M. Harold v. Abate Irwin, Inc. (WCAB)

CourtCommonwealth Court of Pennsylvania
DecidedJune 13, 2022
Docket879 C.D. 2021
StatusUnpublished

This text of M. Harold v. Abate Irwin, Inc. (WCAB) (M. Harold v. Abate Irwin, Inc. (WCAB)) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
M. Harold v. Abate Irwin, Inc. (WCAB), (Pa. Ct. App. 2022).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Martin Harold, : Petitioner : : v. : : Abate Irwin, Inc. (Workers’ : Compensation Appeal Board), : No. 879 C.D. 2021 Respondent : Argued: May 16, 2022

BEFORE: HONORABLE CHRISTINE FIZZANO CANNON, Judge HONORABLE ELLEN CEISLER, Judge HONORABLE STACY WALLACE, Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE FIZZANO CANNON FILED: June 13, 2022

Petitioner Martin Harold (Claimant) petitions for review from the July 14, 2021, decision and order of the Workers’ Compensation Appeal Board (Board), which affirmed the December 10, 2020, decision and order of the Workers’ Compensation Judge (WCJ). The WCJ granted the modification petition filed by Respondent Abate Irwin, Inc. (Employer) and changed Claimant’s benefit status from total to partial based on a November 12, 2019, Impairment Rating Evaluation (IRE). Upon review, we affirm. I. Factual & Procedural Background The facts underlying this appeal are not in dispute. Claimant sustained a work-related injury on January 22, 2013. WCJ Op., 12/10/20, at 3; Certified Record (C.R.) #6. Employer issued a Notice of Compensation Payable and began paying Claimant temporary total disability (TTD) benefits of $823.47 per week. Id. Claimant underwent an IRE on November 12, 2019 (2019 IRE), which returned a 10% impairment rating based on the Sixth edition of the American Medical Association Guides to the Evaluation of Permanent Impairment (AMA Guides). Id. at 4. Before Claimant underwent the 2019 IRE, the governing statutory provision had been former Section 306(a.2) of the Workers’ Compensation Act (Act),1 which provided for impairment ratings based on the current addition of the AMA Guides. Former 77 P.S. § 511.2. Subsequently, however, in Protz v. Workers’ Compensation Appeal Board (Derry Area School District), 124 A.3d 406, 416-17 (Pa. Cmwlth. 2015) (Protz I), this Court found the previous IRE statute unconstitutional and determined that IREs should be subject to the Fourth Edition of the AMA Guides, the edition in effect when Section 306(a.2) was enacted. Our Supreme Court struck Section 306(a.2) in its entirety in Protz v. Workers’ Compensation Appeal Board (Derry Area School District), 161 A.3d 827, 835-36 (Pa. 2017) (Protz II).2

1 Act of June 2, 1915, P.L. 736, as amended, added by Section 4 of the Act of June 24, 1996, P.L. 350, formerly 77 P.S. § 511.2, repealed by the Act of October 24, 2018, P.L. 714, No. 111 (Act 111). 2 Both Courts found the previous IRE provision impermissibly delegated legislative authority to a private entity, the AMA, without safeguards to ensure either General Assembly

2 Thereafter, the General Assembly enacted Act 111 of 2018 (Act 111), which replaced former Section 306(a.2) with Section 306(a.3), and which was in effect when Claimant underwent the 2019 IRE. 77 P.S. § 511.3.3 Like the previous provisions, Act 111 enabled an employer to require a claimant to undergo an IRE once the claimant had received at least 104 weeks of total disability benefits after sustaining a work-related injury. See Rose Corp. v. Workers’ Comp. Appeal Bd. (Espada), 238 A.3d 551, 561 (Pa. Cmwlth. 2020). Act 111 also reduced the previous threshold impairment rating for modification from TTD to temporary partial disability (TPD) status from 50% compared to that of a whole and unimpaired person to 35%, making it more difficult for employers to change total disability status to partial disability status. Id. at 562. Also, under Section 306(a.3), as under the previous provision, TTD status has no time limit, but TPD status after modification via an IRE is limited to 500 weeks of benefits.4 Id. at 558. Relevant to this appeal, Act 111 specifically granted employers credit for any weeks of TTD or TPD benefits paid prior to its effective date of October 24, 2018. 77 P.S. § 511.3, Historical and Statutory Notes. This allowed employers to seek IREs and pursue modification for workers like Claimant whose injuries occurred prior to Act 111’s effective date. Based on Claimant’s 10% impairment rating from the 2019 IRE, Employer filed a modification petition on January 30, 2020, seeking to change

supervisory authority over the AMA Guides used to calculate the results of IREs or accountability of the AMA authors. See Protz II, 161 A.3d at 836. 3 Act of October 24, 2018, P.L. 714 No. 111 (Act 111), 77 P.S. § 511.3. 4 The 500-week period for TPD benefits, based on a showing that the claimant has recovered some degree of earning power, predated the 1996 enactment of the previous IRE provisions, which also adopted the 500-week period. See Goodrich v. Workmen’s Comp. Appeal Bd. (Shenango China), 645 A.2d 302, 303-04 & nn.3-4 (Pa. Cmwlth. 1994) (“Pursuant to Section 306(b) of the Act, 77 P.S. § 512, the statutory period for partial disability is up to 500 weeks.”). 3 Claimant’s benefit status from TTD to TPD as of the date of the IRE. WCJ Op. at 3. Claimant raised and preserved constitutional challenges to Act 111, which the WCJ noted, but having no jurisdiction to rule on such issues, the WCJ granted Employer’s petition and modified Claimant’s status to TPD as of November 12, 2019, the date of the 2019 IRE. Id. at 5 & Order. The Board confirmed that it also had no jurisdiction to rule on the constitutionality of its own enabling legislation, but noted that the constitutional issues raised by Claimant had already been addressed and rejected by this Court in Pierson v. Workers’ Compensation Appeal Board (Consol Pennsylvania Coal Company LLC), 252 A.3d 1169 (Pa. Cmwlth.), appeal denied, 261 A.3d 378 (Pa. 2021). Board Op., 7/14/21, at 3-4; C.R. #9. The Board therefore affirmed the WCJ’s decision. Id. at 4 & Order. Claimant now appeals to this Court.5

II. Discussion Claimant challenges the credit provisions of Act 111, which state: (1) For the purposes of determining whether an employee shall submit to a medical examination to determine the degree of impairment and whether an employee has received total disability compensation for the period of 104 weeks under section 306(a.3)(1) of the act, an insurer shall be given credit for weeks of total disability compensation paid prior to the effective date of this paragraph. This section shall not be construed to alter the requirements of section 306(a.3) of the act.

5 “This Court’s review in workers’ compensation appeals is limited to determining whether necessary findings of fact are supported by substantial evidence, whether an error of law was committed, or whether constitutional rights were violated.” Whitfield v. Workers’ Comp. Appeal Bd. (Tenet Health Sys. Hahnemann LLC), 188 A.3d 599, 605 n.5 (Pa. Cmwlth. 2018). 4 (2) For the purposes of determining the total number of weeks of partial disability compensation payable under section 306(a.3)(7) of the act, an insurer shall be given credit for weeks of partial disability compensation paid prior to the effective date of this paragraph.

Act 111, § 3(1), (2) (emphasis added). Here, because Employer had paid Claimant at least 104 weeks of TTD benefits since his injury in 2013, Employer claimed credit for those weeks under subsection 1 when it sought an IRE under Act 111 in November 2019. WCJ Op. at 3.

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