William T. Young, Jr., etc. v. Virginia Birth-Related Neurological Injury Compensation Program

620 S.E.2d 131, 46 Va. App. 558, 2005 Va. App. LEXIS 374
CourtCourt of Appeals of Virginia
DecidedOctober 4, 2005
Docket2505043
StatusPublished
Cited by3 cases

This text of 620 S.E.2d 131 (William T. Young, Jr., etc. v. Virginia Birth-Related Neurological Injury Compensation Program) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
William T. Young, Jr., etc. v. Virginia Birth-Related Neurological Injury Compensation Program, 620 S.E.2d 131, 46 Va. App. 558, 2005 Va. App. LEXIS 374 (Va. Ct. App. 2005).

Opinion

CLEMENTS, Judge.

William T. Young, Jr. (Tommy) and his mother, Ada F. Young, appeal a decision of the Virginia Workers’ Compensation Commission (commission) denying Ms. Young’s request on Tommy’s behalf for certain housing benefits under the Virginia Birth-Related Neurological Injury Compensation Act (Act), Code §§ 38.2-5000 to 38.2-5021. Specifically, Ms. Young contends the commission erred in determining she was not entitled to housing benefits that were in effect when she filed her claim for compensation for Tommy’s birth-related neurological injury and when that claim was first adjudicated by the commission. For the reasons that follow, we affirm the commission’s decision.

*563 I. BACKGROUND

The facts relevant to this appeal are not in dispute. Ms. Young gave birth to Tommy on March 30, 1989. On September 14, 1998, Ms. Young filed a claim with the commission, pursuant to Code § 38.2-5004, seeking admission into the Virginia Birth-Related Neurological Injury Compensation Program (Program) in order to obtain compensation for Tommy’s birth-related neurological injury.

On January 8, 1999, the deputy commissioner denied the claim. On March 10, 2000, the full commission reversed the deputy commissioner’s decision and awarded Tommy “all the benefits provided by Code § 38.2-5009.” On February 13, 2001, this Court affirmed the full commission’s decision.

In early 2003, Ms. Young, who lived with Tommy in rental property, requested cash-grant housing benefits from the Program. Ms. Young had made no prior requests for housing benefits from the Program. By letters dated April 14, 2003, and June 3, 2003, the Program informed Ms. Young that Tommy was not eligible for the requested housing benefits because, in response to an actuarial study of the Program, the Program’s Board of Directors (Board) had “terminated all housing benefits for awards after January 1, 2000,” and Tommy was not admitted into the Program until March 20, 2000, at the earliest. The Program also informed Ms. Young that, although the Board had passed a new housing-benefits policy on September 19, 2000, providing “one-time funds for medically necessary modifications or construction of an accessible bedroom and bathroom,” those benefits were available only to families that owned their own homes. The Program further noted that, although it anticipated being able to eventually offer “appropriate housing benefits” to families that rented their homes, such benefits were still under development and not yet available.

Ms. Young appealed the Program’s denial of her request for housing benefits to the commission. The deputy commissioner conducted an evidentiary hearing on October 9, 2003.

*564 At that hearing, Ms. Young argued that Tommy was entitled to the housing benefits that were in effect when she first applied for Tommy’s admission into the Program on September 14, 1998, or the housing benefits that were in effect when that claim was first adjudicated by the deputy commissioner on January 8,1999. Ms. Young testified that she and Tommy had lived in the same rental house since April 1999, and she needed housing benefits in order to provide Tommy with a suitable home that would accommodate his needs. Unlike their current home, she explained, a suitable home would have hallways and doorways that were wide enough to accommodate the new power wheelchair the Program was providing, an accessible kitchen that would allow Tommy to roll himself up to the kitchen table, a screen porch that would permit Tommy to enjoy fresh air without exposure to insects, and a bathroom that was large enough to accommodate an accessible toilet, a lift, and a roll-in shower.

According to Ms. Young, it took two people to lift Tommy, who weighed 75 pounds and could not use his legs. She explained that, although the Program provided a “skilled nursing assistant” to help her with Tommy when he was not at school and a lift for Tommy’s bedroom, Ms. Young still had to help lift Tommy in order for him to use the bathroom and would have to help carry him from the hallway to his bed if, as she suspected, his new, bigger power wheelchair would not fit through his bedroom door. Ms. Young stated that she had been “diagnosed with a disc disease” and was “not supposed to be lifting.” Ms. Young further stated that she had applied to the Program for payment for a male friend to help her and the nursing assistant with Tommy. Ms. Young also testified that she had not obtained a report from a doctor or therapist stating that the requested accommodations were medically necessary, and had not sought permission from the landlord to have any work done on her existing home because the Program told her it would not pay for renovating rental homes.

The Program argued at the hearing that Ms. Young was not entitled to the housing benefits she sought because those benefits were “no longer available at the time [Tommy] was *565 admitted into the Program” and the Program’s provision of housing benefits was a gratuity rather than mandated by the Act. The Program further informed the deputy commissioner that no housing benefits were currently available for families who did not own their own home, but added that the Board was revisiting its housing-benefits policy with respect to claimants who rented their homes. The Program introduced the Board’s minutes pertaining to housing benefits and the “Guidelines for the Operation of the Virginia Birth-Related Neurological Injury Compensation Program” (Guidelines) adopted by the Board.

As indicated by the Board’s minutes and the periodically revised “Housing” section of the Guidelines, the Program’s housing-benefits policy changed several times prior to Ms. Young’s request for housing benefits in 2003. On April 15, 1997, the Board adopted its first housing-benefits policy, under which the Program offered to fund the construction of a new, accessible home “determined to be medically appropriate for the needs of the child in the most cost effective manner” or the “feasible and reasonably priced” modification of an existing family-owned home to provide accessibility. The new home, which could not exceed 3,300 square feet, would be “titled in trust for the child, subject to use by the child’s family” until the child’s death or permanent institutionalization. A renovated home would remain titled in the name of the child’s parents. “The maximum benefit for any one house, including renovation costs, [was] not to exceed $500,000.”

That same date, the Board voted to purchase homes in trust for three families and approved the purchase of another trust home “in principle.”

On November 17, 1998, the Board adopted a new housing-benefits policy effective January 1, 1999, under which, in lieu of building trust homes, the Program would provide families with a secured cash grant to acquire, build, or renovate their own homes. Under the new policy,

[c]laims awarded in 1998 would be grandfathered in under the April 15, 1997 guidelines; however, 1998 awarded *566 claims, which currently [did] not have homes under construction, would be offered a housing allowance in lieu of trust housing pending the drafting of Guideline language to support the change and a review of tax implications, if any, for the recipients and the Program.

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620 S.E.2d 131, 46 Va. App. 558, 2005 Va. App. LEXIS 374, Counsel Stack Legal Research, https://law.counselstack.com/opinion/william-t-young-jr-etc-v-virginia-birth-related-neurological-injury-vactapp-2005.