Lon Tweeten d/b/a Tweeten Farms and Grinnell Mutual Insurance, Co. v. Corey Tweeten ( 2023 )


Menu:
  •                       IN THE SUPREME COURT OF IOWA
    No. 22–2081
    Submitted November 16, 2023—Filed December 22, 2023
    LON TWEETEN d/b/a TWEETEN FARMS and GRINNELL MUTUAL INSURANCE
    CO.,
    Appellants,
    vs.
    COREY TWEETEN,
    Appellee.
    Appeal from the Iowa District Court for Polk County, David Nelmark,
    Judge.
    An employer and workers’ compensation carrier appeal a district court or-
    der denying in part their petition for judicial review of an agency order granting
    workers’ compensation benefits to an employee. REVERSED AND REMANDED.
    Oxley, J., delivered the opinion of the court, in which all justices joined.
    Christopher S. Spencer (argued) and Stephen W. Spencer of Peddicord
    Wharton, LLP, West Des Moines, for appellant.
    Janece M. Valentine (argued) of Valentine Law Office, P.C., Fort Dodge, for
    appellee.
    2
    OXLEY, Justice.
    An employer and its workers’ compensation carrier appeal following an
    award of benefits to an employee. The appeal raises issues involving three provi-
    sions of Iowa Code chapter 85 (2020):
    (1) Does the statutory bar under Iowa Code section 85.35(9)
    preclude further benefits following a compromise settlement be-
    tween a claimant and the Second Injury Fund?
    (2) Does the discovery rule toll the statute of limitations fol-
    lowing amendments to Iowa Code section 85.26(1)?
    (3) How do amendments to Iowa Code section 85.39(2) affect
    reimbursement for independent medical examinations?
    As explained below, the employee’s compromise settlement with the
    Second Injury Fund does not preclude the employee’s claims against his
    employer, but the statute of limitations does. Because the employee has no
    compensable injury, he is not entitled to reimbursement for an independent
    medical examination irrespective of any amendments to section 85.39, so we do
    not reach the third issue. We reverse the district court’s order affirming in part
    the commissioner’s award of benefits and remand for further proceedings.
    I. Background Facts and Proceedings.
    Corey Tweeten worked for his dad, Lon, on the family farm, Tweeten
    Farms. Corey and Lon were vacuuming grain out of a bin on July 25, 2017, when
    Corey hurt his right arm. The pain persisted, and Corey sought medical treat-
    ment for pain in his right elbow on August 14. He was diagnosed with right lat-
    eral epicondylitis (tennis elbow) and advised to take two Aleve per day, ice the
    elbow, and use a wrist splint to decrease the strain on his elbow. His elbow pain
    did not subside, and he returned for further medical treatment on January 3,
    2018. He was told to continue using over-the-counter pain medicine and ice for
    his elbow and was referred for physical therapy.
    3
    When physical therapy did not help, Corey returned to his local clinic pro-
    vider on April 13. In addition to the elbow pain, Corey complained for the first
    time about pain in his shoulder. Corey received a trigger point injection in his
    right deltoid muscle on May 11 and was scheduled for an MRI. The May 22 MRI
    of his shoulder revealed nothing abnormal, and another MRI was ordered to scan
    the distal deltoid in his midarm, which is where Corey’s complaints centered.
    That MRI showed a “significant deltoid insertional tear,” which was described as
    an “unusual injury.” Dr. Bryan Warme performed surgery to repair the deltoid
    tear on June 18. At his October 16 follow-up with Corey, Dr. Warme concluded
    that Corey had likely overcompensated for the tennis elbow, causing the deltoid
    tear. Dr. Warme believed both injuries were related to the July 2017 grain bin
    incident. Lon, Corey’s father, had been submitting the medical bills to his health
    insurance carrier, but he submitted the medical bills related to the surgery to
    Grinnell Mutual Insurance Company (Grinnell), his workers’ compensation car-
    rier for the farm.
    Grinnell directed Corey to see Dr. Steven Aviles for an independent medical
    examination. After his review on August 29, 2018, Dr. Aviles did not think the
    right lateral elbow pain and the right deltoid injury were caused by the same
    event. He concluded that the tennis elbow was likely caused by chronic repetitive
    stress but the distal deltoid avulsion was caused by a traumatic injury, opining
    that it is not possible for that type of injury to occur from chronic repetitive
    stress. In a November 12 letter, Dr. Aviles stood by his conclusion that the del-
    toid tear could not result from a repetitive stress injury and was not work related,
    disagreeing with Dr. Warme’s October 16 conclusion to the contrary.
    On January 21, 2020, Corey filed an arbitration petition with the workers’
    compensation commissioner seeking medical benefits from Tweeten Farms and
    4
    Grinnell1 for an upper right extremity injury, asserting an injury date of February
    1, 2018. The petition included a claim against the Second Injury Fund premised
    on a prior right ankle injury in 2008.
