Bette Bennett v. United States ( 2022 )


Menu:
  •                      FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    BETTE BENNETT,                                  No. 21-35941
    Plaintiff-Appellee,
    D.C. No.
    v.                         3:20-cv-05382-
    BHS
    UNITED STATES OF AMERICA,
    Defendant-Appellant.
    OPINION
    Appeal from the United States District Court
    for the Western District of Washington
    Benjamin H. Settle, District Judge, Presiding
    Argued and Submitted July 7, 2022
    Seattle, Washington
    Filed August 11, 2022
    Before: Richard R. Clifton and Patrick J. Bumatay, Circuit
    Judges, and Richard Seeborg, * District Judge.
    Opinion by Judge Seeborg
    *
    The Honorable Richard Seeborg, Chief United States District
    Judge for the Northern District of California, sitting by designation.
    2                 BENNETT V. UNITED STATES
    SUMMARY **
    Federal Tort Claims Act / Statute of Repose
    The panel reversed the district court’s order holding that
    plaintiff Bette Bennett’s Federal Tort Claims Act (“FTCA”)
    action was not subject to dismissal for having been filed
    outside the applicable state statute of repose; and remanded
    for further proceedings to determine the constitutionality of
    the statute of repose under Washington’s state constitution.
    Bennett brought suit alleging medical malpractice by
    government physicians at Naval Hospital Bremerton in the
    state of Washington. Bennett first submitted a timely
    administrative claim to the Navy under the FTCA, which
    was denied. She filed her complaint in the Western District
    of Washington within six months thereafter, as required by
    the FTCA. The Government sought dismissal on grounds
    that Bennett’s claim had been extinguished by a Washington
    statute of repose, 
    Wash. Rev. Code § 4.16.350
    , which
    prohibits the filing of professional negligence claims against
    health care providers more than eight years after the act or
    omission that allegedly caused injury. Because Bennett’s
    alleged injury from a 2009 medical procedure was not
    diagnosed until 2017, both her tort claim filed in 2018, and
    this action filed in 2020, were outside the eight-year period
    of the statute of repose, even though the claim was timely
    under the FTCA’s requirement that tort claims be filed
    within two years of “accrual.” The district court held that
    applying the statute of repose here would conflict with
    federal law, and therefore, the FTCA statute of limitations
    **
    This summary constitutes no part of the opinion of the court. It
    has been prepared by court staff for the convenience of the reader.
    BENNETT V. UNITED STATES                     3
    preempted Section 4.16.350. The district court concluded
    that Bennett’s suit was timely filed and denied the
    Government’s motion to dismiss.
    The panel held that the only question at issue was
    whether the FTCA’s statute of limitations supplanted the
    eight-year statute of repose embodied in the latter clause of
    Section 4.16.350. The U.S. Supreme Court addressed a
    similar question in a parallel context in CTS Corp. v.
    Waldburger, 
    573 U.S. 1
    , 3-4 (2014). CTS explained the
    consequences of the distinction between a statute of
    limitation and a statute of repose. A statute of repose “is not
    related to the accrual of any cause of action,” but instead
    “mandates that there shall be no cause of action beyond a
    certain point, even if no cause of action has yet accrued.” 
    Id. at 16
    . Here, Bennett concedes that the eight-year limit in
    Section 4.16.350 is a statute of repose, and that it represents
    substantive law of the state of Washington. The panel held
    that because there was no contradictory statute of repose in
    the FTCA, and the FTCA generally applied the substantive
    law “of the place where the omission occurred,” it followed
    that Section 4.16.350 applied to Bennett’s claims and
    precluded them. The acts and/or omissions forming the basis
    of Bennett’s claims occurred in February 2009, and the
    effect of the statute of repose arose eight years later in
    February 2017. At that point, even though Bennett’s claim
    had not yet accrued, she had no cause of action. In addition,
    under the FTCA, there was no waiver of sovereign immunity
    because there were no “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 panel rejected Bennett’s contention that state
    statutes of repose do not apply to claims under the FTCA.
