DISTRICT OF COLUMBIA PUBLIC SCHOOLS v. DISTRICT OF COLUMBIA and COLICCHIO PROCTOR, INTERVENOR.

95 A.3d 1284, 2014 WL 3744114, 2014 D.C. App. LEXIS 237
CourtDistrict of Columbia Court of Appeals
DecidedJuly 31, 2014
Docket13-AA-630
StatusPublished
Cited by7 cases

This text of 95 A.3d 1284 (DISTRICT OF COLUMBIA PUBLIC SCHOOLS v. DISTRICT OF COLUMBIA and COLICCHIO PROCTOR, INTERVENOR.) is published on Counsel Stack Legal Research, covering District of Columbia Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DISTRICT OF COLUMBIA PUBLIC SCHOOLS v. DISTRICT OF COLUMBIA and COLICCHIO PROCTOR, INTERVENOR., 95 A.3d 1284, 2014 WL 3744114, 2014 D.C. App. LEXIS 237 (D.C. 2014).

Opinion

KING, Senior Judge:

District of Columbia Public Schools (“DCPS”) seeks review of an order of the Compensation Review Board (“the Board”) which upheld a common law treating physician preference in public-sector workers’ compensation cases. DCPS contends that the Board erred as a matter of law in holding that the repeal of a statutory treating physician preference revived the common law rule, where the legislature’s intent was to abolish the preference in public sector cases. We agree, and accordingly we reverse the Board’s order and remand the case.

FACTUAL BACKGROUND

On September 26, 1994, claimant Colic-chio Proctor (“claimant”) injured her right knee after a slip and fall while working as an employee of DCPS. On October 31, 1994, she filed for disability compensation under the District of Columbia Comprehensive Merit Personnel Act (“CMPA”), D.C.Code §§ 1-623.01 et seq. (2012 Repl.), and began receiving temporary total disability workers’ compensation benefits which commenced on the date of her injury.

Claimant sought medical treatment for her knee injury from Dr. John Delahay, who has continued to treat her since her fall. Dr. Delahay performed arthroscopic surgery, and after completing physical therapy, claimant returned to work in May 1995. She left thirteen months later, however, due to a recurrence of her knee injury, at which time her disability benefits were reinstated. In September 1998, adjustments were made to claimant’s temporary disability payments to reflect that claimant had secured a part-time sedentary job. She was terminated from this employment sometime before November 1999.

*1286 Claimant suffered another fall on November 7, 2008, and Dr. Delahay observed in his reports that the injury resulting to her right knee from this fall was exacerbated by her original work-related injury. In August 2006, Dr. Delahay opined that claimant had sustained a “traumatic chon-dromalacia” and that she was “relatively asymptomatic ’ on her right side until the fall 12 years ago and since that time has had ongoing and somewhat progressive problems with the right knee.” In September 2006, Dr. Delahay further stated that, “I do believe a fall such as the one sustained by [claimant] can accentuate underlying disease and indeed accelerate its course,” and that some of her current arthritis was attributable to the original fall. X-rays taken in December 2011 revealed that claimant had end-stage osteoarthritis in both knees, and Dr. Delahay opined that the X-ray showed that her right knee was worse than her left.

On December 13, 2011, claimant saw Dr. Louis Levitt for an additional medical evaluation at DCPS’s request. After reviewing claimant’s medical records and conducting a physical examination, Dr. Levitt concluded that claimant had a degenerative injury that was symmetrical in both knees and attributable to age and chronic obesity. Dr. Levitt further opined that claimant’s current knee arthritis was not causally related to the original work-related injury and had not been accelerated or enhanced by that injury.

On February 16, 2012, more than seventeen years after the date of the original injury, the Office of Risk Management notified claimant that it would stop paying her disability benefits on March 16, 2012. Claimant appealed the decision to DOES’s Office of Hearings and Adjudication, and an evidentiary hearing was held on October 4, 2012. The administrative law judge (“ALJ”) applied a common law rule giving preference to the treating physician’s testimony (Dr. Delahay) over the testimony of other physicians, and reinstated claimant’s temporary total disability benefits in a compensation order dated November 21, 2012.

DCPS appealed to the Board, which rejected DCPS’s argument that the ALJ erred in applying the treating physician preference and affirmed the compensation order. The Board denied DCPS’s motion for reconsideration, and DCPS filed a timely petition for review to this court.

ANALYSIS

I. Statutory Background

In our 2004 opinion Kralick v. District of Columbia Dep’t of Emp’t Servs., 842 A.2d 705 (D.C.2004), we held that treating physician preference applies to disability benefits cases brought by public employees under the CMPA. The preference, which hails from private-sector workers’ compensation cases, provides that “the medical opinion of a treating physician is generally entitled to greater weight than the opinions of doctors who have been retained to examine a claimant solely for the purpose of litigation.” Id. at 711. “Although a Hearing Officer remains free to reject the testimony of a treating physician, he cannot do so ‘without explicitly addressing that testimony and explaining why it is being rejected.’ ” Id. (quoting Lincoln Hockey, LLC v. District of Columbia Dep’t of Emp’t Servs., 831 A.2d 913, 919 (D.C.2003)); see also Olson v. District of Columbia Dep’t of Emp’t Servs., 736 A.2d 1032, 1041 (D.C.1999) (“[A] hearing examiner may discount a treating physician’s opinion if the examiner sets forth specific and legitimate reasons for doing so.”).

Following Kralick, the Council of the District of Columbia codified in December *1287 2004 a treating physician preference for public sector cases brought under the CMPA. The Disability Compensation Effective Administrative Amendment Act of 2004, D.C. Law 15-290, amended the CMPA to provide that: “In all medical opinions used under this section, the diagnosis or medical opinion of the employee’s treating physician shall be accorded great weight over other opinions, absent compelling reasons to the contrary.” D.C.Code § l-628.23(a-2)(4) (2005). All parties to this appeal essentially agree that the amendment accorded greater deference to a treating physician’s testimony than was provided by Kralick. In particular, the amendment required that the treating physician’s testimony be given “great weight” instead of “greater weight,” and the hearing examiner could discount the testimony only for “compelling reasons” instead of “specific and legitimate” ones.

Subsequently, in 2010, the Council repealed the amendment by striking altogether the above sentence which codified the preference. D.C. Council, Report on Bill 18-731, the Fiscal Year 2011 Budget Support Act of 2010, Attachment C, at 19-20 (May 26, 2010). The Council did not substitute any other language for this provision.

II. Principles of Statutory Construction

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Bluebook (online)
95 A.3d 1284, 2014 WL 3744114, 2014 D.C. App. LEXIS 237, Counsel Stack Legal Research, https://law.counselstack.com/opinion/district-of-columbia-public-schools-v-district-of-columbia-and-colicchio-dc-2014.