Untitled Texas Attorney General Opinion

THE ATrORNEY GENEWAL OF TEXAS Honorable H. C. Plttman, Jr., Chairman, Ipdustrlal Accident Board, Walton Building, Austin, Texas Opinion No. WW- 333. Re: Effect of Section 2 of House Bill No, 433, Acts 55th Legislature, Regular Session 1957 (Chapter 397, page 1186) on authority of Industrlal Accident Board to approve compromise set- Dear Mr. Plttman: tlement agreements. In your letter of November 8, 1957, you ask: "Will you give us your opinion as to whether or not this Board has authorlty to approve a Compro- mise Settlement Agreement which closes the llablllty of an Insurance carrier for euture medical and hos- pital expense under the Workmen's Compensation Act as amended, I.e. does the word\awardl and the wording used In the amendment to Section 5 apply to compromise settlements and take precedence over Section 12, Art- icle a307v You further point out that Section 12 of Article 8307, Revised Civil Statutes, gives the Board authority to approve compromise settlement agreements under certain conditions, and that House Blll No. 433, amending Section 5 of Article 8307, changes the llablllty of Insurance carriers as to medical and hospital expenses. Section 2 of House Bill No. 433 reads as follows: 'Sec. 2. Section 5 of Article 8307, Revised Civil Statutes of Texas, 1925, as amended, Is hereby amended by adding a new paragraph at the end of said Section to read as follows: "lNotwlthstandlngany other provision of thls law, as amended, no award of the Board, and no judgment Honorable H. C. Pittman, Jr., Page 2 (W-333). of the court, havlng jurisdiction of a claim against the association for the oost or expense of Items of medical aid, hospital services, nursing, chlropraotlc ,servlces,medicines or prosthetic appliances furnished to an employee under circumstances creating a llabll- lty therefor on the part of the association under the provisions of thle law, shall Include In such award or judgment any cost or expense of any such Items- actually furnished to and received by the employee prior to the date of said award or judgment. The first such final award or ment rendered on such claim shall be remlcata of the llablllty of the association forall such cost or expense which could have been claimed up to the date of said award or judgment and of the Issue that the Injury-aid employee Is subject to the provlslons of this law with respect to such Items, but shall not be res Judlcata of the obligation of the association to furnish or pay for any such Item8 after the date of said award or judgment, . . .' (Emphasis ours) The remainder of the paragraph provides for continuing jurisdiction of the Board over the claim for additional medical expenses and for appeals to the courts from each successive award of such medical benefits. The added paragraph relates only to awards (or denials) of medical aid and, In our opinion, does not have any.bearlng on the function of the Board In approving compromise settlement agreements under Sec~tlon12. The making of awards and th$g;proval of settlements are two distinct functions of the Board. Board's approval of a compromise settlement agreement Is not an award of compensation . . . Neither Is It an order denying compen- sation." Commercial Casualty Co. v. Hilton, 187 S.W. 2d 1081 (Comm. Am., opinion approved by S. Ct.). The Board Is prohibited from awarding the workman any money for future medical aid, but there Is nothlng In the Act which would bar or dlmlnlsh the right of the parties to enter Into a contract settling their rights and llabllltles with respect to future medical expenses of the kind referred to In the amendment. There being no amendment to Sec- tion 12, and there being no mention elsewhere in the Act of the role the Board Is to play In the approval or disapproval of com- promise settlement agreements with respect to future medical aid, the conclusion seems Inescapable that the Legislature Intended no change with respect thereto. The purpose of the amendment to Section 5 was to enable the workman to obtain unlimited medical treatment. Although his claim or cause of action Is broken down Into separate periods of six months each, there Is nothing In the Act to Indicate that his claim for future medical aid may not be settled by a Honorable H. C. Plttman, Jr., Page 3 (ww-333). compromise settlement agreement once and for all. It Is to be assumed that the Legislature was cognizant of the rules of the Board which require a showing that maximum recovery has been reached before It wlll approve compromise settlements,and that the Legislature contemplated that the Board would discharge Its responslblllty to protect the +&red workman In this type of settlement agreement, as It had done under the pre-existing law where settlement agreements have embraced liability for future ' medical treatment. Therefore, It Is our opinion that the amendment to Sec. 5 of Art. 8307 does not alter the authorlty of the Indus- trial Accident Board under Sec. 12, and the Board has authorl3.y to approve compromise settlements which close the llabllltv of an Insurance carrier for future medical and hospital expenses. SUMMARY Section 2 of House Bill No. 433, Acts of Session, the 55th Legislature, Regular-_. 1957 (Chapter 397, page 1186 at 1192) amending Section 5 of Article 8307, Revised Civil Statutes, does not alter the authority tid duty of the Industrial Accident Board under Section 12 with respect to the approval of compromise settlement agreements, and this authority extends to agreements which terml- nate the llablllty of the carrier for future medical and hospital expenses. Yours very truly, WILL WILSON Attorney General of Texas RRR:mg:pf Mac0 Stewart APPROVED: Assistant OPINION COMMITTEE Geo. P. Blackburn, Chairman J. C. Davis, Jr. W. V. Geppert Leonard Passmore REVIEWED FOR THE ATTORNEY GENERAL By: James N. Ludlum.