    Corey sought an independent medical exam from Dr. Robin Sassman, who
    agreed with Dr. Warme in a January 16, 2021 report that the deltoid tear related
    to overcompensating for the tennis elbow and was therefore related to Corey’s
    work injury. Dr. Sassman performed an impairment rating and concluded that
    Corey’s right elbow and right shoulder injuries combined for a 5% upper extrem-
    ity impairment that converted to a 3% whole person impairment. Dr. Sassman’s
    bill for the examination was $4,650.
    An arbitration hearing on the petition for benefits was held before a deputy
    workers’ compensation commissioner on March 10, 2021. The Second Injury
    Fund filed a notice on February 15 that it had reached a settlement with Corey,
    which was awaiting approval by the commissioner, and that it would not be at-
    tending the upcoming hearing. In its April 13 posthearing brief, Grinnell asserted
    that the compromise settlement with the Second Injury Fund extinguished all of
    Corey’s claims for workers’ compensation benefits pursuant to Iowa Code section
    85.35(9), divesting the workers’ compensation commissioner of jurisdiction to
    award him additional benefits. The settlement was approved by the commis-
    sioner on April 23.
    The deputy found that Corey had right elbow epicondylitis and a deltoid
    tear arising out of the course of his employment from the July 2017 grain bin
    incident. The deputy applied the discovery rule to conclude that Corey did not
    learn of the seriousness of his injury until April 2018, which meant that his
    January 21, 2020 petition did not run afoul of the two-year statute of limitations
    1Because their interests are aligned, we refer to Grinnell Mutual and Tweeten Farms col-
    lectively as “Grinnell” through the remainder of the opinion.
    5
    in Iowa Code section 85.26. The deputy awarded temporary total disability and
    permanency benefits as well as the costs of Dr. Sassman’s independent medical
    examination.
    Grinnell filed a motion for reconsideration, noting that the deputy did not
    address whether the Second Injury Fund compromise settlement divested the
    commissioner of jurisdiction to award additional benefits. The deputy concluded
    that the statutory bar in section 85.35(9) went to the commissioner’s authority,
    not his subject matter jurisdiction, and that Grinnell waived the defense by fail-
    ing to assert it during the hearing or in the hearing report, raising it for the first
    time in its posthearing brief. Alternatively, the deputy concluded that the statu-
    tory bar did not apply because Grinnell was not a party to the compromise set-
    tlement between Corey and the Second Injury Fund and those parties had
    crossed through the preprinted language on the settlement agreement form stat-
    ing that the settlement barred all future claims for the injury at issue.
    Grinnell appealed to the commissioner, and the commissioner affirmed the
    deputy’s arbitration decision. As to the argument that the compromise settle-
    ment ended the commissioner’s jurisdiction over Corey’s claims, the commis-
    sioner substituted its analysis, explaining that the statutory bar goes to juris-
    diction over the case, not subject matter jurisdiction, and can therefore be
    waived. Noting the importance of the hearing report to determining the issues to
    be decided, the commissioner concluded that Grinnell waived the issue by sign-
    ing the hearing report without including the issue in the report or raising it dur-
    ing the hearing.
    Grinnell filed a petition for judicial review. The district court disagreed with
    the commissioner’s jurisdictional analysis of Iowa Code section 85.35(9) but
    agreed that the compromise settlement did not bar Corey’s claims against Grin-
    nell based on amendments to section 85.35(9) limiting its effect to “the subject
    6
    matter of the compromise.” On the merits of Corey’s claim, the district court
    concluded that the expert reports of Dr. Warme and Dr. Sassman provided sub-
    stantial evidence to support the commissioner’s finding that both the tennis el-
    bow and deltoid tear were causally connected to the July 2017 grain bin incident.
    The district court disagreed with the commissioner’s application of the discovery
    rule to make Corey’s claim for benefits associated with both injuries timely. Re-
    lying on a 2017 amendment to Iowa Code section 85.26(1) that expressly defined
    the “date of occurrence of injury,” the district court concluded the discovery rule
    no longer applied and Corey’s claim for disability or medical expenses associated
    with his tennis elbow—which manifested at the time of the July 2017 incident—
    were time-barred. But the district court concluded the deltoid tear was a cumu-
    lative injury that did not manifest itself until after January 21, 2018—within two
    years of the date Corey filed his claim. According to the district court, “[n]o case
    law is needed to infer that knowledge of an injury is a prerequisite for knowledge
    that the injury was work-related.” The district court limited Corey’s recovery to
    compensation for his deltoid tear but not the tennis elbow. Finally, as relevant
    to the appeal, the district court concluded that substantial evidence supported
    the commissioner’s decision to award reimbursement of the full cost of Dr. Sass-
    man’s independent medical evaluation.
