Lewis v. Am. Gen. Media , 2015 NMCA 90 ( 2015 )


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    New Mexico Compilation
    Commission, Santa Fe, NM
    '00'04- 13:37:41 2015.09.11
    IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO
    Opinion Number: 2015-NMCA-090
    Filing Date: June 26, 2015
    Docket No. 33,236
    SANDRA LEWIS,
    Worker-Appellee,
    v.
    AMERICAN GENERAL MEDIA and
    GALLAGHER BASSETT,
    Employer/Insurer-Appellant.
    APPEAL FROM THE WORKERS’ COMPENSATION ADMINISTRATION
    Terry S. Kramer, Workers’ Compensation Judge
    Peter D. White
    Santa Fe, NM
    for Appellee
    Paul L. Civerolo, L.L.C.
    Paul L. Civerolo
    Albuquerque, NM
    for Appellant
    OPINION
    WECHSLER, Judge.
    {1}     We are again called upon to address the application of the Workers’ Compensation
    Act, NMSA 1978, §§ 52-1-1 to -70 (1929, as amended through 2013), to a worker certified
    to receive treatment with medical marijuana under the Lynn and Erin Compassionate Use
    Act (Compassionate Use Act), NMSA 1978, §§ 26-2B-1 to -7 (2007). In Vialpando v. Ben’s
    Automotive Services, we held that the Workers’ Compensation Act authorizes reimbursement
    for medical marijuana and declined to hold that federal law required a different result. 2014-
    NMCA-084, ¶¶ 1, 16, 
    331 P.3d 975
    , cert. denied, 
    331 P.3d 924
    (2014). In Maez v. Riley
    1
    Industrial, we considered the sufficiency of the evidence that supported reimbursement for
    medical marijuana for the worker in that case. 2015-NMCA-049, 
    347 P.3d 732
    .
    {2}     In this case, Gallagher Bassett and its insurer American General Media (collectively,
    Employer) challenge the sufficiency of the evidence supporting the conclusions of the
    Workers’ Compensation Judge (WCJ) that the use of medical marijuana by Worker Sandra
    Lewis constituted reasonable and necessary medical care that required reimbursement.
    Specifically, Employer argues that the evidence offered by Worker’s authorized health care
    provider was insufficient and that the WCJ erred by relying on testimony from an
    unauthorized health care provider who had provided a certification for Worker’s use of
    medical marijuana under the Compassionate Use Act. Employer further argues that the
    conflict between New Mexico and federal law concerning the use of medical marijuana
    precludes the validity of the amended compensation order in this case. We hold that the
    medical certification forms and notes of Worker’s authorized health care provider were
    substantial evidence to support the WCJ’s conclusion that Worker’s use of medical
    marijuana constitutes reasonable and necessary medical care and that, as discussed in
    Vialpando, the conflict between New Mexico and federal law does not support failing to give
    recognition to the amended compensation order. We therefore affirm.
    BACKGROUND
    {3}    Worker suffered a compensable, work-related injury to her lower back in December
    1998. She underwent several surgical procedures and currently suffers from post-
    laminectomy syndrome in the lumbar region. She suffers chronic pain. Since her injury,
    Worker has taken numerous drugs as part of her pain management, including Oxycontin,
    oxycodone, Soma, Norflex, gabapentin, Lyrica, Percocet, fentanyl, and Zantac.
    {4}     The issues concerning Worker’s treatment began on April 16, 2012, when Employer
    filed an application requesting an independent medical examination (IME) in order to
    determine the scope of reasonable and necessary treatment for Worker’s condition. In its
    application, Employer stated that Worker had been using medical marijuana and taking
    prescribed pain medication, which was inconsistent with Worker’s belief that medical
    marijuana “is now the most effective medication from all of her different treatment and she
    is concerned by potential side effects.” The WCJ appointed Dr. Carl Adams, a psychologist,
    “to address Worker’s ongoing pain management and use of pain medications.” Dr. Adams’
    recommendations, issued September 17, 2012, supported Worker’s request to use medical
    marijuana to control her pain as reasonable and appropriate.
    {5}     Worker was originally certified to participate in the New Mexico Department of
    Health Medical Cannabis Program (the program) on March 22, 2010. On July 31, 2012, Dr.
    Carlos Esparza, Worker’s authorized health care provider, provided the written certification
    under the Compassionate Use Act for Worker to re-enroll in the program. As required by the
    Compassionate Use Act, Dr. Esparza certified that Worker had “debilitating” medical
    conditions (painful peripheral neuropathy and severe chronic pain) and that Worker had
    2
    “current unrelieved symptoms that have failed other medical therapies.” Dr. Esparza stated
    that the “benefits of medical marijuana outweigh the risk of hyper doses of narcotic
    medications.”
    {6}     On May 30, 2013, Dr. Stephen I. Rosenberg, after a medical consultation as a second
    doctor required for certification of Worker’s re-enrollment, also signed a certification form
    for Worker’s re-enrollment in the program, listing Worker’s condition as severe chronic pain
    and making essentially the same certifications as Dr. Esparza. On July 31, 2013, Joel
    Gelinas, a physician’s assistant in Dr. Esparza’s office, also signed a certification form for
    Worker’s re-enrollment in the program. He listed Worker’s condition as severe chronic pain
    and certified that Worker’s condition was debilitating and that “standard treatments have
    failed to bring adequate relief.”
    {7}     After trial, conducted on August 8, 2013, the WCJ found that Worker’s authorized
    health care provider was Dr. Esparza and physician’s assistant Joel Gelinas and that “the
    office of Dr. Esparza” had recommended Worker “as a candidate for medical marijuana
    under the Compassionate Use Act.” The WCJ concluded that Worker’s use of medical
    marijuana under the program constituted reasonable and necessary medical care and required
    Employer to reimburse Worker for the receipts she submitted for her certified purchases.
    Employer filed this appeal.
    REASONABLE AND NECESSARY MEDICAL CARE
    {8}      As its first main argument, Employer challenges the sufficiency of the evidence
    supporting the WCJ’s conclusion that Worker’s use of medical marijuana constituted
    reasonable and necessary medical care. Employer asserts this challenge in two ways, arguing
    that (1) “[t]he record does not support [the WCJ’s] finding that [W]orker was recommended
    as a candidate for medical marijuana under the [C]ompassionate [U]se [A]ct through the
    office of Dr. Esparza” and (2) the WCJ “went outside” the Workers’ Compensation Act and
    interpreting case law “to rely on testimony by an unauthorized provider” to make its finding
    of reasonable and necessary care.
    Testimony of an Unauthorized Provider
    {9}    We first address Employer’s argument that the WCJ improperly relied on the
    testimony of an unauthorized health care provider in determining that Worker’s use of
    medical marijuana constituted reasonable and necessary medical care. In this regard,
    Employer contends that because Worker needed the certification of two health care
    professionals to be able to use medical marijuana under the Compassionate Use Act, the
    WCJ necessarily relied on the certification of Dr. Rosenberg in the WCJ’s determination of
    the necessity of medical marijuana care. Thus, according to Employer, the WCJ improperly
    considered the certification of Dr. Rosenberg who was not qualified to present testimony
    under the Workers’ Compensation Act because he was neither Worker’s authorized health
    care provider nor a health care provider authorized to perform an IME. See § 52-1-51(C)
    3
    (“Only a health care provider who has treated the worker . . . or the health care provider
    providing the independent medical examination . . . may offer testimony at any workers’
    compensation hearing concerning the particular injury in question.”).
    {10} Employer’s argument requires us to interpret the Workers’ Compensation Act in
    connection with the Compassionate Use Act based on the facts of this case. We thus afford
    it de novo review. Vialpando, 2014-NMCA-084, ¶ 5.
    {11} Employer’s argument fatally interconnects the Workers’ Compensation Act and the
    Compassionate Use Act. In order for a worker to qualify for medical care after a
    compensable injury under the Workers’ Compensation Act, the care must be “reasonable and
    necessary” care from a health care provider. Section 52-1-49(A). Typically, in the event of
    a dispute between a worker and an employer pertaining to the reasonableness or necessity
    of medical care, a worker will establish that care was reasonable and necessary through
    evidence provided by a health care provider. See DiMatteo v. Doña Ana Cnty., 1985-NMCA-
    099, ¶ 26, 
    104 N.M. 599
    , 
    725 P.2d 575
    (stating under previous version of Workers’
    Compensation Act that the worker had the burden of proving that his medical expenses were
    reasonably necessary). The Workers’ Compensation Act restricts testimony in this regard
    to either a treating health care provider or an independent medical examiner. Section 52-1-
    51(C).
    {12} In order to qualify for medical marijuana under the Compassionate Use Act, “a
    person licensed in New Mexico to prescribe and administer” controlled substances must
    certify to the opinion that “the patient has a debilitating medical condition” as defined in the
    Compassionate Use Act and “the potential health benefits of the medical use of cannabis
    would likely outweigh the health risks for the patient.” Section 26-2B-3(E), (H). Regulations
    promulgated by the New Mexico Department of Health require two written certifications
    when the debilitating medical condition is, as for Worker, severe chronic pain: one from a
    primary health care provider and one from a “specialist with expertise in pain management
    or . . . expertise in the disease process that is causing the pain”). 7.34.3.8(B)(1)(b) NMAC
    (12/30/2010)1.
    {13} However, no statutory or regulatory provision connects these requirements under the
    two separate statutory schemes. Practically, a worker first must be enrolled in the medical
    marijuana program under the Compassionate Use Act before any issue can arise under the
    Workers’ Compensation Act as to whether medical marijuana use is reasonable and
    necessary care. But, otherwise, the two determinations are not dependent on each other; they
    are made separately, at different times, and by different administrative authorities. No
    express provision of the Workers’ Compensation Act grants a WCJ the authority to review
    a Department of Health enrollment determination. See Jones v. Holiday Inn Express, 2014-
    NMCA-082, ¶ 19, 
    331 P.3d 992
    (“Since the [Workers’ Compensation Administration] is a
    1
    18         Section 7.34.3 NMAC was amended in 2015. The previous version
    19 (12/30/2010) is cited in this Opinion because it is applicable to the pending case.
    4
    creature of the Legislature, [the Court] cannot expand the [Workers’ Compensation
    Administration’s] jurisdiction over matters unless the Legislature expressly granted the
    [Workers’ Compensation Administration] jurisdiction or jurisdiction can be found by
    necessary implication.”).
    {14} Thus, although the Department of Health requires that a person obtain two written
    certifications in order to be enrolled in the program and receive medical marijuana for severe
    chronic pain, the Workers’ Compensation Act has no such quantitative requirements for a
    WCJ to determine that medical care is reasonable and necessary. Indeed, the Workers’
    Compensation Act contemplates that fewer, rather than more, professionals will provide
    input by restricting testimony to treating providers and independent medical examiners.
    Section 52-1-51(C). Nor does the Workers’ Compensation Act require, as Employer urges,
    that a WCJ make a determination that a worker enrolled in the Medical Cannabis Program
    was properly eligible for medical marijuana use. The Compassionate Use Act and its
    associated regulations control the manner in which that determination is made, and the
    Department of Health bears the responsibility of approving applications for enrollment in
    the Medical Cannabis Program. See § 26-2B-7(G) (providing that the Department of Health
    shall issue registry identification cards for the Medical Cannabis Program to patients who
    submit applications in accordance with the Department’s rules); see also 7.34.3.7(JJ)
    (12/30/2010) (defining “registry identification card” as “a document issued by the
    department which identifies a qualified patient authorized to engage in the use of cannabis
    for a debilitating medical condition” (internal quotation marks omitted)). All that is required
    by the Workers Compensation Act is that the WCJ determine, based on evidence from one
    or more authorized health care providers, whether a worker’s medical treatment for a work
    injury is reasonable and necessary. Section 52-1-51.
    {15} The facts of this case are illustrative. Dr. Esparza and Joel Gelinas were Worker’s
    authorized health care provider. The evidence included their certifications for Worker’s
    participation in the Medical Cannabis Program and use of medical marijuana as well as their
    related medical notes. Dr. Rosenberg, who was not an authorized health care provider under
    the Workers’ Compensation Act, also submitted a written certification in support of
    Worker’s enrollment in the program. See § 52-1-49 (stating the manner for selection of an
    authorized health care provider).
    {16} Although Dr. Rosenberg’s certification may have been necessary for Worker’s
    enrollment in the program, it was unnecessary evidence to establish the reasonableness and
    necessity of Worker’s medical care because Dr. Rosenberg was not an authorized health care
    provider. Thus, Employer argues that Worker’s medical marijuana treatment could not be
    considered medically necessary because the WCJ could not consider the certification of Dr.
    Rosenberg as an unauthorized health care provider in meeting the eligibility requirements
    5
    of the Compassionate Use Act.2 However, even though the administrative regulations
    promulgated by the Department of Health pursuant to the Compassionate Use Act may
    require more than one certification for the condition of severe chronic pain, nothing in the
    Workers’ Compensation Act requires evidence from more than one health care provider in
    order to establish the reasonableness and necessity of medical care. Worker was enrolled in
    the Medical Cannabis Program; it was not the role of the WCJ to second-guess that
    determination, and the issue is not before us. In this regard, the only pertinent issue in this
    appeal is whether Worker presented substantial evidence to the WCJ for the WCJ to
    determine that medical marijuana use was reasonable and necessary medical care.
    Sufficiency of the Evidence
    {17} We thus turn to whether substantial evidence supported the WCJ’s conclusion, taking
    into account Employer’s arguments concerning the receipt in evidence of Dr. Rosenberg’s
    certification.3 We review for substantive evidence under a whole record standard of review.
    Dewitt v. Rent-A-Center, Inc., 2009-NMSC-032, ¶ 12, 
    146 N.M. 453
    , 
    212 P.3d 341
    . “Whole
    record review contemplates a canvass by the reviewing court of all the evidence bearing on
    a finding or decision, favorable and unfavorable, in order to determine if there is substantial
    evidence to support the result.” Leonard v. Payday Prof’l, 2007-NMCA-128, ¶ 10, 
    142 N.M. 605
    , 
    168 P.3d 177
    (alteration, internal quotation marks, and citation omitted). Substantial
    evidence is evidence that demonstrates “the reasonableness of an agency’s decision, and we
    neither reweigh the evidence nor replace the fact finder’s conclusions with our own.” Dewitt,
    2009-NMSC-032, ¶ 12 (citation omitted). We give deference to the factfinder and will not
    disturb the WCJ’s findings on appeal if they are supported by substantial evidence on the
    record as a whole. Herman v. Miners’ Hosp., 1991-NMSC-021, ¶ 6, 
    111 N.M. 550
    , 
    807 P.2d 734
    .
    {18} The certification forms from both Dr. Esparza and Joel Gelinas stated that Worker
    suffered from severe chronic pain and that other treatment had not worked. Specifically, Dr.
    Esparza stated that the benefits of medical marijuana would “outweigh the risk of hyper
    doses of narcotic medications.”
    {19} Employer points to the medical notes of Dr. Esparza and Joel Gelinas and contends
    that they are equivocal statements and that the opinions expressed are not “of medical
    2
    Employer also intimates on appeal that Dr. Rosenberg’s certification could not
    support Worker’s enrollment in the program because he was not Worker’s primary
    physician. Employer, however, does not indicate the manner in which such an issue was
    preserved before the WCJ. “To preserve a question for review it must appear that a ruling
    or decision” below was fairly invoked. Rule 12-216(A) NMRA.
    3
    The certification forms of Dr. Esparza, Dr. Rosenberg, and Joel Gelinas were all
    received in evidence over Employer’s objection.
    6
    reasonableness and necessity.” Dr. Esparza’s July 17, 2012 medical notes state that Worker
    informed him that she had reduced her use of prescribed medications because she had been
    using medical marijuana. Dr. Esparza stated that “it would be reasonable for us to drop some
    of these narcotic medications in place of the medical marijuana if that is helping her. I would
    be happy to fill out her form for this.” In Joel Gelinas’ July 31, 2012 medical note, he
    observes that Worker stated that she needed a referral to her primary care doctor “so that [her
    use of medical marijuana] could be associated with her work injury.” Worker was concerned
    that she was “using the marijuana to medically control her pain, which is related to her
    workers’ compensation injury.” Joel Gelinas noted that he told Worker that he would discuss
    the request with Dr. Esparza but that “[w]e generally do not refer patients to their primary
    care doctor for evaluation for a workers’ compensation injury.”
    {20} When considered as a whole, the medical certification forms and notes of Dr. Esparza
    and Joel Gelinas are substantial evidence supporting the WCJ’s determination. The medical
    certification forms certify Worker for enrollment in the program and clearly state that other
    treatments, that included narcotic medications, have failed. The medical certification forms
    are the functional equivalents of prescriptions. Vialpando, 2014-NMCA-084, ¶ 12. Further,
    Dr. Esparza expressly states in his note that “it would be reasonable” to replace some of
    Worker’s narcotic medications if the medical marijuana was helping her and that he would
    be happy to complete her certification. We do not consider this language to be equivocal in
    view of Dr. Esparza’s issuing the certification.
    {21} Joel Gelinas’ medical note does not detract from his certification. The practice of Dr.
    Esparza’s office, by which Dr. Esparza and Joel Gelinas would not refer Worker to her
    primary physician in order to link Worker’s use of medical marijuana to her work injury,
    does not impact the determination of whether Worker’s use of medical marijuana is
    reasonable and necessary medical care. Dr. Esparza and Joel Gelinas were Worker’s
    authorized health care provider who medically treated Worker; they were under no
    obligation to assist Worker with her legal claim. We assume that they issued their
    certifications in the good faith medical belief that Worker’s use of medical marijuana would
    benefit her medical treatment. Cf. Maez, 2015-NMCA-049, ¶ 29 (holding that medical care
    was reasonable and necessary where the evidence did not support the inference that a health
    care provider failed to exercise medical judgment in certifying a worker for the
    Compassionate Use Act program). The fact that they did not refer Worker to her primary
    physician does not indicate that they did not have such a belief.
    {22} Employer also argues that Dr. Esparza “would not have prescribed a controlled
    substance to [W]orker because it defies logic that a doctor holding a valid license would
    jeopardize himself or his patient by recommending illegal use of a controlled substance.”
    According to Employer, Dr. Esparza’s “discomfort with recommending or prescribing
    medical marijuana is underscored by his refusal to provide [W]orker with a referral to
    another doctor, even though she requested this referral.” We are unpersuaded by this
    speculation. First, and significantly, Employer makes no reference to the record in support
    of his attributions to Dr. Esparza. See Rule 12-213(A)(4) NMRA (requiring an appellant to
    7
    provide citations to the record proper in support of each argument); see also Fenner v.
    Fenner, 1987-NMCA-066, ¶ 28, 
    106 N.M. 36
    , 
    738 P.2d 908
    (holding that the Court need not
    consider arguments raised on appeal that are unsupported by record citations). Second,
    although federal law prohibits prescribing marijuana for medical use, the Compassionate Use
    Act specifically contemplates the use of medical marijuana in New Mexico as a form of
    medical treatment for certain conditions. 21 U.S.C. § 812 (2012); see Gonzales v. Raich, 
    545 U.S. 1
    , 27 (2005) (stating that “by characterizing marijuana as a Schedule I drug, Congress
    expressly found that the drug has no acceptable medical uses”); Sections 26-2B-2 to -7.
    Third, Joel Gelinas’ note is much too unclear to reach a conclusion that Dr. Esparza had
    adopted any office policy regarding referral of patients to their primary care doctors “for
    evaluation of a workers’ compensation injury” because of any concern about medical
    marijuana.
    {23} We also do not believe that the testimony of Dr. Adams undercuts the WCJ’s
    conclusion that medical marijuana constituted reasonable and necessary medical care. Dr.
    Adams, a psychologist, recommended in his IME report that he supported Worker’s “request
    to begin medical cannabis use to control her pain” and that “her request seems reasonable
    and appropriate.” In his deposition testimony, he again stated that he thought that medical
    marijuana was reasonable and advisable for treatment of Worker’s pain. Although Dr.
    Adams did not state, as Employer contends, that “Worker’s use of medical marijuana was
    a medical necessity,” the absence of such testimony does not demonstrate that the WCJ’s
    conclusion is unsupported by substantial evidence based on the evidence as a whole.
    CONFLICT WITH FEDERAL LAW
    {24} Employer additionally argues that the WCJ’s order requiring it to reimburse Worker
    raises a conflict between federal and state law and that, with such conflict, the federal law
    preempts state law, rendering the WCJ’s order without effect. This argument presents an
    issue of law that we review on a de novo basis. See Largo v. Atchison, Topeka & Santa Fe
    Ry. Co., 2002-NMCA-021, ¶ 5, 
    131 N.M. 621
    , 
    41 P.3d 347
    (stating that federal preemption
    is a question of law that the Court reviews de novo).
    {25} We agree with Employer that the Controlled Substances Act (CSA), 21 U.S.C. §§
    801-904 (2012) conflicts with the Compassionate Use Act in that the CSA does not except
    marijuana used for medical purposes from its prohibition of possession or distribution of
    even small amounts of marijuana. 21 U.S.C. §§ 812, 822, 823(f); 
    Gonzales, 545 U.S. at 27
    (stating that the CSA “designates marijuana as contraband for any purpose”). In Vialpando,
    we recognized that “the Supremacy Clause dictates that any conflict between the
    Compassionate Use Act and the CSA would be resolved in favor of the CSA.” Vialpando,
    2014-NMCA-084, ¶ 15.
    {26} Nonetheless, we declined to reverse the WCJ’s order in Vialpando based on either
    federal law or public policy, observing that the employer had not demonstrated that the order
    would have required it to violate a federal statute and that federal public policy was
    8
    ambiguous in contrast with New Mexico’s clear public policy expressed in the
    Compassionate Use Act. 
    Id. ¶¶ 15-16.
    Employer would distinguish Vialpando on two
    grounds: (1) a second memorandum issued by the United States Department of Justice
    (Department of Justice) subsequent to the memorandum discussed in Vialpando indicates
    that New Mexico law does not meet the standard contemplated by the Department of Justice;
    and (2) in contrast to Vialpando, Employer has identified the federal statute that would
    embrace Employer’s activity in carrying out the WCJ’s order.
    {27} As to the initial memorandum, in Vialpando we discussed the memorandum from
    James M. Cole, Deputy Attorney General, to All United States Attorneys, entitled Guidance
    Regarding Marijuana Enforcement, dated August 29, 2013. Vialpando, 2014-NMCA-084,
    ¶ 16. We noted that the memorandum was not dispositive, but included “equivocal
    statements about state laws allowing marijuana use for medical and even recreational
    purposes.” 
    Id. We observed
    that, although the memorandum affirmed that the CSA declared
    marijuana to be illegal and that federal prosecutors would continue to enforce the CSA, the
    memorandum identified eight areas of enforcement priority that did not include medical
    marijuana. 
    Id. ¶ 16
    n.1. Beyond those priorities, the memorandum indicated that the
    Department of Justice “would generally defer to state and local authorities.” 
    Id. ¶ 16
    .
    {28} According to Employer, the New Mexico statutory and regulatory scheme is not
    sufficient to satisfy Department of Justice requirements that justify deference to state law.
    Employer points to language in the second memorandum that indicates that the Department
    of Justice’s position “rested on the expectation that states that have enacted laws authorizing
    marijuana-related conduct will implement clear, strong and effective regulatory and
    enforcement systems in order to minimize the threat posed to federal enforcement priorities.”
    Memorandum from James M. Cole, Deputy Attorney General, to All United States
    Attorneys, Guidance Regarding Marijuana Financial Related Crimes (February 14, 2014).
    {29} More particularly, Employer argues that the Workers’ Compensation Act and the
    Compassionate Use Act do not meet the standard set forth in the second memorandum.
    However, as we stated in Vialpando, the New Mexico Legislature adopted the
    Compassionate Use Act “to allow the beneficial use of medical cannabis in a regulated
    system for alleviating symptoms caused by debilitating medical conditions and their medical
    treatments.” 2014-NMCA-084, ¶ 16 (quoting Section 26-2B-2 (internal quotation marks
    omitted)). It is not clear the manner in which any deficiency in this system is an issue in this
    case, and Employer’s arguments in this regard are not specific.
    {30} Employer seems to fault the WCJ for failing to provide oversight for Worker’s
    purchase and use of medical marijuana by failing to provide a mechanism by which Worker
    would be responsible for demonstrating her purchases are consistent with law or that would
    allow Employer to investigate “the legitimacy” of Worker’s purchases. But, the WCJ’s
    amended compensation order requires Employer’s reimbursement only upon Worker
    submitting timely receipts for medical marijuana “purchased consistent with law.” Worker
    demonstrated that she was a certified participant in the medical marijuana program. If
    9
    Employer is not satisfied that Worker is submitting “legitimate” receipts, Employer has
    recourse through the Workers’ Compensation Act and the Workers’ Compensation
    Administration. See NMSA 1978, § 52-10-1(A) (1990) (requiring that a health care provider
    release to an employer or employer’s insurer, upon request, medical bills related to medical
    care service provided to a worker); see also NMSA 1978, § 52-5-1.3 (2013) (requiring the
    Workers’ Compensation Administration’s Enforcement Bureau to investigate fraudulent
    conduct concerning the payment of benefits to a worker).
    {31} To the extent that Employer argues that the New Mexico laws and regulations are not
    sufficient to obviate Employer’s exposure to violation of federal law, its argument overlaps
    with the second aspect of its argument to distinguish Vialpando—that it has identified its
    continued federal exposure. According to Employer, if it were to follow the WCJ’s order,
    and despite the Department of Justice’s memoranda, it would be civilly responsible for
    violation of the CSA by way of conspiracy or aiding and abetting. As distinguished from
    Vialpando, Employer cites the federal statutes it believes would implicate him, 21 U.S.C.
    § 841A(a) (prohibiting a person from knowingly possessing a controlled substance as
    defined by federal law and in an amount specified by the United States Attorney General);
    21 U.S.C. § 846 (prohibiting a person from attempting or conspiring to commit a violation
    of federal law related to controlled substances under 21 U.S.C., Chapter 13, Subchapter 1);
    18 U.S.C. § 2(a) (2012) (“Whoever commits an offense against the United States or aids,
    abets, counsels, commands, induces or procures its commission, is punishable as a
    principal.”).
    {32} However, Employer’s argument raises only speculation in view of existing
    Department of Justice and federal policy. Nothing in the Department of Justice’s second
    memorandum alters its position regarding the areas of enforcement set forth in the initial
    memorandum. Medical marijuana is not within the list. Moreover, on December 16, 2014,
    the Consolidated and Further Appropriations Act of 2015 to fund the operations of the
    federal government was enacted. It states that “[n]one of the funds made available in this Act
    to the Department of Justice may be used, with respect to the [s]tates of . . . New Mexico,
    . . . , to prevent such States from implementing their own State laws that authorize the use,
    distribution, possession or cultivation of medical marijuana.” We reach the same conclusion
    that we did in Vialpando. In view of the equivocal federal policy and the clear New Mexico
    policy as expressed in the Compassionate Use Act, we decline to reverse the WCJ’s
    amended compensation order.
    CONCLUSION
    {33}   We affirm the amended compensation order.
    {34}   IT IS SO ORDERED.
    ____________________________________
    JAMES J. WECHSLER, Judge
    10
    WE CONCUR:
    ____________________________________
    RODERICK T. KENNEDY, Judge
    ____________________________________
    M. MONICA ZAMORA, Judge
    11