    4              BENNETT V. UNITED STATES
    The panel also rejected Bennett’s argument that the FTCA
    preempted state statutes of repose that were supposedly
    “inconsistent” with the timing provisions in the FTCA,
    where, as here, they preclude a claim that the FTCA would
    not. The panel held that there was no impermissible
    inconsistency where statutes of limitation and statutes of
    repose serve overlapping, but ultimately different purposes.
    COUNSEL
    Daniel Tenny (argued) and Mark B. Stern, Appellate Staff;
    Nicholas W. Brown, United States Attorney; Brian M.
    Boynton, Acting Assistant Attorney General; Civil Division,
    United States Department of Justice, Washington, D.C.; for
    Defendant-Appellant.
    Darrin E. Bailey (argued), Bailey Onsager PC. Seattle,
    Washington, for Plaintiff-Appellee.
    BENNETT V. UNITED STATES                    5
    OPINION
    SEEBORG, District Judge:
    This interlocutory appeal presents the question of
    whether the claims presentation timing requirements of the
    Federal Tort Claims Act (FTCA) override a state statute of
    repose. While there is no dispute that the FTCA’s timing
    provisions act as a statute of limitations that supersedes any
    state statute of limitations, courts have not uniformly agreed
    on whether those provisions also override state statutes of
    repose. Because the better reading of the FTCA is that it
    incorporates and applies state laws that serve as statutes of
    repose rather than overriding them, we reverse the trial
    court’s determination that this action was not subject to
    dismissal for having been filed outside the applicable statute
    of repose. We remand for further proceedings to determine
    the constitutionality of the statute under Washington’s state
    constitution.
    I.
    Plaintiff Bette Bennett brought suit alleging medical
    malpractice by government physicians at Naval Hospital
    Bremerton, in the state of Washington. Bennett had first
    submitted a timely administrative claim to the Navy under
    the FTCA, which was denied. She filed her complaint in the
    Western District of Washington within six months
    thereafter, as required by the FTCA. See 
    28 U.S.C. § 2401
    (b).
    The Government sought dismissal on grounds that
    Bennett’s claim nevertheless had been extinguished by a
    Washington statute of repose, 
    Wash. Rev. Code § 4.16.350
    (Section 4.16.350), which prohibits the filing of professional
    negligence claims against health care providers more than
    6                   BENNETT V. UNITED STATES
    eight years after the act or omission that allegedly caused
    injury. Because Bennett’s alleged injury from a 2009
    medical procedure was not diagnosed until 2017, both her
    tort claim filed in 2018 and this action filed in 2020 were
    well outside the eight-year period of the statute of repose,
    even though, under the FTCA’s requirement that tort claims
    be filed within two years of “accrual,” the claim was timely.
    The Government contends that because the Washington
    statute of repose applies, and the FTCA waives sovereign
    immunity only “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 district
    court lacked subject matter jurisdiction and should have
    granted the motion to dismiss. Bennett insists the FTCA
    preempts or otherwise overrides the Washington statute of
    repose, but does not contest that if it does apply, the FTCA’s
    waiver of sovereign immunity would be ineffective in this
    case, and dismissal for lack of jurisdiction would be
    appropriate, unless she prevails on her alternate contention
    that the statute of repose in Section 4.16.350 is
    unconstitutional under the Washington state constitution. 1
    The complaint alleges Bennett is the civilian wife of a
    Navy service member. In May of 2009, Bennett underwent
    sinus surgery at Naval Hospital Bremerton to treat her
    chronic sinusitis. A week later, Bennett experienced
    significant bleeding from her nose and was taken to the naval
    hospital emergency room by ambulance. The on-call ENT
    physician placed nasal packing into Bennett’s nasal cavity.
    When the doctor inserted the packing, Bennett heard a noise
    1
    That question is not presented by this appeal. Its status is discussed
    further below.
    BENNETT V. UNITED STATES                     7
    that sounded like cracking, felt acute pain, and passed out.
    Bennett was then rushed to the operating room to control her
    ongoing nosebleed under anesthesia. Bennett was
    discharged soon thereafter, but returned to the hospital a few
    days later to have the nasal packing removed.
