Docket No. 89144–Agenda 28–September 2000.

VIRGINIA FERGUSON, as Adm’r of the Estate of Franklin

Ferguson, Deceased, Appellant, v. DR. ALICIA McKENZIE et

								 al., Appellees.

Opinion filed January 29, 2001.

	JUSTICE FREEMAN delivered the opinion of the court:

	In Tosado v. Miller, 188 Ill. 2d 186 (1999), adult plaintiffs brought medical malpractice actions against a county hospital and

its employees. A plurality of this court concluded that the

applicable statute of limitations was the one-year limitations period

of the Local Governmental and Governmental Employees Tort

Immunity Act (Tort Immunity Act or Act) (745 ILCS 10/8–101

(West 1998)) rather than the two-year limitations period for

medical malpractice actions generally, as prescribed in the Code of

Civil Procedure (Code) (735 ILCS 5/13–212(a) (West 1998)).

	In this case, we are asked to determine the applicable

limitations period where an heir in a wrongful death claim was a

minor when the cause of action accrued, but whose claim against

Cook County was not brought until after her nineteenth birthday.

We hold that the one-year limitations period of the Tort Immunity

Act ran on her claim. Accordingly, it was time-barred.

BACKGROUND

	The record contains the following pertinent evidence. Franklin

Ferguson (decedent) went to the Fantas Clinic of Cook County

Hospital for removal of cataracts. Decedent, 63 years old, was a

diabetic for over 25 years and previously had a heart attack. An

electrocardiogram (EKG) produced abnormal findings. The clinic,

after subsequent evaluation, cleared decedent for surgery, local

anesthetic only. On October 10, 1991, decedent underwent

removal of a cataract in his left eye. Later that evening at his home,

decedent suffered cardiac arrest and died.

	At the time of his death, decedent had a wife, Virginia

Ferguson (plaintiff), and five children. Four of his children were

adults: Mary Benson, Deborah Emerson, and Brian and Stewart

Ferguson. A daughter, Karen Ferguson, was a minor; she was born on May 7, 1974, and was 17 years and 5 months of age at the time

of decedent’s death.

	On October 7, 1993, less than two years but more than one

year after decedent’s death, plaintiff, individually and as

administrator of decedent’s estate, brought a medical malpractice

action in the circuit court of Cook County. Plaintiff named as

defendants Drs. Alicia McKenzie, Jeffrey Nichols, Catherine Kallal,

Alan Axelrod, and Maan Elkhadra. The complaint contained, inter alia, a wrongful-death count that alleged damages for injuries to decedent’s estate, but did not identify the heirs on whose behalf

plaintiff brought the action. We note that Karen was 19 years and

5 months of age when plaintiff filed the original complaint.

	On January 11, 1994, plaintiff filed an amended complaint.

Plaintiff amended the original wrongful-death count by naming

herself and decedent’s four adult children as the heirs on whose

behalf plaintiff brought the action. Also, plaintiff added a separate

wrongful-death count, brought specifically on behalf of Karen,

which named Cook County as a defendant. Karen was 19 years and

8 months of age.

	Defendants moved for summary judgment. The motion was

“aimed at one issue only: whether the lawsuit was timely filed.”

Defendants argued that plaintiff failed to file the complaint within

one year of the occurrence, as required under section 8–101 of the

Tort Immunity Act (745 ILCS 10/8–101 (West 1994)). Plaintiff

responded that the complaint was timely because section

13–212(a) of the Code (735 ILCS 5/13–212(a) (West 1994))

allows an adult two years to file a medical malpractice claim and

section 13–212(b) of the Code (735 ILCS 5/13–212(b) (West

1994)) allows a minor eight years to file a medical malpractice

claim.

	The trial court ruled that the one-year limitations period of the

Tort Immunity Act applied to all medical malpractice claims

brought against local governmental entities and their employees,

including those claims brought on behalf of minors. Accordingly,

the trial court granted summary judgment in favor of defendants.