    Grinnell appealed; Corey did not. As noted at the outset, Grinnell’s appeal
    challenges the district court’s application of three statutory provisions: Iowa
    Code section 85.35 governing compromise settlements, section 85.26 governing
    the statute of limitations, and section 85.39 governing reimbursement for inde-
    pendent medical examinations. We address each in turn.
    7
    II. Corey’s Compromise Settlement with the Second Injury Fund Did
    Not Bar His Claim for Benefits Against His Employer Under Iowa Code
    Section 85.35(9).
    Whether the compromise settlement bars Corey’s claims for further relief
    from his employer under chapter 85 depends on section 85.35. Specifically, the
    parties dispute the significance of the legislative addition of the phrase “regard-
    ing the subject matter of the compromise” to section 85.35(9). This is not the
    type of language that has clearly been vested in the agency to interpret, so we
    review the agency’s decision for correction of errors at law. See Iowa Code
    § 17A.19(10)(c) (allowing a court to reverse agency action that prejudices a
    party’s substantial rights “[b]ased upon an erroneous interpretation of a provi-
    sion of law”); see also Burton v. Hilltop Care Ctr., 
    813 N.W.2d 250
    , 257 (Iowa
    2012) (considering whether a term is one the agency needs to interpret to carry
    out its duties or whether the term has legal significance outside the agency’s
    subject matter expertise).
    Like most states, Iowa provides a comprehensive statutory scheme gov-
    erning injuries suffered on the job. See Suckow v. NEOWA FS, Inc., 
    445 N.W.2d 776
    , 778–79 (Iowa 1989) (describing the scheme as representing a compromise
    whereby “[e]mployees give up their common law rights of actions against employ-
    ers,” and “[i]n return employers give up their common law defenses and must
    pay employees for all work-related injuries regardless of fault”). The general as-
    sembly vested the workers’ compensation commissioner with exclusive jurisdic-
    tion over claims by injured employees seeking workers’ compensation benefits
    against their employers. See 
    Iowa Code § 85.20
    ; see also Barnes v. State, 
    611 N.W.2d 290
    , 292 (Iowa 2000) (en banc) (recognizing that “[d]emands for lost
    wages under these circumstances are clearly within the jurisdiction of the com-
    missioner—not the courts,” citing Iowa Code section 85.20). The commissioner’s
    jurisdiction flows directly from, and is circumscribed by, the statutory scheme.
    8
    In other words, the commissioner’s jurisdiction extends only so far as the general
    assembly provides.
    Iowa Code section 85.35 governs settlement of workers’ compensation
    claims. A compromise settlement is one method of settlement and works as a
    “full and final disposition” of an employee’s claim to benefits. 
    Iowa Code § 85.35
    (3). A compromise settlement approved by the workers’ compensation
    commissioner also “constitute[s] a final bar to any further rights arising under”
    the Iowa Workers’ Compensation Act “regarding the subject matter of the com-
    promise.” 
    Id.
     § 85.35(9). Here, Corey entered into a compromise settlement with
    the Second Injury Fund, and the commissioner approved it. Grinnell argues that
    once approved, the commissioner lost jurisdiction to award any other benefits
    Corey might claim under chapter 85, including his claims against his employer
    (and Grinnell as his employer’s carrier). See United Fire & Cas. Co. v. St. Paul Fire
    & Marine Ins., 
    677 N.W.2d 755
    , 761 (Iowa 2004) (“The approval of the compro-
    mise special case settlement terminated the workers’ compensation commis-
    sioner’s jurisdiction over any claims arising out of a properly approved compro-
    mise special case settlement.”). But Grinnell did not raise the settlement as an
    issue until after the hearing, and much of the parties’ dispute and the agency’s
    analysis focused on whether section 85.35 goes to the commissioner’s authority,
    which can be waived, or its subject matter jurisdiction, which cannot. See Alliant
    Energy–Interstate Power & Light Co. v. Duckett, 
    732 N.W.2d 869
    , 874 (Iowa 2007)
    (distinguishing between subject matter jurisdiction, which cannot be waived,
    and jurisdiction over a particular case, which can be); Heartland Exp. v. Gardner,
    
    675 N.W.2d 259
    , 266 (Iowa 2003) (explaining that the commissioner’s “jurisdic-
    tion cannot be conferred based on the parties’ status alone”).
