IN THE COMMONWEALTH COURT OF PENNSYLVANIA
City of Pittsburgh, :
Petitioner :
: No. 1804 C.D. 2019
v. :
: Submitted: September 4, 2020
Workers’ Compensation Appeal :
Board (Donovan), :
Respondent :
BEFORE: HONORABLE MARY HANNAH LEAVITT, President Judge1
HONORABLE PATRICIA A. McCULLOUGH, Judge
HONORABLE CHRISTINE FIZZANO CANNON, Judge
OPINION BY
JUDGE McCULLOUGH FILED: April 22, 2021
The City of Pittsburgh (Employer) petitions for review of the October 21,
2019 order of the Workers’ Compensation Appeal Board (Board), which affirmed the
decision of Workers’ Compensation Judge (WCJ) Steven Minnich to grant the
Modification Petition and Petition to Review Compensation Benefits (Review Petition)
filed by Kenneth Donovan (Claimant), and to reinstate Claimant’s total disability status
as of November 13, 2017.
This appeal arises in the context of a series of related decisions of this
Court concerning the contours of the Pennsylvania Workers’ Compensation Act (Act
1
This case was assigned to the opinion writer before January 4, 2021, when Judge Leavitt
completed her term as President Judge.
or Workers’ Compensation Act)2 in the wake of our holding in Protz v. Workers’
Compensation Appeal Board (Derry Area School District), 124 A.3d 406 (Pa. Cmwlth.
2015) (en banc) (Protz I), and our Supreme Court’s decision to strike the entirety of
section 306(a.2)3 of the Act as unconstitutional in Protz v. Workers’ Compensation
Appeal Board (Derry Area School District), 161 A.3d 827 (Pa. 2017) (Protz II). Also
relevant to this appeal are the precedents that have emerged in light of our legislature’s
response via Act 111 in 2018, and its addition of section 306(a.3) of the Act, 77 P.S.
§511.3. Because recent holdings of this Court support the Board’s decision in all
respects, we affirm.
Background
The material facts, as found by the WCJ and summarized by the Board,
are not in dispute. Claimant worked for Employer as a career firefighter. On July 24,
2010, Claimant sustained a work-related injury to both of his shoulders. Employer
issued a Notice of Compensation Payable, acknowledging Claimant’s total disability
status and that he would receive benefits concurrently under the Workers’
Compensation Act and the Act commonly known as the Heart and Lung Act.4
(Reproduced Record (R.R.) at 61a-62a.)
On January 25, 2013, Claimant underwent an impairment rating
evaluation (IRE) pursuant to former section 306(a.2) of the Act, conducted by Dr. M.
Bud Lateef. In accordance with the Act as it then provided, Dr. Lateef utilized the
2
Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§1-1041.1, 2501-2710.
3
Former 77 P.S. §511.2, added by the Act of June 24, 1996, P.L. 350, and repealed by the
Act of October 24, 2018, P.L. 714, No. 111 (Act 111).
4
Act of June 28, 1935, P.L. 477, as amended, 53 P.S. §§637-38.
2
Sixth Edition of the American Medical Association’s Guides to the Evaluation of
Permanent Impairment (Guides). Dr. Lateef determined Claimant had a 15% whole
person impairment.5 (R.R. at 116a-17a.) As this was below the 50% impairment
necessary for a presumption of total disability status under former section 306(a.2)(2),
Claimant and Employer stipulated that Claimant’s disability status would be changed
from total to partial effective January 25, 2013.6 The parties’ stipulation was approved
by WCJ Linda Tobin on October 7, 2013.
In 2015, this Court issued our decision in Protz I, wherein we held that the
IRE provision of former section 306(a.2) of the Act was an unconstitutional delegation
of legislative power, inasmuch as it purported to adopt new versions of the Guides
without legislative review. Protz I, 124 A.3d at 417. On June 20, 2017, the
Pennsylvania Supreme Court affirmed our ruling with regard to nondelegation, but
further concluded that the offending language—“the most recent edition” of the
Guides—could not be severed from the Act, rendering the entirety of former section
306(a.2) unconstitutional. Protz II, 161 A.3d at 840-41. In response to Protz II, the
General Assembly ultimately added section 306(a.3) to the Workers’ Compensation
Act, via Act 111, which specifies that IREs are to be conducted “pursuant to the
American Medical Association ‘Guides to the Evaluation of Permanent Impairment,’
5
The term “impairment” was defined by former section 306(a.2)(8)(i) and continues to be
defined in section 306(a.3)(8)(i) as “an anatomic or functional abnormality or loss that results from
the compensable injury and is reasonably presumed to be permanent.” Former 77 P.S. §511.2(8)(i);
77 P.S. §511.3(8)(i). The definition of “impairment rating,” also unchanged in the current version of
the Act, is “the percentage of permanent impairment of the whole body resulting from the
compensable injury. The percentage rating for impairment . . . shall represent only the impairment
that is the result of the compensable injury and not for any preexisting work-related or nonwork-
related impairment.” Former 77 P.S. §511.2(8)(ii); 77 P.S. §511.3(8)(ii).
6
Section 306(b)(1) of the Act, 77 P.S. §512(1), limits a claimant’s receipt of partial disability
benefits to 500 weeks.
3
6th edition (second printing April 2009)” (Sixth Edition of the Guides).7 Section
306(a.3)(1) of the Act, 77 P.S. §511.3(1).
On November 13, 2017, following our Supreme Court’s decision in Protz
II, and before Claimant’s 500 weeks of partial disability benefits had expired, Claimant
filed the instant Modification and Review Petitions. Claimant contended his
impairment rating, which was ascertained pursuant to the Sixth Edition of the Guides,
was invalid under Protz II. Claimant sought reinstatement of his total disability status.
