Moore v. American Coal Co.

737 P.2d 989, 58 Utah Adv. Rep. 3, 1987 Utah LEXIS 711
CourtUtah Supreme Court
DecidedMay 20, 1987
Docket20620
StatusPublished
Cited by17 cases

This text of 737 P.2d 989 (Moore v. American Coal Co.) is published on Counsel Stack Legal Research, covering Utah Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Moore v. American Coal Co., 737 P.2d 989, 58 Utah Adv. Rep. 3, 1987 Utah LEXIS 711 (Utah 1987).

Opinion

DURHAM, Justice:

Claimant seeks reversal of a decision of an administrative law judge denying him a hearing to review the report of the medical panel on his workers’ compensation claim. We affirm.

Claimant injured his right knee in April 1979 when he slipped on a piece of coal in the course of his employment with American Coal Company. While in the military, claimant had suffered an injury to the same knee and had undergone reparative surgery previous to the 1979 accident.

Claimant had surgery on his right knee in 1979, 1980, and 1981. The Utah State Insurance Fund, as insurer for American Coal Company, paid claimant’s bills for the 1979 and 1980 surgeries and provided compensation for temporary total disability from the date of the accident until April 5, 1981. When the Utah State Insurance Fund terminated claimant’s compensation and refused to pay for the surgery that was performed in 1981, claimant filed a claim with the Industrial Commission. A medical panel examined claimant, reviewed his medical records, and determined that the 1981 surgery was necessitated by the 1979 industrial accident. The panel also determined that “no further medical therapy, physical therapy or surgery is indicated as a result of the industrial injury.”

In January and September of 1984, claimant again underwent knee surgery. When the State Insurance Fund refused to pay for the January surgery, claimant again filed with the Industrial Commission, which held a hearing in June 1984 and appointed a medical panel. The panel met in January *990 1985; it considered both the January and the September 1984 operations and found that neither was necessitated by the 1979 accident. Claimant objected to the medical panel’s report and requested a hearing. The administrative law judge rejected claimant’s request for a hearing and adopted the medical panel’s report in his findings of fact and conclusions of law.

On appeal, claimant argues that he was entitled to a hearing because he objected to the medical panel’s report. Claimant argues that the language of Utah Code Ann. § 35-1-77 (1974) is nondiscretionary and compels the administrative law judge to hold a hearing when an objection to a medical panel report is filed. Claimant relies on the following language: “If objections to such report are filed it shall be the duty of the commission to set the case for hearing within thirty days to determine the facts and issues involved....”

Defendants do not take issue with claimant’s interpretation of the language quoted above; rather, they argue that section 35-1-77 was amended in 1982, three years prior to the decision from which claimant appeals. The amendment to section 35-1-77 makes the granting of a hearing discretionary. Since 1982, the section has read: “If objections to such report are filed the commission may set the case for hearing to determine the facts and issues in-volved_” Utah Code Ann. § 35-1-77 (1986) (emphasis added). Claimant has raised no issues as to whether the administrative law judge abused his discretion in refusing claimant a hearing; 1 rather, he contends that a hearing is mandatory if requested. Nor has claimant made a substantive attack on section 35-1-77. Thus, the sole issue is which provision to apply.

We agree with the administrative law judge that the 1982 amendment controls this case.

The dissenting opinion treats an issue not raised or addressed by the parties' briefs. We express no opinion on the constitutionality of the statute or its application. Such an undertaking is ill-advised in the absence of a request from or briefing by the parties. In workers’ compensation cases, we determine the rights and liabilities of the parties as of the date when the accident at issue occurred. Okland Construction Co. v. Industrial Commission, 520 P.2d 208, 210 (Utah 1974); see also Rex E. Lantham Co. v. Industrial Commission, 717 P.2d 255, 256 n. 1 (Utah 1986); Kaiser Steel v. Industrial Commission, 709 P.2d 1168, 1171 n. 1 (Utah 1985); Marshall v. Industrial Commission, 704 P.2d 581, 582 (Utah 1985); Smith v. Industrial Comission, 549 P.2d 448, 449 (Utah 1976); Utah Construction Co. v. Matheson, 534 P.2d 1238, 1239 (Utah 1975).

However, a statute that is procedural or remedial is applied to all cases arising after the effective date of the statute and to pending and accrued actions. See Docutel Olivetti Cory. v. Dick Brady Systems, Inc., 731 P.2d 475, 478 (Utah 1986); Marshall v. Industrial Commission, 704 P.2d 581, 582 (Utah 1985); State Department of Social Services v. Higgs, 656 P.2d 998, 1000 (Utah 1982). Procedural statutes that do not “enlarge, eliminate, or destroy vested or contractual rights” are applied to pending actions. State Department of Social Services v. Higgs, 656 P.2d at 1000 (holding the administrative review procedure for employee grievances to be procedural).

The amendment of section 35-1-77 does not enlarge or destroy vested or contractual rights; rather, it governs the process under which claims are disposed of by the Industrial Commission. We note that convenience and reasonableness are properly considered in determining whether legislation is remedial or procedural. Boucofski v. Jacobsen, 36 Utah 165, 172, 104 P. 117, 119-20 (1909). Serious difficulties would result in the administration of the workers’ compensation system if differing *991 procedures were to be maintained simultaneously.

Affirmed.

HALL, C.J., and HOWE and ZIMMERMAN, JJ., concur. STEWART, Associate Chief Justice (dissenting):

I dissent. In my view, the 1982 version of Utah Code Ann. § 35-1-77 (1974 and Supp.1986) as applied in this case denies the claimant’s due process right to a hearing, Matthews v. Eldridge, 424 U.S. 319, 96 S.Ct. 893, 47 L.Ed.2d 18 (1975); Vali Convalescent & Care Institution v. Industrial Commission,

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Bluebook (online)
737 P.2d 989, 58 Utah Adv. Rep. 3, 1987 Utah LEXIS 711, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moore-v-american-coal-co-utah-1987.