    The workers’ compensation scheme is statutory, so we begin with the lan-
    guage of the relevant statute. Notably, section 85.35 was significantly amended
    9
    in 2005—the next legislative session after we decided United Fire & Casualty Co.
    v. St. Paul Fire & Marine Insurance. See 2005 Iowa Acts ch. 168, § 10 (codified at
    
    Iowa Code § 85.35
     (2007)). Previously, parties to a contested workers’ compen-
    sation case with a “bona fide dispute” could “enter into a settlement of any claim
    arising under [chapter 85] . . . providing for [final] disposition of the claim.” 
    Iowa Code § 85.35
     (2003). The settlement was not valid until approved by the com-
    missioner, and once approved, the settlement “constitute[d] a final bar to any
    further rights arising under” chapter 85. 
    Id.
     § 85.35(8). We have previously read
    the bar in section 85.35 broadly to preclude a party from seeking any rights
    created by chapter 85 after entering an approved settlement. In Bankers Stand-
    ard Insurance v. Stanley, we held that a compromise settlement precluded an
    employer from seeking contribution from an employee who subsequently recov-
    ered damages from a third party because the employer’s rights were governed by
    chapter 85. 
    661 N.W.2d 178
    , 182–83 (Iowa 2003). We reasoned that the “lan-
    guage of section 85.35 contains no limitation on the ‘final bar to any further
    rights’ other than the bar applies only to those rights arising under chapters 85,
    85A, 85B, 86, and 87.” 
    Id. at 182
     (quoting 
    Iowa Code § 85.35
     (2001)). In United
    Fire, we extended that holding to an employer’s attempt to directly sue a third
    party for indemnity. 677 N.W.2d at 760 (“A compromise special case settlement
    not only precludes the right of the employer and its insurer to be indemnified by
    the employee when the employee receives funds from a third party, it also pre-
    cludes the right of the employer and its insurer to pursue any legal right to in-
    demnification against a third party.”).
    In 2005, the general assembly made significant revisions to section 85.35.
    See 2005 Iowa Acts ch. 168, § 10 (codified at 
    Iowa Code § 85.35
     (2007)). It split
    the section into subsections, recognizing that parties may enter into different
    types of settlement agreements concerning different claims or parts of a claim.
    10
    See id.; see also 
    Iowa Code § 85.35
    (2) (2007) (addressing “agreement[s] for set-
    tlement”), (3) (addressing compromise settlements), (4) (addressing “a combina-
    tion of an agreement for settlement and a compromise settlement”), (5) (address-
    ing contingent settlements). All settlements under section 85.35 still require
    commissioner approval. See 
    Iowa Code § 85.35
    (7). Of import here, the general
    assembly added a qualifier to the provision governing a compromise settlement’s
    effect on other rights. 2005 Iowa Acts ch. 168, § 10 (codified at 
    Iowa Code § 85.35
    (8) (2007), now codified as amended at 
    Iowa Code § 85.35
    (9) (2020)). That
    provision now states: “[A]n approved compromise settlement shall constitute a
    final bar to any further rights arising under [chapter 85] regarding the subject
    matter of the compromise . . . .” 
    Iowa Code § 85.35
    (9) (2020) (emphasis added).
    The parties dispute whether this additional language changed the scope of
    the statutory bar. But what we said in Bankers Standard—that the “language of
    section 85.35 contains no limitation on the ‘final bar to any further rights,’ ” 
    661 N.W.2d at 182
     (quoting 
    Iowa Code § 85.35
     (2001))—is no longer true. The statu-
    tory bar now extends only to the “subject matter of the compromise.” 
    Iowa Code § 85.35
    (9). This language must be given effect. See Beverage v. Alcoa, Inc., 
    975 N.W.2d 670
    , 685 (Iowa 2022) (“We generally read legislation in a manner to avoid
    rendering portions of a statute superfluous or meaningless.”); Rojas v. Pine Ridge
    Farms, L.L.C., 
    779 N.W.2d 223
    , 231 (Iowa 2010) (“[We] presume the legislature
    included all parts of the statute for a purpose, so we will avoid reading the statute
    in a way that would make any portion of it redundant or irrelevant.”). The general
    rule that we give effect to all language in a statute is even more applicable when
    the general assembly adds new language to a statute, particularly when the ad-
    dition follows our interpretation of the same provision. Cf. Taft v. Iowa Dist. Ct.,
    
    828 N.W.2d 309
    , 317 (Iowa 2013) (“When a statute is amended soon after con-
    troversy has arisen as to the meaning of ambiguous terms in an enactment, the
    11
    court has reason to believe the legislature intended the amendment to provide
    clarification of such terms.”). Giving effect to the plain language of section
    85.35(9), the compromise agreement bars further rights under chapter 85 “re-
    garding the subject matter of the compromise.” 
    Iowa Code § 85.35
    (9).
