Safeway Stores, Inc. v. Cornell

939 P.2d 99, 148 Or. App. 107, 1997 Ore. App. LEXIS 637
CourtCourt of Appeals of Oregon
DecidedMay 21, 1997
DocketH95-161; CA A93608
StatusPublished
Cited by6 cases

This text of 939 P.2d 99 (Safeway Stores, Inc. v. Cornell) 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
Safeway Stores, Inc. v. Cornell, 939 P.2d 99, 148 Or. App. 107, 1997 Ore. App. LEXIS 637 (Or. Ct. App. 1997).

Opinion

*109 WARREN, P. J.

Employer seeks review of a decision of the Director of the Department of Consumer and Business Services (the Director) ordering employer to reimburse claimant $69.70 that he spent in taxi fares for transportation to medical appointments. Claimant cross-petitions, seeking employer-paid attorney fees for having prevailed on that issue. We affirm on the petition and the cross-petition.

Claimant, who is in his early 70’s, was compensably injured in 1992 while working for employer. At the original claim closure in 1994, he was awarded permanent partial disability for a 37 percent impairment to his lower back. Shortly afterwards, employer re-opened his claim for an aggravation. Claimant received treatment for that aggravation at a hospital that is five to six miles from his home. He does not drive or own a car and cannot always get rides from family or friends. Taking the bus to the hospital involves a transfer in each direction and walking several blocks, including three uphill blocks between the hospital and the bus stop. Although claimant is able to walk on level ground, he uses a cane and must rest frequently because of back and leg pain. He is much more tentative on a slope, and walking uphill causes pain in his lower extremities.

Claimant at first took the bus to the hospital, but, because of his difficulty walking, he began using taxis at least part of the time. He took a taxi both directions for two appointments in December 1994 and April 1995 and to return home from an appointment in January 1995. He submitted the receipts to employer for reimbursement; employer responded that it would pay only 22 cents per mile. Claimant challenged that decision before the Medical Review Unit of the Workers’ Compensation Division, which ordered employer to reimburse the full expenses claimed. Employer sought a hearing before the Director, who affirmed the decision and denied claimant’s request for attorney fees. 1

*110 ORS 656.245(l)(a) requires insurers and self-insured employers to provide medical services for conditions caused in material part by compensable injuries. ORS 656.245(l)(b) provides that compensable medical services include “medical, surgical, hospital, nursing, ambulances and other related services * * The Workers’ Compensation Board has held that transportation to medical appointments is a “related service” under this statute, and employer does not question that conclusion. Former OAR 436-10-100(12), which applies to this case, required insurers 2 to reimburse workers “for actual and reasonable costs for travel * * * in accordance with [former] OAR 436-60-070.” Former OAR 436-60-070(2) provided:

“Reimbursement of the costs of meals, lodging, public transportation and use of a private vehicle reimbursed at the rate of reimbursement for State of Oregon classified employes complies with this section. Reimbursement may exceed these rates where special transportation or lodging is needed.”

At the time of claimant’s medical appointments, the reimbursement rate for classified state employees for use of a private vehicle was 22 cents per mile. The Workers’ Compensation Division had not established specific rates for the use of public transportation.

The Director held that the 22-cent rate applied only to the use of private vehicles, not to public transportation. As to public transportation, the only issue was whether the cost was actual and reasonable. He determined that a taxi fare can be actual and reasonable even if there is no need for special transportation and found that the amounts that claimant sought were actual charges for transportation, except for a $2 tip that he disallowed. He then found that the use of a taxi was reasonable in each instance in light of claimant’s age, medical limitations, circumstances, and the requirements for multiple transfers and strenuous walking related to bus travel.

On review, employer argues that 22 cents per mile is the only rate that a claimant may receive without showing *111 special circumstances. “Because no specific rate is listed for public transportation, reimbursement for this mode of travel must necessarily be made using the rate for private vehicle travel.” It also argues that the Director’s order would allow a claimant to use any method of transportation that the claimant wished, requiring the employer to pay the actual cost, whatever it might be, so long as the cost was reasonable for the kind of service provided. Employer misunderstands both the rules and the Director’s order.

First, former OAR 436-60-070 listed a number of kinds of expenses that an insurer must pay. The reference to the rate of reimbursement for classified state employees immediately follows the reference to use of a private vehicle. It is reasonable to construe that reference as applying only to the use of private vehicles; it would be unusual, for instance, to provide for payment of public transportation, such as a bus, on a mileage basis rather than by the actual fare charged. That is how the Director construed the rule, and his construction is, at the least, plausible. It has not been shown to be inconsistent with the wording of the rule, the context of the rule, or any other principle of law. Thus, under Don’t Waste Oregon Com. v. Energy Facility Siting, 320 Or 132, 142, 881 P2d 119 (1994), we cannot overrule the Director’s construction. See also Dunning v. Corrections Facilities Siting Authority, 325 Or 269, 277 n 4, 935 P2d 1209 (1997) (deference applies “only when the body interpreting the rule also is the body that promulgated it”).

Secondly, the Director’s order does not permit claimant to use taxis simply because claimant feels like doing so. The rule requires reimbursement only for “actual and reasonable” costs of travel. In his order, the Director carefully considered the evidence of claimant’s physical condition, of his inability to drive or be driven, and of the problems that he would face if he took a bus. Based on that evaluation, he concluded that the use of a taxi was reasonable in each instance. It is clear from that discussion that the Director construed the rule as requiring both a showing that the actual cost was reasonable and that it was reasonable for a claimant to use the particular mode of transportation in question. Implicit in the order is the conclusion that, although it was reasonable for this claimant, with his specific circumstances, to use taxis, *112 it would not necessarily be reasonable for another claimant in other circumstances to do so.

We turn to the cross-petition, in which claimant argues that he is entitled to employer-paid attorney fees under either ORS 656.386

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Bluebook (online)
939 P.2d 99, 148 Or. App. 107, 1997 Ore. App. LEXIS 637, Counsel Stack Legal Research, https://law.counselstack.com/opinion/safeway-stores-inc-v-cornell-orctapp-1997.