Pedroza v. Brb ( 2009 )


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  •                     FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    JOSE PEDROZA,                              
    Petitioner,
    v.                                 No. 05-75449
    BRB; DIRECTOR, OFFICE OF                          BRB No.
    05-0419
    WORKERS COMPENSATION PROGRAMS
    NATIONAL STEEL & SHIPBUILDING                      OPINION
    COMPANY,
    Respondents.
    
    On Petition for Review of an Order of the
    Benefits Review Board
    Argued and Submitted
    October 23, 2008—Pasadena, California
    Filed October 1, 2009
    Before: Harry Pregerson and N. Randy Smith, Circuit
    Judges, and Raner C. Collins,* District Judge.
    Opinion by Judge Collins
    *The Honorable Raner C. Collins, United States District Judge for the
    District of Arizona, sitting by designation.
    14081
    14084                 PEDROZA v. BRB
    COUNSEL
    Joshua T. Gillelan II, Longshore Claimaint’s National Law
    Center, Washington, D.C. (argued), and Erica A. Dupree, for
    the petitioner.
    Roy D. Alexrod, Law Offices of Roy Alexrod, Solana Beach,
    California, (argued) for the respondent.
    OPINION
    COLLINS, District Judge:
    Jose Pedroza (“Pedroza”), an employee of National Steel
    and Shipbuilding Company ( “National Steel”), petitions this
    PEDROZA v. BRB                   14085
    court to review the determination of the Benefits Review
    Board (“BRB or Board”) that claimant Pedroza is not entitled
    to benefits under the Longshore and Harbor Worker’s Com-
    pensation Act (“Longshore Act or LHWCA”), 33 U.S.C.
    § 901 et. seq., because his psychological injuries were caused
    by National Steel’s legitimate, adverse personnel decisions.
    We have jurisdiction to review a final order of the BRB. 33
    U.S.C. § 921(c).
    Both parties agree that substantial evidence supports the
    findings of the Administrative Law Judge (“ALJ”) and BRB
    that Pedroza’s psychological injuries were a result of legiti-
    mate personnel actions. This leaves this court with one ques-
    tion: Are psychological injuries that result from legitimate
    personnel actions compensable under the Longshore Act? We
    answer this question in the negative, therefore affirming the
    BRB in this decision and in Marino v. Navy Exchange Ser-
    vice, 20 B.R.B.S. 166 (1988), and Sewell v. Noncommissioned
    Officers Open Mess, 32 B.R.B.S. 134 (1998).
    FACTS
    Pedroza was involved in an accident, as a load handler at
    the Naval Base in San Diego, California, loading and unload-
    ing materials from the USS Boxer on August 24, 1999. While
    Pedroza was unloading the USS Boxer, he struck a 440 volt
    cable line. This caused an explosion. After the accident,
    Pedroza did not seek medical attention. Though he now
    claims that he suffered anxiety after the accident, Pedroza
    never told his co-workers or supervisors about it.
    A year after the accident, National Steel’s Transportation
    Department Manager, Brian Mathiasan, wrote a letter to
    Pedroza about the accident. The letter informed Pedroza that
    the August 24, 1999 accident was caused by his negligence.
    After reading the letter, Pedroza sought medical attention at
    National Steel’s dispensary and Kaiser Permanente.
    14086                    PEDROZA v. BRB
    Pedroza wrote a letter to refute Mathiasan’s assessment. In
    his letter, Pedroza apologized for the accident and waged a
    complaint against National Steel for their disregard of his
    health and well being after twenty-five years of service.
    Pedroza also asserted he was unfairly treated by National
    Steel for their failure to write a similar letter to the rigger who
    accompanied him during the accident.
    On January 24, 2000, Pedroza had a meeting with his
    supervisors to discuss job safety. At this meeting, Pedroza
    informed his Union Safety Supervisor that his immediate
    supervisor’s actions adversely affected his ability to perform
    his job. During the meeting, Mathiasan informed Pedroza
    about ways in which he could improve his work performance.
    Mathiasan also issued a verbal warning to Pedroza, that if he
    was unable to improve his performance, he would be
    demoted.
