Blaine M. Mccallister v. State of Wyoming, Ex Rel. Department of Workforce Services, Workers' Compensation Division

2022 WY 66
CourtWyoming Supreme Court
DecidedJune 3, 2022
DocketS-21-0214
StatusPublished
Cited by7 cases

This text of 2022 WY 66 (Blaine M. Mccallister v. State of Wyoming, Ex Rel. Department of Workforce Services, Workers' Compensation Division) is published on Counsel Stack Legal Research, covering Wyoming Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Blaine M. Mccallister v. State of Wyoming, Ex Rel. Department of Workforce Services, Workers' Compensation Division, 2022 WY 66 (Wyo. 2022).

Opinion

IN THE SUPREME COURT, STATE OF WYOMING

2022 WY 66

APRIL TERM, A.D. 2022

June 3, 2022

BLAINE M. McCALLISTER,

Appellant (Petitioner),

v. S-21-0214 STATE OF WYOMING, ex rel. DEPARTMENT OF WORKFORCE SERVICES, WORKERS’ COMPENSATION DIVISION,

Appellee (Respondent).

Appeal from the District Court of Albany County The Honorable Tori R.A. Kricken, Judge

Representing Appellant: Jason A. Matzen, Pence and MacMillan LLC, Laramie, Wyoming.

Representing Appellee: Bridget Hill, Wyoming Attorney General; Mark Klaassen, Deputy Attorney General; Peter F. Howard, Senior Assistant Attorney General.

Before FOX, C.J., and KAUTZ, BOOMGAARDEN, GRAY, and FENN, JJ.

NOTICE: This opinion is subject to formal revision before publication in Pacific Reporter Third. Readers are requested to notify the Clerk of the Supreme Court, Supreme Court Building, Cheyenne, Wyoming 82002, of typographical or other formal errors so correction may be made before final publication in the permanent volume. KAUTZ, Justice.

[¶1] The Office of Administrative Hearings (OAH) upheld the Wyoming Workers’ Compensation Division’s (Division) denial of Blaine M. McCallister’s request for an endless pool to treat his work-related injury, and the district court affirmed that decision. Mr. McCallister claims the OAH committed various errors of law. We affirm.

ISSUES

[¶2] The issues on appeal are:

1. Did the Division err by referring Mr. McCallister’s case to the OAH rather than the Medical Commission?

2. Did the OAH err by applying collateral estoppel to bar Mr. McCallister from relitigating his right to an endless pool for treatment of his work-related injury because the issue was fully decided in a 2017 OAH order denying his claim? 1

FACTS

[¶3] We previously decided another case involving Mr. McCallister’s right to worker’s compensation benefits for his 2012 cervical and thoracic spine injury. McCallister v. State ex rel. Dep’t of Workforce Servs., Workers’ Comp. Div., 2019 WY 47, 440 P.3d 1078 (Wyo. 2019). Our resolution of the earlier case is relevant to our decision here, so we will incorporate some of the facts from that decision, supplementing with the salient facts from this case.

[¶4] In 2016, Mr. McCallister requested the Division preauthorize the purchase of several pieces of “non-typical” durable medical equipment (DME), including a small pool with an underwater treadmill known as an endless pool, to help him manage his medical condition at his home in rural Albany County. See id., ¶ 4, 440 P.3d at 1079. The Division denied his request for an endless pool, in part, because it was a non-compensable “personal item.” Mr. McCallister objected and requested a hearing. The OAH held a contested case hearing in 2017 and upheld the Division’s determination. McCallister, ¶ 4, 440 P.3d at 1079. Mr. McCallister petitioned for judicial review of the OAH decision, and the district court affirmed. Id., ¶ 8, 440 P.3d at 1080-81. Mr. McCallister appealed to this Court, and we held the district court did not have jurisdiction over Mr. McCallister’s case because he filed his petition for review in the county where he was injured instead of the county where

1 Mr. McCallister also claimed the OAH erred when it found the endless pool was not compensable under Wyoming law because it was a “personal item.” Because we affirm the OAH’s collateral estoppel decision, we do not reach this additional issue. 1 the administrative action was taken or the county where he lived, as required by Wyo. Stat. Ann. § 16-3-114 (LexisNexis 2017). Id., ¶¶ 1-2, 50, 440 P.3d at 1079, 1090-91. Consequently, we dismissed his appeal and vacated the district court’s decision, making the OAH decision final. Id.

