history of the FTCA as one might expect, courts have generally approached this question indirectly, asking whether the applicable time limit is "jurisdictional"
This circuit has previously opined that the FTCA's timeliness requirements are jurisdictional. See, e.g., Román-Cancel v. United States, 613 F.3d 37, 42 (1st Cir. 2010) (explaining that "[c]ompliance with the FTCA's temporal deadlines is both mandatory and jurisdictional"). We have also nevertheless assumed that equitable tolling can be applied to those deadlines. See Ramírez-Carlo v. United States, 496 F.3d 41, 48-49 & n. 3 (1st Cir.2007); Rakes v. United States, 442 F.3d 7, 25 (1st Cir. 2006). But see McIntyre v. United States, 367 F.3d 38, 61 & n. 8 (1st Cir.2004) (questioning whether equitable tolling applies to FTCA). We are not, it seems, the only circuit to have proceeded in this manner. See T.L. ex rel. Ingram v. United States, 443 F.3d 956, 961 (8th Cir.2006).
The observation in Sebelius and like cases that labeling these deadlines "jurisdictional" would preclude application of equitable tolling suggests that something must eventually give in our circuit's jurisprudence. The Supreme Court's most recent guidance on what is "jurisdictional" suggests that we may have erred in presuming that subject matter jurisdiction hinged on compliance with the FTCA's deadlines for presenting claims. See generally Gonzalez v. Thaler, ___ U.S. ___, 132 S.Ct. 641, 648, 181 L.Ed.2d 619 (2012) (pressing "a strict distinction between truly jurisdictional rules ... and nonjurisdictional claim-processing rules" (citations and quotation marks omitted)). If we did so err, however, it does not follow that we also erred in presuming that equitable tolling can stay the running of the FTCA's deadlines. To the contrary, classifying the deadlines as non-jurisdictional enhances the case for finding equitable tolling to be available. See Kwai Fun Wong, 732 F.3d at 1038 (FTCA deadlines are not jurisdictional and equitable tolling is available), overruling Marley v. United States, 567 F.3d 1030 (9th Cir.2009).
To decide the case now before us, we need not definitively unravel this skein. Rather, we can approach this case as we approached our decision in Gonzalez, giving the plaintiff the benefit of assuming that equity can toll the running of the FTCA's limitations period if a factual basis for tolling exists.
The trap for the unwary into which Mr. Sanchez has fallen arises because doctors who work at facilities that may appear to be nongovernmental may nevertheless be deemed federal employees because of the manner in which their employers receive federal funds. See 42 U.S.C. § 233(g). The risk of encountering such a trap need be taken seriously. A publicly-searchable federal database suggests that, for 2014, there are thirty-one entities like LCHC in Massachusetts and seventy-seven in the First Circuit. U.S. Dep't of Health and Human Servs. Health Res. and Servs. Admin., Search current deemed entities, http://bphc.hrsa.
Arteaga v. United States, 711 F.3d 828, 834-35 (7th Cir.2013) (citations omitted).
Good lawyers, like good doctors, make mistakes. Mr. Sanchez's counsel either were unaware of the FTCA two-year deadline, or simply assumed without asking that none of the possible defendants were federal employees. Counsel do not say which it was. Given what otherwise appears to be a firm dedication to their client's case, one suspects it was the former. In any event, neither inaction born of ignorance nor recklessness in the face of a known risk could provide a basis for establishing diligence given the holding in Gonzalez. And "due diligence is a sine qua non for equitable tolling." Donahue v. United States, 634 F.3d 615, 629 (1st Cir. 2011).
Mr. Sanchez also argues that any inquiry regarding the employment status of the doctors would have been unavailing. He contends that LCHC never informed him of its federal status, that his wife's records did not reveal that the doctors were federal employees, and that the Department of Health and Human Services relied on internal records, not publicly available information, to certify the status of LCHC and the doctors for litigation purposes. The government contends that, if plaintiff had used it, a website and hotline for the U.S. Department of Health and Human Services, Health Resources and Services Administration would have adequately informed him that LCHC and its employees were federally funded and might be covered by the FTCA. As Mr. Sanchez notes, however, in 2009 and 2010, that website would not have informed him that the specific doctors who treated his wife were deemed to be federal employees, and not every clinic that receives federal funds (or was listed on that website) was necessarily covered by section 233. In addition, we observe that the information regarding FTCA coverage and the hotline was hardly conspicuous on the site.