WCJ Minnich held a hearing on Claimant’s Petitions on August 23, 2018.
In support of his position, Claimant testified that, despite undergoing surgery on both
of his shoulders and receiving physical therapy, his symptoms had worsened over time.
(Notes of Testimony, 8/23/2018 (N.T.), at 11-14; R.R. at 34a-37a.) Specifically,
Claimant testified that he continues to suffer from a loss of strength, an increase in
pain, and an inability to lift objects above his head. (N.T. at 14-16; R.R. at 37a-39a.)
Claimant explained that he had a job doing light-duty cleaning of condominium units
for a period of two years, but he had to stop because of his shoulder problems. (N.T.
at 18-19; R.R. at 41a-42a.) Claimant additionally testified that he had attempted to find
a job he could perform despite his medical restrictions, but had not received any offers.
(N.T. at 22-24; R.R. at 45a-47a.) In order for Employer to defend against Claimant’s
petitions, WCJ Minnich permitted Employer to obtain an independent medical
examination (IME) of Claimant to assess the status of his injury; however, he did not
allow Employer to develop vocational evidence relating to Claimant’s earning power.
7
We note that, although WCJ Minnich and the Board stated that Claimant’s 2013 IRE was
conducted pursuant to the Sixth Edition of the Guides, they did not specify whether Dr. Lateef used
the “second printing April 2009.” Section 306(a.3)(1) of the Act, 77 P.S. §511.3(1). For the reasons
discussed below, this is not dispositive of Employer’s appeal. For the sake of clarity, unless otherwise
specified, usages herein of the “Sixth Edition of the Guides” shall refer to the second printing April
2009, as identified in Act 111.
4
By a decision and order circulated on May 14, 2019, WCJ Minnich
granted Claimant’s Modification and Review Petitions. The WCJ found Claimant’s
testimony credible and determined that his work-related disability continued. (WCJ
Decision at 4; R.R. at 77a.) The WCJ noted that Claimant’s “description of his ongoing
disability was not rebutted, or sharply challenged.” Id. The WCJ concluded that
Claimant thus met his burden to establish “disability” as required by this Court’s
intervening decision in Whitfield v. Workers’ Compensation Appeal Board (Tenet
Health System Hahnemann LLC), 188 A.3d 599 (Pa. Cmwlth. 2018) (en banc). The
WCJ accordingly reinstated Claimant’s total disability status effective November 13,
2017—the date Claimant filed his Petitions. The WCJ further rejected Employer’s
argument that Claimant’s 2013 IRE remains in effect under Act 111, and that his 15%
impairment rating under that IRE renders him ineligible for total disability status. The
WCJ reasoned that the 2013 IRE was conducted under former section 306(a.2) of the
Act, which was held unconstitutional in Protz II and subsequently repealed. (WCJ
Decision at 4; R.R. at 78a.) Moreover, because Act 111 provided for retroactive
consideration of earlier periods of total disability in some contexts but did not provide
for retroactive effect of IREs conducted under the prior unconstitutional scheme, the
WCJ found no basis to give Claimant’s 2013 IRE continuing legal effect. Id.
Employer appealed to the Board. Employer challenged the WCJ’s
reliance upon Whitfield, which Employer contended was wrongly decided. The Board
found no error in the WCJ’s application of Whitfield, and, to the extent Employer
argued against its holding generally, the Board recognized Whitfield as a binding
precedent from which it was not entitled to depart. Employer further argued that
Claimant waived any constitutional defect in his 2013 IRE by failing to raise it earlier.
Rejecting this assertion, the Board observed that the claimant in Whitfield likewise did
5
not challenge the constitutionality of her IRE until after Protz I was decided, and this
Court held that her challenge was timely because she petitioned for reinstatement
within three years from the date of the last payment of compensation, as permitted by
section 413(a) of the Act, 77 P.S. §772. The Board additionally cited Timcho v.
Workers’ Compensation Appeal Board (City of Philadelphia), 192 A.3d 1219 (Pa.
Cmwlth. 2018) (en banc), in which this Court expressly rejected the assertion of waiver
under similar circumstances. Here, the Board noted, Claimant filed his Petitions before
his partial disability benefits expired, rendering his challenge timely under section
413(a) of the Act.
Employer further challenged the WCJ’s refusal to allow it to develop
vocational evidence in order to establish Claimant’s earning power. The Board found
no error in that decision, noting that Whitfield discussed a distinction between a
disability determination based upon earning power and one based upon an impairment
rating. It would not make sense to require evidence of changed earning power,
Whitfield explained, “for claimants whose change in disability status was never based
on either a change in earning power or a change in physical condition, but solely on an
impairment rating.” (Board Decision at 6; R.R. at 111a (quoting Whitfield, 188 A.3d
at 615).) The Board concluded that evidence relating to Claimant’s earning power
would not affect the determination, because his disability status was based upon his
impairment rating rather than his earning power.
Finally, Employer argued that, under Act 111, Claimant’s 2013 IRE
should remain in effect, rendering Claimant ineligible for total disability status, unless
and until he demonstrates he has a whole body impairment rating equal to or greater
6
than 35% under the Sixth Edition of the Guides.8 The Board found no error in the
WCJ’s decision to the contrary. The Board observed that Claimant’s 2013 IRE was
conducted pursuant to the provision of the Act held unconstitutional in Protz II, and,
although Act 111 provides for IREs to be conducted under the Sixth Edition of the
Guides, there is no indication the applicable provisions of Act 111 were intended to
apply retroactively to IREs conducted before the effective date of Act 111. Moreover,
the Board noted, nearly seven years had elapsed since Claimant’s IRE, and Claimant’s
condition may have worsened in the interim. Finding Claimant satisfied his burden as
elucidated by this Court in Whitfield, the Board affirmed the WCJ’s decision granting
Claimant’s Modification and Review Petitions.
