Whitfield v. Workers' Comp. Appeal Bd.
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Opinion
OPINION BY JUDGE COHN JUBELIRER
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.) ,
*602it 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.) ,
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, until mid-July 2015,4 when she received her last WC payment.
*603Claimant 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 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. After recounting our holding in Protz I , the WCJ found that Claimant was not entitled to reinstatement of her benefits based upon Protz I for a number of reasons:
a) in Protz [I ], the Commonwealth Court did not expressly void all prior [IREs] or state that its decision applied retroactively; b) in Pennsylvania, generally only those matters that are pending in any phase of litigation, including appeal, or future matters are entitled to a benefit in the change of the law, and the litigation in the instant matter ended on June 1, 2009; [and] c) the constitutionality of Section 306(a.2) was not raised or preserved in the underlying litigation.
(WCJ Decision, Finding of Fact (FOF) ¶ 9, April 19, 2016, R.R. at 40a (footnote omitted).) The WCJ cited this Court's decision in Winchilla v. Workers' Compensation Appeal Board (Nexstar Broadcasting) ,
Claimant appealed. In a 4-3 decision, the Board affirmed. The majority found Claimant waived the right to challenge the constitutionality of the IRE. Citing Riley v.
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OPINION BY JUDGE COHN JUBELIRER
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.) ,
*602it 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.) ,
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, until mid-July 2015,4 when she received her last WC payment.
*603Claimant 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 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. After recounting our holding in Protz I , the WCJ found that Claimant was not entitled to reinstatement of her benefits based upon Protz I for a number of reasons:
a) in Protz [I ], the Commonwealth Court did not expressly void all prior [IREs] or state that its decision applied retroactively; b) in Pennsylvania, generally only those matters that are pending in any phase of litigation, including appeal, or future matters are entitled to a benefit in the change of the law, and the litigation in the instant matter ended on June 1, 2009; [and] c) the constitutionality of Section 306(a.2) was not raised or preserved in the underlying litigation.
(WCJ Decision, Finding of Fact (FOF) ¶ 9, April 19, 2016, R.R. at 40a (footnote omitted).) The WCJ cited this Court's decision in Winchilla v. Workers' Compensation Appeal Board (Nexstar Broadcasting) ,
Claimant appealed. In a 4-3 decision, the Board affirmed. The majority found Claimant waived the right to challenge the constitutionality of the IRE. Citing Riley v. Workers' Compensation Appeal Board (Commonwealth of Pennsylvania) ,
The Board dissent disagreed with the Board majority's conclusion that Claimant's change in disability status was final. The dissent distinguished Riley , noting in Riley the claimant attempted to challenge the IRE more than 500 weeks after the change in disability status, whereas Claimant here filed her petition within the 500-week period following her change in disability status.5 (Board Dissenting Op. at 1.) Because Claimant's status was changed on June 13, 2006, and her Petition was filed on November 13, 2015, the dissent found she challenged the constitutionality within the 500-week period found in Section 306(a.2)(4); therefore, her case was not "final." (Id. at 2.)
The dissent further found that Protz I should be applied retroactively because it satisfied the criteria for retroactive application in Blackwell v. State Ethics Commission ,
Claimant petitioned for review of the Board's Order.
II. Analysis
On appeal,6 Claimant argues the Protz decisions apply and she is entitled to have her disability status restored from partial to total disability because the IRE upon which the change was based was unconstitutional and invalid. Claimant contends this case is "strikingly similar" to our recent decision in Thompson v. Workers' Compensation Appeal Board (Exelon Corporation) ,
In addition, Claimant argues justice and public policy require retroactive application of Protz II . Because Protz II struck the entirety of the IRE provision from the WC Act, Claimant asserts that injured employees no longer have a statutory remedy to seek a change in status, and "by eliminating the statutory process for an employee to challenge his or her IRE-based partial disability status, the [Supreme] Court could not have intended to bind forever claimants to a partial disability status that was unconstitutionally enacted." (Id. at 13.) Moreover, Claimant emphasizes the remedial nature of the WC Act and stresses it should be liberally construed in favor of injured workers. (Id. at 14.)