Even so, the information on the website, had counsel availed themselves of it, would certainly have put them on at least heightened inquiry notice regarding the treating doctors' deemed-federal status. Moreover, a Lexis or Westlaw search for Lynn Community Health Center would have revealed Harrison v. United States, 284 F.3d 293
Mr. Sanchez has also offered no evidence that a phone call or letter to LCHC inquiring about its (or its doctors') status would have been ignored, or would have generated a misleading response. We have examined the record for any indication that the doctors, LCHC, or the government gave plaintiff any false information or delayed unduly in answering important requests so as to thwart, intentionally or otherwise, efforts by plaintiff to ascertain whether this suit belonged in federal court. We have found none.
We agree that the federal government could do more to publicize or alleviate the statute of limitations trap created by section 233. Be that as it may, the absence of due diligence here is no less patent, and likely more so, than in Gonzalez. As we noted above, and as was not the case in Gonzalez, a doctor from LCHC had already been identified as a federal employee in an FTCA suit. Both Gonzalez and Harrison were decided in 2002, well before the events in question here. If, on these facts, we were to find the statutory deadlines tolled, then it would follow that Gonzalez was wrong.
Understandably, finding Gonzalez to be wrongly decided is precisely what plaintiff invites us to do. Departing from circuit precedent, however, can be justified only by "supervening authority" (such as a ruling of the Supreme Court or this Court en banc), Muskat v. United States, 554 F.3d 183, 189 (1st Cir.2009), or "in those relatively rare instances in which authority that postdates the original decision, although not directly controlling, nevertheless offers a sound reason for believing that the former panel, in light of fresh developments, would change its collective mind." United States v. Pires, 642 F.3d 1, 9 (1st Cir.2011) (citation and quotation marks omitted). The latter justification is narrowly construed, Igartúa v. United States, 626 F.3d 592, 603-04 (1st Cir.2010), and imposes an "exacting standard," Sánchez ex rel. D.R.-S. v. United States, 671 F.3d 86, 96 (1st Cir.2012); see also San Juan Cable LLC v. P.R. Tel. Co., Inc., 612 F.3d 25, 34 (1st Cir.2010) (noting that the contrary conclusion of another circuit court does not "divest [a panel] opinion of its customary stare decisis effect within the circuit").
To suggest that the development of the law in other circuits, had it been known to the Gonzalez panel, would have caused it to change its collective mind, Mr. Sanchez relies on cases from two other circuits: Santos ex rel. Beato v. United States, 559 F.3d 189 (3d Cir.2009), and Valdez ex rel. Donely v. United States, 518 F.3d 173 (2d Cir.2008). Plaintiff is correct that these and subsequent cases from those two circuits reject the proposition that by failing to ask specifically about possible federal employment, counsel necessarily fail the due diligence test. Neither circuit, however, blesses complete inaction. In Santos, for example, counsel actually ran a public records search on the relevant doctors' employer. Santos, 559 F.3d at 200. In Phillips v. Generations Family Health Ctr., 723 F.3d 144 (2d Cir.2013), the Second Circuit recently distinguished a case in which counsel did "literally nothing to investigate the defendant's status" and adopted an approach to equitable tolling that incorporates, among other factors, the prior knowledge and experience of counsel. Id. at 152-56. That approach runs the risk of effectively holding better, more knowledgeable practitioners to a higher standard of care. This seems a bit
Statutes of limitations balance a desire to decide claims on their merits against a desire to provide repose and avoid the unfairness of litigating stale claims encumbered by faded memories. Under federal law, Congress strikes the chosen balance, leaving perhaps some room for equitable dispensation where due diligence could not have saved a claim. Here, with no good explanation for the complete failure to try to ascertain which limitations period applied, no pertinent precedent allows the individual dispensation requested. We note, however, that while Mr. Sanchez has thus lost his claim against his wife's doctors, he may not have yet lost altogether his chance to recover full compensation for that loss from any professionals responsible for the effects of the judgment in this case.
For these reasons, the judgment of the district court is affirmed.