Employer appealed the Board’s decision to this Court.9
Arguments
Although couched as a single assertion of error—that the Board erred in
upholding the WCJ’s decision to reinstate Claimant’s total disability status—
Employer’s position rests upon several lines of argument. Employer asserts that
Claimant waived the right to lodge a constitutional objection to his 2013 IRE by failing
to litigate the matter when WCJ Tobin approved the parties’ stipulation to partial
disability status based upon the 2013 IRE. (Employer’s Br. at 19-22.) Employer
8
In a departure from the 50% impairment specified in the former version of the Act, under
Act 111, if a claimant is determined to exhibit an impairment rating of 35% or greater under the Sixth
Edition of the Guides, the claimant “shall be presumed to be totally disabled and shall continue to
receive total disability compensation benefits . . . .” Section 306(a.3)(2) of the Act, 77 P.S. §511.3(2).
9
“This Court’s review in workers’ compensation appeals is limited to determining whether
necessary findings of fact are supported by substantial evidence, whether an error of law was
committed, or whether constitutional rights were violated.” Whitfield, 188 A.3d at 605 n.6 (citing
Elberson v. Workers’ Compensation Appeal Board (Elwyn, Inc.), 936 A.2d 1195, 1198 n.2 (Pa.
Cmwlth. 2007)).
7
further argues that Protz II was not intended to apply “retroactively.” Id. at 23-25.
Employer calls upon us to overrule Whitfield, which Employer asserts was wrongly
decided, inasmuch as it allowed a claimant to satisfy his burden to establish disability
with his own testimony, rather than medical evidence, and without regard to evidence
of the claimant’s earning power. Id. at 27-33. Moreover, Employer suggests that
Whitfield’s concern for the ability of a claimant to obtain a change in disability status
absent the IRE provisions invalidated in Protz II is no longer salient, inasmuch as Act
111 subsequently provided a new IRE procedure. Id. at 28 & n.3. Along those lines,
Employer finally contends that, in light of Act 111, Claimant should remain on partial
disability status consistent with his 2013 IRE, unless he can demonstrate a whole body
impairment of 35% or greater pursuant to the Sixth Edition of the Guides. Id. at 39.
Claimant, by contrast, argues that the Board and the WCJ correctly
applied Whitfield to the facts. Claimant contends that he did not waive the right to seek
modification of his disability status because, as in Whitfield, he filed his Petitions
within the three-year period set forth in section 413(a) of the Act, 77 P.S. §772.
(Claimant’s Br. at 8.) Claimant notes that this Court confirmed the timeliness of such
action in Timcho. In any event, Claimant asserts that the parties’ stipulation in 2013
expressly preserved the rights of both parties to further challenge Claimant’s benefit
status in the future, for any reason and at any time. Id. at 8-9. Thus, Claimant contends,
even absent Whitfield and Timcho, the terms of the stipulation did not foreclose his
subsequent attempt to alter his disability status. With regard to the substance of
Whitfield’s holding, Claimant observes that he testified to his continued and increased
disability resulting from his injury, the WCJ credited his testimony, and Employer
offered no rebuttal, and he thus met his evidentiary burden. Id. at 10. Claimant further
relies upon Whitfield to counter Employer’s argument regarding the preclusion of
8
vocational evidence relating to Claimant’s earning power. Whitfield highlighted the
different avenues by which disability determinations may be altered, and reasoned that,
where a claimant’s change from total to partial disability was based upon an
impairment rating rather than earning power, there is no reason that reinstatement from
partial to total disability should be based upon evidence of earning power. Id. at 10-
11. Finally, with regard to Act 111, Claimant asserts that there is no basis upon which
to conclude that its new IRE provisions were intended to apply retroactively to
invalidated, pre-Protz IREs. Id. at 13-14.
Analysis
As the parties recognize, our analysis in this matter is significantly
informed by this Court’s en banc decision in Whitfield, as well as subsequent cases that
have addressed the issues Employer brings before us. Whitfield concerned the
procedures to be employed in adjudicating certain issues which arose in the wake of
the Protz I and Protz II decisions, specifically the ability of a claimant to seek
modification of disability status in light of the determination that an earlier IRE was
conducted under an unconstitutional statutory provision. The claimant in Whitfield
underwent an IRE in 2006, which resulted in a 44% impairment rating under the Fifth
Edition of the Guides—a figure short of the 50% rating necessary for a determination
of total disability at the time. Whitfield, 188 A.3d at 602. Following this Court’s
decision in Protz I, the claimant filed a petition seeking reinstatement of her total
disability benefits, contending that her 2006 IRE was invalid in light of the decision.
Following a thorough discussion of Protz I and Protz II, as well as the law that had
developed around those decisions, id. at 606-11, this Court determined that both the
9
timeliness and the substance of the claimant’s petition were governed by section 413(a)
of the Act, which provides, in relevant part, as follows:
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.
Whitfield, 188 A.3d at 612 (quoting section 413(a) of the Act, 77 P.S. §772) (emphasis
in original).
Rejecting the employer’s assertion of waiver due to the claimant’s failure
to raise an earlier constitutional objection to her IRE, this Court noted that the claimant
had filed her petition within three years after the date of her most recent compensation
payment, rendering her petition timely under section 413(a) of the Act. Whitfield, 188
A.3d at 612; see also id. at 617 (“Because [c]laimant filed her [p]etition within three
years from the date of her last payment of compensation as permitted by [section 413(a)
of the 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.”). This Court’s en banc decision in Timcho addressed a similar
10
assertion of waiver even more directly. Timcho “followed a procedural path similar
to” Whitfield, but, unlike in Whitfield, the claimant in Timcho sought reinstatement of
his total disability status before he had exhausted his 500 weeks of partial disability.
