P. Whitfield v. WCAB (Tenet Health System Hahnemann LLC)

CourtCommonwealth Court of Pennsylvania
DecidedJune 6, 2018
Docket608 C.D. 2017
StatusPublished

This text of P. Whitfield v. WCAB (Tenet Health System Hahnemann LLC) (P. Whitfield v. WCAB (Tenet Health System Hahnemann LLC)) 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
P. Whitfield v. WCAB (Tenet Health System Hahnemann LLC), (Pa. Ct. App. 2018).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Paulette Whitfield, : Petitioner : : v. : No. 608 C.D. 2017 : Argued: March 7, 2018 Workers’ Compensation Appeal : Board (Tenet Health System : Hahnemann LLC), : Respondent :

BEFORE: HONORABLE MARY HANNAH LEAVITT, President Judge HONORABLE RENÉE COHN JUBELIRER, Judge HONORABLE ROBERT SIMPSON, Judge HONORABLE P. KEVIN BROBSON, Judge HONORABLE ANNE E. COVEY, Judge HONORABLE CHRISTINE FIZZANO CANNON, Judge HONORABLE ELLEN CEISLER, Judge

OPINION BY JUDGE COHN JUBELIRER FILED: June 6, 2018

In 2015, this Court held the impairment rating evaluation (IRE) provision found in Section 306(a.2) of the Workers’ Compensation Act1 (WC Act) was an unconstitutional delegation of legislative powers “insofar as it purports to adopt a new version of the American Medical Association’s [(AMA)] Guides to the Evaluation of Permanent Impairment (Guides)” without review. Protz v. Workers’ Comp. Appeal Bd. (Derry Area Sch. Dist.), 124 A.3d 406, 417 (Pa. Cmwlth. 2015) (Protz I). As a result, in that case and cases that followed in which the issue was

1 Act of June 2, 1915, P.L. 736, as amended, added by the Act of June 24, 1996, P.L. 350, 77 P.S. § 511.2. properly preserved, we vacated decisions where the change in disability status had been based on IREs performed using the Fifth or subsequent editions of the Guides and remanded the matters for evaluation using the Fourth Edition of the Guides, which was in effect when Section 306(a.2) was enacted. Subsequently, upon review, the Pennsylvania Supreme Court affirmed our holding but reversed in one important respect: it found the offending language – “the most recent edition” of the Guides – could not be severed from the WC Act and instead declared the entirety of Section 306(a.2) unconstitutional. Protz v. Workers’ Comp. Appeal Bd. (Derry Area Sch. Dist.), 161 A.3d 827, 840-41 (Pa. 2017) (Protz II). In the intervening time between Protz I and Protz II, a number of claimants whose disability status had been modified based on what are now considered unconstitutional IREs, such as Paulette Whitfield (Claimant), filed petitions seeking to have their status reinstated from partial disability to total disability.2 At issue before us is whether Claimant is entitled to the benefit of Protz II when her disability status had been modified in 2008 and she had not challenged the constitutionality of the IRE upon which the modification was based for more than seven years. Because Claimant filed her Petition to Reinstate (Petition) within three years of the date of the most recent payment of compensation, we hold she has a statutory right to seek reinstatement under Section 413(a) of the WC Act, 77 P.S. § 772. Accordingly, we vacate the Order of the Workers’ Compensation Appeal Board (Board) dated May 10, 2017, which affirmed the Decision and Order of the Workers’ Compensation Judge (WCJ) denying Claimant’s Petition. However, because the WCJ made no determination as to whether Claimant

2 As discussed more fully herein, a change in status from total to partial disability under Section 306(a.2) did not alter the rate of compensation; rather, the practical effect was to limit the receipt of partial disability benefits to 500 weeks.

2 continues to be totally disabled, which is a prerequisite for reinstatement, we must remand for further proceedings.