Employer argues that reinstatement is not warranted because, at the time Protz II was decided, "[C]laimant had already conclusively litigated the change in her benefit status, collected 104 weeks of temporary total disability benefits, and collected the entire[t]y of her 500 weeks of temporary partial disability benefits." (Employer's Br. at 11.) Employer contends that employers have relied on these now-invalid IREs, which largely went unchallenged until the Protz decisions. Employer explains:
[w]hile the statutory scheme set forth in Section 306(a.2) of the [WC] Act allowed a claimant to prove an entitlement to temporary total disability benefits at some point within the future of that 500 week period, presuming he/she was able to demonstrate a total person impairment of 50 [percent] or greater, the statute did not provide a claimant with 500 weeks within which to look back and invalidate a past IRE and the corresponding change in benefit status.
(Id. at 15 (emphasis in original).) Here, Employer argues that Claimant fully litigated her change in benefit status a decade ago but never challenged the constitutionality of the IRE provisions during that *606litigation. (Id. at 15-16, 18.) According to Employer, if the Court were to give retroactive effect to Protz II , the parties' expectation of finality would be upset. (Id. at 17.)
A. Protz I and II
Before we reach the merits of this appeal, it is important to understand the holdings that have gotten us to this point: Protz I and Protz II . Like this case, the facts in Protz were not in dispute. The claimant suffered a work injury in 2007. Although she returned to work for a short time, her "work injury recurred" and her benefits were reinstated. Protz I ,
The claimant appealed to the Board and asserted that Section 306(a.2) of the WC Act was an unconstitutional delegation of legislative authority in violation of the Pennsylvania Constitution.7 Section 306(a.2) provided, in pertinent part, that a claimant's impairment rating shall be determined "pursuant to the most recent edition of the [AMA Guides ]." 77 P.S. § 511.2. At the time the section was added, the Fourth Edition of the Guides was in effect. Because the impairment rating for the same injury could vary between editions of the Guides , a claimant may be determined to be more or less impaired under one edition than another edition. The claimant in Protz argued that Section 306(a.2) effectively gave the AMA, rather than the General Assembly, authority to establish the criteria under which a claimant's disability status is determined.
On September 18, 2015, this Court rendered its decision in Protz I . We recognized that the General Assembly may delegate its legislative power but not without constraints. First, "the basic policy choices must be made by the Legislature," and second, the "legislation must contain adequate standards which will guide and restrain the exercise of the delegated administrative functions." Protz I ,
the General Assembly [ ] failed to prescribe any intelligible standards to guide the AMA's determination regarding the methodology to be used in grading impairments. Section 306(a.2) of the [WC] Act is wholly devoid of any articulations of public policy governing the AMA in this regard and of adequate standards to guide and restrain the AMA's exercise of this delegated determination by which physicians and WCJs are bound. Indeed, Section 306(a.2) merely requires that the most recent version of the AMA Guides be used to determine a claimant's impairment rating. 77 P.S. § 511.2. Accordingly, under this basis alone, we find Section 306(a.2) of the [WC] Act unconstitutional.
Protz I ,
We also held that Section 306(a.2) is devoid of any "mechanism requiring governmental review of the Guides by the promulgation of regulations."
Having concluded that Section 306(a.2) was an unconstitutional delegation of legislative power because "it proactively approved versions of the AMA Guides beyond the Fourth Edition without review," we vacated the Board's decision and remanded the matter to the Board with instruction to remand to the WCJ for an IRE determination applying the Fourth Edition of the Guides .
Both parties appealed our decision to the Pennsylvania Supreme Court. The employer argued we erred in concluding Section 306(a.2) was unconstitutional. The claimant argued we erred in remanding her case for application of the Fourth Edition of the Guides instead of striking down the offensive section in its entirety.