Timcho, 192 A.3d at 1223-24. His petition, therefore, “was filed well within the
applicable time constraints.” Id. at 1224.
Like the claimant in Timcho, Claimant in the instant case filed his
Petitions before exhausting his 500 weeks of partial disability. Thus, the three-year
limitation of section 413(a) had not yet even begun to run. Accordingly, as in Timcho,
Claimant’s Petitions were filed well within the time constraints of section 413(a).
Because Claimant’s challenge was plainly permitted under Whitfield and Timcho, we
reject Employer’s contention that Claimant waived his right to seek modification of his
disability status by failing to challenge the offending IRE in 2013.
Further, this does not mean we are applying the Protz decisions
“retroactively,” as Employer argues. As Whitfield 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.
Whitfield, 188 A.3d at 616 (quoting Department of Labor and Industry, Bureau of
Employment Security v. Pennsylvania Engineering Corporation, 421 A.2d 521, 523
(Pa. Cmwlth. 1980)) (emphasis in original). “Simply because Protz II is being applied
to a case that arose from a work injury and a change in disability status that predates it
does not mean it operates retroactively.” Id. at 617 (citing Warren v. Folk, 886 A.2d
305, 308 (Pa. Super. 2005)). We reasoned that application of Protz II did not change
the claimant’s past status. “Rather, it gives effect to the [c]laimant’s status as it existed
11
at the time she filed her reinstatement petition, which was filed within the statutory
timeframe for filing such petitions.” Id.
The question of the retroactivity of the Protz II decision has arisen in other
recent decisions of this Court. See Weidenhammer v. Workers’ Compensation Appeal
Board (Albright College), 232 A.3d 986 (Pa. Cmwlth. 2020); Dana Holding
Corporation v. Workers’ Compensation Appeal Board (Smuck), 195 A.3d 635 (Pa.
Cmwlth. 2018) (en banc) (Dana I).10 In Weidenhammer, decided just last year, this
Court reaffirmed Whitfield’s approach. Unlike the claimants in Whitfield and Timcho,
the claimant in Weidenhammer sought reinstatement of her total disability status
beyond the three-year period provided in section 413(a) of the Act; she thus sought a
determination that Protz II is fully retroactive and affords her relief despite the statutory
time limitation. Weidenhammer, 232 A.3d at 988-89. This Court declined to so hold.
After discussing the principles governing the retroactive application of a new rule of
law, as expounded by our Supreme Court in Blackwell v. State Ethics Commission, 589
A.2d 1094 (Pa. 1991) (Blackwell III), this Court in Weidenhammer held that “the ruling
in Protz II was not intended to be given a fully retroactive effect, without regard to the
statute of repose in [s]ection 413(a) of the Act, 77 P.S. §772.” Weidenhammer, 232
A.3d at 995. In light of Whitfield and Dana I, we summarized, “Protz II applies to
cases in active litigation when the Supreme Court issued its decision or where a
reinstatement petition is filed within three years of the most recent compensation
payment in accordance with [s]ection 413(a) of the Act, 77 P.S. §772.”
Weidenhammer, 232 A.3d at 991 (emphasis added). Because the claimant in
10
In Dana I, this Court held that “Protz II applies to cases where the underlying IRE was
actively being litigated when that decision was issued . . . .” Dana I, 195 A.3d at 643. Our Supreme
Court affirmed this Court’s decision in Dana I on June 16, 2020. Dana Holding Corporation v.
Workers’ Compensation Appeal Board (Smuck), 232 A.3d 629 (Pa. 2020) (Dana II).
12
Weidenhammer had not sought reinstatement of her total disability status within the
three years provided by section 413(a) of the Act, and because her challenge was not
preserved in active litigation at the time Protz II was decided, the claimant was not
entitled to relief.11
Again, the instant case shares the factual predicates of Whitfield and
Timcho, rather than Weidenhammer. Claimant here filed his Petitions well within the
three years afforded by section 413(a) of the Act. Applying Protz II to his Petitions
does not alter Claimant’s past status, but rather, “it gives effect to . . . Claimant’s status
as it existed at the time” that he filed the Petitions, which were “filed within the
statutory timeframe for filing such petitions.” Whitfield, 188 A.3d at 617. The WCJ’s
and Board’s application of Protz II in this matter thus fits comfortably within our settled
precedent, and we find no error in this regard.
Whitfield also bears heavily upon Employer’s position that it should have
been entitled to develop and present vocational evidence relating to Claimant’s earning
power in order to rebut his assertion of total disability. Whitfield recognized that, in
assessing a petition to modify, reinstate, suspend, or terminate a notice of compensation
payable under section 413(a), we must examine whether “the disability of [Claimant]
has increased, decreased, recurred, or has temporarily or finally ceased.” 77 P.S. §772;
Whitfield, 188 A.3d at 612. We noted that “the term ‘disability’ is a term of art in the
workers’ compensation context” generally “synonymous with loss of earning power
resulting from a work-related injury.” Id. (citing Westmoreland Regional Hospital v.
Workers’ Compensation Appeal Board (Stopa), 789 A.2d 413, 416 (Pa. Cmwlth.
2001)). “Disability,” however, “may also refer to a status, which is linked to the rate
11
Notably, like Employer in this appeal, the claimant in Weidenhammer argued that Whitfield
was wrongly decided and should be overruled. This Court rejected that contention. See
Weidenhammer, 232 A.3d at 995-96.
