Adams v. Industrial Commission

547 P.2d 1089, 26 Ariz. App. 289
Court of Appeals of Arizona·Decided June 2, 1976·No. 1 CA-IC 1296·Published·Cited by 9 cases

Opinions

OPINION

NELSON, Presiding Judge.

This decision presents for review the question of the validity of Rule 13d, Rules of Procedure for Workmen’s Compensation Hearings Before the Industrial Commission of Arizona (November 1, 1973). We hold that Rule 13d, hereinafter quoted, as applied by the hearing officer is in excess of the statutory rule making grant to the Industrial Commission of Arizona. We also hold that the rule itself does not mandate the hearing officer’s legal conclusion and when viewed in the light of this opinion the rule does not fall within constitutional prohibitions. This holding requires that the award in this case be set aside.

The general law regarding the power and authority of an administrative agency to make rules and regulations to carry out its statutory responsibilities is clear. An administrative agency must exercise any rule making authority granted by statute within the framework of that statutory grant. There is no authority or power to create a rule or regulation out of harmony with the statutory grant and any effort to do so will be considered an usurpation of the constitutional powers vested in the legislative body. If there is a legislative grant of authority, however, the agency may make rules and regulations supplementing the legislation for its complete operation and enforcement, so long as such rules and regulations are within the standards set forth in the act of the legislative body. Ruiz v. Morton, 462 F.2d 818 (9th Cir. 1972), affirmed 415 U.S. 199, 94 S.Ct. 1055, 39 L.Ed.2d 270 (1974); Swift & Company v. State Tax Commission, 105 Ariz. 226, 462 P.2d 775 (1969); Haggard v. Industrial Commission, 71 Ariz. 91, 223 P.2d 915 (1950); State Compensation Fund v. De La Fuente, 18 Ariz.App. [291]*291246, 501 P.2d 422 (1972), review denied, 109 Ariz. 439, 511 P.2d 621 (1973).

The general rule making power of the Industrial Commission of Arizona in workmen’s compensation matters is found in A.R.S. § 23-921B. In addition, A.R.S. § 23-1044G authorizes the Commission to adopt “reasonable and proper rules to carry out the provisions of this section”.

Rule 13d, supra, reads thusly:

“If upon discharge from treatment the physician finds that the employee has sustained an impairment of function as the result of the injury, he shall so state in his report. Any ratings of the percentage of functional impairment shall be in accordance with the standards for the evaluation of permanent impairment as published by the American Medical Association in ‘Guides to the Evaluation of Permanent Impairment.’ It shall include a clinical report in sufficient detail to support the percentage rating assigned.”

The foregoing rule admonishes that practitioners of the healings arts (practitioners) who render reports or who testify in workmen’s compensation matters shall give consideration to the AMA guidelines. The rule does not, however, in our view, preclude the practitioners from following other guidelines or their own professional judgment, thus enabling the hearing officers to weigh and evaluate professional evidence which may not be in full accord with the AMA Guides.

The record in the case before us on this matter (see also: Smith v. Industrial Commission of Arizona, 26 Ariz.App. 297, 547 P.2d 1097 (1976); Sanders v. Industrial Commission of Arizona, 27 Ariz. App.-,-P.2d-, Memorandum Decision; Zolman v. Industrial Commission of Arizona, 27 Ariz.App. -, - P.2d -, Memorandum Decision, all filed this date) makes it clear that the exclusive use of the American Medical Association’s “Guides to the Evaluation of Permanent Impairment”, will make it impossible, in a certain number of situations, for the Industrial Commission to make the awards it is required to make pursuant to A.R.S. § 23-1044. While there is some argument made that the rule only governs the calculations and testimony of the physicians and not the determination made by the hearing officer and the Industrial Commission, the decisional law in this jurisdiction prohibiting the substitution of the opinions of either the hearing officers, the Industrial Commission, or the Courts, in matters lying exclusively within the expertise of the medical profession, makes such an argument unsupportable. E. g., State Compensation Fund v. Keefe, 22 Ariz.App. 311, 526 P.2d 1266 (1974); Waller v. The Industrial Commission of Arizona, 99 Ariz. 15, 406 P.2d 197 (1965).

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Adams v. Industrial Commission, 547 P.2d 1089, 26 Ariz. App. 289 (Ark. Ct. App. 1976).

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547 P.2d 1089 (Court of Appeals of Arizona, 1976)