On appeal, the Pennsylvania Supreme Court, in a decision rendered June 20, 2017, agreed with our determination that Section 306(a.2) was an unconstitutional delegation of legislative authority. It held "[b]y any objective measure, the authority delegated to the AMA in Section 306(a.2) of the [WC] Act is even more broad and unbridled" than in other nondelegation cases. Protz II ,
The General Assembly did not favor any particular policies relative to the Guides ' methodology for grading impairments, nor did it prescribe any standards to guide and restrain the AMA's discretion to create such a methodology. Without any parameters cabining its authority, the AMA would be free to: (1) concoct a formula that yields impairment ratings which are so inflated that virtually every claimant would be deemed to be at least 50 [percent] impaired; or (2) draft a version of the Guides guaranteed to yield impa[ir]ment ratings so miniscule that almost no one who undergoes an IRE clears the 50 [percent] threshold; or (3) do anything in between those two extremes. The AMA could add new chapters to the Guides , or it could remove existing ones. It could even create distinct criteria to be applied only to claimants of a particular race, gender, or nationality.
Consider also that the AMA could revise the Guides once every ten years or once every ten weeks. If the AMA chooses to publish new editions infrequently, Pennsylvania law may fail to account for recent medical advances. By contrast, excessive revisions would likely pose severe administrative headaches, inasmuch as the Guides automatically have the force and effect of law once published. As these hypotheticals illustrate, the General Assembly gave the AMA de facto , unfettered control over a formula that ultimately will determine whether a claimant's partial-disability benefits will cease after 500 weeks.
Equally problematic, the General Assembly did not include in Section 306(a.2) any of the procedural mechanisms that this Court has considered essential to protect against "administrative arbitrariness and caprice." The General Assembly did not, for example, require that the AMA hold hearings, accept public comments, or explain the *608grounds for its methodology in a reasoned opinion, which then could be subject to judicial review. Further, the AMA physicians who author the Guides are, of course, not public employees who may be subject to discipline or removal.
While the Supreme Court affirmed this Court to the extent it found Section 306(a.2) unconstitutional, it reversed as to the remedy. This Court had remanded the matter so that the claimant's impairment rating could be evaluated using the Fourth Edition of the Guides , which was the edition in effect at the time Section 306(a.2) was enacted. Protz I ,
B. The Aftermath
Even before the Supreme Court struck down the entirety of Section 306(a.2) as unconstitutional, claimants, whose disability status had been modified from total to partial disability based upon an IRE performed using the Fifth or later edition of the Guides, filed various petitions seeking to have their status converted back to total disability based upon this Court's decision in Protz I . The WC bar sought to define exactly what Protz I meant. Counsel for claimants advocated for a broad, expansive application, claiming that all IREs performed using any version other than the Fourth Edition of the Guides were void ab initio . Counsel for employers and insurers promoted a narrow construction.
As a result, this Court had a number of occasions to examine the parameters of Protz I before the Supreme Court issued Protz II .10 First was Winchilla , which was argued seriately with Protz I . In Winchilla , the claimant's disability status was modified from total to partial based upon an IRE using the Sixth Edition of the Guides . The claimant there appealed to the Board, challenging the constitutionality of Section 306(a.2), but the Board affirmed, noting it could not decide constitutional issues. The claimant appealed to this Court and in his petition for review merely stated that "the IRE provisions ... as applied to [the claimant] and/or facially, are unconstitutional, as they are capricious, arbitrary, not reasonably calculated, confiscatory, not used to assess disability in the [WC] sense, improperly disregard evidence that [the claimant] was totally disabled and improperly extinguish rights." Winchilla ,
We next examined the effect of Protz I in Riley , the case primarily relied upon by the Board in its decision here. In Riley , the claimant's disability status was changed from total to partial disability after undergoing an IRE performed pursuant to the Fifth Edition of the Guides . The claimant subsequently sought to amend her Notice of Compensation Payable to include additional injuries, which the WCJ denied. While her appeal of that decision to the Board was pending, this Court issued its decision in Protz I , and the claimant filed a motion with the Board seeking to vacate the IRE, citing Protz I . The Board affirmed the WCJ's decision and found that the claimant failed to challenge the constitutionality of the IRE earlier and thus was precluded from doing so. On appeal to our Court, we found Protz I did not control disposition of Riley . We noted that in Protz I , the claimant appealed the IRE within 60 days, whereas in Riley , the claimant took nearly 10 years to challenge the constitutionality of the IRE. Riley ,