13
or amount of compensation to which a claimant is entitled. Traditionally, this status
was linked to a claimant’s earning power.” Id. (emphasis in original).12
The traditional understanding of “disability” as solely a function of
earning power underwent a change with the addition to the Act of now-repealed section
306(a.2). As Whitfield explained, “[t]he addition of [former] section 306(a.2) to
the [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.” Id. at 613 (emphasis in original). These parallel tracks
were underscored, Whitfield noted, by this Court’s decision in Diehl v. Workers’
Compensation Appeal Board (I.A. Construction), 972 A.2d 100, 104-05 (Pa. Cmwlth.
12
With respect to “earning power,” section 306(b)(2) of the Act provides:
“Earning power” shall be determined by the work the employe is
capable of performing and shall be based upon expert opinion evidence
which includes job listings with agencies of the 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 this
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. The
vocational expert shall comply with the Code of Professional Ethics for
Rehabilitation Counselors pertaining to the conduct of expert
witnesses.
77 P.S. §512(2).
14
2009), aff’d, 5 A.3d 230 (Pa. 2010). Diehl addressed the distinction between a change
in disability status under section 306(b)(2), based upon a change in earning power, and
a change in disability status based upon an impairment rating under former section
306(a.2), and concluded that “IRE remedies are separate from remedies involving
actual ability to work.” Id. at 108. “[T]o require proof both of a claimant’s level of
impairment and a claimant’s earning power would render the IRE provisions
meaningless.” Id. In light of Diehl, Whitfield explained, “earning power is not a
factor when seeking a change in disability status under [former s]ection 306(a.2).”
Whitfield, 188 A.3d at 614 (citing Diehl, 972 A.2d at 106).
Applying this distinction, Whitfield reasoned:
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 [s]ection
306(b)(2) or based upon a claimant’s impairment rating,
without regard to his or her earning power, under [former
s]ection 306(a.2). Because earning power did not play any
role in [the claimant’s] change from total to partial disability
here, we discern no reason why the term “disability” in
[s]ection 413(a) governing reinstatement from partial to total
disability in this case should be restricted to its traditional
definition of earning power. As the above case law
demonstrates, disability can also be a status, where the
claimant is either totally or partially disabled, as here, based
upon impairment rating[,] not earning power.
Id. (citation omitted). Whitfield further commented: “It makes little sense to require a
claimant seeking reinstatement based upon an unconstitutional IRE to show a change
in earning power when the employer was not required to show the same when it had
the claimant’s disability status modified from total to partial.” Id. at 615. In light of
this discussion, we find no error in the WCJ’s decision to exclude evidence of
15
Claimant’s earning power, or the Board’s affirmance of that decision. Simply,
Claimant’s disability status was based upon the impairment rating ascertained through
his 2013 IRE, not based upon his earning power.
Employer further takes issue with the manner in which Whitfield permits
a claimant in this position to proceed. Whitfield opined that the circumstance at issue
was “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 that [the claimant’s] disability has ceased.” Id. at 614-15.
Suspension status, our Supreme Court has noted, “actually acknowledges a continuing
medical injury.” Id. at 615 (quoting Latta v. Workmen’s Compensation Appeal Board
(Latrobe Die Casting Co.), 642 A.2d 1083, 1085 (Pa. 1994)) (emphasis in original).
With regard to the claimant’s burden, Whitfield explained:
In situations where benefits were suspended, a claimant is
only required to demonstrate that the reasons for the
suspension no longer exist. [Pieper v. Ametek–Thermox
Instruments Division, 584 A.2d 301, 304 (Pa. 1990)]. A
claimant is not required to demonstrate with medical
evidence that the work-related injury giving rise to the
benefits continues; a claimant’s testimony to that effect
satisfies the claimant’s burden of proof. Latta, 642 A.2d at
1085. Our Supreme Court has held that “once a claimant
testifies that his prior work-related injury continues, the
burden shifts to his employer to prove the contrary. Where
an employer fails to present evidence to the contrary, the
claimant’s testimony, if believed by the [WCJ], is sufficient
to support reinstatement.” Id. The Supreme Court explained
that because the claimant already established a work-related
injury, it would be improper to require a claimant to establish
it again. Id. “In such suspension situations, the causal
connection between the original work-related injury and the
disability which gave rise to compensation is presumed.”
Pieper, 584 A.2d at 305 (emphasis in original).
16
Id.13
In Whitfield, we noted that the claimant testified that she had been wholly
unable to work since she had surgery in 2002, and the employer presented no evidence
to the contrary. Id. at 616. If her testimony was credited, Whitfield reasoned, then that
testimony would satisfy her burden. Id. (citing Latta, 642 A.2d at 1085). Because the
WCJ there had declined to make any findings relating to the claimant’s credibility, we
remanded the matter for the WCJ to make factual findings regarding the claimant’s
credibility. Id. Here, Claimant similarly testified about the ongoing and increasing
impact of his injury, and Employer presented no evidence to the contrary. Unlike
Whitfield, however, the WCJ expressly credited Claimant’s testimony. (WCJ Decision
at 4; R.R. at 77a.)
Employer contends that Whitfield’s allowance of a change in disability
status based solely on the claimant’s testimony was motivated by the absence, at the
time, of any mechanism to obtain a new impairment rating. Whitfield indeed noted that
“[t]he impediment that rendered [the claimant] partially disabled under the [Act], i.e.,
the impairment rating, is no longer a valid means of changing a claimant’s status.”
