Brownsville General Hospital, Inc. v. WCAB (Berish)
Brownsville General Hospital, Inc. v. WCAB (Berish) - 1496 C.D. 2016
| Pa. Commw. Ct. | May 23, 2017Background
- Claimant (Patricia Berish) sustained a work-related low-back injury in 2005 that ultimately led to paralysis after surgery; employer accepted the injury and litigated related benefit issues.
- Employer purchased a used wheelchair-accessible van (Van 2) for Claimant without her input; Claimant later purchased a newer wheelchair-accessible van (Van 3) herself.
- Parties stipulated Van 3 cost $72,058.56; Van 2 was sold for $6,000 and Van 3 was later sold for $30,000, leaving $36,058.56 in controversy.
- WCJ found Claimant’s 2011 surgery and paralysis were causally related to the 2005 injury, and granted Claimant’s petition ordering Employer to pay for Van 3; the Board affirmed.
- Employer appealed, raising (1) alleged bad faith/non‑opportunity to repair, (2) entitlement to a new van, (3) reliability of Van 2, and (4) whether the WCJ issued a reasoned decision.
Issues
| Issue | Berish's Argument | Brownsville/Employer's Argument | Held |
|---|---|---|---|
| 1. Whether Claimant acted unreasonably (bad faith) by buying Van 3 without giving Employer an opportunity to repair Van 2 | Purchase reasonable because Van 2 did not meet medical needs and was unreliable; delay and red tape justified immediate purchase | Employer argued Claimant never gave Employer notice/opportunity to repair Van 2 and thus acted unreasonably (bad faith) | Court: No bad‑faith finding; Claimant’s failure to notify did not negate entitlement because Employer had chosen Van 2 without Claimant’s input and Van 2 was unreliable and unsuitable |
| 2. Whether Claimant is entitled to a new (not used) van | New van was necessary and reasonable because prior used vans did not meet medical needs or provide reliable transport | Employer argued claimant’s lifestyle showed use of used vehicles so she should not get a new van (avoid windfall) | Court: New van appropriate here given circumstances; Act doesn’t require brand‑new in all cases, but facts supported employer liability for a new van |
| 3. Whether the WCJ erred in finding Van 2 unreliable despite employer expert testimony | Claimant’s husband described multiple mechanical, space, lift and starting problems making Van 2 unreliable | Employer’s expert said similar vehicle types can last long with maintenance and opined generally on durability | Court: WCJ reasonably found Van 2 unreliable; employer expert did not inspect Van 2 specifically and thus did not undermine credibility of claimant’s evidence |
| 4. Whether the WCJ’s decision was reasoned given alleged testimonial conflicts | Claimant argued testimony was consistent and WCJ adequately explained crediting witnesses | Employer argued irreconcilable conflicts (e.g., battery CCA) undermined reasoned decision | Court: WCJ issued a reasoned decision: explained credibility findings, resolved minor conflicts, and provided adequate factual and legal rationale under Section 422(a) |
Key Cases Cited
- Griffiths v. Workers’ Comp. Appeal Bd. (Seven Stars Farm, Inc.), 943 A.2d 242 (Pa. 2008) (van can be an orthopedic appliance; employer’s obligation depends on facts)
- Zuback v. Workers’ Compensation Appeal Board (Paradise Valley Enterprise Lumber Co.), 892 A.2d 41 (Pa. Cmwlth. 2006) (replacement of home stair glides held compensable like other orthopedic appliances)
- Dorsey v. Workers’ Comp. Appeal Bd. (Crossing Constr. Co.), 893 A.2d 191 (Pa. Cmwlth. 2006) (reasoned decision standard for WCJ under Section 422(a))
- Stepp v. Workers’ Comp. Appeal Bd. (FairPoint Commc’ns, Inc.), 99 A.3d 598 (Pa. Cmwlth. 2014) (scope of appellate review over Board decisions)