We made no mention of the 60-day limit in Section 306(a.2)(2) in Beasley v. Workers' Compensation Appeal Board (PECO Energy Company) ,
Last year, prior to Protz II , we again had occasion to examine the effect of Protz I . In Gillespie v. Workers' Compensation Appeal Board (Aker Philadelphia Shipyard) (Pa. Cmwlth., No. 1633 C.D. 2016,
In January 2018, after Protz II was decided, the Supreme Court granted the claimant's petition for allowance of appeal in Gillespie I , vacated our order, and remanded that matter to this Court for a determination on whether Protz II applies retroactively, thereby rendering the claimant's IRE void ab initio .16 Gillespie v. Workers' Comp. Appeal Bd. (Aker Phila. Shipyard) , --- Pa. ----,
This Court's decisions described above have one thing in common: they all predate Protz II , and so were decided before Section 306(a.2) was struck down as unconstitutional in its entirety . Thus, their reliance on the time requirements set forth in *611Section 306(a.2) establishing when an IRE must be challenged has been undermined.
One of the first cases we decided after the Supreme Court issued its decision in Protz II was Thompson , which was decided approximately two months later. In Thompson , the claimant's disability status was changed on August 30, 2005, from total to partial disability following an IRE performed using the Fifth Edition of the Guides . The parties were in the midst of litigating the merits of the earlier change in status based on the claimant's 2011 petition for review challenging the 2005 IRE when Protz I was decided. Although she had not challenged the constitutionality of the IRE before the WCJ or the Board, the claimant, in her petition for review to this Court, did.17 The employer argued the claimant failed to timely raise the issue and should be barred from doing so on appeal. We rejected the employer's argument noting that "this matter began before Protz I and Protz II were decided," it implicated the validity of the statute, and the "[c]laimant raised this issue at the first opportunity to do so." Thompson ,
Shortly before argument in the instant case, we issued a decision in Bradosky v. Workers' Compensation Appeal Board (Omnova Solutions, Inc.) (Pa. Cmwlth., No. 1567 C.D. 2015,
In summary, following Protz I , but before Protz II , this Court relied upon other subsections of Section 306(a.2), which required a claimant to challenge an IRE within a certain amount of time. If a claimant did not satisfy those statutory time requirements, we held he or she could not challenge the IRE. However, post- Protz II , those statutory time requirements were no longer valid and we allowed a claimant to raise the constitutionality of the IRE for the first time outside of those time periods, but while the litigation involving the change in status was still pending. Thompson ,
C. Present Appeal
Having summarized the development of the law, we turn to the merits of *612the instant appeal. Claimant argues she is entitled to reinstatement of her disability status from partial to total because she filed her reinstatement petition within three years after the date of her most recent payment of compensation, and the IRE upon which the modification of her disability status was based is invalid. She claims her case is most analogous to Thompson because she filed her reinstatement petition at the first available opportunity, just one month after our decision in Protz I . She also argues that Protz should be applied retroactively. Employer, however, argues against retroactive application, stressing that Claimant did not raise the constitutionality of the IRE at any time during the underlying litigation related to the IRE itself and she cannot do so now because it would upset Employer's reasonable expectation of finality.
In this case, Claimant filed a reinstatement petition, which is governed by Section 413(a) of the WC Act. That section, in relevant part, provides:
A workers' compensation judge designated by the department may, at any time, modify, reinstate , suspend, or terminate a notice of compensation payable, an original or supplemental agreement or an award of the department or its workers' compensation judge, upon petition filed by either party with the department, upon proof that the disability of an injured employe has increased, decreased, recurred, or has temporarily or finally ceased , or that the status of any dependent has changed. Such modification, reinstatement, suspension, or termination shall be made as of the date upon which it is shown that the disability of the injured employe has increased, decreased, recurred, or has temporarily or finally ceased, or upon which it is shown that the status of any dependent has changed: Provided, [t]hat ... no notice of compensation payable, agreement or award shall be reviewed, or modified, or reinstated, unless a petition is filed with the department within three years after the date of the most recent payment of compensation made prior to the filing of such petition.