Whitfield, 188 A.3d at 614. Thus, there “was no longer a legal basis for [the 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.” Id. Employer
13
Whitfield further distinguished our Supreme Court’s decision in Stanek v. Workers’
Compensation Appeal Board (Greenwich Collieries), 756 A.2d 661, 668 (Pa. 2000), to the extent
Stanek would require a claimant seeking reinstatement of total disability benefits after the expiration
of partial disability benefits to demonstrate (1) a loss of earning capacity, and (2) a worsening of the
claimant’s medical condition. Whitfield concluded that Stanek was “distinguishable in that the
claimant there did not have his status changed based upon an impairment rating; rather, the claimant
there received partial disability benefits based upon a change in his earning power.” Whitfield, 188
A.3d at 615. As discussed above, Whitfield reasoned that these methods of demonstrating a change
in disability status are distinct.
17
argues that the enactment of Act 111 has filled the gap that concerned this Court in
Whitfield, and that this legislation thus undercuts Whitfield’s holding. Act 111 indeed
has provided for a new IRE procedure. See section 306(a.3) of the Act, 77 P.S. §511.3.
However, in order to evaluate the impact of Act 111 upon this matter, we must return
to the question of retroactivity. As with the other issues before the Court, we do not
write upon a blank slate in this regard.
This Court recently addressed the impact of Act 111 upon these
proceedings in Rose Corporation v. Workers’ Compensation Appeal Board (Espada),
238 A.3d 551 (Pa. Cmwlth. 2020) (en banc). Quite similarly to the instant case, the
claimant in Rose underwent an IRE in 2013 pursuant to the Sixth Edition of the Guides,
his disability status was accordingly modified to partial, and a WCJ later concluded
that he was entitled to modification from partial to total disability in light of Protz II.
Id. at 553-56. Also like the instant case, the claimant in Rose sought reinstatement of
his total disability status within the three years specified in section 413(a) of the Act,
77 P.S. §772, rendering his petition timely under Whitfield. Rose, 238 A.3d at 556-57.
And like Employer here, the employer in Rose argued that, in light of Act 111, the
claimant’s 2013 IRE should remain valid because it was conducted under the Sixth
Edition of the Guides, and that the claimant should remain on partial disability status
absent a new impairment rating at or above 35% under section 306(a.3) of the Act, 77
P.S. §511.3. Rose, 238 A.3d at 558.
The en banc panel in Rose noted that there was no dispute “that the IRE
performed in 2013 would comply with the requirements of [s]ection 306(a.3), as it was
done under the Sixth Edition” of the Guides. Id. at 558-59. This is true of the instant
case as well. The dispute, however, was not application of the Sixth Edition of the
Guides in the abstract, but rather, whether the employer could “utilize the 2013 IRE to
18
maintain [the claimant’s] disability status as partial, through the retroactive application
of Act 111, despite Protz II.” Id. at 559. This was a question concerning the
retroactivity of Act 111, and, thus, a question of legislative intent. Id. (quoting 1
Pa.C.S. §1926 (“No statute shall be construed to be retroactive unless clearly and
manifestly so intended by the General Assembly.”); 1 Pa.C.S. §1953 (“[N]ew
provisions shall be construed as effective only from the date when the amendment
became effective.”); Keystone Coal Mining Corp. v. Workmen’s Compensation Appeal
Board (Wolfe), 673 A.2d 418, 420 (Pa. Cmwlth. 1996) (“[S]tatutes must be given
prospective effect only, unless the statute includes clear language to the contrary.”)).
Generally, a statute is to be read prospectively, unless it provides clearly
to the contrary. “An exception to this rule is where the statute is merely procedural and
does not alter any substantive rights, in which case it may be retroactively applied,
irrespective of whether the statutory amendment includes an express retroactivity
clause.” Id. (citing Keystone, 673 A.2d at 421). After a thorough review of precedent
concerning the dichotomy between substantive and procedural statutory provisions,
specifically as those principles have been applied to the Workers’ Compensation Act,
see id. at 559-61, this Court concluded that Act 111’s addition of section 306(a.3) was
a substantive change in the law—a conclusion bolstered by our Supreme Court’s
holding in Dana II that former section 306(a.2) was a substantive provision. Id. at 562-
63 (citing Dana II, 232 A.3d at 646-47). As for legislative intent, the en banc panel in
Rose observed that one provision of Act 111, relating to the provision of credit to
employers/insurers for weeks of total and/or partial compensation benefits paid,
referred to Act 111’s application prior to the date of its enactment. Id. at 561.14
14
Section 3 of Act 111 provides, in relevant part:
(Footnote continued on next page…)
19
However, this provision did not “evidence clear legislative intent that the entirety of
Act 111 should be given retroactive effect.” Id. at 562. In sum, Rose held, “[b]ecause
substantive changes in the law, such as this, require express legislative language
providing for retroactivity, which is lacking here, Act 111 cannot be applied
retroactively.” Id. at 563 (citing Keystone, 673 A.2d at 421).
Summarizing the subsequent steps that may be taken, Rose explained that,
because the claimant had already received 104 weeks of total disability benefits, the
employer could seek a new IRE under section 306(a.3). Id. Should a new IRE yield
an impairment rating below 35%, the employer could change the claimant’s status back
to partial disability through the process set forth in section 306(a.3). Id. If that change
in status is not appealed or is upheld on appeal, the employer would be entitled to credit
for the weeks of partial disability benefits paid between the date of the first IRE and
the date of the claimant’s petition, and the employer would be liable for 500 weeks of
partial disability compensation less the number of weeks of partial disability that it
previously paid. Id. In sum, Rose reasoned:
(1) For the purposes of determining whether an employee shall submit
to a medical examination to determine the degree of impairment and
whether an employee has received total disability compensation for the
period of 104 weeks under section 306(a.3)(1) of the [A]ct, an insurer
shall be given credit for weeks of total disability compensation paid
prior to the effective date of this paragraph. This section shall not be
construed to alter the requirements of section 306(a.3) of the [A]ct.
