Department of Corrections etc. v. W.C.A.B. etc.

CourtCalifornia Court of Appeal
DecidedSeptember 25, 2018
DocketC085850
StatusPublished

This text of Department of Corrections etc. v. W.C.A.B. etc. (Department of Corrections etc. v. W.C.A.B. etc.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Department of Corrections etc. v. W.C.A.B. etc., (Cal. Ct. App. 2018).

Opinion

Filed 9/25/18 CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

THIRD APPELLATE DISTRICT

(Sacramento) ----

DEPARTMENT OF CORRECTIONS AND C085850 REHABILITATION, (Super. Ct. No. ADJ8815575) Petitioner,

v.

WORKERS’ COMPENSATION APPEALS BOARD and DEAN FITZPATRICK,

Respondents.

ORIGINAL PROCEEDING: Petition for writ of review. Petition granted. Noah Tempkin, Judge.

Carla R. Anene, Mary R. Huckabaa, and Lisa A. Stolzy, for Petitioner.

1 Finnegan, Marks, Theofel & Desmond, Randall G. Poppy, for the California Chamber of Commerce, as Amicus Curiae on behalf of Petitioner.

John F. Shields, for Respondent Workers Compensation Appeals Board.

Metzinger & Associates and Ronald M. Metzinger, for Respondent Dean Fitzpatrick.

Law Office of Joseph Waxman and James Achermann, for the California Applicants’ Attorneys Association, as Amicus Curiae on behalf of Respondent Dean Fitzpatrick.

We granted the Department of Corrections and Rehabilitation’s (Department) petition for a writ of review (Petition) of a Workers’ Compensation Appeals Board (Board) opinion, which raises the following statutory construction question: Must a finding of permanent total disability1 be made in accordance with Labor Code2 section 4660,3 or does section 4662, subdivision (b), provide a separate path to such a finding? We conclude section 4660 governs how the finding and award of permanent total disability shall be made “in accordance with the fact,” as provided in section 4662, subdivision (b). GENERAL BACKGROUND “The right to workers’ compensation benefits is wholly statutory and is not derived from common law.” (DuBois v. Workers’ Comp. Appeals Bd. (1993) 5 Cal.4th 382, 388.) To assist in a better understanding of the finding and award subject to this appeal and the discussion that follows, we begin with the general background of the

1 Other than those permanent disabilities conclusively presumed to be total as identified in Labor Code section 4662, subdivision (a). 2 All further section references are to the Labor Code unless otherwise specified. 3 Section 4660 applies “to injuries occurring before January 1, 2013.” The injury at issue in this case occurred “during a cumulative period ending December 7, 2011.”

2 applicable statutory and regulatory framework underlying workers’ compensation permanent disability awards. I The Permanent Disability System Generally “Employers are responsible to workers who sustain permanent disabling injuries that arise out of and in the course of their employment.” (Ogilvie v. Workers’ Comp. Appeals Bd. (2011) 197 Cal.App.4th 1262, 1269.) “A permanent disability is the irreversible residual of a work-related injury that causes impairment in earning capacity, impairment in the normal use of a member or a handicap in the open labor market.” (Id. at p. 1270.) “A disability is considered permanent when the employee has reached maximal medical improvement, meaning his or her condition is well stabilized, and unlikely to change substantially in the next year with or without medical treatment.” (Cal. Code Regs., tit. 8, § 10152.) There are two types of permanent disability: partial and total. Permanent total disability is “a permanent disability with a rating of 100 percent permanent disability only.” (§ 4452.5, subd. (a).) Permanent partial disability is “a permanent disability with a rating of less than 100 percent permanent disability.” (§ 4452.5, subd. (b).) “ ‘Permanent disability payments are calculated by first expressing the degree of permanent disability as a percentage and then converting that percentage into an award based on a table.’ [Citation.] Since 1937, permanent disability awards have been assessed using a schedule that ‘was always expressly intended to manifest “prima facie evidence of the percentage of permanent disability to be attributed to each injury covered by the schedule.” ’ ” (Ogilvie v. Workers’ Comp. Appeals Bd., supra, 197 Cal.App.4th at p. 1270.) “In 2004, the Legislature enacted omnibus changes to California’s workers’ compensation system as ‘an urgency measure designed to alleviate a perceived crisis in skyrocketing workers’ compensation costs.’ ” (Ibid.) The revised provisions, including section 4660, “substantially affected the assessment of an injured worker’s permanent