77 P.S. § 772 (emphasis added).
In Cozzone ex rel. Cozzone v. Workers' Compensation Appeal Board (East Goshen Township) ,
Thus, we examine whether "the disability of [Claimant] has increased, decreased, recurred, or has temporarily or finally ceased." 77 P.S. § 772. We begin by noting that the term "disability" is a term of art in the workers' compensation context. Generally, "disability" is synonymous with loss of earning power resulting from a work-related injury. Westmoreland Reg'l Hosp. v. Workers' Comp. Appeal Bd. (Stopa) ,
"Earning power" shall be determined by the work the employe is capable of performing and shall be based upon expert *613opinion evidence which includes job listings with agencies of department, private job placement agencies and advertisements in the usual employment area. Disability partial in character shall apply if the employe is able to perform his previous work or can, considering the employe's residual productive skill, education, age and work experience, engage in any other kind of substantial gainful employment which exists in the usual employment area in which the employe lives within the Commonwealth. If the employe does not live in this Commonwealth, then the usual employment area where the injury occurred shall apply. If the employer has a specific job vacancy the employe is capable of performing, the employer shall offer such job to the employe. In order to accurately assess the earning power of the employe, the insurer may require the employe to submit to an interview by a vocational expert who is selected by the insurer and who meets the minimum qualifications established by the department through regulation.
77 P.S. § 512(2).
The addition of Section 306(a.2) to the WC Act in 1996 provided another method of changing a claimant's disability status from total to partial disability, but this time, without regard to any change in a claimant's earning power. Section 306(a.2)(1) provided:
When an employe has received total disability compensation pursuant to clause (a) for a period of one hundred four weeks, unless otherwise agreed to, the employe shall be required to submit to a medical examination which shall be requested by the insurer within sixty days upon the expiration of the one hundred four weeks to determine the degree of impairment19 due to the compensable injury, if any. The degree of impairment shall be determined based upon an evaluation by a physician who is licensed in this Commonwealth, who is certified by an American Board of Medical Specialties approved board or its osteopathic equivalent and who is active in clinical practice for at least twenty hours per week, chosen by agreement of the parties, or as designated by the department, pursuant to the most recent edition of the American Medical Association "Guides to the Evaluation of Permanent Impairment."
77 P.S. § 511.2(1). Section 306(a.2)(2) provided that a claimant "shall be presumed to be totally disabled " if an IRE shows an impairment rating20 equal to or greater than 50 percent, while if the impairment rating is less than 50 percent, the claimant is considered partially disabled . 77 P.S. § 511.2(2) (emphasis added). Under Section 306(a.2)(3), "the amount of compensation shall not be affected as a result of a change in disability status and shall remain the same." 77 P.S. § 511.2(3). In other words, a claimant considered partially disabled under Section 306(a.2) may still receive benefits at the total disability rate, which is sixty-six and two-thirds per centum of the injured worker's wages. Section 306(a)(1) of the WC Act, 77 P.S. § 511(1). The practical effect of a change in status from total to partial disability is to limit a claimant to 500 weeks of partial disability compensation. 77 P.S. § 512(1) ;
*614Diehl v. Workers' Comp. Appeal Bd. (I.A. Constr.) ,
In Diehl , we discussed the distinction between a change in disability status under Section 306(b)(2), based upon a change in earning power , and one under Section 306(a.2), based upon an impairment rating . We explained that "IRE remedies are separate from remedies involving actual ability to work." Diehl ,
In summary, until the IRE provisions were struck down as unconstitutional, a claimant's disability status could be modified from total to partial disability in one of two ways: based upon evidence of earning power under Section 306(b)(2) or based upon a claimant's impairment rating, without regard to his or her earning power , under Section 306(a.2). Because earning power did not play any role in Claimant's change from total to partial disability here, we discern no reason why the term "disability" in Section 413(a) governing reinstatement from partial to total disability in this case should be restricted to its traditional definition of earning power. See, e.g. , Ford Motor/Visteon Sys. v. Workers' Comp. Appeal Bd. (Gerlach) ,
Next, we must consider whether Claimant's disability status "increased, decreased, recurred, or has temporarily or finally ceased." 77 P.S. § 772. Under the facts here, Claimant may establish entitlement to reinstatement if her disability status "recurred." "Recur" is defined, in relevant part, as "to return to a place or status " or "to happen, take, place, or appear again." Webster's Third New Int'l Dictionary 1900 (2002) (emphasis added). The legal effect of Protz I and subsequently Protz II was to render Claimant once again eligible for total disability benefits.21 The impediment that rendered her partially disabled under the WC Act, i.e. , the impairment rating , is no longer a valid means of changing a claimant's status. There was no longer a legal basis for Claimant's disability status to remain partial because the IRE upon which the change in status was predicated was found, as a matter of law, unconstitutional and invalid. This change in the law was a basis upon which Claimant could seek reinstatement.