The appellate court affirmed. No. 1–98–0617 (unpublished order

under Supreme Court Rule 23 (166 Ill. 2d R. 23(c)). We allowed plaintiff’s petition for leave to appeal (177 Ill. 2d R. 315(a)), and

now affirm the appellate court.

DISCUSSION

	The purpose of summary judgment is not to try a question of

fact, but to determine whether one exists. Gilbert v. Sycamore Municipal Hospital, 156 Ill. 2d 511, 517 (1993). Summary judgment is appropriate only where “the pleadings, depositions,

and admissions on file, together with the affidavits, if any, show

that there is no genuine issue as to any material fact and that the

moving party is entitled to a judgment as a matter of law.” 735

ILCS 5/2–1005(c) (West 1998). In an appeal from the grant of

summary judgment, review is de novo. Crum & Forster Managers Corp. v. Resolution Trust Corp., 156 Ill. 2d 384, 390 (1993).

	We are asked to consider another interplay between section

13–212 of the Code and section 8–101 of the Tort Immunity Act.

Section 13–212 states in pertinent part:

			“Physician or hospital. (a) Except as provided in Section

13–215 of this Act, no action for damages for injury or

death against any physician *** arising out of patient care

shall be brought more than 2 years after the date on which

the claimant knew, or through the use of reasonable

diligence should have known, or received notice in writing

of the existence of the injury or death for which damages

are sought in the action, whichever of such date occurs

first, 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.

			(b) Except as provided in Section 13–215 of this Act,

no action for damages for injury or death against any

physician *** arising out of patient care shall be brought

more than 8 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 where the person

entitled to bring the action was, at the time the cause of

action accrued, under the age of 18 years; provided, however, that in no event may the cause of action be

brought after the person’s 22nd birthday.” 735 ILCS

5/13–212(a), (b) (West 1994).

Section 8–101 of the Tort Immunity Act provides:

			“No civil action may be commenced in any court against

a local entity or any of its employees for any injury unless

it is commenced within one year from the date that the

injury was received or the cause of action accrued. For

purposes of this Article, the term ‘civil action’ includes

any action, whether based upon the common law or

statutes or Constitution of this State.” 745 ILCS 10/8–101

(West 1994).

I. Tosado

	Plaintiff concedes that her claims and those of decedent’s four

adult children are time-barred under Tosado v. Miller, 188 Ill. 2d 186 (1999). As mentioned earlier, in Tosado, a plurality of this court concluded that the one-year limitations period of section

8–101 of the Tort Immunity Act governs medical malpractice cases

brought against local governmental entities and their employees

rather than the two-year limitations period of section 13–212(a) of

the Code.

	Justice Miller, writing for himself and Justice Bilandic, focused

on the nature of the defendants rather than on the type of action.

He observed that Tort Immunity Act section 8–101 applies only to

defendants that are local governmental entities and their

employees, while Code section 13–212(a) applies to the broader

category of any physician, dentist, registered nurse, or hospital

described therein. Justice Miller reasoned that Tort Immunity Act

section 8–101 controlled because it was more specific than Code

section 13–212(a). Tosado, 188 Ill. 2d at 194-95 (plurality op.).

	Justice Heiple disagreed with the characterization of Tort

Immunity Act section 8–101 as more specific than Code section

13–212(a). He observed that section 8–101 of the Act is more

general than section 13–212(a) of the Code because it applies to

any civil action, not only to medical malpractice actions. Justice

Heiple reasoned that, “to the extent that section 8–101 is more general than section 13–212(a), this is one of those instances where

‘the legislature intended to make the general act controlling’ ” and

that “section 8–101 was designed to apply broadly to any possible

claim against a local governmental entity and its employees.”

Tosado, 188 Ill. 2d at 199 (Heiple, J., specially concurring). Justice Freeman joined in Justice Heiple’s special concurrence to this

extent. Tosado, 188 Ill. 2d at 198 (Freeman, C.J., specially concurring).

	In this case, the appellate court relied on Tosado in concluding that section 8–101 of the Tort Immunity Act applied to Karen’s

claim. However, the plaintiff in Tosado was an adult; that case did not present us with the claim of a minor. Here, it is only Karen’s

claim that is at issue.