    After the meeting, Pedroza’s performance improved for a
    short period of time. On July 14, 2000, Mathiasan met with
    Pedroza to discuss his job performance. At this meeting,
    Mathiasan gave Pedroza four memos from his supervisors
    regarding his poor work ethic. After the meeting, Pedroza
    went on leave from work for three months.
    While on leave, Pedroza sought medical attention for his
    psychological problems. When Pedroza returned to work, he
    was demoted because of his poor work performance and fail-
    ure to fill out the proper safety forms after the 1999 accident.
    National Steel felt that someone with Pedroza’s lengthy ser-
    vice record was better served by being demoted than by being
    fired.
    A month later, Pedroza’s doctor placed him on medical
    leave for five months. While on medical leave, Pedroza filed
    a workers’ compensation claim for psychological injuries
    caused by his stressful working conditions.
    PEDROZA v. BRB                           14087
    During the ALJ hearing, Pedroza provided medical evi-
    dence to demonstrate that his disability was caused by his
    workplace. Dr. Bayardo, an occupational psychiatrist, found
    that Pedroza’s psychiatric condition and disability was pre-
    dominately related to his workplace. Dr. Bayardo diagnosed
    Pedroza with chronic, mild post traumatic stress disorder as
    a result of the 1999 accident. National Steel refuted Dr.
    Bayardo’s findings by providing three psychiatrists’ evalua-
    tions of Pedroza.1 Each of the psychiatrists reported Pedroza’s
    depression was a result of National Steel’s disciplinary action
    and reprimands.
    The ALJ denied Pedroza’s workers’ compensation claim,
    because the medical evidence provided by both parties sup-
    ports National Steel’s contention that Pedroza’s disability was
    a result of the July 2000 disciplinary action and not the
    August 1999 accident. The ALJ relied on Marino to deny
    Pedroza’s claim. 20 B.R.B.S. 166 (1988) (holding that an
    employee’s psychological reaction to legitimate, good faith
    personnel actions by the employer is not compensable
    because it does not constitute a working condition that Con-
    gress intended to compensate under the Longshore Act).
    On appeal, Pedroza contended that (1) the ALJ erred in
    failing to address whether the claimant’s condition was
    caused by prolonged and cumulative stress at the workplace
    1
    Dr. Steven Ornish found that Pedroza’s depression was a result of the
    disciplinary action and the reprimands. Dr. Ornish found that Pedroza suf-
    fered from major depression with anxiety in partial remission. Dr. Ornish
    concluded that Pedroza did not experience terror or horror sufficient to
    trigger Post Traumatic Stress Disorder given he finished his shift after the
    accident, and never mentioned any emotional or physical problems until
    a year later. Dr. Ornish evaluated Pedroza twice and concluded that
    Pedroza did not make a claim that he suffered Post Traumatic Stress Dis-
    order until after he visited his attorney. Another psychiatrist, Dr. Alvarez
    found that Pedroza’s post traumatic stress disorder and depression was a
    result of the personnel actions. Dr. Schleimer also found “it was more than
    likely than not that [Pedroza’s] subjective symptomatolgy developed fol-
    lowing the reprimand or personnel issues.”
    14088                       PEDROZA v. BRB
    and (2) the ALJ erred in finding that Pedroza’s depression and
    anxiety were a result of the reprimands and demotion. The
    Board agreed with Pedroza and held the ALJ erred by failing
    to take into account the general working conditions that could
    have led to Pedroza’s psychological injuries. The BRB relied
    on Marino and Sewell. Sewell, 32 B.R.B.S. 127 (1997) (hold-
    ing that a claimant must demonstrate that his psychological
    disability was caused by stressful working conditions irre-
    spective of disciplinary and termination proceeding against
    the claimant to successfully claim benefits under the Long-
    shore Act ). As a result of applying Marino and Sewell, the
    BRB ordered the ALJ to determine whether the claimant’s
    daily work environment, such as daily interactions with his
    supervisor, triggered his psychological injuries.2
    National Steel filed a motion for reconsideration en banc.
    Hearing this case en banc, the Board denied the motion for
    reconsideration. The Board directed the ALJ to determine if
    Pedroza’s injuries were caused by the employer’s personnel
    actions or general working conditions.
    On remand, Pedroza presented a prima facie case that his
    injuries were due in part to “general working conditions.”