    Bennett subsequently developed a complex constellation
    of symptoms including migraines, malaise, light sensitivity,
    memory loss, and other neurocognitive impairments. She
    saw a series of neurologists and other specialists who were
    unable to diagnose the cause of her symptoms.
    In August of 2017, Bennett was treated by a
    neuropsychologist who found that she suffered deficits
    consistent with a traumatic brain injury. Bennett was then
    referred to the University of Washington Medical Center to
    see a specialist in brain injuries. In December of 2017, the
    specialist diagnosed Bennett as suffering from a traumatic
    brain injury to her prefrontal cortex, caused by the nasal pack
    insertion in 2009.
    In August of 2018, Bennett filed her administrative claim
    with the Navy, as required by the FTCA. See 
    28 U.S.C. § 2675
    (a). The Navy denied the claim in October of 2019,
    finding that the Navy health care providers had met the
    applicable standard of care and that the alleged damages did
    not result from the act or omission of any United States
    employee. Bennett filed this action within the six-month
    deadline of the FTCA.
    The Government moved to dismiss for lack of subject
    matter jurisdiction, arguing that Washington’s statute of
    repose applicable to professional negligence claims against
    health care providers, Section 4.16.350, barred Bennett’s
    claims. The court initially deferred ruling on the merits of
    the motion, instead certifying to the Washington Supreme
    8                  BENNETT V. UNITED STATES
    Court two questions related to whether Section 4.16.350 is
    constitutional under the state constitution.
    Because the district court had not yet ruled on whether
    the FTCA precluded application of Section 4.16.350, the
    Washington Supreme Court declined “as a matter of comity”
    to answer the certified questions. The district court then took
    up the Government’s motion to dismiss again, ultimately
    holding that applying the statute of repose here would
    conflict with federal law, and that therefore the FTCA statute
    of limitations preempts Section 4.16.350. The court
    concluded Bennett’s suit was thus timely filed, and denied
    the Government’s motion to dismiss.
    The district court certified its ruling for interlocutory
    review and this court’s motions panel granted permission to
    appeal. 2 We have jurisdiction pursuant to 
    28 U.S.C. § 1292
    (b) and review de novo the district court’s denial of
    the motion to dismiss. Reese v. BP Expl. (Alaska) Inc.,
    
    643 F.3d 681
    , 690 (9th Cir. 2011).
    II.
    The FTCA provides a limited waiver of the
    Government’s sovereign immunity for tort claims. See
    
    28 U.S.C. §§ 1346
    (b)(1), 2671–2680. With certain
    exceptions not implicated here, the United States may be
    2
    Although deference is given to the ruling of the motions panel, we
    have an independent duty to confirm that jurisdiction is proper. Kuehner
    v. Dickinson & Co., 
    84 F.3d 316
    , 318–19 (9th Cir. 1996). Interlocutory
    review is proper here because there plainly is “a controlling question of
    law as to which there is substantial ground for difference of opinion” and
    “an immediate appeal from the order may materially advance the
    ultimate termination of the litigation.” 
    28 U.S.C. § 1292
    (b). No party
    suggests otherwise.
    BENNETT V. UNITED STATES                     9
    held liable in tort for the actions or omissions of its
    employees “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.” 
    Id.
     § 1346(b)(1); see also id. § 2674
    (United States is liable “in the same manner and to the same
    extent as a private individual under like circumstances”).
    The FTCA thus incorporates substantive state law as
    federal law to determine liability. The FTCA, however,
    establishes its own administrative claim procedure and
    statute of limitations provisions that apply uniformly in all
    states. See Poindexter v. United States, 
    647 F.2d 34
    , 36–37
    (9th Cir. 1981) (“It is long settled, however, that the statute
    of limitations in the FTCA, 
    28 U.S.C. § 2401
    , governs in
    FTCA actions, even when the state period of limitations is
    longer or shorter.” (citations omitted)).
    The FTCA provides that “[a] tort claim against the
    United States shall be forever barred unless it is presented in
    writing to the appropriate Federal agency within two years
    after such claim accrues.” 
    28 U.S.C. § 2401
    (b). In addition,
    claims are barred “unless action is begun within six months”
    of the date the relevant agency denies the claim. 
    Id.
