Dana Holding Corp. v. Workers' Comp. Appeal Bd.

195 A.3d 635
CourtCommonwealth Court of Pennsylvania
DecidedOctober 11, 2018
Docket1869 C.D. 2017
StatusPublished
Cited by32 cases

This text of 195 A.3d 635 (Dana Holding Corp. v. Workers' Comp. Appeal Bd.) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dana Holding Corp. v. Workers' Comp. Appeal Bd., 195 A.3d 635 (Pa. Ct. App. 2018).

Opinion

OPINION BY JUDGE COHN JUBELIRER

Dana Holding Corporation (Employer) petitions for review of an Order of the Workers' Compensation Appeal Board (Board), which reversed a decision by a Workers' Compensation Judge (WCJ) and reinstated David Smuck (Claimant) to total disability status as of June 20, 2014, the date of his impairment rating evaluation (IRE). The WCJ had granted Employer's Modification Petition, modifying Claimant's disability status from total to partial disability based upon an IRE performed using the Fourth Edition of the American Medical Association's (AMA) Guides to the Evaluation of Permanent Impairment ( Guides ), which was, at the time of the WCJ's decision, still a valid means of modifying a claimant's status under this Court's decision in Protz v. Workers' Compensation Appeal Board (Derry Area School District) , 124 A.3d 406 , 417 (Pa. Cmwlth. 2015) ( Protz I ). However, the Pennsylvania Supreme Court subsequently declared the entirety of Section 306(a.2) of the Workers' Compensation Act 1 (WC Act), which governed IREs, unconstitutional.

Protz v. Workers' Comp. Appeal Bd. (Derry Area Sch. Dist.) , 639 Pa. 645 , 161 A.3d 827 , 840-41 (2017) ( Protz II ). At issue in this appeal is whether Claimant is entitled to the benefit of Protz II . Because Claimant's appeal was pending before the Board at the time of that decision, we conclude the Board properly applied the law in effect at the time of its appellate review and, accordingly, affirm.

The pertinent facts are not in dispute. Claimant suffered a work injury described as an "upper back, disc protrusion @ T11-12" on April 6, 2000. (WCJ Decision, Finding of Fact (FOF) ¶ 1.) Employer issued a Notice of Temporary Compensation Payable, acknowledging the injury, which subsequently converted into a Notice of Compensation Payable.

On June 20, 2014, Claimant underwent an IRE that was performed by Lucian P. Bednarz, M.D., who was appointed by the Bureau of Workers' Compensation at Employer's request. Dr. Bednarz opined that Claimant had a whole body impairment rating 2 of 11 percent under the Sixth Edition of the Guides. 3 Based upon this IRE, Employer filed its Modification Petition seeking to modify Claimant's disability status from total to partial as of the date of the IRE. Claimant challenged the modification, alleging he had not reached maximum medical improvement, a prerequisite to an IRE.

Various hearings were held before the WCJ. After the record closed, but before the WCJ issued his decision, this Court issued its decision in Protz I , wherein we declared that certain IRE provisions found in Section 306(a.2) of the WC Act were unconstitutional. Protz I , 124 A.3d at 417 . Specifically, we declared the portions of Section 306(a.2) that provided that a claimant's impairment rating should be determined "pursuant to the most recent edition of the [AMA Guides ]" were an unconstitutional delegation of legislative authority violative of Article II, Section 1 of the Pennsylvania Constitution. 4 We reasoned that "the General Assembly ... failed to prescribe any intelligible standards to guide the AMA's determination regarding the methodology used in granting impairments." Id. at 415 . We further explained that "Section 306(a.2) of the [WC] Act is wholly devoid of any articulations of public policy governing the AMA in this regard and of adequate standards to guide and restrain the AMA's exercise of this delegated determination by which physicians and WCJs are bound" and is devoid of any "mechanism requiring governmental review of the Guides by the promulgation of regulations." Id. Having concluded that Section 306(a.2) was an unconstitutional delegation of legislative power because "it proactively approved versions of the AMA Guides beyond the Fourth Edition without review," we vacated the Board's decision and remanded the matter to the Board with instruction to remand to the WCJ for an IRE determination applying the Fourth Edition of the Guides , which was in effect at the time Section 306(a.2) was enacted. Id. at 416 .

Because, in Protz I , we permitted IREs to be performed using the Fourth Edition of the Guides , Employer here sought to reopen the record before the WCJ and introduce a new IRE using that edition. Claimant objected to reopening the record and instead requested the WCJ to dismiss Employer's Modification Petition based upon Protz I because the IRE used the Sixth Edition of the Guides. Instead, the WCJ allowed the new IRE. Based upon his prior examination on June 20, 2014, Dr. Bednarz found Claimant had a whole person impairment of 15 percent using the Fourth Edition of the Guides.

The WCJ found that the IRE performed using the Sixth Edition of the Guides was invalid as a result of this Court's decision in Protz I . (WCJ Decision at 8.) However, based upon the results of the second IRE using the Fourth Edition of the Guides , the WCJ granted Employer's Modification Petition and modified Claimant's disability status from temporary total disability to partial disability, effective June 20, 2014. (WCJ Order.)

Claimant and Employer appealed to the Board. Claimant argued Dr. Bednarz was not qualified to perform an IRE under the Fourth Edition of the Guides and that the WCJ's conclusion that Employer met its burden of proof was in error. Meanwhile, Employer cross-appealed, arguing the WCJ erred in concluding Protz I rendered the first IRE using the Sixth Edition of the Guides invalid.

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Bluebook (online)
195 A.3d 635, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dana-holding-corp-v-workers-comp-appeal-bd-pacommwct-2018.