(2) For the purposes of determining the total number of weeks of partial
disability compensation payable under section 306(a.3)(7) of the [A]ct,
an insurer shall be given credit for weeks of partial disability
compensation paid prior to the effective date of this paragraph.
Section 3 of Act 111; see Rose, 238 A.3d at 561. Employer does not presently assert that it is entitled
to credit under section 3 of Act 111, but Employer makes one reference to it, suggesting that it renders
the entirety of Act 111 retroactive. (Employer’s Br. at 36.) As discussed herein, Rose rejected this
exact argument. Rose, 238 A.3d at 562.
20
This result is consistent with the plain language of Act 111,
as well as this Court’s en banc decision in Whitfield. This
approach also gives effect to the Supreme Court’s decision
in Protz II. While it is true that [s]ection 306(a.3) essentially
reenacted the IRE provisions, importantly, [s]ection 306(a.3)
did not take effect until it was enacted on October 24, 2018.
Therefore, until that time, [e]mployer could not utilize an
IRE to change [c]laimant’s disability status, even if the IRE
otherwise complied with the later enacted requirements of
[s]ection 306(a.3)(1) because no law permitted [e]mployer to
utilize an IRE process until Act 111 was enacted. There is
no provision in Act 111 which specifically or implicitly
provides for an IRE performed prior to [s]ection 306(a.3)’s
enactment to be validated afterward. Arguably, this would
undermine the invalidation of IREs by the Supreme Court in
Protz II, whereas the approach set forth herein gives effect to
the statutory language while upholding the legislative
balance of claimants’ and employers’/insurers’ interests in
light of Protz II and Act 111.
Id. at 563-64 (emphasis added; footnote omitted).
This discussion disposes of Employer’s position on the impact of Act 111
upon this appeal. Rose precludes retroactive application of section 306(a.3), and makes
clear that Act 111 did not rescue earlier, invalidated IREs merely because they
happened to be conducted under the Sixth Edition of the Guides.
Conclusion
Whitfield, Timcho, Weidenhammer, and Rose serve to defeat each of
Employer’s assertions of error in the Board’s decision. Claimant’s challenge was not
waived, and his Petitions were not untimely, under Whitfield and Timcho. The Board
did not improperly apply Protz II retroactively for the reasons discussed in Whitfield
and Weidenhammer. Claimant adequately demonstrated his entitlement to
modification of his benefit status under the procedures articulated in Whitfield. Finally,
21
under Rose, Act 111 does not apply retroactively, and does not salvage Claimant’s
invalidated 2013 IRE. As it perhaps goes without saying, we decline Employer’s
invitation to overrule Whitfield, for our decision there was carefully reasoned and has
served as a cornerstone of the precedents that have developed to help parties navigate
the landscape of workers’ compensation post-Protz. Fortunately, the above-discussed
precedents have resolved many of the outstanding issues concerning the scope of Protz
II and Act 111, and, going forward, Act 111 provides for the procedures to be
employed.15 As it concerns this appeal, we find no error in the Board’s decision.
The order of the Board is affirmed.
________________________________
PATRICIA A. McCULLOUGH, Judge
15
To this end, we emphasize that nothing in this opinion precludes Employer from seeking a
new IRE and another modification, if warranted, under section 306(a.3) of the Act, 77 P.S. §511.3.
22
IN THE COMMONWEALTH COURT OF PENNSYLVANIA
City of Pittsburgh, :
Petitioner :
: No. 1804 C.D. 2019
v. :
:
Workers’ Compensation Appeal :
Board (Donovan), :
Respondent :
ORDER
AND NOW, this 22nd day of April, 2021, the order of the Workers’
Compensation Appeal Board is AFFIRMED.
________________________________
PATRICIA A. McCULLOUGH, Judge
IN THE COMMONWEALTH COURT OF PENNSYLVANIA
City of Pittsburgh, :
Petitioner :
:
v. : No. 1804 C.D. 2019
: Submitted: September 4, 2020
Workers’ Compensation Appeal :
Board (Donovan), :
Respondent :
BEFORE: HONORABLE MARY HANNAH LEAVITT, President Judge
HONORABLE PATRICIA A. McCULLOUGH, Judge
HONORABLE CHRISTINE FIZZANO CANNON, Judge
DISSENTING OPINION
BY PRESIDENT JUDGE LEAVITT FILED: April 22, 2021
Respectfully, I dissent.
The majority reinstates Kenneth Donovan (Claimant) to total disability
status as of November 13, 2017, the date on which he filed his reinstatement petition.
I agree that this holding comports with Rose Corporation v. Workers’ Compensation
Appeal Board (Espada), 238 A.3d 551 (Pa. Cmwlth. 2020) (en banc), and Whitfield
v. Workers’ Compensation Appeal Board (Tenet Health System Hahnemann LLC),
188 A.3d 599 (Pa. Cmwlth. 2018). I also agree that Whitfield was correctly decided.
I now believe, however, that Rose Corporation was wrongly decided because it gave
no effect to Act 111,1 which was enacted subsequent to our decision in Whitfield.
Claimant’s impairment rating evaluation (IRE) was conducted on
January 25, 2013, under the Sixth Edition of the American Medical Association’s
1
Act of October 24, 2018, P.L. 714, No. 111 (Act 111). Because the Supreme Court did not
address Section 3(2) of Act 111 in Dana Holding Corporation v. Workers’ Compensation Appeal
Board (Smuck), 232 A.3d 629 (Pa. 2020), that case is not dispositive of the issue raised in Rose
Corporation.