    Claimants cannot file actions in court until the agency has
    finally denied their claims, except that they are entitled to
    “deem[]” the agency’s “failure . . . to make final disposition
    of a claim within six months after it is filed” to be “a final
    denial” at any time after the six months has elapsed. 
    Id.,
    § 2675(a).
    Under the FTCA, a claim for medical malpractice does
    not accrue “until a plaintiff knows of both the existence of
    an injury and its cause.” Hensley v. United States, 
    531 F.3d 1052
    , 1056 (9th Cir. 2008) (citing United States v. Kubrick,
    
    444 U.S. 111
    , 122–23 (1979)). Here, there is no dispute that
    10               BENNETT V. UNITED STATES
    Bennett’s claim did not accrue before December of 2017,
    when she was first diagnosed with a traumatic brain injury
    to her prefrontal cortex, purportedly caused by the nasal pack
    insertion in 2009. Her tort claim filed with the Navy in 2018
    was well within the two-year time period provided by
    § 2401(b), and she filed this action within the requisite six-
    month period after that claim was denied. Accordingly, all
    agree that Bennett complied with the procedural and timing
    requirements specified in the FTCA, and that those
    requirements apply in lieu of any Washington state law
    statute of limitations that might otherwise apply.
    Section 4.16.350 is, in fact, what has sometimes been
    referred to as a “bifurcated” or “hybrid” statute—it includes
    both a statute of limitations and a statute of repose. See
    Augutis v. United States, 
    732 F.3d 749
    , 752 (7th Cir. 2013)
    (noting Illinois courts referred to the state statute as
    “bifurcated”); Bagley v. United States, 
    215 F. Supp. 3d 831
    ,
    835 (D. Neb. 2016) (referring to a “hybrid statute,”
    containing both a one-year statute of limitations and a
    “three-year repose period”).
    Section 4.16.350 provides, in pertinent part, that
    [a]ny civil action for damages for injury
    occurring as a result of health care . . . based
    upon alleged professional negligence shall be
    commenced within three years of the act or
    omission alleged to have caused the injury or
    condition, or one year of the time the patient
    or his or her representative discovered or
    reasonably should have discovered that the
    injury or condition was caused by said act or
    omission, whichever period expires later,
    except that in no event shall an action be
    BENNETT V. UNITED STATES                            11
    commenced more than eight years after said
    act or omission . . . . 3
    Under the statute of limitation portion of Section
    4.16.350, had Bennett been suing a private sector medical
    provider, her lawsuit, filed more than two years after her
    discovery that her injury was caused by the 2009 procedure,
    would have been barred as untimely under Washington state
    law. 4 Again, however, it is well-settled that the FTCA
    supplants state statute of limitations, and that part of Section
    4.16.350 is undeniably not in play.
    Thus, the only question is whether the FTCA’s statute of
    limitations also supplants the eight-year statute of repose
    embodied in the latter clause of Section 4.16.350. The
    Supreme Court has addressed a strikingly similar question in
    a parallel context. In CTS Corp. v. Waldburger, 
    573 U.S. 1
    ,
    3–4 (2014), the Court confronted a provision in the
    Comprehensive Environmental Response, Compensation,
    and Liability Act of 1980 (CERCLA), 
    94 Stat. 2767
    , as
    amended, 
    42 U.S.C. § 9601
     et seq., that by its terms
    3
    The statute goes on to provide for tolling in the event of “proof of
    fraud, intentional concealment, or the presence of a foreign body not
    intended to have a therapeutic or diagnostic purpose or effect.” While a
    general feature of statutes of repose is that they are not subject to
    ordinary equitable tolling, there is no suggestion that this provision
    precludes the eight-year limit in Section 4.16.350 from qualifying as a
    true statute of repose, nor is there any indication that part of the statute
    is implicated here.
    4
    Of course, had Bennett not been constrained by the FTCA, she
    presumably would have filed suit around the time she instead filed her
    tort claim, and it would have in fact been timely under the statute of
    limitation portion of Section 4.16.350.
    12               BENNETT V. UNITED STATES
    preempts statutes of limitations applicable to state law tort
    actions in certain circumstances. See 
    42 U.S.C. § 9658
    .
