Lass v. North Dakota Workmen's Compensation Bureau

415 N.W.2d 796, 1987 N.D. LEXIS 426
CourtNorth Dakota Supreme Court
DecidedNovember 19, 1987
DocketCiv. 870139
StatusPublished
Cited by34 cases

This text of 415 N.W.2d 796 (Lass v. North Dakota Workmen's 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
Lass v. North Dakota Workmen's Compensation Bureau, 415 N.W.2d 796, 1987 N.D. LEXIS 426 (N.D. 1987).

Opinion

LEVINE, Justice.

The North Dakota Workmen’s Compensation Bureau (Bureau) appeals from a district court judgment modifying the Bureau’s conclusions of law and order denying future benefits to Kemp C. Lass. We affirm.

Lass sustained two work-related injuries in 1984. The Bureau accepted liability and paid medical expenses resulting from those injuries.

In 1985, Lass enrolled in a vocational program and, in 1986, sought rehabilitation benefits to assist him in continuing his education. In an October 6, 1986, Order Denying Further Benefits, the Bureau found that Lass was capable of returning to gainful employment and that his job skills and work history were compatible *798 with his physical capabilities. The Bureau concluded that Lass “failed to prove that he is entitled to further benefits under the North Dakota Workmen’s Compensation Act, over and above those benefits previously awarded and paid.” The Bureau ordered that “benefits over and above those previously awarded and paid in connection with the claimant’s [1984 injuries] are in all things denied.”

Lass’ counsel petitioned for rehearing, agreeing that “Lass is not entitled to disability or rehabilitation benefits at this time,” but requesting that the Bureau “issue an Amended Order which clearly provides that any future request for benefits under the claim numbers in this case will be considered and determined according to the merits of the claims at that time.” The Bureau issued an Order Affirming Order Denying Further Benefits and Denying Request For Rehearing.

Lass filed a timely appeal to the district court. The district court stated that the issue before it was “purely one of law whether the Bureau may properly issue an Order which has the effect of precluding any claim for future benefits based upon the claimant’s condition at that future time.” The court observed that “[t]he intent of the law is to protect an injured workman so long as his injury is covered by the law. If his injury should subside for a period of time and then reoccur, the workman should be able to have his claim reinstated.” The court concluded that Lass “is entitled to make such claims in the future with the right of appeal to the Court if he believes the Bureau’s decision is erroneous.” The judgment entered orders the Bureau to “consider all future requests for benefits upon Appellant’s two previously accepted claims, when and if made.”

At oral argument both sides agreed that the language of the Bureau’s order was intended to limit Lass’ remedy for a change in medical condition to that of seeking a discretionary reopening under § 65-05-04, N.D.C.C. The Bureau argues that § 65-05-04, N.D.C.C., provides the Bureau with absolute discretion on the subject of reopening a claim once there has been a prior denial of benefits that was not appealed and that it precludes appeals from a decision not to reopen a claim even when there has been a change in the claimant’s medical condition.

The dispositive issues in this appeal are: (1) whether the Bureau’s order was appeal-able to the district court; and (2) whether the Workmen’s Compensation Act authorizes the Bureau, in denying requested benefits, to deny future claims which are based upon a change in the claimant’s medical condition.

1. Appealability

Section 65-05-04, N.D.C.C., provides:

“65-05-0j. Bureau has continuing jurisdiction over claims properly filed. If the original claim for compensation has been made within the time specified in section 65-05-01, the bureau at any time, on its own motion or on application, may review the award, and in accordance with the facts found on such review, may end, diminish, or increase the compensation previously awarded, or, if compensation has been refused or discontinued, may award compensation. There is no appeal from a bureau decision not to reopen a claim after the bureau’s order on the claim has become final.”

In Jones v. North Dakota Workmen’s Compensation Bureau, 334 N.W.2d 188, 191 (N.D.1983), this court said:

“We believe that the meaning of § 65-05-04, N.D.C.C., is clear and unambiguous. The statute allows the Bureau to review an award at any time and to end, diminish, or increase the compensation previously awarded. A claimant may then appeal the Bureau’s decision on its review of the award in accordance with the provisions of §§ 65-10-01 and 28-32-15, N.D.C.C. After the Bureau’s order on that claim has become final, the claimant is always entitled to submit additional evidence and request that the Bureau reopen his claim. The Bureau’s decision regarding whether or not to reopen the original claim, however, is discretionary and the claimant has no right to appeal from that decision....
*799 “The language of § 65-05-04, N.D. C.C., does not permit us to read into it the right of a claimant to appeal from the Bureau’s decision not to reopen a claim.... ”

The Jones decision was followed in Manikowske v. North Dakota Workmen’s Compensation Bureau, 338 N.W.2d 823 (N.D.1983). The Bureau asserts that “Lass can present no rationale to compel different standards for reopening than those set forth in Jones.”

The Bureau’s reliance on Jones and Manikowske is misplaced. Both decisions involved cases in which a claimant did not appeal an order denying benefits but later attempted to appeal from the denial of a subsequent request to reopen the case for consideration of new or additional evidence. The last sentence in § 65-05-04, N.D.C.C., which was adopted in 1981 at the request of the Bureau, made unappealable the Bureau’s decisions not to reopen the claims. The drafter’s notes explaining the amendment state, in part:

“This section is being amended to specify that, where a Bureau decision is final and where there has not been an appeal, if an employee requests a reopening at some later date the decision on whether to reopen is purely discretionary, and there is no appeal from such a decision.” (Emphasis added).

Lass has not appealed from a decision not to reopen a claim. His appeal is from an order denying benefits. Jones and Manikowske stand for the proposition that, absent an appeal from an order denying benefits, a Bureau decision not to reopen the claim for consideration of new or additional evidence of medical condition at the time of a denial which is sought to be reopened is not appealable. Jones and Manikowske do not stand for the proposition that a Bureau decision not to reopen a claim upon a request based upon a change in the claimant’s medical condition since the original decision is not appealable.

The language employed in the last sentence of § 65-05-04, N.D.C.C., and the circumstances surrounding its adoption indicate that the Legislature intended to relieve the Bureau from repetitive relit-igation of an injured worker’s present condition.

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Bluebook (online)
415 N.W.2d 796, 1987 N.D. LEXIS 426, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lass-v-north-dakota-workmens-compensation-bureau-nd-1987.