3 disability.” (Milpitas Unified School Dist. v. Workers’ Comp. Appeals Bd. (2010) 187 Cal.App.4th 808, 818; Stats. 2004, ch. 34, § 32.) II The Pertinent Statutes And Administrative Rule A Section 4660 “Section 4660 prescribes the method for determining the percentages of permanent disability for workers’ compensation purposes” for “injuries occurring before January 1, 2013.” (Chang v. Workers’ Comp. Appeals Bd. (2007) 153 Cal.App.4th 750, 753; § 4660.) “In determining the percentages of permanent disability, account shall be taken of the nature of the physical injury or disfigurement, the occupation of the injured employee, and his or her age at the time of the injury, consideration being given to an employee’s diminished future earning capacity.” (§ 4660, subd. (a).) The “ ‘nature of the physical injury or disfigurement’ ” requirement “shall incorporate the descriptions and measurements of physical impairments and the corresponding percentages of impairments published in the American Medical Association (AMA) Guides to the Evaluation of Permanent Impairment (5th Edition)” (hereinafter Guides) and “an employee’s diminished future earning capacity shall be a numeric formula based on empirical data and findings from [a 2003 report] prepared by the RAND Institute for Civil Justice, and upon data from additional empirical studies” (§ 4660, subd. (b)(1) & (2)). Although “[a] schedule for assessing permanent disability had been required since 1937 . . . no guidance was provided for the formulation of the schedule until the 2004 amendment.” (Milpitas Unified School Dist. v. Workers’ Comp. Appeals Bd., supra, 187 Cal.App.4th at p. 818.) In section 4660, subdivision (c), the Legislature directed the administrative director “to develop and regularly amend the rating schedule based on specified data from empirical studies.” (Milpitas, at p. 818.) “The schedule is to

4 ‘promote consistency, uniformity, and objectivity’ [citation], and the scheduled rating continues to be ‘prima facie evidence of the percentage of permanent disability to be attributed to each injury covered by the schedule.’ ” (Ogilvie v. Workers’ Comp. Appeals Bd., supra, 197 Cal.App.4th at p. 1271; § 4660, subds. (c) & (d).) B Administrative Rule In accordance with the Legislature’s directive in section 4660, subdivision (c), the administrative director adopted and published a revised schedule for rating permanent disabilities effective January 1, 2005 (2005 Schedule), “which incorporated the fifth edition of the Guides in its entirety.” (Milpitas Unified School Dist. v. Workers’ Comp. Appeals Bd., supra, 187 Cal.App.4th at p. 818; Cal. Code Regs., tit. 8, § 9805; 2005 Schedule, p. 1-2.) The 2005 Schedule states: “A permanent disability rating can range from 0% to 100%. Zero percent signifies no reduction of earning capacity, while 100% represents permanent total disability. A rating between 0% and 100% represents permanent partial disability. Permanent total disability represents a level of disability at which an employee has sustained a total loss of earning capacity. Some impairments are conclusively presumed to be totally disabling. (Lab. Code, § 4662.)” (2005 Schedule, pp. 1-2-1-3.) The process for calculating the permanent disability rating consists of multiple steps. Generally, the evaluating physician first prepares an impairment rating for each body part arising out of the injury in accordance with the Guides. (2005 Schedule, p. 1- 2.) “Initial impairment ratings are consolidated by body part . . .

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