    However, the ALJ denied his claim, because National Steel
    was able to rebut Pedroza’s claim by providing substantial,
    comprehensive, and negative evidence that Pedroza’s psycho-
    logical injuries were due solely to legitimate personnel actions
    and not compensable.
    2
    To determine if claimant’s injury is covered under the Act, the claim-
    ant must establish a prima facie case. To establish a prima facie case, the
    claimant must demonstrate he sustained a harm or pain and that the condi-
    tions existed or an accident occurred at his place of employment which
    could have caused the harm or pain. Duhagon v. Metro. Stevedore Co.,
    
    169 F.3d 615
    (9th Cir. 1999); see also 33 U.S.C. §§ 902(2), 920(a). An
    employer can rebut the claimant’s presumption by providing substantial,
    negative and comprehensive evidence that the injuries or disabilities was
    not caused or exacerbated by general working conditions. Swinton v.
    Kelly, 
    554 F.2d 1075
    , 1082 ( D.C. Cir. 1976).
    PEDROZA v. BRB                     14089
    On appeal, Pedroza contended that (1) the BRB lacked the
    authority to create policy, such as the Marino doctrine and (2)
    the Board’s action established a class of exemptions that frus-
    trated congressional intent to hold employer’s strictly liable
    for injuries to their employees. The Board rejected Pedroza’s
    arguments. The BRB held legitimate personnel actions, such
    as the reduction in force in Marino, do not constitute general
    working conditions. The Board articulated that § 921(b) of the
    Longshore Act gives the Board and courts the authority to
    decide questions of law or fact raised in appeals. Implicit in
    the statutory authorization is the ability to determine what
    type of events constitute working conditions.
    STANDARD OF REVIEW
    We review a Benefits Review Board’s decision for errors
    of law and adherence to the substantial evidence standard.
    Taylor v. Dir., OWCP, 
    201 F.3d 1234
    , 1238 (9th Cir. 2000).
    We review the Benefits Review Board’s interpretation of
    the Longshore Act de novo, because it is a question of law.
    General Construction Co. v. Castro, 
    401 F.3d 963
    , 965 (9th
    Cir. 2005). The BRB is not a policymaking body and its con-
    struction of the Longshore Act is not entitled to special defer-
    ence. Peru v. Sharpshooter Spectrum Venture, LLC, 
    493 F.3d 1058
    , 106 (9th Cir. 2007) ( quoting M. Cutter Co. v. Carroll,
    
    458 F.3d 991
    , 993 (9th Cir. 2006) (internal quotation marks
    omitted). We must, however, respect the Board’s interpreta-
    tion of the Longshore Act, when such interpretation is reason-
    able and reflects the underlying statute. McDonald v. Dir.,
    OWCP, 
    897 F.2d 1510
    , 1512 (9th Cir. 1990).
    DISCUSSION
    We here determine whether psychological injuries caused
    by legitimate personnel decisions are compensable under the
    Longshore Act. We have not previously addressed this ques-
    tion nor has the Secretary of Labor. Thus, we begin our analy-
    14090                    PEDROZA v. BRB
    sis with the plain meaning and legislative history of the
    relevant portions of the Longshore Act.
    I.   Plain Meaning and Legislative History
    [1] The Longshore Act was enacted to create a federal
    workers’ compensation statute for longshoremen and harbor
    workers, after the Supreme Court held that state workers’
    compensation statutes constitutionally could not apply to
    injured maritime workers. See generally Noguiera v. New
    York, N.H. & H.R. Co., 
    281 U.S. 128
    (1930). To be entitled
    to benefits under the Act, a claimant must have sustained an
    injury within the meaning of the Act. 33 U.S.C.
    § 903(a)(providing that “[c]ompensation shall be payable
    under this Act in respect of disability . . . of an employee, but
    only if the disability . . . results from an injury.”). Section 2(2)
    of the Act provides that:
    The term “injury” means accidental injury or death
    arising out of and in the course of employment, and
    such occupational disease or infection as arises natu-
    rally out of such employment or as naturally or
    unavoidably results from such accidental injury, and
    includes an injury caused by the willful act of a third
    person directed against an employee because of his
    employment. 33 U.S.C. § 902(2).
