State Ex Rel. Cobbs v. Montana Department of Social & Rehabilitation Services

                                    No.     95-184

              IN THE SUPREMECOURT OF THE STATE OF MONTANA
                                           1995


STATE OF MONTANA, ex rel.          CELIA COBBS,
              Relator     and Appellant,
                                                                  NOV 2 1 ~~~$
         v.
MONTANADEPARTMENTOF SOCIAL AND
REHABILITATION SERVICES,
              Respondent      and Respondent.



APPEAL FROM:        District  Court of the Nineteenth Judicial  District,
                    In and for the County of Lincoln,
                    The Honorable Robert S. Keller,   Judge presiding.


COUNSEL OF RECORD:
              For Appellant:
                    Allan M. McGarvey, McGarvey, Heberling,
                    Sullivan & McGarvey, Kalispell, Montana
              For Respondent:
                        Cary B. Lund, Legal Counsel, Department             of
                        Public Health and Human Services,
                        Helena, Montana


                                      Submitted      on Briefs:       August     24, 1995
                                                       Decided:       November 21, 1995
Filed:
Justice          Terry             N. Trieweiler                        delivered              the      opinion              of    the        Court.

           The          appellant,                    Celia             Cobbs,          filed           an         application                    in     the

District            Court                for         the        Nineteenth                  Judicial            District                 in     Lincoln

County           for           a       Writ           of        Mandate               that          would          have           directed               the

Department               of        Social            and Rehabilitation                             Services             (SRS)       to disburse

funds       from         the        Industrial                  Accident             Rehabilitation                      (IAR)       Account             for

her      rehabilitation                          expenses,                as         authorized               by     the          Department               of

Labor.           The District                        Court            concluded              that      SRS had no clear                         duty       to

disburse            the         funds,               and that            Cobbs'             exclusive              remedy          was provided

by      law.             Therefore,                    the            court          denied          her        application.                           Cobbs

appeals            from            the         order         and        judgment              of       the      District                 Court.            We

reverse.

           The issue                   on appeal                is:

           Does          the             State             Department                  of       Social             and        Rehabilitation

Services            owe            a      clear            legal          duty          to      distribute                   funds            from       the

Industrial                 Accident                    Rehabilitation                          Account              when           the          Montana

Department                 of            Labor             authorizes                  the          distribution                   pursuant                to

5 39-71-2001,                      MCA (1993)?

                                                            FACTUAL BACKGROUND

           Celia           Cobbs                is         an         injured           worker               entitled               to        workers'

compensation                   benefits.                     She is           unable           to      return           to    her        former          job

because            of      a work-related                              injury.                She      had         a dispute                  with       her

employer's                insurer                over           her      right         to      rehabilitation                      benefits              and

filed       a petition                    in     the Workers'                    Compensation                  Court         to resolve                 that

dispute.                After            a trial,                she settled                 her       claim        by agreeing                   upon         a


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rehabilitation           plan      with        her employer's                        insurer.            The plan         called
for    payment      from         the     IAR Account                  in        the        amount        of     $680.75         for
tuition       and fees,       together          with        $250.00 per semester                              for    books and
materials        during       a two-year                 course            of        study        at    Flathead          Valley
Community        College.               The State            Department                      of    Labor,           Employment
Relations        Division,         and the Workers'                         Compensation                   Court      approved
the plan.
           On January      13, 1994, the Department                                  of Labor wrote                 to SRS and
authorized        the     expenditure               of     funds       from the                   IAR Account          for     the
tuition,       books,      and materials                 described              in the rehabilitation                        plan.
The authorization                specified           that        it    was for               expenditure             of      funds
and that         Cobbs was not                 seeking           rehabilitation                         services.             SRS,
however,       refused       to disburse                 funds        from the               IAR Account             based on
its   conclusion          that         Cobbs did           not        qualify              for      that       Department's
rehabilitation           services.
           Cobbs then applied             to the District                       Court        in Lincoln             County for
a peremptory        Writ     of Mandate to compel the Department                                              of Social        and
Rehabilitation             Services            to        distribute                    funds           pursuant        to      her
rehabilitation           plan.          Cobbs contended                         in     District            Court     that      the
IAR Account        was established                  exclusively                      for   workers'            compensation
claimants        and       that        while         the        funds            may be                used     to     provide
rehabilitation           services         through           SRS pursuant                     to § 39-71-1003,                 MCA,
the   funds      could      also       be used pursuant                         to     5 39-71-2001(l)                (d),     MCA
(1993),       when the Department                    of Labor               authorizes                 use of the            funds
for   expenses      related            to a private               rehabilitation                       plan.