The current scenario is more akin to a claimant seeking reinstatement of benefits currently under suspension than one seeking reinstatement of benefits following termination because there is no allegation *615that Claimant's disability has ceased. The Supreme Court previously explained that suspension status "actually acknowledges a continuing medical injury." Latta v. Workmen's Comp. Appeal Bd. (Latrobe Die Casting Co.) ,
We also recognize that, generally, in order to be entitled to reinstatement to total disability after expiration of the 500 weeks of partial disability, a claimant must show (1) a loss of earning capacity, and (2) a worsening of the claimant's medical condition.22 Stanek v. Worker's Comp. Appeal Bd. (Greenwich Collieries) ,
Here, Claimant testified she was unable to work at all since the date of her surgery in 2002. (WCJ Decision, FOF ¶ 6d, Apr. 19, 2016, R.R. at 39a.) Employer did not present any evidence to the contrary. Therefore, if Claimant's testimony is credited, this satisfies her burden. Latta ,
The approach set forth herein is consistent with the overall remedial purpose and humanitarian objective of the WC Act, which is intended to benefit the injured worker. Griffiths v. Workers' Comp. Appeal Bd. (Seven Stars Farm, Inc.) ,
Both parties painted this case as an issue involving the retroactivity of Protz II . Given the facts of this case, however, the issue is not purely a question of retroactivity. We previously explained:
A retroactive law has been defined as one which relates back to and gives a previous transaction a legal effect different from that which it had under the law in effect when it transpired.... A law is given retroactive effect when it is used to impose new legal burdens on a past transaction or occurrence.
Dep't of Labor and Indus., Bureau of Employment Sec. v. Pa. Eng'g Corp. , 54 Pa.Cmwlth. 376,
*617see also Passarello v. Grumbine ,
III. Conclusion
Because Claimant filed her Petition within three years from the date of her last payment of compensation as permitted by Section 413(a) of the WC Act, she was entitled, as a matter of law, to seek modification of her disability status based upon the Protz decisions, which found the IRE provision unconstitutional. Allowing Claimant to seek modification under these circumstances does not prejudice employers or insurers by upsetting their expectation of finality because such determinations are not yet truly "final" until three years have passed since the date of last payment.24 However, in order to be entitled to reinstatement, a claimant must testify that her work-related injury continues, and the WCJ must credit that testimony over any evidence that an employer presents to the contrary. Here, Claimant testified she continues to be disabled by her work injury, but the WCJ did not make any credibility determinations, instead disposing of the case on the ground Protz I did not apply. Accordingly, we vacate the Board's Order and remand for further proceedings consistent with this opinion.
Judge Covey dissents.
ORDER
NOW , June 6, 2018, the Order of the Workers' Compensation Appeal Board dated May 10, 2017, is VACATED , and this matter is REMANDED for further proceedings consistent with the foregoing opinion.
Jurisdiction relinquished.
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