[¶ 1] Gloria Brawn appeals from a decision of the Workers’ Compensation Board denying, in part, her petitions for payment of medical expenses. The Board ordered her employer, Gloria’s Country Inn, to pay the cost of adapting a van to accommodate Brawn’s quadriplegia, but concluded that the Inn could not be required to purchase the van. 39-A M.R.S.A § 206 (Supp.1996). 1 The Board also denied Brawn’s petition seeking payment for the services of a part-time personal care assistant who performed housekeeping services in the course of her duties. Because we conclude that, in the circumstances of this case, Brawn is entitled to the full cost of a specially adapted van and reimbursement for the services of the part-time personal care assistant pursuant to section 206, we vacate the decision of the Board.
I.
[¶ 2] Brawn suffered a compensable injury on October 4,1987 that rendered her quadriplegic. In addition to quadriplegia, Brawn suffers from low blood pressure that causes dizziness and fainting. She uses a specially adapted wheelchair that weighs 300 lbs. and is not readily transportable in ordinary vehicles. 2 Gloria’s Country Inn voluntarily purchased a van in 1989 that was specially adapted to accommodate Brawn’s wheelchair and her disability. In 1994 Brawn filed a petition with the Board seeking payment of the cost of a replacement van. The employer has agreed to pay the cost of adapting a van ($18,808), but disputes that it is required to pay for the cost of the van itself ($22,600).
[¶ 3] Since her injury, Brawn employs two personal care assistants in addition to her husband who also performs the services of a personal care assistant. A part-time assistant works from 8:00 a.m. until noon; the other works from 8:00 a.m. until 2:30 p.m. After the personal care assistants leave in the afternoon, Brawn’s husband performs the services of a personal care assistant until morning. The assistants perform a variety of tasks for Brawn, including bathing her, washing her hair, monitoring her blood pressure, taking urine samples, purchasing and administering medications, typing correspondence, taking her shopping and to do other outside errands, wrapping Christmas and birthday gifts, and responding to emergencies, such as frequent fainting or other accidents. All of the personal care assistants perform some housekeeping services, such as the preparation of meals, washing floors and dishes, vacuuming, dusting, and keeping her wheelchair and van clean.
[¶ 4] The Inn does not dispute that Brawn requires 24-hour care and has voluntarily paid for the services of the personal care assistants, including hourly payment to Brawn’s husband in his capacity as a personal care assistant. After our decision in
Cote v. Georgia-Pacific Corp.,
[¶ 5] The Board granted, in part, Brawn’s petition seeking the replacement of her specially adapted van, concluding that the modifications to the van were medically necessary to accommodate the employee’s wheelchair. The Board also concluded, however, that the van itself is not a physical aid for purposes of *1069 section 206 and therefore the Inn is not required to purchase the van. The Board found that Brawn must have at least one personal care assistant on duty 24 hours a day and two assistants during part of the day. The Board denied Brawn’s petition related to housekeeping expenses, stating that
[t]he evidence indicates that Ms. Brawn has need for two personal care assistants and, with a person as severely injured as herself, it is artificial to say that certain of the tasks [the personal assistants] perform are purely medical and others are purely housekeeping. Nevertheless, based upon my reading of Cote, [596 A.2d at 1004-05 ,] the Petition to Fix seeking payment for housekeeping expenses is denied.
The Board denied Brawn’s motion for findings of fact and conclusions of law and we granted her petition for appellate review pursuant to 39-A M.R.S.A. § 322 (Supp.1996).
II.
[¶ 6] The first paragraph of section 206 provides that “[a]n employee sustaining a personal injury arising out of and in the course of employment or disabled by occupational disease is entitled to reasonable and proper medical, surgical and hospital services, nursing, medicines, and mechanical, surgical aids, as needed, paid for by the employer.” 39-A M.R.S.A § 206. Subsection 8, dealing with “[p]hysieal aids,” provides, in pertinent part, that “[t]he employer shall furnish artificial limbs, eyes, teeth, eyeglasses, hearing aids, orthopedic devices and other physical aids made necessary by the injury and shall replace or renew them when necessary from wear and tear or physical change of the employee.” 39-A M.R.S.A § 206(8).
[¶ 7] Brawn contends that a specially adapted van is a “reasonable and proper ... mechanical ... aid[ ]” for purposes of section 206 and a “physical aid[ ] made necessary by the injury” for purposes of subsection 8 that the employer must “replace or renew ... when necessary from wear and tear.” Brawn contends that her injury prevents her from using public transportation, and that her only other transportation would be by “ambulance, which can get her to medical appointments and medical emergencies.” She contends that without a van she would be confined to her home with no access to the outside world, and that the van is reasonably necessary to provide basic mobility and to facilitate the use of her wheelchair.