II. The Present Case

	Pointing to section 13–212(b) of the Code, plaintiff contends

that she had until Karen’s twenty-second birthday to bring Karen’s

wrongful death claim against the county and its physician

employees. Therefore, according to plaintiff, Karen’s claim was

timely.

	In their brief, defendants state that they “have never asserted

that the statute of limitations would expire against a minor while he or she was still a minor.” (Emphasis in original.) Accordingly, defendants acknowledge that plaintiff was not obligated to file

Karen’s claim while Karen was still a minor. However, defendants

contend that once Karen reached 18 years of age, the one-year

limitations period of section 8–101 of the Tort Immunity Act began

to run. Plaintiff did not bring Karen’s wrongful death claim against

the county and its physician employees until after her nineteenth

birthday. Therefore, according to defendants, the claim was

untimely.

	We note that plaintiff refers to section 13–212(b) of the Code

as a “statute of limitations,” or its eight-year repose period as a

“limitations period.” Such references are inaccurate. Section

13–212(b) is a statute of repose. See Antunes v. Sookhakitch, 146 Ill. 2d 477, 486 (1992) (referring to the repose period of section 13–212(b)). A statute of repose differs from a statute of limitations. A statute of limitations governs the time within which

lawsuits may be commenced after a cause of action has accrued. However, a statute of repose extinguishes the action itself after a

fixed period of time, regardless of when the action accrued. 51 Am.

Jur. 2d Limitation of Actions §12 (2000); accord Goodman v. Harbor Market, Ltd., 278 Ill. App. 3d 684, 690-91 (1995); Highland v. Bracken, 202 Ill. App. 3d 625, 632 (1990). Unlike a statute of limitations, which begins running upon accrual of a cause

of action, a statute of repose begins running when a specific event

occurs, regardless of whether an action has accrued or whether any

injury has resulted. 54 C.J.S. Limitations of Actions §4, at 20-21 (1987).

	A statute of repose gives effect to a policy different from that

advanced by a statute of limitations; it is intended to terminate the

possibility of liability after a defined period of time, regardless of

a potential plaintiff’s lack of knowledge of his or her cause of

action. See Mega v. Holy Cross Hospital, 111 Ill. 2d 416, 422 (1986). The effect of section 13–212(b) of the Code “is to establish

an absolute limit for bringing suit of 8 years or until age 22 for

minors injured by medical malpractice, regardless of the plaintiff’s

lack of knowledge of the cause of action.” Franklin v. Cernovich, 287 Ill. App. 3d 776, 779 (1997).

	The cardinal rule of interpreting statutes, to which all other

canons and rules are subordinate, is to ascertain and give effect to

the true intent and meaning of the legislature. Kunkel v. Walton, 179 Ill. 2d 519, 533 (1997); Electrical Contractors Ass’n of City of Chicago, Inc. v. Illinois Building Authority, 33 Ill. 2d 587, 591- 92 (1966). Where there is an alleged conflict between two statutes,

a court has a duty to interpret those statutes in a manner that

avoids an inconsistency and gives effect to both statutes, where

such an interpretation is reasonably possible. McNamee v. Federated Equipment & Supply Co., 181 Ill. 2d 415, 427 (1998) (and cases cited therein); see People ex rel. Moore v. Chicago, Burlington & Quincy R.R. Co., 414 Ill. 419, 425 (1953). However, legislative intent remains the primary inquiry and controls the

court’s interpretation of a statute. Traditional rules of statutory

interpretation are merely aids in determining legislative intent, and

those rules must yield to such intent. Collins v. Board of Trustees of the Firemen’s Annuity & Benefit Fund, 155 Ill. 2d 103, 111 (1993).

	Applying these principles to this case, we hold that section

13–212(b) of the Code applied to Karen insofar as she was a minor

when her cause of action accrued. However, because defendants

are a local governmental entity and its employees, the one-year

limitations period of section 8–101 of the Tort Immunity Act also

applies to Karen. We need not here decide when section 8–101

began to run: when Karen’s action accrued, or when she reached

18 years of age. In either case, her claim is untimely.