[¶5] In 2020, Mr. McCallister submitted another request2 to the Division for preauthorization of DME, including an endless pool. The Division denied his request on several grounds: the request was not filed by a healthcare provider; the pool was a non- compensable “personal item” under the relevant statutory and regulatory definitions; the pool was not reasonable or necessary to treat his work-related injury; and he was collaterally estopped from bringing his claim for an endless pool because the OAH had denied the same request in the 2017 proceeding. Mr. McCallister objected and demanded the Division refer the matter to the Medical Commission for a contested case hearing. The Division, however, referred the matter to the OAH.

[¶6] The OAH found it was the proper agency to resolve Mr. McCallister’s claim because the issues were primarily legal. After a contested case hearing, the OAH disagreed with the Division’s determination that Mr. McCallister’s request for an endless pool was not properly submitted by a healthcare provider and found Mr. McCallister had met his burden of showing the endless pool was reasonable and necessary for treatment of his work-related injury. However, the OAH upheld the Division’s denial of his claim because he was collaterally estopped from relitigating his right to the endless pool by the 2017 decision and the endless pool was a non-compensable “personal item” under Wyoming law. Mr. McCallister filed a proper petition for review, the district court affirmed, and he filed a timely notice of appeal to this Court.

STANDARD OF REVIEW

[¶7] When an appeal is taken from a district court’s review of an administrative agency’s decision, we examine the case as if it came directly from the agency, giving no special deference to the district court’s decision. In re Vinson, 2020 WY 126, ¶ 25, 473 P.3d 299, 308 (Wyo. 2020); Guerrero v. State ex rel. Dep’t of Workforce Servs., Workers’ Comp. Div., 2015 WY 88, ¶ 11, 352 P.3d 262, 265 (Wyo. 2015) (citing Dale v. S & S Builders, LLC, 2008 WY 84, ¶ 8, 188 P.3d 554, 557 (Wyo. 2008)). Wyo. Stat. Ann. § 16-3-114(c) (LexisNexis 2021) governs judicial review of administrative decisions:

(c) To the extent necessary to make a decision and when presented, the reviewing court shall decide all relevant questions of law, interpret constitutional and statutory provisions, and determine the meaning or applicability of the

2 Mr. McCallister made multiple requests for an endless pool in 2020, but they were considered and resolved together. We will, therefore, refer to a singular request. 2 terms of an agency action. In making the following determinations, the court shall review the whole record or those parts of it cited by a party and due account shall be taken of the rule of prejudicial error. The reviewing court shall: (i) Compel agency action unlawfully withheld or unreasonably delayed; and (ii) Hold unlawful and set aside agency action, findings and conclusions found to be: (A) Arbitrary, capricious, an abuse of discretion or otherwise not in accordance with law; (B) Contrary to constitutional right, power, privilege or immunity; (C) In excess of statutory jurisdiction, authority or limitations or lacking statutory right; (D) Without observance of procedure required by law; or (E) Unsupported by substantial evidence in a case reviewed on the record of an agency hearing provided by statute.

[¶8] In accordance with § 16-3-114(c)(ii)(E), we review the agency’s findings of fact by applying the substantial evidence standard. Vinson, ¶ 26, 473 P.3d at 308. Findings of fact are supported by substantial evidence if there is relevant evidence in the record which “a reasonable mind might accept in support of the agency’s conclusion.” Dale, ¶ 11, 188 P.3d at 558. See also, Kenyon v. State ex rel. Wyo. Workers’ Safety & Comp. Div., 2011 WY 14, ¶ 11, 247 P.3d 845, 849 (Wyo. 2011) (“Substantial evidence means ‘such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.’” (quoting Bush v. State ex rel. Wyo. Workers’ Comp. Div., 2005 WY 120, ¶ 5, 120 P.3d 176, 179 (Wyo.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
2022 WY 66, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blaine-m-mccallister-v-state-of-wyoming-ex-rel-department-of-workforce-wyo-2022.