    [2] Injuries are presumed to be work related under § 20(a)
    after the claimant establishes a prima facie case that the injury
    not only was caused by the employment, but that it also arose
    during employment. See U.S. Indus./Fed. Sheet Metal, Inc. v.
    Dir., OWCP, 
    455 U.S. 608
    , 615 (1982) (stating that “[n]ot
    only must the injury have been caused by the employment, it
    also must have arisen during the employment.”).
    [3] It is well settled that a psychological impairment, which
    is work related, is presumed to be compensable under the Act.
    See, e.g., Dir., OWCP v. Potomac Elec. Power Co., 607 F.2d
    PEDROZA v. BRB                     14091
    1378 (D.C. Cir. 1979). Therefore, to receive the benefit of this
    § 920(a) presumption, the claimant must prove not only that
    he has a psychological impairment, but that an accident
    occurred, or working conditions existed, which could have
    caused the impairment. See 
    id. On appeal,
    Pedroza has conceded that substantial evidence
    supports both the ALJ’s and the Board’s findings that his psy-
    chological injuries were not caused by general working condi-
    tions, but were instead caused (if at all) by legitimate
    personnel actions. We, therefore, need only address whether
    psychological injuries resulting from a legitimate personnel
    act are compensable under the Act.
    The plain language and the legislative history of the Long-
    shore Act do not specifically address whether psychological
    injuries, caused by legitimate personnel actions, fall under the
    purview of the work-related injury requirement. We have pre-
    viously held, in the unpublished opinion of Turner v. Todd
    Pacific Shipyards Corp., 
    990 F.3d 1261
    , No. 91-70524 (9th
    Cir. April 8, 1993) (table), that such injuries do not fall within
    the purview of the act. However, an unpublished decision is
    not precedent for our panel. The BRB here found that psycho-
    logical injuries, that arise from legitimate personnel actions,
    are not compensable. Their decision here follows two other
    related decisions. See Sewell, 32 B.R.B.S. 127; Marino, 20
    B.R.B.S. 166. Although we remain the final interpreters of the
    meaning of the Act, we will respect the interpretation of the
    Act by the BRB, where that interpretation is reasonable and
    reflects the policy underlying the statute. See Gen. Constr.
    Co. v. Castro, 401 F.3d (9th Cir. 2005); 
    McDonald, 897 F.2d at 1512
    ; Long v. Dir., OWCP, 
    767 F.2d 1578
    (9th Cir. 1985);
    Nat’l Steel & Shipbuilding Co. v. U.S. Dep’t of Labor, 
    606 F.2d 875
    , 880 (9th Cir. 1979).
    Therefore, we must determine whether the Board’s inter-
    pretation of what constitutes an injury caused by working
    14092                  PEDROZA v. BRB
    conditions under the Marino-Sewell line of cases is reasonable
    and reflects the policy underlying the Longshore Act.
    II.   Marino-Sewell Doctrine
    [4] In Marino, the BRB reversed the ALJ’s decision to
    grant a claimant benefits under the Longshore Act for his
    work-related psychological injuries, because the claimant’s
    injuries were caused by a layoff. 20 B.R.B.S. 166 (1988). The
    BRB determined layoffs or a reduction in force do not consti-
    tute “working conditions” that would give rise to a compensa-
    ble injury under the Longshore Act. 
    Id. The Board
    reversed
    the ALJ’s determination that a layoff constituted “working
    conditions.” On appeal, the Board directed the ALJ to con-
    sider if the claimant’s injuries were caused by working condi-
    tions such as “cumulative stress on the job due to supervising
    a number of locations, insufficient personnel to perform the
    job, working more than the required hours, and performing
    the duties of his subordinates, in addition to the notification
    that he was being laid off.” 
    Id. The Board
    believed granting
    compensation to employees for psychological injuries as a
    result of a layoff, would unfairly hinder employers from mak-
    ing legitimate personnel decisions. The Board believed that,
    if the layoff was improper, the claimant had other remedies
    outside of workers’ compensation. 
    Id. Thus, Marino
    did not
    effect the balance between employers and employees.
    [5] Nine years later, the BRB addressed this issue again in
    Sewell, when a claimant filed a claim alleging her stress
    related psychiatric problems were caused by her poor working
    conditions. Sewell, 32 B.R.B.S. 127 (1997). The claimant was
    employed as a civilian bartender, and her supervisor had a
    very aggressive management style. 