	Although Tosado did not involve the claim of a minor, that decision persuades us that section 8–101 of the Tort Immunity Act

controls here. Applying the reasoning of Justice Heiple, the

legislature intended that section 8–101 of the Act apply “broadly

to any possible claim against a local governmental entity and its

employees.” See Tosado, 188 Ill. 2d at 199 (Heiple, J., specially concurring); 188 Ill. 2d at 198 (Freeman, C.J., specially

concurring). Also, applying the reasoning of Justice Miller, the Act

is more specific than the Code in that the former applies specifically

to defendants who are local governmental entities or employees

thereof. See Tosado, 188 Ill. 2d at 195 (plurality op.).

	Our view of the interplay between section 13–212(b) of the

Code and section 8–101 of the Act gives effect to the underlying

policy of each provision. The legislative intent of section

13–212(b) of the Code is to reduce the period of potential liability

and restrict a minor’s ability to sue. Antunes, 146 Ill. 2d at 492.

	The purpose of the limitation period contained in section

8–101 of the Act is to encourage early investigation into a claim

against a local governmental entity when the matter is still fresh,

witnesses are available, and conditions have not materially

changed. Such an investigation permits prompt settlement of

meritorious claims and allows governmental entities to plan their

budgets in light of potential liabilities. Because a local

governmental entity must anticipate that the number of claims

made against it will far exceed those brought against a private

individual, the provision of an abridged limitations period is

reasonable. Tosado, 188 Ill. 2d at 194-95 (plurality op.).

	Our holding protects the possible claims of minors against

local governmental entities by preserving the repose period for

minors. As we stated in Antunes, 146 Ill. 2d at 493:

			“Without doubt, Illinois has a long-established policy of

protecting the right of minors to bring suit. As stated in

McDonald v. City of Spring Valley (1918), 285 Ill. 52, 56, and reiterated in Severs v. Country Mutual Insurance Co. (1982), 89 Ill. 2d 515, 520, ‘A child with a meritorious

cause of action but incapable of initiating any proceeding

for its enforcement will not be left to the whim or mercy

of some self-constituted next friend to enforce its rights.’ ”

Nonetheless, a party must comply with both section 13–212(b) of the Code and section 8–101 of the Tort Immunity Act.

	In this case, Kqaren, by operation of section 13-22--–212(b) of the

Code, was afforded an additional seven months, until she reached

18 years of age, before the one-year limitations period of section

8--–101 of the Tort Immunity Act began to run. Since plaintiff failed

to add Karen to the action within that time, plaintiff added Karen to the wrongful-death claim

over one year after decedent died, and even over one year after she

reached 18 years of age. In either case, by operation of section

8–101 of the Tort Immunity Act, her claim is time-

barred. This result honors the underlying policies of both section

13–212(b) of the Code and section 8–101 of the Act. “When two

legislative schemes do not seem completely compatible, they

should be interpreted so that meaning and effect is given to each

statute.” Stephens v. Cozadd, 159 Ill. App. 3d 452, 456 (1987).

CONCLUSION

	For the foregoing reasons, the judgment of the appellate court

is affirmed.

Affirmed.

	JUSTICE McMORROW, dissenting:

	At issue in this appeal is whether the one-year limitations

period in section 8–101 of the Local Governmental and

Governmental Employees Tort Immunity Act (Tort Immunity Act)

(745 ILCS 10/8–101 (West 1998)) or the eight-year statute of

repose in section 13–212(b) of the Code of Civil Procedure (735 ILCS5/13–212(b)) applies to a medical malpractice wrongful-death

claim brought by a minor against a local governmental entity or its

employees. The majority, relying upon this court’s severely split

decision in Tosado v. Miller, 188 Ill. 2d 186 (1999), holds that the one-year limitations period of the Tort Immunity Act applies. For

the reasons more fully set forth in my dissenting opinion in Tosado, 188 Ill. 2d at 201 (McMorrow, J., dissenting, joined by Rathje, J.), the majority’s decision today continues an unwarranted and

unprecedented departure from our traditional jurisprudence. I

therefore respectfully dissent.

