Koskela v. Willamette Industries, Inc.

978 P.2d 1018, 159 Or. App. 229, 1999 Ore. App. LEXIS 399
CourtCourt of Appeals of Oregon
DecidedMarch 17, 1999
DocketWCB 95-08576; CA A97325
StatusPublished
Cited by17 cases

This text of 978 P.2d 1018 (Koskela v. Willamette Industries, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Koskela v. Willamette Industries, Inc., 978 P.2d 1018, 159 Or. App. 229, 1999 Ore. App. LEXIS 399 (Or. Ct. App. 1999).

Opinions

[231]*231LINDER, J.

Claimant seeks review of a Workers’ Compensation Board (board) order awarding him permanent partial disability (PPD) rather than permanent total disability (PTD). The petition for review raises only one issue: whether the administrative procedures for determining the extent of the permanent disability — in particular, the process for reconsideration and hearing — satisfy the requirements of the federal Due Process Clause. We hold that they do and affirm.

Claimant, who is approximately 60 years old, has a history of extensive temporomandibular joint (TMJ) difficulty, which involves episodic jaw pain and discomfort. He has been medically treated for that condition since at least 1982, and his treatment has included several surgeries. He suffered compensable injuries to his jaw twice, first in 1986 and again in 1989. In 1994, his treating physician declared him to be medically stationary, triggering the claim closure process. As part of that process, three other physicians independently examined claimant to assess the extent of his disability. Their examination included review of a videotape of defendant engaging in certain activities (e.g., mowing his lawn, driving his pickup, chopping wood, and fishing). Based on the videotape and their physical examinations, those physicians concluded that claimant could perform at least sedentary work. Claimant’s treating physician also viewed the videotape and agreed that claimant likely could perform certain activities, but he was unsure whether claimant could do so on a daily basis.

The Department of Consumer and Business Services (DCBS) reviewed the medical reports and issued a determination order finding claimant to be medically stationary and awarding him PPD. Claimant requested reconsideration by DCBS, seeking a determination that his disability is total, rather than partial. In requesting reconsideration, claimant did not dispute the impairment findings used to rate the extent of the disability. As a result, DCBS submitted the claim to the Appellate Review Unit (unit) for reconsideration, rather than appoint a medical arbiter to review the rating. In its order on reconsideration, the unit reviewed the physicians’ reports and agreed that claimant was only partially [232]*232disabled. However, the unit modified the determination by increasing the PPD disability rating pursuant to a temporary rule.1

Claimant sought administrative review, invoking his right to a hearing before an administrative law judge (ALJ). Before the hearing, claimant indicated he was prepared to offer his testimony, the testimony of his family physician, and the testimony of a vocational expert “to substantiate claimant’s case” and to show “in a convincing manner that claimant is permanently and totally disabled.” Claimant could have submitted that evidence by affidavit at the prior level of administrative review (reconsideration), but he made no effort to do so. Because that evidence had not been submitted at reconsideration, the ALJ ruled it inadmissible under ORS 656.283(7).2 At the hearing, claimant’s counsel again asked to present the testimony and asserted a right under the Due Process Clause to do so. The ALJ rejected claimant’s due process argument and limited her consideration to the evidence presented at reconsideration and submitted at hearing for the ALJ’s consideration. On the basis of that evidence, the ALJ found that claimant was not entitled to PTD. Claimant appealed to the board, asserting that under the Due Process Clause, the proffered testimony should have been considered. The board rejected the constitutional claim and, on de novo review of the record, affirmed the ALJ’s order.

[233]*233At the outset, it is helpful to clarify the precise legal challenge that claimant makes. Claimant asks us to declare invalid the 1995 amendment to ORS 656.283(7), which bars the admission of evidence at an ALJ hearing that was not presented at the prior stage of administrative review (reconsideration). Rogue Valley Medical Center v. McClearen, 152 Or App 239, 952 P2d 1048, rev den 327 Or 123 (1998). With that change, determining the extent of an accepted disability under Oregon’s workers’ compensation statutes is based primarily on the presentation of written medical reports and other documentary and written submissions. There is no point during the administrative closure process at which a claimant, as a matter of right, can orally submit his or her own testimony and the direct testimony of other witnesses.

Claimant wages a facial attack on that administrative structure, contending that it denies a claimant seeking PTD due process of law under the Fourteenth Amendment to the United States Constitution. Claimant briefly canvasses the closure, reconsideration, and hearing procedures, taking issue with the fact that, in light of the amendment to ORS 656.283(7), there is no point during the administrative process at which a claimant receives a trial-type hearing as part of determining the extent of a compensable disability. Claimant concludes by arguing:

“On balance the claimant’s protected interest in permanent total disability benefits entitles him to a trial-type hearing. Such procedural safeguards were not provided at either the reconsideration or hearing level. Consequently, claimant was denied the procedural due process guarantees of the Fourteenth Amendment.”

Thus, although claimant’s immediate challenge is directed to the limitation on evidence newly imposed by ORS 656.283(7) at the ALJ level, the rationale for the challenge is the failure to provide a trial-type hearing at any point in the PTD determination.

Employer responds that the reconsideration and hearing processes, notwithstanding their evidentiary limitations, adequately protect claimant’s due process interests. Employer points out that claimant had the opportunity to present his full case by written reports and affidavits at the [234]*234reconsideration level, but that claimant chose not to avail himself fully of that opportunity. Additionally, employer observes that, at the hearing before the ALJ, claimant could have cross-examined the author of any written vocational report, pursuant to ORS 656.287(1), as long as that report was presented at reconsideration. All of those procedures provide, in employer’s view, meaningful opportunities to contest the relevant issues and adequately ensure the reliability of the decision.

The Fourteenth Amendment provides that no state shall “deprive any person of life, liberty, or property, without due process of law.” The question of what process constitutionally is due involves three inquiries: (1) whether the person invoking the due process claim has a constitutionally protected interest in the particular benefit at stake; (2) whether deprivation of that interest involves government action; and (3) whether the procedures used or available are constitutionally adequate. See generally Carr v. SAIF,

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Koskela v. Willamette Industries, Inc.
978 P.2d 1018 (Court of Appeals of Oregon, 1999)

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Bluebook (online)
978 P.2d 1018, 159 Or. App. 229, 1999 Ore. App. LEXIS 399, Counsel Stack Legal Research, https://law.counselstack.com/opinion/koskela-v-willamette-industries-inc-orctapp-1999.