    Whether the compromise settlement bars Corey’s claim for benefits from
    Grinnell depends on whether that claim is premised on rights that fall within the
    “subject matter of the compromise.” Here, it is important to understand what
    benefits were covered by Corey’s compromise agreement with the Second Injury
    Fund and what benefits he is seeking from Grinnell. Subchapter II of chapter 85,
    titled the “Second Injury Compensation Act,” 
    Iowa Code §§ 85.63
    –69, provides
    benefits to employees with certain preexisting disabilities who “become[] perma-
    nently disabled by a [subsequent] compensable injury,” 
    Id.
     § 85.64(1). The cur-
    rent employer is liable for the “degree of disability” related solely to the subse-
    quent compensable injury, not the preexisting injury. Id. After the employer pro-
    vides benefits for that liability, the Second Injury Fund compensates the em-
    ployee for the remainder of the resulting permanent disability, with some adjust-
    ments. Id. § 85.64. Here, Corey and the Second Injury Fund disputed whether
    the Second Injury Compensation Act applied to a prior ankle injury from 2008,
    a dispute they settled for $2,500. Corey’s claim against Grinnell relates only to
    his right arm injury following the July 2017 grain bin incident.
    With this understanding, we return to the language of section 85.35(9).
    The commissioner’s approval of the compromise agreement “constitute[s] a final
    bar to any further rights arising under [chapter 85] regarding the subject matter
    of the compromise.” Id. § 85.35(9). Black’s Law Dictionary defines “subject mat-
    ter” as “[t]he issue presented for consideration; the thing in which a right or duty
    has been asserted; the thing in dispute.” Subject Matter, Black’s Law Dictionary
    1723 (11th ed. 2019). Corey and the Second Injury Fund were the only parties
    12
    to the compromise settlement, and they explicitly defined the “subject and nature
    of the dispute” on the preprinted form as “the applicability of the Second Injury
    Compensation Act.” Even construing the phrase “subject matter” broadly,
    whether Corey is entitled to benefits from Grinnell for his right-arm injury cannot
    be said to be “regarding the subject matter of the compromise” where the com-
    promise involved only the dispute over whether Corey’s 2008 ankle injury trig-
    gered the Second Injury Compensation Act.
    Although we give no deference to the commissioner’s interpretation of sec-
    tion 85.35, we note that he recently came to the same conclusion. See Milbrandt
    v. R.R. Donnelly, Iowa Workers’ Comp. Comm’n No. 20009756.01, 
    2023 WL 2229576
    , at *8–14 (Feb. 17, 2023). Milbrandt v. R.R. Donnelly involved a similar
    situation of a claimant entering a compromise settlement with the Second Injury
    Fund but not her employer. Id. at *7. The commission recognized that section
    85.35 was amended in 2005, the legislative session following our decision in
    United Fire, which—in his view—was in response to that decision. Id. at *9. He
    also recognized that “[a] claim brought by a claimant against the [Second Injury]
    Fund is distinct from a claim brought by a claimant against an employer and an
    insurance carrier,” such that the claim against the employer was not “regarding
    the subject matter of the compromise” within the meaning of the language added
    to what is now section 85.35(10). Id. at *14.
    That is not to say that compromise settlements between an employee and
    the Second Injury Fund will never bar an employee from seeking benefits from
    his employer. The extent of the bar will depend on the subject matter of the
    compromise. But where, as here, the subject matter of the dispute concerns
    whether a preexisting injury triggers the Second Injury Compensation Act, a
    compromise settlement of that dispute does not bar the separate and distinct
    claim against the employer for the current injury.
    13
    Therefore, Corey’s compromise settlement with the Second Injury Fund
    did not bar his claim against Grinnell for his right arm injuries, and the com-
    missioner properly exercised his jurisdiction to consider that claim.
    III. Corey’s Claim for Benefits Against His Employer Was Untimely
    Under Iowa Code Section 85.26.
    Corey was diagnosed with tennis elbow and a deltoid tear in his right arm.
    Corey identifies the July 2017 grain bin incident as the work event causing the
    injuries. Yet Corey did not file a petition for benefits until January 21, 2020,
    outside the two-year window allowed by Iowa Code section 85.26. Corey relies
    on the discovery rule, applied by the commissioner, to argue that his claim was
    nonetheless timely because he did not appreciate the seriousness or the com-
    pensable nature of his injuries until after January 2018. Corey’s argument turns
    on the application of section 85.26. The district court concluded that statutory
    amendments to section 85.26 abrogated the discovery rule applied by the com-
    missioner. We review “whether the district court correctly applied the law in ex-
    ercising its section 17A.19(8) judicial review function.” Herrera v. IBP, Inc., 
    633 N.W.2d 284
    , 287 (Iowa 2001) (quoting Ahrendsen ex rel. Ahrendsen v. Iowa Dep’t
    of Hum. Servs., 
    613 N.W.2d 674
    , 676 (Iowa 2000) (en banc)). Judicial review of
    the commissioner’s interpretation of section 85.26 is for corrections of error at
    law. Coffey v. Mid Seven Transp. Co., 
    831 N.W.2d 81
    , 89 (Iowa 2013) (concluding
    “the legislature has not clearly vested the agency with interpretive authority” over
    section 85.26 and reviewing agency’s interpretation for errors at law).