    CTS explains:
    Section 9658 applies to statutes of limitations
    governing actions for personal injury or
    property damage arising from the release of a
    hazardous      substance,     pollutant,     or
    contaminant into the environment. Section
    9658 adopts what is known as the discovery
    rule. Under this framework, statutes of
    limitations in covered actions begin to run
    when a plaintiff discovers, or reasonably
    should have discovered, that the harm in
    question was caused by the contaminant. A
    person who is exposed to a toxic contaminant
    may not develop or show signs of resulting
    injury for many years, and so Congress
    enacted § 9658 out of concern for long
    latency periods.
    573 U.S. at 4.
    The opinion then describes the issue before the Court: “It
    is undoubted that the discovery rule in § 9658 pre-empts
    state statutes of limitations that are in conflict with its terms.
    The question presented in this case is whether § 9658 also
    pre-empts state statutes of repose.” Id. While § 9658 of
    CERCLA does not function identically to the statute of
    limitations in the FTCA, the differences are not significant
    BENNETT V. UNITED STATES                            13
    to the dichotomy between statutes of limitation and statutes
    of repose. 5
    The CTS court lays out that dichotomy:
    Statutes of limitations and statutes of repose
    both are mechanisms used to limit the
    temporal extent or duration of liability for
    tortious acts. Both types of statute can
    operate to bar a plaintiff’s suit, and in each
    instance time is the controlling factor. There
    is considerable common ground in the
    policies underlying the two types of statute.
    But the time periods specified are measured
    from different points, and the statutes seek to
    attain different purposes and objectives.
    573 U.S. at 7.
    Specifically, the CTS court explains, a statute of
    limitation ordinarily creates a time limit for suing in a civil
    case, based on the date when the claim accrued. Id. A statute
    of repose, in contrast, “puts an outer limit on the right to
    bring a civil action. That limit is measured not from the date
    5
    Section 9658 of CERCLA does not replace state statutes of
    limitation wholesale the way the FTCA does. Instead, it merely provides
    that the accrual rules will be governed by the federal statutes, while the
    state statutes continue to govern other aspects of the timing requirements.
    
    42 U.S.C. § 9658
    (a)(1) (“[I]f the applicable limitations period for such
    action (as specified in the State statute of limitations or under common
    law) provides a commencement date which is earlier than the federally
    required commencement date, such period shall commence at the
    federally required commencement date in lieu of the date specified in
    such State statute.”); 
    Id.
     § 9658 (a)(2) (“Except as provided in paragraph
    (1), the statute of limitations established under State law shall apply
    . . . .”).
    14              BENNETT V. UNITED STATES
    on which the claim accrues but instead from the date of the
    last culpable act or omission of the defendant.” Id. at 8.
    While statutes of limitation and statutes of repose both
    “encourage plaintiffs to bring actions in a timely manner,
    and for many of the same reasons,” the emphasis is different.
    Id. at 9–10. “Statutes of repose effect a legislative judgment
    that a defendant should ‘be free from liability after the
    legislatively determined period of time.’” Id. (citations
    omitted).
    CTS further explains the consequences of the distinction
    between a statute of limitation and a statute of repose. A
    statute of repose “is not related to the accrual of any cause of
    action.” 573 U.S. at 16 (citation omitted). “Rather, it
    mandates that there shall be no cause of action beyond a
    certain point, even if no cause of action has yet accrued.
    Thus, a statute of repose can prohibit a cause of action from
    coming into existence.” Id.
    As additional support for this proposition, CTS cites
    Hargett v. Holland, 
    337 N.C. 651
    , 654–655 (1994) (“A
    statute of repose creates an additional element of the claim
    itself which must be satisfied in order for the claim to be
    maintained . . . . If the action is not brought within the
    specified period, the plaintiff literally has no cause of
    action.” (internal quotation marks omitted)). CTS then
    summarizes, “A statute of repose can be said to define the
    scope of the cause of action, and therefore the liability of the
    defendant . . . . A statute of repose . . . may preclude an
    alleged tortfeasor’s liability before a plaintiff is entitled to
    sue, before an actionable harm ever occurs.” 573 U.S. at 16–
    17.