I. Factual Background The facts of this matter are not in dispute. Claimant worked as a respiratory therapist for Tenet Health System Hahnemann LLC (Employer). On March 25, 2002, she suffered a work injury that ultimately required her to undergo lower back surgery. From March 25, 2002, until September 28, 2002, Claimant received partial disability benefits for the time in which she performed alternative work. She began receiving temporary total disability benefits beginning September 29, 2002, the day of her surgery. On June 13, 2006, Claimant underwent an IRE performed by Dr. Leonard Brody, using the Fifth Edition of the Guides. Dr. Brody concluded that Claimant had an impairment rating of 44 percent.3 Based upon that IRE, a WCJ modified Claimant’s disability status from total to partial disability as of the date of the IRE. The Board affirmed the modification by Order dated June 1, 2009. The parties stipulated that Claimant did not raise the constitutionality of the IRE before the original WCJ or the Board. Although Claimant’s disability status was modified from total to partial, because she was not able to return to work following her surgery, Claimant received WC benefits at the total disability rate from September 29, 2002,

3 Under Section 306(a.2)(2), a claimant with an impairment rating equal to or greater than 50 percent was presumed to be totally disabled, whereas a claimant with an impairment rating less than 50 percent was considered partially disabled. 77 P.S. § 511.2(2).

3 until mid-July 2015,4 when she received her last WC payment. Claimant testified she continued to receive medical benefits. On November 13, 2015, approximately one month after our decision in Protz I, Claimant filed her Petition seeking reinstatement to total disability based on that decision. Employer filed a timely Answer to the Petition on November 17, 2015, alleging reinstatement is not warranted for three reasons: (1) “Protz [I] ha[d] not been given retroactive effect”; (2) Claimant waived the constitutional issue; and (3) “[t]he law of the case doctrine prevents re-litigation of the change to partial disability status.” (Answer, Reproduced Record (R.R.) at 9a.) At hearings on the Petition, Claimant testified that she did not feel as though she had fully recovered from her injuries and that she had been unable to work at all from the time of her surgery through July 15, 2015. There was also evidence that Claimant was involved in a motor vehicle accident in May 2012, in which she injured

4 There are varying dates in the record as to when Claimant’s benefits ended. In her April 19, 2016 Decision, addressing the November 2015 reinstatement petition at issue in this case, the WCJ found Claimant was paid at the total disability rate until July 17, 2015. (WCJ Decision, Finding of Fact (FOF) ¶ 6c, Apr. 19, 2016, Reproduced Record (R.R.) at 39a.) Claimant testified at the hearing that the last date of payment was July 13, 2015. (Hr’g Tr., Nov. 18, 2015, at 7, R.R. at 17a.) The WCJ said at the hearing that the payment printout showed she was paid through July 13, 2015, but the date on the check was July 15, 2015. (Id. at 8, R.R. at 18a.) The July 15, 2015 date is what counsel also stipulated to as the last date of payment at the December 21, 2015 hearing. (Hr’g Tr., Dec. 21, 2015, at 6-7.) However, in an April 14, 2016 Decision, addressing separate reinstatement and penalty petitions filed in July 2015 by Claimant, the WCJ found Claimant was paid at the temporary total disability compensation rate until July 13, 2015, when Employer ceased payment. (WCJ Decision, FOF ¶ 3c, Apr. 14, 2016, R.R. at 31a.) The WCJ further found Claimant had not yet exhausted her 500 weeks of partial disability benefits at that time and ordered Employer to pay Claimant such benefits through August 19, 2015. (Id. ¶¶ 7-8, R.R. at 32a.) At oral argument, counsel for Claimant stated that those benefits for the weeks of July 13, 2015, through August 19, 2015, were actually received in April 2016, shortly after the WCJ issued the April 14, 2016 Decision. Because the date discrepancy does not impact our analysis in this case, we will simply refer to the date of last payment as occurring in the summer of 2015.

4 her head, neck, and upper back, but not her lower back. The parties stipulated many of the facts surrounding the IRE. Following the hearings, the WCJ issued an Order denying Claimant’s Petition.

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P. Whitfield v. WCAB (Tenet Health System Hahnemann LLC), Counsel Stack Legal Research, https://law.counselstack.com/opinion/p-whitfield-v-wcab-tenet-health-system-hahnemann-llc-pacommwct-2018.