    Id. The ALJ
    denied her
    claim pursuant to Marino. 
    Id. On appeal,
    the Board vacated
    the ALJ’s findings and directed the ALJ to consider whether
    the claimant could demonstrate that her psychological injuries
    were caused by her general working conditions, irrespective
    of the disciplinary and termination proceedings. On remand,
    PEDROZA v. BRB                     14093
    the ALJ found that the claimant could not demonstrate that
    her injuries were caused by her general working conditions.
    On the second appeal, the Board reversed the ALJ’s findings
    because uncontroverted medical evidence showed the claim-
    ant’s psychological injuries were caused by her stressful
    working conditions, irrespective of the disciplinary and termi-
    nation proceeding. 
    Id. [6] As
    a result of Marino and Sewell, the BRB constructed
    a doctrine that allows psychological injuries to be compensa-
    ble, if the claimant can demonstrate that psychological inju-
    ries are caused by general working conditions and not
    legitimate personnel decisions.
    [7] To be afforded deference, the Board’s interpretation of
    the Act must be reasonable. The Longshore Act provides that
    “[c]ompensation shall be payable under this Act in respect to
    disability . . . of an employee, but only if the disability . . .
    results from an injury.” 33 U.S.C. § 903(a). In order to fall
    within the act the injury must be work-related. See 33 U.S.C.
    § 902(2). The Board’s interpretation of the Act to exclude
    psychological injuries resulting from legitimate personnel
    decisions is certainly reasonable. Such injuries are not caused
    by working conditions and they are not work related.
    [8] The Board’s interpretation must also reflect the policy
    underlying the statute. The basic policy of the Longshore Act
    was to provide the benefits of workers’ compensation to per-
    sons engaged in maritime employment. See generally
    Nogueira, 
    281 U.S. 128
    . The Act was designed to provide
    compensation for maritime workers who were injured while
    working on navigable waters in the course of their employ-
    ment. It was also designed to strike a balance between the
    concerns of longshoremen and harbor workers, and their
    employers. Morrison-Knudsen Const. Co. v. Dir., OWCP, 
    461 U.S. 624
    , 636 (1983).
    [9] The psychological injury resulting from a legitimate
    personnel action is not the type of injury that was intended to
    14094                       PEDROZA v. BRB
    be compensable under the Longshore Act. An interpretation
    contrary to this would create a trap for the “unwary” employer
    and undermine the interest of employers and employees alike.
    See McCray Constr. Co. v. Dir., OWCP, 
    181 F.3d 1008
    , 1016
    (9th Cir. 1999) (rejecting an interpretation of the Longshore
    Act that would create a trap for the unwary employer). It
    would also encourage employers to terminate employees for
    poor work performance, rather than first take legitimate per-
    sonnel actions to correct the employee problem. Accordingly,
    we find the Board’s interpretation of the Act to be reasonable
    and in accord with its underlying policy.
    III.    Benefits Review Board’s Interpretation
    Pedroza first argues that the Marino-Sewell doctrine is an
    unreasonable interpretation of § 902(2), because the Board’s
    interpretation differs from the majority of states’ workers’
    compensation statutes with similar language. Pedroza con-
    tends that, since state workers’ compensation allows for com-
    pensation for mental or psychological disabilities without
    inquiry into whether the employer engaged in legitimate per-
    sonnel decision, the Longshore Act should follow the similar
    trajectory. Pedroza also notes that several state legislatures
    have developed special barriers similar to Marino-Sewell, to
    govern mental or psychological disabilities or injuries.3 There-
    3
    In California, the legislature enacted Cal. Labor Code § 3208.3(h) in
    1993 to “establish a new and higher threshold of compensability for psy-
    chiatric injury” See also Cal. Labor Code § 3208.3 (c) (“No compensation
    . . . shall be paid by an employer for a psychiatric injury if the injury was
    substantially caused by a lawful, nondiscriminatory, good faith personnel
    action.”).