    Section 85.26 requires a proceeding for benefits to be “commenced within
    two years from the date of the occurrence of the injury for which benefits are
    claimed.” 
    Iowa Code § 85.26
    (1). Prior to 2017, the “date of the occurrence of the
    injury” was not statutorily defined. Cumulative injuries that develop over time
    made it difficult to identify an injury date. The date “an injury occurs is important
    14
    because it impacts the determination of ‘which employer and carrier is at risk,
    whether notice of injury and claim are within the statutory period, whether stat-
    utory amendments were in effect, which wage basis applies, and other important
    considerations.’ ” Herrera, 
    633 N.W.2d at 287
     (quoting Thilges v. Snap–on Tools
    Corp., 
    528 N.W.2d 614
    , 618 (Iowa 1995)). We developed a cumulative injury rule,
    what we called a manifestation test, to identify the injury date for a cumulative
    injury as the date “when the claimant, as a reasonable person, would be plainly
    aware (1) that he or she suffers from a condition or injury, and (2) that this
    condition or injury was caused by the claimant’s employment.” Id. at 288.
    We also adopted a discovery rule that tolls the period for commencing a
    proceeding until the employee knows or should recognize that the injury is com-
    pensable for purposes of workers’ compensation benefits. See Orr v. Lewis Cent.
    Sch. Dist., 
    298 N.W.2d 256
    , 259–61 (Iowa 1980) (en banc) (applying discovery
    rule to section 85.26 and overruling Otis v. Parrott, 
    8 N.W.2d 708
     (Iowa 1943),
    overruled by Orr, 
    298 N.W.2d 256
    ). In Otis v. Parrott, we had held that the stat-
    utory language “from the date of the injury causing such death or disability” in
    Iowa Code section 1386, the predecessor to section 85.36, identified the injury
    as “the causal injury without reference to whether it is compensable or not.” 8
    N.W.2d at 711 (emphasis added). But in Orr v. Lewis Central School District, we
    concluded that legislative amendments to section 85.26 removing the phrase
    “causing such death or disability” clarified that the general assembly did not
    intend to limit “injury” to the causal injury as we had said in Otis, but intended
    the discovery rule to apply so that “injury” could be read to mean compensable
    injury. Orr, 
    298 N.W.2d at
    260–61 (“[T]he amendment removed the language
    which had been determinative in Otis . . . .”).
    15
    Since Orr, we have continued to apply the discovery rule to toll the statute
    of limitations “until the employee also knows that the physical condition is seri-
    ous enough to have a permanent adverse impact on the claimant’s employment
    or employability, i.e., the claimant knows or should know the ‘nature, serious-
    ness, and probable compensable character’ of his injury or condition.” Herrera,
    
    633 N.W.2d at
    287–89 (quoting Orr, 
    298 N.W.2d at 257
    ); see also Larson Mfg.
    Co. v. Thorson, 
    763 N.W.2d 842
    , 854–55 (Iowa 2009) (using the phrase “perma-
    nent adverse impact” as a short-hand for the three elements of the discovery rule
    test: nature, seriousness, and probable compensable character of the injury).
    Tying the discovery rule to the permanent adverse impact of an injury reflects
    the fact that not every minor ache that happens on the jobsite triggers workers’
    compensation benefits. See Swartzendruber v. Schimmel, 
    613 N.W.2d 646
    , 650
    (Iowa 2000) (en banc) (recognizing that the “seriousness component of the dis-
    covery rule exists so that ‘every minor ache, pain, or symptom’ does not begin
    the statute of limitations” (quoting 2B Arthur Larson & Lex K. Larson, The Law
    of Workmen’s Compensation § 78.41(e), at 15–279 (1994))).
    In 2017, the general assembly added a sentence to section 85.26(1) defin-
    ing, “[f]or purposes of this section, ‘date of the occurrence of the injury.’ ” 2017
    Iowa Acts ch. 23, § 4 (emphasis omitted) (codified at 
    Iowa Code § 85.23
     (2018)).
    Section 85.26(1) now reads:
    An original proceeding for benefits . . . shall not be maintained in
    any contested case unless the proceeding is commenced within two
    years from the date of the occurrence of the injury for which benefits
    are claimed . . . . For the purposes of this section, ‘date of the occur-
    rence of the injury’ means the date that the employee knew or should
    have known that the injury was work-related.