	In Tosado, this court was asked to decide whether the two- year limitation period in section 13–212(a) of the Code of Civil

Procedure (735 ILCS 5/13–212(a) (West 1992)) or the one-year

limitation period in section 8–101 of the Tort Immunity Act applies

to medical malpractice actions brought by adults against local

governmental entities and/or their employees. Although four

members of this court agreed with the disposition that the one-year

limitations period in section 8–101 of the Tort Immunity Act

applies to these actions, there was no majority agreement on the

basis for that result. A plurality opinion, authored by Justice Miller and joined by Justice Bilandic, found that section 8–101 applied

because it was more specific than section 13–212(a). In separate

concurring opinions, Justice Heiple and then Chief Justice Freeman

reasoned that section 8–101 applied because the Illinois General

Assembly had intended to make this general act controlling.

	In the matter at bar, we are presented with a question similar

to that in Tosado: we must determine which of two conflicting statutory provisions controls. Specifically, we must decide whether

the eight year statute of repose contained in subsection (b) of

section 13–212 of the Code of Civil Procedure or the one-year

limitation provision in section 8–101 of the Tort Immunity Act

applies to medical malpractice wrongful death claims brought by a

minor. The majority concludes that, upon the minor’s attainment

of the age of 18, the one-year limitations period of section 8–101

of the Tort Immunity Act applies. Recognizing the fragmented

nature of this court’s decision in Tosado, the majority in the matter at bar employs the reasoning found in both the Tosado plurality opinion1 and in the Tosado special concurrences to support its result. This approach is unpersuasive and may result in further

uncertainty with respect to the appropriate analysis to be

employed.

	The plurality opinion in Tosado focused exclusively on the nature of the defendants in determining which of the two statutes

more specifically applied to Tosado, the plaintiff before the court.

The plurality concluded that section 8–101 of the Tort Immunity

Act was more specific than section 13–212(a) of the Code of Civil

Procedure because the former provision applies to defendants

which are local governmental entities and their employees, a

category of defendant which, in the plurality’s view, was more

specific than the broader group of physicians, dentists, registered

nurses or hospitals described in section 13–212(a). Tosado, 188 Ill. 2d at 195.

	In dissent, I observed that, traditionally, in determining which

of two statutes is more specifically applicable to a particular

controversy, most courts have looked primarily to the nature of the

plaintiff’s cause of action and the type of injury sustained by the

plaintiff. Applying these traditional rules of analysis, it was my

opinion that section 13–212(a) was more specifically applicable

because it more narrowly defined the plaintiffs, their injuries and

the nature of their claims. Tosado, 188 Ill. 2d at 202-04 (McMorrow, J., dissenting, joined by Rathje, J.) I further observed

that, absent either explanation or citation to authority, the plurality

shifted the analytical focus to the nature of the defendant. It was

only by altering the focus of the analysis that the plurality could

escape the conclusion that section 13–212 was more specifically applicable. Tosado, 188 Ill. 2d at 204-05 (McMorrow, J., dissenting, joined by Rathje, J.).

	I continue to adhere to my previously articulated view. In the

instant cause the majority, applying the reasoning of the Tosado plurality opinion, finds that section 8–101 is more specific than

13–212(b) because it applies to a more narrow class of defendants,

namely, local governmental entities and their employees. Slip op.

at 7. In accordance with the reasons stated in my dissent in Tosado, I submit that section 13–212(b) controls because it more narrowly

defines the plaintiffs, their injuries, and the nature of their claims.

Specifically, section 13–212(b) applies only “where the person

entitled to bring the action was, at the time the cause of action

accrued, under the age of 18 years,” and specifies that the cause of

action must involve damages for “injury or death *** arising out

of patient care.” 735 ILCS 5/13–212(b) (West 1994). Applying the

traditional modes of analysis, it is evident that the provisions of

section 13–212(b) are far more specific than those of section

8–101, which apply to a “civil action” for “any injury.” 745 ILCS

10/8–101 (West 1994). 