Guides to the Evaluation of Permanent Impairment (AMA Guides) and yielded an
impairment rating of 15%. This IRE resulted in a change in Claimant’s disability
status from total to partial. Because this IRE was conducted in accordance with Act
111’s IRE standards and yielded an impairment rating of less than 35%, Claimant is
not entitled to be reinstated to total disability.2 Stated otherwise, Act 111 entitles the
City of Pittsburgh (Employer) to claim credit for all weeks of partial disability paid
to Claimant from January 25, 2013, to the present.
Section 3(2) of Act 111 states that “an insurer shall be given credit for
weeks of partial disability compensation paid prior to the effective date of this
paragraph.”3 Act 111, §3(2) (emphasis added). This lookback provision, together
with Act 111’s immediate effective date, expressed an intention by the General
Assembly to authorize the use of an IRE that conforms to Act 111’s standards to
2
Section 306(a.3)(2) of the Workers’ Compensation Act provides in pertinent part:
If such determination results in an impairment rating that meets a threshold
impairment rating that is equal to or greater than thirty-five per centum impairment
under the [AMA] “Guides to the Evaluation of Permanent Impairment,” 6th edition
(second printing April 2009), the employe shall be presumed to be totally disabled
and shall continue to receive total disability compensation benefits under clause (a).
If such determination results in an impairment rating less than thirty-five per
centum impairment under the [AMA] “Guides to the Evaluation of Permanent
Impairment,” 6th edition (second printing April 2009), the employe shall then
receive partial disability benefits under clause (b): Provided, however, That no
reduction shall be made until sixty days’ notice of modification is given.
Act of June 2, 1915, P.L. 736, as amended, added by Section 1 of Act 111, 77 P.S. §511.3(2).
3
Section 3(2) of Act 111 states:
(2) For the purposes of determining the total number of weeks of partial disability
compensation payable under section 306(a.3)(7) of the [Workers’ Compensation
Act, added by Act of October 24, 2018, P.L. 714, 77 P.S. §511.3(7)], an insurer shall
be given credit for weeks of partial disability compensation paid prior to the
effective date of this paragraph.
Act 111, §3(2) (emphasis added). Section 3(2) is a retroactive provision; it grandfathers the IRE
done that conforms to Act 111 standards, regardless of when it was done.
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determine a claimant’s disability status, even if the IRE was done before the passage
of Act 111. Accordingly, this Court erred when it stated as follows:
There is no provision in Act 111 which specifically or implicitly
provides for an IRE performed prior to Section 306(a.3) [of Act
111]’s enactment to be validated afterward.
Rose Corporation, 238 A.3d at 563 (emphasis in original). To the contrary, that
provision is found in Section 3(2) of Act 111.
Effectively, under Rose Corporation, an employer will receive credit
for pre-Act 111 partial disability payments made to a claimant up to the date of the
claimant’s reinstatement petition regardless of what the pre-Act 111 IRE showed or
how it was conducted. This is at odds with the language of Act 111. The employer
may receive credit for partial disability payments made “prior to the effective date”
of Act 111 only where the pre-Act 111 IRE satisfies the standards of Act 111. See
Section 3(2) of Act 111. The Act 111 standards require the pre-Act 111 IRE to be
conducted under the Sixth Edition (second printing) of the AMA Guides and to
demonstrate a whole body impairment of less than 35%. This construction gives
effect to all the provisions of Act 111.4
Rose Corporation makes the date of the reinstatement petition, not the
manner by which the IRE was conducted or its result, dispositive of all questions.5
4
Conversely, Act 111 does not authorize credit for pre-Act 111 payments made on the basis of an
IRE that showed an impairment rating of more than 35% but less than 50%, as was permitted under
the law prior to Act 111. In that instance, the claimant is entitled to reinstatement to total disability
as of the date of the pre-Act 111 IRE. This reinstatement is not automatic; it requires the timely
filing of a reinstatement petition. Whitfield, 188 A.3d at 617.
5
In Rose Corporation, the Workers’ Compensation Appeal Board (Board) relied solely upon
Whitfield, 188 A.3d 599, to hold that the claimant was entitled to reinstatement as of the date the
reinstatement petition was filed. The Board in Rose Corporation did not address the IRE standards
of Act 111, which were in effect. Because the claimant’s IRE was conducted under the Sixth
Edition of the AMA Guides and showed an impairment of less than 35%, he was ineligible for
MHL-3
It is as if Act 111 was never enacted. Section 3(2) of Act 111 has been rendered
mere surplusage, which violates the clear directive of our Supreme Court on how we
construe statutes. Holland v. Marcy, 883 A.2d 449, 456 (Pa. 2005) (“[C]ourts must
attempt to give meaning to every word in a statute as we cannot assume that the
legislature intended any words to be mere surplusage.”).
I would reverse the Board. Claimant is not entitled to reinstatement to
total disability because his IRE, done under the Sixth Edition of the AMA Guides,
showed a whole body impairment of less than 35%.
_____________________________________
MARY HANNAH LEAVITT, President Judge
reinstatement. Here, by contrast, the Board addressed Act 111. However, the Board held that Act
111 applies only where an IRE is done after Act 111’s effective date, and the credit provision in
Section 3(2) of Act 111 is not triggered until a new IRE is obtained after the effective date of Act
111. The Board has not explained how an employer can get credit for payments made prior to Act
111 based on an IRE done after Act 111’s passage. A new IRE would have to trigger a new
modification and could not have an effective date that precedes the effective date of Act
111. Stated otherwise, the Board’s construction gives no effect to the retroactivity clause in
Section 3(2) of Act 111.
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