    
    Iowa Code § 85.26
    (1) (emphasis omitted). Grinnell argues that the codification of
    a definition for “date of the occurrence of the injury” eliminated the discovery
    rule. Corey counters that the general assembly merely codified the manifestation
    16
    rule for cumulative injuries but left alone the discovery rule we had previously
    applied to workers’ compensation claims, so we should continue to apply that
    rule.
    As a common law rule, discovery rules are subject to modification or ab-
    rogation by the legislature. See, e.g., Frideres v. Schiltz, 
    540 N.W.2d 261
    , 267
    (Iowa 1995) (en banc) (recognizing that the common law discovery rule was re-
    placed by enactment of a discovery rule in Iowa Code section 614.8A). Thus,
    whether the discovery rule as we have previously applied it is a good idea or not,
    we are tasked with construing the words actually used in section 85.26(1). See
    State v. Coleman, 
    907 N.W.2d 124
    , 135 (Iowa 2018) (“When the legislature has
    defined words in a statute—that is, when the legislature has opted to ‘act as its
    own lexicographer’—those definitions bind us.” (quoting In re J.C., 
    857 N.W.2d 495
    , 500 (Iowa 2014))). In doing so, “[o]rdinarily, we may not, under the guise of
    judicial construction, add modifying words to the statute or change its terms.”
    Schultze v. Landmark Hotel Corp., 
    463 N.W.2d 47
    , 49 (Iowa 1990).
    The general assembly expressly defined the “date of occurrence of the in-
    jury,” and it did so “[f]or the purposes of this section,” i.e., section 85.26. 
    Iowa Code § 85.26
    (1) (emphasis omitted). Replacing the phrase “date of occurrence of
    the injury” with the legislative definition, section 85.26(1) requires a proceeding
    to be “commenced within two years from . . . the date that the employee knew or
    should have known that the injury was work-related.” 
    Id.
     Previously, we had
    used the discovery rule to determine when the statutory period commenced. See
    Herrera, 
    633 N.W.2d at 287
     (explaining that “the statute of limitations period
    does not commence until” the discovery rule has been satisfied). But the general
    assembly tied commencement of the statute of limitations to a specific event, an
    event it has now expressly defined.
    17
    Corey submits that application of the discovery rule is a two-part process
    under Herrera, see 
    id. at 288
     (“The preferred analysis is to first determine the
    date the injury is deemed to have occurred . . . and then to examine whether the
    statutory period commenced on that date or whether it commenced upon a later
    date based upon application of the discovery rule.”), and this new statutory def-
    inition goes only to the first step. Corey’s argument is premised on treating the
    manifestation test and the discovery rule as distinct concepts. As we recognized
    in Herrera, “[t]hese two rules are closely related, . . . [although] they are not the
    same.” 
    Id. at 287
     (first alteration and omission in original) (quoting McKeever
    Custom Cabinets v. Smith, 
    379 N.W.2d 368
    , 372–73 (Iowa 1985)). They are closely
    related because they both toll the period for commencing the statute of limita-
    tions. The manifestation test tolls the period until the employee knows (or should
    know) that he is injured and that the injury is work-related. They are not the
    same because the discovery rule tolls the period one step longer—until the em-
    ployee recognizes (or should recognize) that the injury is compensable.
    We have recognized a similar distinction in the application of the discovery
    rule in the context of medical malpractice claims. See Rathje v. Mercy Hosp., 
    745 N.W.2d 443
    , 452, 455–56 (Iowa 2008) (discussing the national development of
    the discovery rule and noting that the “difficult subissue, however, was how the
    discovery rule should be applied to the elements of the claim, i.e., whether or not
    it should be applied to all of the elements”). In 1975, the general assembly en-
    acted Iowa Code section 614.1(9) “as a specific exception to the general statute
    of limitations for malpractice actions.” Rathje, 
    745 N.W.2d at 455
    ; see also 1975
    Iowa Acts ch. 239, § 26 (codified at 
    Iowa Code § 614.1
    (9)(a) (1977)). Section
    614.1(9) included a discovery rule, but “it defined the rule to begin the two-year
    statute of limitations when the patient ‘knew, or through the use of reasonable
    diligence should have known [of], . . . the injury or death for which damages are
    18
    sought in the action.’ ” Rathje, 
    745 N.W.2d at
    455–56 (alteration and omission
    in original) (quoting 
    Iowa Code § 614.1
    (9)). This was different than the discovery
    rule we had previously applied in Baines v. Blenderman, 
    223 N.W.2d 199
    , 202
    (Iowa 1974), superseded by statute, 1975 Iowa Acts ch. 239, § 26, which “pro-
    vided for the cause of action to accrue not only upon the discovery of the injury
    and its cause, but also the discovery of the negligent conduct.” Rathje, 
    745 N.W.2d at 456
    . As Rathje v. Mercy Hospital recognized, the more limited discovery
    rule codified in section 614.1(9) replaced the broader application we had applied
    in Baines.