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           The      District           Court       concluded               that             the       IAR     Account        is
statutorily            dedicated          to payment               for     rehabilitation                    services       for
injured          workers         provided        by         the     State            of     Montana's           vocational
rehabilitation              program,        and that              because Cobbs was not a client                             of
that       program         she was prohibited                      from         receiving              funds       from     the
Account.            The District               Court        also         held        that         5 39-71-1003,            MCA,
provides          that      5 53-7-106,            MCA, is                Cobbs'            exclusive          remedy       for
denial       of SRS services.
           On appeal,          Cobbs points            out that            she did not seek rehabilita-
tion       services         or     payments        pursuant               to         5 39-71-1003,              MCA.        She
agrees       that      she does not qualify                       for     those           services,          but contends
that       she is entitled              to rehabilitation                       expenses             which    are related
to her privately                 developed       plan pursuant                  to 5 39-71-2001(l)                  (d),   MCA
(1993).
                                                   DISCUSSION
           Does      the       State      Department               of      Social              and       Rehabilitation
Services          owe a clear              legal        duty        to         distribute              funds       from     the
Industrial            Accident            Rehabilitation                   Account                when       the    Montana
Department            of       Labor      authorizes               the          distribution                 pursuant        to
5 39-71-2001,              MCA (1993)?
           The issuance            or denial           of     a writ            of mandate              is    a matter       of
legal       interpretation             which we will                review           to determine              whether      the
district          court's         legal     interpretation                      is        correct.           Phillips v. City of

Livingston (1994),             268 Mont.        156, 161,               885 P.2d 528,                 531.      A two-part

standard          applies         to the issuance                  of a writ               of mandate.             State ex rel.

                                                              4
Chisholmv. DistrictCourt            (1986),         224 Mont.           441,      443,    731 P.2d 324,                325.

The writ          is available         when the party                  who requests          it    is entitled           to
the performance              of a clear             legal      duty by the party                 against       whom the
writ       is     sought,     and where no speedy                         and adequate             remedy        in     the

ordinary           course    of     law is          available.             Section        27-26-102,            MCA; see

Stateexrel. Gallowayv. CityofGreatFalls                     (1984))      211 Mont.         354, 358,           684 P.2d

495,       497.

        A negative answer to the first    question bars the issuance
        of the writ,   and, irrespective     of the answer to that
        question,  an affirmative    answer to the second, divests
        the court of authority    to issue it.
Chisholm , 731 P.2d at 325.

        On appeal,           Cobbs contends                 that      the District           Court's          denial     of
her     application            was incorrect                   on both          grounds.             First,           Cobbs
contends          that     SRS has a clear              legal         duty to disburse             the funds           from
the IAR Account.               Second, Cobbs asserts                       that     the SRS appeal process
pursuant           to    § 53-7-106,          MCA, is           inapplicable             because         she did        not
seek SRS services.
           Cobbs contends             that         SRS has a clear                legal      duty        to    disburse
funds           pursuant      to     § 39-71-2001,                    MCA (1993),            which         authorizes
privately           developed        rehabilitation                   plans,      and therefore,               that     the
District          Court     abused its             discretion          when it      failed        to find       a clear
legal       duty        on the part           of     SRS and denied               the     writ.          SRS asserts
that    application           for     SRS services              pursuant          to § 39-71-1003,              MCA, is
the only          route     to the IAR funds,                 and therefore,              that     all     recipients
of IAR Account              monies must independently                          be eligible         clients        of SRS


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rehabilitation                    programs.                         We conclude                              that             SRS's          position,                     which

was adopted                by the             District                      Court,                 is      inconsistent                          with           statutory

law.

           The        SRS         is         statutorily                            required                        to          provide                     "vocational

rehabilitation"                        and         "vocational                          rehabilitation                                   services"               pursuant

to     the    Federal             Rehabilitation                              Act             of        1973.                 29 U.S.C.                     §§ 701-796.

