Johnson v. North Dakota Workers Compensation Bureau

428 N.W.2d 514, 1988 N.D. LEXIS 182, 1988 WL 84874
CourtNorth Dakota Supreme Court
DecidedAugust 17, 1988
DocketCiv. 880009
StatusPublished
Cited by18 cases

This text of 428 N.W.2d 514 (Johnson v. North Dakota Workers Compensation Bureau) is published on Counsel Stack Legal Research, covering North Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Johnson v. North Dakota Workers Compensation Bureau, 428 N.W.2d 514, 1988 N.D. LEXIS 182, 1988 WL 84874 (N.D. 1988).

Opinions

ERICKSTAD, Chief Justice.

This appeal arises from a dispute between the North Dakota Workers Compensation Bureau and claimant Margaret Johnson regarding the amount of reimbursement she is entitled to receive for expenses connected with traveling to and from medical treatment. Johnson appeals from a district court judgment. The Bureau reimburses claimants for travel expenses pursuant to its own “Directive No. 15-C Amended.” We conclude the Bureau’s directive is ineffective as it relates to Johnson because [515]*515the Bureau failed to comply with the rule-making procedure set forth in the North Dakota Administrative Agencies Practice Act (A.A.P.A.).

Johnson was injured while working at the “Bonanza Steakhouse” in Jamestown, North Dakota. The Bureau accepted Johnson’s claim and paid disability and certain medical benefits. However, Johnson asserted that she was not fully reimbursed for the expenses of traveling to and from medical and rehabilitation treatment. Johnson requested twenty cents per mile reimbursement for the cost of driving her own vehicle and “per diem allowance for food and lodging at the same rate as state employees....”

The Bureau rejected Johnson’s assertion in an administrative order, stating that its “payment of nine cents per mile and actual costs of the meals and lodging is reasonable and is compatible” with section 65-02-08, N.D.C.C. In rejecting Johnson’s assertion, the Bureau relied on its “directive,” a written policy adopted by the Commissioners of the Bureau which governs the rate of “Travel, Lodging, and Per Diem Expense Reimbursement for Claimants.” The Bureau has apparently relied on Directive 15-C since 1966 as a policy for reimbursing claimants for travel expenses associated with traveling to and from medical treat: ment. As amended in July of 1983, Directive 15-C allows claimants nine cents per mile when, as here, the claimant travels by private automobile. The 1983 and current version also allows a maximum lodging expenditure of $25.00 per night and $17.00 a day for meals. However, no reimbursement “of any kind” is authorized if the distance traveled is less than 50 miles one way.

Johnson made several trips from Jamestown to Fargo (93 miles one way), and Oakes to Fargo (approximately 117 miles one way). She was apparently reimbursed for these trips pursuant to Directive 15-C. Johnson alleges she made 19 trips to Lisbon Hospital for physical therapy. She traveled 41 miles one way on each of these trips. The Bureau refused to reimburse her for these trips as they were less than 50 miles one way.

After the Bureau refused to grant Johnson a hearing to consider the amount of reimbursement, Johnson requested a rehearing asserting the Bureau’s reimbursement policy was “arbitrary” and “unreasonable.” The Bureau denied Johnson’s request for a rehearing, noting that the Bureau is not required by statute to reimburse claimants for travel expenses. The Bureau noted that “[t]he facts in dispute in this matter are legislative about policy. Therefore, the Bureau is not required under law to hold a formal hearing in this matter.” The Bureau also denied payment of Johnson’s attorney’s fees on the ground that Johnson’s claim was frivolous.

Johnson appealed the Bureau’s decision to district court, reasserting that the Bureau’s practice of reimbursing claimants for travel expenses is “arbitrary, unreasonable, and capricious, is not in accordance with The North Dakota and United States Constitutions and is not in accordance with North Dakota law and statute, particularly the Administrative Agencies Practice Act, N.D.C.C. Chapter 28-32.” Johnson also reasserted her right to a hearing.

The district court apparently concluded that the Bureau pays travel expenses pursuant to its own rule; that the rule the Bureau relies on is invalid because it has not been adopted pursuant to the North Dakota A.A.P.A. (Ch. 28-32, N.D.C.C.), and therefore the Bureau must adopt a reimbursement of travel expenses rule for claimants pursuant to the A.A.P.A. The district court explained that Directive 15-C is:

“[Ijnvalid under Chapter 28-32 NDCC, and will continue to be so until the Attorney General makes a ruling as to its legality. Thus, this Court declines to make a ruling on [Johnson’s] contentions until such time as an Attorney General’s opinion has been issued.
“The [Bureau] is hereby ordered to comply with Sec. 28-32-02 NDCC, and once an opinion has been issued, this Court will consider the appeal on its merits.”

[516]*516This course of action was confirmed in the court's November 4, 1987, “CONCLUSIONS OF LAW,” which reads in part:

“II.
“Bureau Directive No. 15-C is an administrative rule and subject to the Administrative Agencies Practice Act, N.D. C.C. Chapter 28-32.
“III.
“N.D.C.C. § 28-32-02 requires Bureau Directive No. 15-C to be reviewed by the Attorney General as to its legality.
“IV.
“The Bureau must obtain an Attorney General’s opinion as to the legality of Directive] No. 15-C, in order for the Court to consider this appeal on its merits.”

In a judgment based on the above order the district court held that the Bureau could not set the rates at which claimants were to be reimbursed for their travel expenses without first promulgating a rule pursuant to the A.A.P.A. Despite the fact that the district court partially ruled in Johnson’s favor, Johnson appealed from the judgment of the district court to this Court raising four basic contentions.

I

Bureau Directive 15-C is invalid because it was not enacted pursuant to the A.A. P.A. and, even if Directive 15-C were valid under the A.A.P.A., it would remain in violation of section 65-05-07, N.D.C.C.

II

The Bureau deprived Johnson of her state and federal constitutional rights to due process of law by refusing to grant Johnson a hearing to determine the amount of money she should be reimbursed for travel expenses.

III

The Bureau deprived Johnson of her state and federal constitutional rights to equal protection of the laws because the Bureau pays its employees more for travel expenses than it pays claimants.

IV

The Bureau must pay interest on attorney’s fees due when the Bureau fails to pay attorney’s fees in a “timely” manner.

Because of our disposition of Johnson's first contention, we find it unnecessary at this juncture to address Johnson’s two constitutional attacks on Directive 15-C. Johnson’s first contention rests in part on the assumption that section 65-05-07, N.D. C.C., requires the Bureau to reimburse claimants for travel expenses.1 Section 65-05-07, N.D.C.C., reads in pertinent part:

[517]*517“65-05-07. Injured, employee given medical and hospital service required— Furnished artificial limbs and appliances for rehabilitation. Immediately after an injury sustained by an employee and during the resulting period of disability, the fund shall furnish to the employee such medical, surgical, and hospital service and supplies as the nature of the injury may require.” [Emphasis added.]

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Johnson v. North Dakota Workers Compensation Bureau
428 N.W.2d 514 (North Dakota Supreme Court, 1988)

Cite This Page — Counsel Stack

Bluebook (online)
428 N.W.2d 514, 1988 N.D. LEXIS 182, 1988 WL 84874, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-v-north-dakota-workers-compensation-bureau-nd-1988.