    In New York, the legislature in 1990 enacted a similar provision to
    redefine injury. It reads “an injury which is solely mental and is based on
    work-related stress if such mental injury is a direct consequence of a law-
    ful personnel decision involving a disciplinary action, work evaluation,
    job transfer, demotion or termination taken in good faith by the employ-
    er.” See Gamble v. New York State Narcotics Control Comm’n, 
    400 N.Y.S.2d 599
    (N.Y. App. Div. 1977).
    PEDROZA v. BRB                           14095
    fore, absent congressional action to take similar steps, the
    Longshore Act provides compensation for psychological dis-
    abilities or injuries without inquiry into legitimate personnel
    decisions. We disagree.
    Pedroza’s argument ignores the history of the Longshore
    Act. Since its inception in 1927 and subsequent amendment
    in 1972, the Longshore Act was designed to create a uniform
    policy to provide workers’ compensation for longshoremen
    and harbor workers. Northeast Marine Terminal Co. Inc., v.
    Caputo, 
    432 U.S. 249
    , 256-59 (1977). The legislative history
    of the 1972 amendments to the Longshore Act demonstrates
    that Congress viewed most state workers’ compensation laws
    as inadequate protection for longshoremen and harbor work-
    ers. 
    Id. at 263.
    Moreover, congressional inaction is not a reli-
    able guide to determine legislative intent. United States v.
    Craft, 
    535 U.S. 274
    , 287 (2002).
    Pedroza next contends that the Marino-Sewell doctrine vio-
    lates Longshore Act policy of no fault liability. Section 904(b)
    states “compensation shall be irrespective of fault as a cause
    for injury.” Thus, as Pedroza argues, the Marino-Sewell
    inquiry to whether a personnel action was legitimate or illegit-
    imate is a question of fault. Thus, as Pedroza argues, Marino-
    Sewell is inconsistent with workers’ compensation laws. We
    disagree.
    It is true, that the basic premise of the workers’ compensa-
    tion system is that an employer is protected, from full tort lia-
    In Oregon, the legislature in 1998 added a provision that barred com-
    pensation for mental disorders unless it is a product of “conditions other
    than generally inherent in every working situation or reasonable disciplin-
    ary, corrective or job performance evaluation by the employer or cessation
    in employment.” Pet. Bri. 29. This is codification of the Marino-Sewell
    doctrine. Prior to this legislation, Oregon law recognized compensability
    of psychological injuries as a result of legitimate personnel decisions. See
    Korter v. EBI Companies, 
    610 P.2d 312
    (Or. Ct. App. 1980).
    14096                  PEDROZA v. BRB
    bility for employment related injuries even when it is at fault,
    in exchange for bearing limited liability for compensation and
    medical benefits as a cost of the business. However, the
    Marino-Sewell doctrine does not disrupt this system. The
    Marino-Sewell doctrine merely refines the type of
    employment-related activities that could give rise to a work-
    ers’ compensation claim. Furthermore, the distinction that the
    Marino-Sewell doctrine creates between “legitimate” or “ille-
    gitimate” personnel actions is not about fault, it is about
    whether the employer’s actions created an environment of
    poor working conditions to trigger psychological injuries.
    [10] The Marino-Sewell modification strikes a balance
    between the employer and the employee. The Marino prong
    allows the employer to take personnel actions without fear of
    a workers’ compensation claim due to a psychological injury
    from their actions. Meanwhile, the Sewell prong puts a limit
    on the type of legitimate personnel actions in which the
    employer may engage without fear of workers’ compensation
    claims, because some personnel actions can facilitate poor
    working conditions that could trigger compensable work
    related psychological injuries such as “harassment by her
    supervisor,” “verbal accusations,” and “physical harm.” Both
    of these cases create a balance between employee and
    employer. Marino supports the employer’s concerns mean-
    while the Sewell prong protects the employees. This is an
    important balance between the needs of employers and
    employees. See Morrison-Knudsen Constr. 
    Co., 461 U.S. at 635
    (explaining that the Longshore Act was designed to strike
    a balance between the concerns of employers and employees).
    CONCLUSION
    [11] We hold that the BRB’s development of the Marino-
    Sewell doctrine is a reasonable interpretation of the Longshore
    Act and a reflection of its underlying policy. Therefore, psy-
    chological injuries arising from legitimate personnel actions
    are not compensable under the Longshore Act.
    PETITION DENIED.