    Here, the general assembly set the parameters for the discovery rule in
    section 85.26, requiring proceedings to commence within two years from when
    the claimant knows or should know an injury is work-related. The general as-
    sembly has chosen to limit the discovery rule to knowledge that an injury is
    work-related, not to knowledge of the compensable nature of the injury as we
    had previously recognized. Continuing to apply our prior common law discovery
    rule to further toll the limitation period until the employee is also aware of the
    permanent adverse impact of an injury would add words to the statute that the
    general assembly did not—something we cannot do. See Schultze, 
    463 N.W.2d at 49
     (rejecting plaintiff’s attempt to incorporate broader discovery rule into Iowa
    Code section 614.1(9), providing that limitations period was triggered by “death,”
    where the requested construction would require “the addition of the word ‘wrong-
    ful’ [and] would be inconsistent with established rules of statutory construc-
    tion”); see also Trentadue v. Buckler Lawn Sprinkler, 
    738 N.W.2d 664
    , 672 (Mich.
    2007) (concluding “that courts may not employ an extrastatutory discovery rule
    to toll accrual in avoidance of the plain language of MCL 600.5827”); Moreno v.
    Sterling Drug, Inc., 
    787 S.W.2d 348
    , 351 (Tex. 1990) (distinguishing cases involv-
    ing claims premised on statutes that did not define date of accrual where “section
    19
    16.003(b) specifically defines ‘accrual’ as the date of death” and holding the plain
    language of the provision excludes application of a discovery rule).
    We therefore agree with the district court that the general assembly mod-
    ified the discovery rule we had previously recognized when it statutorily defined
    the “date of occurrence of the injury.” For purposes of section 85.26, the two-
    year statutory period begins to run when the employee knows or should know
    that an injury is work-related, without regard to whether the injury is also seri-
    ous enough to be compensable. We recognize this is a significant change within
    the workers’ compensation arena. But that arena is entirely statutory, “being
    both conceived and constructed by legislative action,” and we are bound to apply
    the statutes as enacted by the general assembly. See Tripp v. Scott Emergency
    Comm’n Ctr., 
    977 N.W.2d 459
    , 464 (Iowa 2022).
    The district court concluded that Corey’s tennis elbow was time-barred
    because he knew that that injury was work-related when the injury occurred in
    July 2017. But the district court also concluded that Corey could not have
    known the deltoid tear was work-related until he knew of that specific injury.
    Corey’s counsel candidly admitted during oral argument that the injuries were
    not presented to the commissioner as separate or cumulative injuries, and Corey
    does not attempt to support the district court’s distinction between the two in-
    juries on appeal. He argues instead that both injuries stand or fall together on
    our application of the discovery rule. Having concluded that the discovery rule
    as we previously applied it did not survive the 2017 revisions to section 85.26(1),
    we conclude the district court erred in splitting the injuries. Corey knew he had
    a right-arm injury that was work-related more than two years before he sought
    benefits, and his claim is therefore barred as untimely. We do not address how
    the revisions to section 85.26 might apply to a cumulative-type injury.
    20
    IV. Corey is Not Entitled to Reimbursement for Dr. Sassman’s
    Examination Under Iowa Code Section 85.39.
    Finally, Grinnell appeals the award of $4,650 to reimburse Corey for the
    independent medical evaluation by Dr. Sassman under Iowa Code section 85.39,
    arguing that recent revisions to that provision limit the fee to the reasonable cost
    for an impairment rating. See 
    Iowa Code § 85.39
    (2) (“A determination of the rea-
    sonableness of a fee for an examination made pursuant to this subsection, shall
    be based on the typical fee charged by a medical provider to perform an impair-
    ment rating in the local area where the examination is conducted.”). However,
    “[a]n employer is not liable for the cost of such an examination if the injury for
    which the employee is being examined is determined not to be a compensable
    injury.” 
    Id.
     Because Corey’s petition was untimely, the injury for which Dr. Sass-
    man provided the exam was not compensable, and he is not entitled to reim-
    bursement in any event. We therefore reverse the reimbursement award without
    addressing Grinnell’s statutory argument.
    V. Conclusion.
    The district court’s judgment granting in part and denying in part
    Grinnell’s petition for judicial review is reversed, and the case is remanded for
    further proceedings consistent with this opinion.
    REVERSED AND REMANDED.
    

Document Info

Docket Number: 22-2081

Filed Date: 12/22/2023

Precedential Status: Precedential

Modified Date: 12/22/2023