    Here, Bennett concedes that the eight-year limit in
    Section 4.16.350 is a statute of repose, and that it represents
    BENNETT V. UNITED STATES                          15
    substantive law of the state of Washington. As there is no
    contradictory statute of repose in the FTCA, and the FTCA
    generally applies the substantive law “of the place where the
    act or omission occurred,” it follows that Section 4.16.350
    applies to Bennett’s claims and precludes them. The acts
    and/or omissions forming the basis of Bennett’s claims
    occurred in February of 2009. The effect of the statute of
    repose arose eight years later, in February of 2017. At that
    point, even though Bennett’s claim had not accrued, had not
    even come “into existence,” she “literally ha[d] no cause of
    action.” CTS, 573 U.S. at 16–17.
    Under otherwise identical circumstances including all
    the same timing, had Bennett been treated by non-federal
    physicians and health care providers, she would have no
    viable claim. 6 Under the FTCA, therefore, there is no waiver
    of sovereign immunity because these are not “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); see
    also Kubrick, 
    444 U.S. at
    117–18 (“We should also have in
    mind that the Act waives the immunity of the United States
    and . . . we should not take it upon ourselves to extend the
    waiver beyond that which Congress intended. Neither,
    however, should we assume the authority to narrow the
    waiver that Congress intended.”(citations omitted)).
    There are scant circuit-level precedential decisions
    addressing this question, but those that exist are in accord. In
    Augutis, the Seventh Circuit concluded that because a state
    statute of repose was a “substantive limitation on the tort of
    medical malpractice,” it precluded a plaintiff from
    6
    Though, as noted above, the constitutionality of Section 4.16.350
    under the Washington state constitution remains to be resolved.
    16                 BENNETT V. UNITED STATES
    proceeding under the FTCA despite his compliance with its
    claims and filing requirements. 732 F.3d at 754. While the
    Augutis court additionally observed that the plaintiff in that
    case could have complied with both the FTCA and the state
    statute of repose (unlike Bennett, for whom the statute of
    repose cut off the claim before accrual), the decision does
    not appear to be dependent on that fact. See id. at 754–55.
    In Anderson v. United States, 
    669 F.3d 161
     (4th Cir.
    2011), the Fourth Circuit observed that although
    “substantive state law establishes—and circumscribes—
    FTCA causes of action, federal law defines the limitations
    period.” 
    Id.
     at 164–65. Anderson went on to explain that
    “[s]tate law may nevertheless speak to the timeliness of a
    claim brought under the FTCA, because a state’s enactment
    of a statute of repose ‘creates a substantive right in those
    protected to be free from liability after a legislatively-
    determined period of time.’” 
    Id.
     (quoting First United
    Methodist Church of Hyattsville v. U.S. Gypsum Co.,
    
    882 F.2d 862
    , 866 (4th Cir. 1989)).
    Anderson ultimately concluded that “[b]ecause statutes
    of repose are substantive limitations on liability, 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.” 
    Id.
     7 Thus, the fact that the FTCA
    7
    Anderson then certified to the Court of Appeals of Maryland the
    question of whether the statute before it in fact was a statute of repose.
    Upon receiving the state court’s response that it was instead a statute of
    limitations, the Fourth Circuit concluded the plaintiff’s FTCA claim was
    not foreclosed. Anderson v. United States, 474 F. App’x 891, 892 (4th
    Cir. 2012).
    BENNETT V. UNITED STATES                              17
    supplants state statutes of limitations does not mean it
    overrides state statutes of repose. 8
    III.
    To argue that her claims can go forward notwithstanding
    that they did not accrue and were not filed—with the agency
    or with the court—within the period provided by the statute
    of repose, Bennett makes two interrelated arguments. First,
    Bennett contends state statutes of repose simply do not apply
    to claims under the FTCA. For this proposition, Bennett
    relies predominately on an unpublished district court
    decision which discussed a range of topics in addressing the
    question of whether New Mexico’s statute of repose required
    dismissal of the plaintiff’s complaint. See Romero v. United
    States, 
    2018 WL 1363833
     (D.N.M. Mar. 15, 2018).