These        services             must        be provided                          to anyone                    who qualifies                               pursuant               to

SRS criteria                 found            at         § 53-7-105,                          MCA.             Vocational                        rehabilitation

must         also          be      provided                        by         workers'                        compensation                             insurers                    to

claimants             who,        by virtue                   of        a work-related                               injury,                    are         "physically

unable        to      work        at         the        job         the       worker                    held         at         the        time            of    injury."

Section          39-71-2001(l)                      (b),           MCA (1993).                           This            is         a different                  standard

than         the       standard                    by         which                eligibility                                for          SRS         services                    is

determined.

           The       IAR Account                    is     provided                          for        at      5 39-71-1004,                              MCA.            It      is

funded           by        self-insured                            employers,                           Plan             II          insurers,                       and         the

Department             of Labor.                    Its        purpose                   is         to pay rehabilitation                                        expenses

of      injured            workers.                      Subsection                            (4)           specifically                         provides                      that

"[n]o         part          of         the         funds                .      .         .         shall            be          used             in         payment                of

administrative                    expenses                    of        the        department                        or         department                      of     social

and rehabilitation                            services."                           Section                    39-71-1004(4),                               MCA (1993).

When we construe                        a statute,                          "the             office            of        the             judge         is       simply             to

ascertain             and        declare                 what           is         in         terms            or        in         substance                   contained

therein,             not     to        insert             what               has been                    omitted                    or     to     omit           what            has

been       inserted."                   Section                l-2-101,                      MCA.             The Court                     is        to     effectuate


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the intent         of the Legislature,                         and if      the Legislature's                     intent        can
be    determined              from      the       plain          meaning          of         the     words       used     in      a
statute,        the courts            may not go further                    and apply               any other        means of
interpretation.                 Clarkev.Massey (Mont.                   1995),          897 P.2d 1085,               1088,       52

St.   Rep. 538, 54 0 (citing                    Tongue River Elec. Co-op. Y. Montana                    Power Co.      ( 19 8 1) ,

195 Mont.         511,        515,     636 P.2d 862, 864).
         Section        39-71-2001(l)              (b),        MCA (19931, provides                     that     an injured
worker     who "is        physically              unable         to work at the job the worker                             held
at the time of the injury"                        is eligible              for     rehabilitation                   benefits.
The Legislature               enacted          5 39-71-2001,               MCA, in 1991 when it                       amended
the Workers'            Compensation              Act by passing                  HB 837 which,                among other
changes,        enacted         Title          39,    Chapter           71,       Part         20,      "Rehabilitation
Benefits."          Section            -2001(l)       (d) of the newly                        enacted        part      further
provides        that:
        (1) An injured         worker                     is     eligible              for     rehabilitation
       benefits      if:
               (d)     a rehabilitation                   plan between the injured worker and
       the insurer          is filed                  with    the department        [of Labor and
       Industry].         If the plan                  calls    for the expenditure        of funds
       under      39-71-1004        [the               Industrial       Accident    Rehabilitation
       Account],        the deuartment                   shall    authorize     the department     of
       social     and rehabilitation                     services     to use the funds.
Section      39-71-2001(l)               cd),      MCA (1993)              (emphasis               added).
         This     statute            explicitly                provides          for         the     development          of     a
rehabilitation            plan        which may call                 for      "the           expenditure            of funds"
from the        IAR Account.               Section              39-71-2001(l)                cd),     MCA (1993),          also
specifically            directs         that      the "department                  shall            authorize"         the use
of the funds            for     the rehabilitation                      plan.


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        SRS's argument             to     the contrary         assumes that           only    its     agency
can provide           rehabilitation             services      to injured      workers.             However,
the plain       language       of 5 39-71-1014,              MCA, indicates           that    vocational
services,          including        the     development          of   a formal         rehabilitation