	In addition, as more fully explained in my Tosado dissent, the conclusion that section 13–212(b) is more specifically applicable to

the cause at bar is further supported by the fact that section 13–212

of the Code of Civil Procedure was enacted subsequent to the

enactment of section 8–101 of the Tort Immunity Act. Section

13–212 was enacted in 1982 and the provisions at issue in

subsection (b) were enacted in 1987 (735 ILCS Ann. 5/13–212,

Historical and Statutory Notes, at 366 (Smith-Hurd 1992)), more

than two decades after section 8–101 was enacted in 1965 (745

ILCS Ann. 10/8–101, Historical and Statutory Notes, at 882

(Smith-Hurd 1993)). The fundamental rule of statutory

construction is to give effect to the intent of the legislature. It is

well established that in seeking to ascertain legislative intent, “[i]t

is presumed that the legislature, in enacting various statutes, acts

rationally and with full knowledge of all previous enactments.”

State v. Mikusch, 138 Ill. 2d 242, 247-48 (1990). Inasmuch as section 13–212 of the Code of Civil Procedure was enacted

subsequent to section 8–101 of the Tort Immunity Act, it may be

presumed, pursuant to well-settled rules of construction, that the legislature acted with full knowledge of the limitation period in

section 8–101.

	In support of its result in the matter at bar, the majority also

relies upon the reasoning of Justice Heiple and then Chief Justice

Freeman in their separate special concurrences in Tosado. Justices Heiple and Freeman agreed with the plurality that the one-year

statute of limitations in section 8–101 applied, but found

“unpersuasive” the plurality’s characterization of the Tort

Immunity Act as being the more specific statute. Instead, the two

specially concurring justices concluded that, although section

8–101 is more general than section 13–212(a), this was an instance

where the legislature intended to make the general act controlling. Tosado, 188 Ill. 2d at 199 (Heiple, J., specially concurring); Tosado, 188 Ill. 2d at 198 (Freeman, C.J., specially concurring). However, as explained in my dissent, scrutiny of the case cited in

support of their proposition, Stone v. Department of Employment Security Board of Review, 151 Ill. 2d 257, 266 (1992), revealed that the proposition was untenable. Tosado, 188 Ill. 2d at 209 (McMorrow, J., dissenting, joined by Rathje, J.). 

	I continue to adhere to my position in the instant cause. In the

matter at bar, the majority, applying the rationale used by Justices

Heiple and Freeman in their Tosado special concurrences, concludes that the legislature intended that section 8–101 of the

Tort Immunity Act apply broadly to any possible claim against a

local public entity and its employees. Again, for the reasons stated

in my dissent in Tosado, I conclude that there is no support for the holding that this case presents an instance in which the legislature

intended to make the general provision controlling.

	In sum, the majority’s decision today continues its

unwarranted departure from traditional modes of analysis. In my

dissent in Tosado, I observed that the plurality opinion left many questions unanswered, and wrote that “[t]he plurality’s newly

conceived approach in determining the specificity of conflicting

statutory provisions needlessly upsets long-established principles

and may result in uncertainty among members of the bench and bar

regarding which analysis should be employed.” Tosado, 188 Ill. 2d at 206 (McMorrow, J. dissenting, joined by Rathje, J.). The

majority’s opinion today does not alleviate this concern. Indeed, the majority’s use of the reasoning of both the Tosado plurality and the Tosado special concurrences, absent an imprimatur of approval as to either approach, leaves the bench and bar with new

uncertainties regarding the appropriate analysis to be employed. 

	For the reasons stated, I dissent from the opinion of the

majority.

	CHIEF JUSTICE HARRISON and JUSTICE KILBRIDGEW

 joins

in this dissent.

	JUSTICE KILBRIDe, alE, also dissenting [didissent to follow]: