J. Hutchinson v. Annville Twp. (WCAB) ( 2021 )


Menu:
  •          IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    John Hutchinson,                        :
    Petitioner           :
    :
    v.                          :
    :
    Annville Township (Workers’             :
    Compensation Appeal Board),             :   Nos. 16 & 17 C.D. 2021
    Respondent             :   Submitted: May 7, 2021
    BEFORE:     HONORABLE RENÉE COHN JUBELIRER, Judge
    HONORABLE PATRICIA A. McCULLOUGH, Judge
    HONORABLE CHRISTINE FIZZANO CANNON, Judge
    OPINION
    BY JUDGE FIZZANO CANNON                     FILED: August 9, 2021
    John Hutchinson (Claimant) petitions for review from two orders of the
    Workers’ Compensation Appeal Board (Board). The Board affirmed two orders of
    a workers’ compensation judge (WCJ) reinstating Claimant’s temporary total
    disability benefits as of March 2017 and granting Employer’s modification petition
    as of January 2019. The two matters have been consolidated in this Court. Upon
    review, we affirm the Board’s orders.
    I. Background
    In June 2006, while employed by Annville Township (Employer),
    Claimant sustained a work-related fracture of his leg. Certified Record (C.R.) A20-
    0173 Item 5 at 3.1 He received workers’ compensation benefits for temporary total
    disability.   Id.    In June 2009, at Employer’s behest, Claimant underwent an
    impairment rating examination (IRE). Id. The examination resulted in a whole
    person disability rating of less than 50%2 based on the impairment rating guidelines
    provided in the Sixth Edition of the American Medical Association (AMA) Guides
    to the Evaluation of Permanent Impairment (Guides).3 Id. Based on the outcome of
    the IRE, Employer filed a petition to modify Claimant’s status from temporary total
    disability to partial disability (2009 modification petition).4 Id. In February 2010, a
    WCJ granted the 2009 modification petition, effective as of the June 2009 date of
    the IRE (2009 modification). Id. Claimant did not appeal the 2009 modification.
    Id.
    In September 2015, this Court decided Protz v. Workers’ Compensation
    Appeal Board (Derry Area School District), 
    124 A.3d 406
     (Pa. Cmwlth. 2015)
    (Protz I), aff’d, 
    161 A.3d 827
     (Pa. 2017) (Protz II). In Protz I, we held that former
    Section 306(a.2) of the Workers’ Compensation Act, formerly 77 P.S. § 511.2,
    1
    Because both dockets before the WCJ, A20-0173 and A20-0175, contain essentially the
    same information, only A20-0173 is cited here, for conciseness, except as otherwise indicated.
    2
    Under former Section 306(a.2) of the Workers’ Compensation Act, Act of June 2, 1915,
    P.L. 736, as amended, 77 P.S. §§ 1-1041.4, 2501-2710, temporary total disability status could be
    modified to partial disability if the claimant had a disability rating of less than 50%. Former 77
    P.S. § 511.2(2) was added by the Act of June 24, 1996, P.L 350, and repealed by the Act of October
    24, 2018, P.L. 714.
    3
    The record does not indicate whether the June 2009 IRE was performed pursuant to the
    Sixth Edition of the Guides, published in 2007, or the Sixth Edition, second printing, published in
    2009.
    4
    A modification to partial disability status does not reduce the amount of weekly wage
    benefits paid to a claimant, but it limits future payments to 500 weeks from the modific ation
    date. Whitfield v. Workers’ Comp. Appeal Bd. (Tenet Health Sys. Hahnemann LLC), 
    188 A.3d 599
    , 613 (Pa. Cmwlth. 2018) (citing Section 306(b)(1) of the Workers’ Compensation Act, 77 P.S.
    § 512(1)).
    2
    impermissibly delegated legislative authority by providing that IREs were to be
    conducted pursuant to the most recent edition of the Guides. Protz I, 
    124 A.3d at 416
    . Rather than declare the entire provision invalid, however, this Court severed
    the language relating to the most recent edition of the Guides and concluded that
    future IREs should be conducted pursuant to the Fourth Edition, which was in effect
    at the time the legislature enacted former Section 306(a.2). 
    Id.
    In June 2017, the Pennsylvania Supreme Court issued its decision in
    Protz II. The Supreme Court upheld this Court’s conclusion that the legislature
    improperly delegated its lawmaking authority to the AMA by providing for
    reference to the most recent version of the Guides. Protz II, 161 A.3d at 841.
    However, the Supreme Court reversed this Court’s ruling that the Fourth Edition of
    the Guides should apply. Protz II, 161 A.3d at 841. Concluding that the defective
    provision could not reasonably be severed, our Supreme Court held former Section
    306(a.2) was invalid in its entirety. Protz II, 161 A.3d at 841.
    In response to our Supreme Court’s decision in Protz II, the legislature
    enacted Act 111,5 adding Section 306(a.3)(1) to the Workers’ Compensation Act.
    Under Act 111, IREs shall be conducted pursuant to the Sixth Edition of the Guides,
    second printing (2009). 77 P.S. § 511.3(1).6
    Meanwhile, in March 2017, while the appeal of Protz I was pending in
    our Supreme Court, Claimant filed a reinstatement petition seeking to change his
    disability status from partial back to total disability based on the holding of Protz I.
    C.R. A20-0173 Item 5 at 4.              In November 2017, a WCJ granted Claimant’s
    5
    Act of October 24, 2018, P.L. 714, No. 111 (Act 111).
    6
    Act 111 also amended the Workers’ Compensation Act to require a whole person
    disability rating of less than 35% before a claimant’s temporary total disability status may be
    modified to partial disability. 77 P.S. § 511.3(2).
    3
    reinstatement petition retroactive to the date of the 2009 modification. C.R. A20-
    0173 Item 10 at 2. Employer appealed the WCJ’s reinstatement order to the Board.
    In February 2019, the Board issued an order remanding the matter to the WCJ to
    determine whether Claimant could show he was still disabled as a result of his work
    injury. C.R. A20-0173 Item 5 at 5 (citing Protz II; Whitfield v. Workers’ Comp.
    Appeal Bd. (Tenet Health Sys. Hahnemann LLC), 
    188 A.3d 599
     (Pa. Cmwlth.
    2018)).
    While his reinstatement petition was pending, Claimant underwent
    another IRE in January 2019, again at Employer’s behest, in conformity with the
    Sixth Edition of the Guides, second printing, as required by Act 111. C.R. A20-
    0173 Item 17. That examination yielded an impairment rating of 3%. C.R. A20-
    0173 Item 5 at 7; C.R. A20-0173 Item 17 at 3. Employer filed a new modification
    petition (2019 modification petition), which was consolidated with Claimant’s
    reinstatement petition. C.R. A20-0173 Item 2.
    In February 2020, the WCJ issued two identical orders granting
    Claimant’s reinstatement petition effective as of the date Claimant filed the
    reinstatement petition in March 2017 and granting Employer’s 2019 modification
    petition effective as of the date of the new IRE in January 2019 (2019 modification).
    C.R. A20-0173 Item 5 at 8; C.R. A20-0175 Item 5 at 7. Both parties appealed to the
    Board. C.R. A20-0173 Items 6 & 8; C.R. A20-0175 Items 6 & 8.
    Claimant argued that the January 2019 IRE was premature because it
    preceded a decision on the reinstatement petition regarding his disability status. C.R.
    Item 6 at 2. Additionally, Claimant contended that the IRE was performed under an
    unconstitutional statute, Act 111, and therefore could not support the 2019
    modification of his status. 
    Id.
     Claimant posited that Act 111 was unconstitutional
    4
    because it (1) delegated legislative authority to a private entity, (2) applied to injuries
    predating its enactment, and (3) applied improper credit to employers toward the
    waiting time required before requesting an IRE.7 
    Id.
    Employer argued the WCJ erred in applying Protz II to Claimant’s
    reinstatement petition because Claimant did not appeal the 2009 modification and
    therefore failed to preserve any challenge to the constitutionality of former Section
    306(a.2). C.R. A20-0173 Item 10 at 4. Employer further asserted that Protz II could
    not apply retroactively, so Claimant’s benefits could not be reinstated as of a date
    preceding the Supreme Court’s decision in Protz II. C.R. A20-0173 Item 10 at 4.
    In addition, Employer contended that Whitfield, in which this Court held that a
    claimant could seek reinstatement within three years after the most recent payment
    of workers’ compensation benefits, did not apply to this case to render Claimant’s
    reinstatement petition timely. C.R. A20-0173 Item 10 at 4.
    In December 2020, the Board affirmed the WCJ’s orders. C.R. A20-
    0173 Item 10. Regarding Claimant’s reinstatement petition, the Board concluded
    this case is governed by Whitfield and White v. Workers’ Compensation Appeal
    Board (City of Philadelphia), 
    237 A.3d 1225
     (Pa. Cmwlth. 2020). Because Claimant
    was still receiving partial disability benefits at the time he filed the reinstatement
    petition, that petition was timely, but reinstatement was effective only as of the date
    of the reinstatement petition, not as of the 2009 modification. C.R. A20-0173 Item
    10 at 1-13; see White, 237 A.3d at 1230-31; Whitfield, 
    188 A.3d at 617
    . Regarding
    Employer’s 2019 modification petition, the Board employed the analytical
    7
    Under Section 306(a.3)(1) of the Workers’ Compensation Act, an employer may not
    demand an IRE until after the claimant has received 104 weeks of temporary total disability
    compensation. 77 P.S. § 511.3(1). Pursuant to Section 3(2) of Act 111, an employer/insurer
    receives credit towards this 104-week waiting period for any weeks of temporary total disability
    benefits that were paid prior to Act 111’s enactment. 77 P.S. § 511.3; see White v. Workers’ Comp.
    Appeal Bd. (City of Phila.), 
    237 A.3d 1225
    , 1230 (Pa. Cmwlth. 2020).
    5
    framework set forth in Bechtel Power Corp. v. Workmen’s Compensation Appeal
    Board (Miller), 
    452 A.2d 286
     (Pa. Cmwlth. 1982), and concluded the modification
    petition was not premature. C.R. A20-0173 Item 10 at 8-10. Citing Pennsylvania
    AFL-CIO v. Commonwealth, 
    219 A.3d 306
     (Pa. Cmwlth. 2019), aff’d per curiam
    (Pa., No. 88 MAP 2019, filed Aug. 18, 2020), the Board also determined that Act
    111 does not improperly delegate legislative authority to the AMA. C.R. A20-0173
    Item 10 at 10.
    Claimant timely petitioned for further review of the Board’s orders.8
    The petitions for review have been consolidated in this Court.
    II. Discussion
    A. Applicable Reinstatement Date
    Claimant first asserts that he is entitled to reinstatement of his total
    disability status as of the date of the 2009 modification, rather than the date of his
    reinstatement petition. We discern no merit in this assertion.
    In Whitfield, the claimant sought reinstatement of total disability status
    after our decision in Protz I, arguing, like Claimant here, that because the
    modification from total to partial disability was based on an IRE performed under
    an invalid statute, total disability status should be reinstated. Whitfield, 
    188 A.3d at 612
    . This Court concluded that if the claimant demonstrated entitlement to total
    disability status, reinstatement was proper as of the date of the reinstatement petition,
    8
    “Our review is limited to determining whether an error of law was committed, whether
    necessary findings of fact were supported by substantial evidence, and whether constitutional
    rights were violated.” Gieniec v. Workers’ Comp. Appeal Bd. (Palmerton Hosp. & HM Cas. Ins.
    Co.), 
    130 A.3d 154
    , 159-60 (Pa. Cmwlth. 2015) (citing Dep’t of Transp. v. Workers’ Comp. Appeal
    Bd. (Clippinger), 
    38 A.3d 1037
     (Pa. Cmwlth. 2011)).
    6
    and such reinstatement did not mean that Protz I was being applied retroactively.
    Whitfield, 
    188 A.3d at 617
    .
    Subsequently, in White, this Court specifically addressed the proper
    reinstatement date under circumstances similar to those in this case. The claimant
    in White filed a reinstatement petition after our decision in Protz I and sought
    reinstatement as of the original modification date, but the Board concluded
    reinstatement was appropriate only from the date of the claimant’s reinstatement
    petition. White, 237 A.3d at 1230-31. We affirmed, explaining that because the
    claimant had not appealed the original modification, she was entitled to
    reinstatement only as of the date of her reinstatement petition, not the date her status
    had been modified from total to partial disability. Id. at 1231.
    Despite Claimant’s assertion to the contrary, White is squarely
    applicable here and governs our disposition of the issue in this case.          Like the
    claimant in White, Claimant here did not appeal the original modification of his
    disability status from total to partial disability. Like the claimant in White, after this
    Court’s decision in Protz I, Claimant here filed a reinstatement petition asserting that
    he was entitled to reinstatement as of the original modification date because the IRE
    that formed the basis for modification was conducted under an invalid statute. This
    is the precise argument we rejected in White, 237 A.3d at 1231, and we likewise
    reject it here. In accordance with our binding precedent in White, we conclude that
    Claimant was entitled to reinstatement only as of the date of his reinstatement
    petition in March 2017, not as of the 2009 modification date.
    7
    B. Seeking Modification While Reinstatement Petition Was Pending
    Next, Claimant challenges the propriety of Employer’s 2019
    modification petition, contending that Employer could not seek modification while
    Claimant’s reinstatement petition was still pending. We disagree.
    Claimant’s argument is based on the principle that “matters pending on
    appeal cannot be revisited by the filing of new, similar petitions.” Gieniec v.
    Workers’ Comp. Appeal Bd. (Palmerton Hosp. & HM Cas. Ins. Co.), 
    130 A.3d 154
    ,
    158 (Pa. Cmwlth. 2015) (citing Carson/Kent Joint Venture v. Workmen’s Comp.
    Appeal Bd. (Scafidi), 
    663 A.2d 828
     (Pa. Cmwlth. 1995); Bechtel Power; Grasha v.
    Workmen’s Comp. Appeal Bd. (Sch. Dist. of Pittsburgh), 
    413 A.2d 771
     (Pa. Cmwlth.
    1980)) (additional citations omitted). As we explained in Bechtel Power, the intent
    of that rule is to avoid “the unnecessary and counterproductive relitigation of
    identical issues.” Bechtel Power, 
    452 A.2d at
    288 (citing Grasha). It likewise
    precludes simultaneous separate litigation of inconsistent positions. Gieniec, 
    130 A.3d at 158
    . For example, “the Bechtel [Power] rule prohibits an employer from
    attacking a finding of disability, on the one hand by alleging that no disability
    occurred and on the other hand by alleging that the disability ceased.” Carson/Kent,
    663 A.2d at 830.
    However, the rule does not apply where the issues in the two petitions
    are not identical. For example, in Sharkey v. Workers’ Compensation Appeal Board
    (Tempo, Inc.), 
    739 A.2d 641
     (Pa. Cmwlth. 1999), the employer filed suspension and
    termination petitions while its appeal was pending before the Board concerning
    which of two employers was responsible for payment of the claimant’s medical bills.
    
    Id. at 641-42
    . The claimant argued that the employer could not pursue suspension
    or termination while still denying liability for payment of benefits. 
    Id. at 642-43
    .
    8
    This Court disagreed because the issues in the two proceedings were not identical:
    one proceeding challenged the employer’s responsibility to pay medical expenses,
    but did not challenge the work-related injury itself, while the other proceedings
    questioned the claimant’s ongoing disability and her exercise of good faith in
    pursuing job referrals within her physical capabilities. 
    Id. at 643
    .
    Here, as in Sharkey, the issues raised in Claimant’s reinstatement
    petition and Employer’s 2019 modification petition are disparate. The reinstatement
    petition involves the legal issue of the effect of Protz I on the appropriate date of
    reinstatement in light of the subsequent invalidation of the statute under which the
    IRE supporting the 2009 modification was performed. By contrast, the 2019
    modification petition raises the factual question of Claimant’s degree of disability
    remaining in 2019, as measured in a new IRE performed under the current statute.
    Thus, Employer’s positions in the two proceedings are not competing or conflicting
    as Claimant suggests. See Br. of Claimant at 21. Because the issues in the two
    proceedings are not identical, the WCJ and the Board did not err in allowing
    Employer to pursue the 2019 modification petition while Claimant’s reinstatement
    petition relating to the 2009 modification was pending.
    C. Constitutionality of Act 111
    1. Delegation of Legislative Authority
    Claimant next asserts that Act 111 is unconstitutional because its
    provision for IREs pursuant to the Sixth Edition, second printing (2009), of the
    Guides improperly delegates legislative authority to the AMA, a private entity. This
    Court has previously rejected this argument and has expressly held that Act 111 did
    not constitute an improper delegation of legislative authority. AFL-CIO, 
    219 A.3d
                                             9
    at 314-15; see also Rose Corp. v. Workers’ Comp. Appeal Bd. (Espada), 
    238 A.3d 551
    , 557 (Pa. Cmwlth. 2020) (by specifying the edition of the Guides to be applied
    in performing IREs, the legislature cured the unconstitutional delegation that arose
    from the former language providing for application of the most recent edition).
    Claimant’s assertion to the contrary is without merit. As we explained in AFL-CIO,
    although the legislature may not delegate the future enactment of standards, it may
    adopt as its own an existing set of standards, and doing so in Act 111 did not
    unconstitutionally delegate its legislative authority.9 AFL-CIO, 219 A.3d at 314-15
    (quoting Protz II, 161 A.3d at 838-39, and citing Pennsylvanians Against Gambling
    Expansion Fund, Inc. v. Commonwealth, 
    877 A.2d 383
    , 418 (Pa. 2005)).
    2. Application to Predating Injuries and IRE Waiting Period
    Citing the prohibitions against ex post facto laws and impairment of
    contracts in Article I, Section 17 of the Pennsylvania Constitution, Pa. Const. art. I,
    § 17, and Article I, Section 10 of the United States Constitution, U.S. Const. art. I,
    § 10, Claimant argues that Act 111 is improperly retroactive because it applies to
    injuries predating its enactment.         Claimant also asserts that Act 111 provides
    improper credit to employers toward the 104-week waiting time required before
    requesting an IRE and, as such, improperly allowed Employer here to seek a new
    IRE before the expiration of 104 weeks of temporary total disability benefits
    following reinstatement. We reject Claimant’s arguments.
    9
    In this regard, Claimant misapprehends this Court’s analysis and holding in Protz v.
    Workers’ Compensation Appeal Board (Derry Area School District), 
    124 A.3d 406
     (Pa. Cmwlth.
    2015) (Protz I), aff’d, 
    161 A.3d 827
     (Pa. 2017). The flaw in former Section 306(a.2) was that,
    unlike the replacement provision of Act 111, it did not simply adopt a set of existing standards;
    rather, by mandating use of the most recent version of the Guides, it allowed the AMA to alter the
    standards at will without any legislative oversight. See Protz I, 
    124 A.3d at 416
    .
    10
    This Court previously considered and rejected similar contentions in
    Pierson v. Workers’ Compensation Appeal Board (Consolidated Pennsylvania Coal
    Co.) ___ A.3d ___ (Pa. Cmwlth. No. 423 C.D. 2020, filed Feb. 9, 2021), 
    2021 Pa. Commw. LEXIS 386
    .10 There, as here, the claimant suggested that applying Act 111
    to injuries predating its enactment would impair his vested rights. 
    Id.
     at ___, slip
    op. at 8-9. In rejecting the claimant’s vested rights argument, this Court explained:
    While [the c]laimant, here, argues that he has a
    [vested] right to benefits as calculated at the time of injury,
    there are reasonable expectations under the [Workers’
    Compensation] Act that benefits may change. We
    acknowledge that a claimant retains a certain right to
    benefits until such time as he is found to be ineligible for
    them. However, claimants, such as the one in the matter
    before us, did not automatically lose anything by the
    enactment of Act 111. Act 111 simply provided
    employers with the means to change a claimant’s
    disability status from total to partial by providing the
    requisite medical evidence that the claimant has a whole
    body impairment of less than 35%, after receiving 104
    weeks of [temporary total disability] benefits.
    As this Court opined in Rose Corporation, the
    General Assembly made it clear in Act 111 that weeks of
    [temporary total disability] and partial disability paid by
    an employer/insurer prior to the enactment of Act 111
    count as credit against an employer’s new obligations
    under Act 111.
    ....
    In Rose Corporation, we also added: “Through the
    use of very careful and specific language, the General
    Assembly provided employers/insurers with credit for the
    10
    On April 26, 2021, this Court entered an order redesignating its previously unreported
    memorandum opinion in this case as a published opinion. This decision is therefore precedential
    authority, although the Atlantic Reporter pagination is not yet available.
    11
    weeks of compensation, whether total or partial in nature,
    previously paid.” Rose Corp., 238 A.3d at 562.
    [A]s we made clear in Rose Corporation, the 104-
    week and credit provisions of Act 111 were explicitly
    given retroactive effect by the clear language used by the
    General Assembly.
    [The c]laimant, herein, argues that the General
    Assembly cannot take away his “vested rights” and that it
    did not explicitly express an intent to apply the provisions
    of Act 111 in any sort of a retroactive fashion. As we
    noted above, [the c]laimant’s “vested rights” have not
    been abrogated by Act 111. Further, we believe it is clear
    that the General Assembly intended for the 104-week and
    credit weeks provisions of Act 111 to be given retroactive
    effect, where, as we noted in Rose Corporation, it stated
    in plain language it was doing so.
    Id., slip op. at 16-17 (citation omitted). Our analysis in Pierson is directly applicable
    and controlling here. We therefore reject Claimant’s constitutional challenges to
    Act 111.
    III. Conclusion
    Based on the foregoing discussion, we affirm the Board’s order.
    __________________________________
    CHRISTINE FIZZANO CANNON, Judge
    12
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    John Hutchinson,                     :
    Petitioner        :
    :
    v.                        :
    :
    Annville Township (Workers’          :
    Compensation Appeal Board),          :   Nos. 16 & 17 C.D. 2021
    Respondent          :
    ORDER
    AND NOW, this 9th day of August, 2021, the orders of the Workers’
    Compensation Appeal Board in the above consolidated cases are AFFIRMED.
    __________________________________
    CHRISTINE FIZZANO CANNON, Judge
    

Document Info

Docket Number: 16 & 17 C.D. 2021

Judges: Fizzano Cannon

Filed Date: 8/9/2021

Precedential Status: Precedential

Modified Date: 11/21/2024