    8
    At least two unpublished circuit decisions also reach the same
    result. In Smith v. United States, 430 F. App’x 246 (5th Cir. 2011), the
    Fifth Circuit had little trouble concluding that Texas’s ten-year statute of
    repose in medical malpractice cases precluded an FTCA claim. The court
    observed that for liability to attach under the FTCA, the conduct must be
    actionable under state law where it occurred. 
    Id. at 247
    . “Here, the law
    of Texas controls because that is where Smith’s operation was performed
    . . . . This is a statute of repose, which unlike a statute of limitation
    creates a substantive right to be free of liability after the specified time.”
    
    Id.
     (citation omitted). Similarly, in Huddleston v. United States, 485
    F. App’x 744 (6th Cir. 2012), the court observed: “The statute of repose
    is a substantive requirement, not just a procedural hurdle. Unlike a statute
    of limitations, which eliminates the remedy available to plaintiffs,
    Tennessee’s statute of repose extinguishes the cause of action itself.” 
    Id.
    at 745–46 (citations omitted). The court further stated, “[s]uch
    substantive limitations apply to suits brought against the United States
    under the FTCA, which permits liability only 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 . . . .” 
    Id. at 746
    .
    18              BENNETT V. UNITED STATES
    The foundational premise of Romero is that the FTCA
    provisions governing the timing and presentation of
    administrative claims and its statute of limitations, somehow
    preclude the potential applicability of any other rules
    generally involving the subject of timing. See 
    id.
     at *15–16.
    The FTCA, however, unquestionably borrows substantive
    state law on liability. Although not in the precise context of
    the FTCA, the Supreme Court has made very clear that even
    where a federal statute overrides state statutes of limitations,
    it does not thereby also supplant state statutes of repose,
    which may have timing aspects, but which ultimately go to
    whether a substantive claim exists or not. See CTS, 573 U.S.
    at 16–17.
    Bennett next argues that the FTCA preempts state
    statutes of repose that are supposedly “inconsistent” with the
    timing provisions in the FTCA where, as here, they preclude
    a claim that the FTCA would not. Again, however, there is
    no impermissible inconsistency. Statutes of limitation and
    statutes of repose serve overlapping, but ultimately different
    purposes. States often enact schemes, as Washington did
    here, where their own residents injured by private
    individuals may find they have lost the right to pursue claims
    as a result of a statute of repose, even before the injury was
    manifest or the claim had accrued. The FTCA was not
    intended to give individuals suing federal actors greater
    substantive rights than they would have against private
    defendants. The FTCA spells out in detail the statute of
    limitations provisions that in some cases may give plaintiffs
    more time to sue than in state court (or perhaps sometimes
    less), but absent any similar provisions in the FTCA
    rewriting the rules applicable to statutes of repose, such
    statutes are incorporated, not preempted, as representing the
    substantive law of the place where the act or omission
    occurred.
    BENNETT V. UNITED STATES                           19
    Bennett repeatedly insists that because the FTCA
    expressly defines when claims accrue, it plainly was
    “intended” to govern the timeliness of claims. Accrual,
    however, is a concept that relates specifically to statutes of
    limitation, and not to statutes of repose. So, if anything, the
    FTCA’s focus on accrual demonstrates it is not intended to
    supplant substantive state statutes of repose that affect
    viability of claims without regard to when those claims
    accrue. 9
    IV.
    On remand, the district court is left with the threshold
    question of the constitutionality of Section 4.16.350 under
    the Washington state constitution. Depending on the
    outcome of that issue, this action may either be dismissed for
    lack of jurisdiction or proceed to the merits of Bennett’s
    claims.
    REVERSED AND REMANDED.
    9
    Some district court cases cited by Bennett, including Romero and
    Mamea v. United States, 
    2011 WL 4371712
     (D. Haw. Sept. 16, 2011),
    raise a policy concern that were a claim to accrue shortly before
    expiration of a statute of repose, it arguably could skew or undermine the
    administrative claims process. No such issue is presented here, where
    Bennett was already outside the statute of repose before her claim
    accrued. Whether some sort of equitable exception or different rule
    might appropriately be applied in other circumstances is a question that
    must await a case with such facts.