plan,       may be delivered               exclusively          by a private           rehabilitation
provider.            For example,         that     statute      provides:
         (1) Rehabilitation      services   are required   for disabled
        workers and may be initiated       by:
               (a)  an insurer     by designating      a rehabilitation
        provider   and notifying     the department;
               i2j       . Rehabilitation
                            .                        services  provided    under this
        part      [of       the     Workers'          Compensation    Act]    must be
        delivered:
               (a)       throuqha    rehabilitation        counselor certifiedbv
        the board        of rehabilitation        certification;
               (b)       bv a vocational            rehabilitation       counselor
        employed        by-the department of social and rehabilitation
        services;        or
               Cc)       bv both.
Section      39-71-1014,         MCA (emphasis              added).
        The plain            language       of     5 39-71-1014,            MCA, allows             workers'
compensation           claimants          to receive         vocational       rehabilitation                from
certified          private      rehabilitation               providers        instead        of,       or      in
addition       to,     SRS services.              Moreover,       rehabilitation             provider          is
defined      as:
         [Al rehabilitation        counselor   certified  bv the board for
        rehabilitation        certification      and desisnated    bv the
        insurer     to the deoartment       or a department of social and
        rehabilitation       services counselor when a worker has been
        certified      by the department of social and rehabilitation
        services      under 39-71-1003.
Section       39-71-1011(5),            MCA (1993)           (emphasis      added).




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          A    "rehabilitation                  counselor                   certified          by     the           board       for
rehabilitation               certification"                is not necessarily                       an SRS counselor,
but may be a private                   counselor.                See § 39-71-1011(l),                     MCA (defining

board      of rehabilitation                   certification).
          Thus,      the plain             language        of 55 39-71-lOll(5)                        and -1014,              MCA,
establishes                that       an      injured             worker           may      receive             vocational
rehabilitation                solely        from     a private                provider,         without             using       SRS
counselors.                 Furthermore,            there             is      no requirement               that        injured
workers       seek services                from SRS--although                    vocational            services            may be
provided            to      injured          workers'            compensation                  claimants              by      SRS.
Therefore,               §§ -1011(5),              -1014,             and     -2001,       when read                together,
require         the        conclusion            that           funds          from      the        IAR     Account            are
available           for     rehabilitation              expenses when a "rehabilitation                                      plan"
has been developed                     by the        insurer,                claimant,         and rehabilitation
provider        and filed          with       the Department                    of Labor,        not just            when SRS
"services"           are provided.              Privately              developed          rehabilitation                   plans,
as    authorized             by     5 39-71-2001,                     MCA (1993),              would           be    rendered
meaningless               and      impossible              if          this       Court        was        to        interpret
5 39-71-2001,               MCA (1993),            in a way that                   gave SRS a right                    to deny
benefits          to workers           based on criteria                        other     than        those         listed       in
the Workers'              Compensation             Act.          If        approval      was required,                 whether
or not        the        insurer       and the          claimant              agreed      to    a "rehabilitation
plan,"        the        expenses       could       not         be paid           unless        the       claimant            also
developed           a rehabilitation                plan        as a client              of SRS.          The filing             of
the      rehabilitation               plan     with       the         Department           of Labor             would        be a


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useless       exercise          if     the worker         was required            to reapply         for         services
as an SRS client                     and develop           a new rehabilitation                      plan         through
SRS's      rehabilitation                 "services."             Moreover,             the       Department                  of
Labor's        "authorization"               of     the expenditure                of funds          from         the        IAR
Account       would have no meaning if,                      regardless            of such authority,                        the
claimant           was still           required      to apply         for        rehabilitation                  services
through       SRS.          Finally,       the IAR Account            would serve             no function                    for
workers'           compensation          employers,          insurers,           and claimants              if     it    was
solely     utilized            for     clients      of SRS.
         The Legislature                 does not perform               useless         acts.         Kish v. Montana

StatePrison        (1973),      161 Mont.         297, 301, 505 P.2d 891, 893.                         Therefore,

we conclude            that     § 39-71-2001,             MCA (1993),            does afford          independent
access     to        the      IAR Account           for     payment         of    expenses         related              to     a
worker's           rehabilitation            plan     developed          by the         insurer,            claimant,
and private            rehabilitation             provider        and filed           with      the Department
of Labor.           This access is in addition                    to,       and independent                 from,        the
payment       of      expenses         pursuant       to     § 39-71-1003,             MCA.          Furthermore,
the Department                of Labor's         authorization,             pursuant         to § 39-71-2001,
MCA (1993),             creates          a clear          legal   duty           on the       part     of         SRS to
disburse           those      funds.
         We conclude            that      Cobbs also         meets the second requirement                                for
a writ        of     mandate         because       no speedy        and adequate                remedy             in    the
ordinary           course      of law was available                to her.




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