[¶8] We have not addressed the issue whether an employer may be required to provide a medically adapted van for an injured employee. The former Appellate Division of the Workers’ Compensation Commission and the Board have considered the issue on two occasions:
Tufts v. R.A. Cummings, Inc.,
Me. W.C.B. App. Div. 445, 448-49 (Me.1993);
LaCourse v. Co-Hen Egg Co.,
Me. W.C.C. App. Div. 853, 854-55 (Me.1992). In both eases, the Division concluded that the cost of a van is not a medical expense for purposes of the Act, but that the cost of retrofitting the van is compensable if it is necessary to permit the use of a “mechanical aid” or “orthopedic device,” such as a wheelchair. Other jurisdictions are divided on the issue of specially adapted vans.
See generally,
2 A Larson,
The Law of Workmen’s Compensation,
§ 61-13(a) (1993). The eases can be divided into three categories: (1) those that deny reimbursement not only for vans, but also for modifications to cars or vans,
R & T Constr. Co. v. Judge,
[¶ 9] Unlike the statutes in some jurisdictions, section 206 is not limited to
medical
apparatus or aids, but extends to all “reason
*1070
able and proper ...
mechanical ...
aids” and
“'physical
aids made necessary by the injury.” 39-A M.R.S.A. § 206 (emphasis added). We conclude that the terms “mechanical” and “physical” “aids” in section 206 are broad enough to include a van. See
Terry Grantham Co.,
[¶ 10] Given the facts of this case, we conclude that a van is a reasonable and proper mechanical or physical aid. As the Board concluded, the van is reasonably necessary to facilitate the use of Brawn’s wheelchair. The practical benefit of a 300-pound wheelchair is greatly diminished if Brawn is effectively precluded from traveling beyond the boundaries of her own home. Moreover, in Brawn’s ease, the van, like the wheelchair, is reasonably necessary to provide basic mobility. The days have long passed when transportation by car or similar vehicle could be considered a “luxury.” This is especially true for severely handicapped individuals, like Brawn, who are greatly restricted in their choice of alternative transportation.
[¶ 11] We do not suggest, however, that section 206 will always require the employer to purchase a van for an employee with Brawn’s level of disability. In some cases, the employee may have access to other methods of transportation, or the employer may offer a reasonable alternative to the purchase of a van. Each case must be decided according to its own particular facts and according to the statute’s ultimate purpose to provide reasonable relief from the effects of a work-related injury. There is nothing in the record before us to suggest that Brawn has access to any reasonable method of transportation other than a specially modified van. Indeed, without a van, she is virtually confined to her home.
[¶ 12] Although some jurisdictions have permitted employers to deduct the cost of a medium-priced automobile from the purchase price of specially adapted vans,
Meyer,
III.
[¶ 13] Brawn next contends that the Board erred by denying reimbursement for the services of her part-time personal care assistant who performed some housekeeping services. The Inn contends that recovery of housekeeping expenses is precluded by our holding in
Cote,
[¶ 14] The facts of this case are distinguishable from
Cote.
Unlike Brawn’s part-time assistant, the housekeeper in
Cote
performed no medical function.
[¶ 15] In this case, the part-time personal care assistant performed some tasks that may be described as housekeeping, and other services that, in light of Brawn’s condition, may be described as medical. As the Board stated in this case, “with a person as severely injured as [Brawn], it is artificial to say that certain of the tasks [the personal assistants] perform are purely medical and others are purely housekeeping.” It is not necessary in this case to determine which tasks were purely housekeeping and which tasks were purely medical. We conclude that a personal care assistant who, by reason of medical necessity, must be in attendance at certain times of the day should be compensated for the reasonable time of service, even if incidental household services are performed.
Bello v. Zavota Bros. Transp. Co.,
The entry is:
The decision of the Workers’ Compensation Board vacated. Remanded to the Workers’ Compensation Board for further proceedings consistent with the opinion herein.
Notes
. The parties concede that, although Brawn's injury preceded the effective date of title 39-A, this appeal is governed by 39-A M.R.S.A. § 206 and not former 39 M.R.S.A. § 52 (Supp.1992), repealed and replaced by P.L.1991, ch. 885, §§ A-7, A-8. Maine Workers’ Compensation Act of 1992, P.L. 1991, ch. 885, § A-10(l) (effective January 1, 1993); Morgan-Leland v. University of Maine, 632 A.2d 748, 748-49 (Me.1993). Section 206 and former section 52 contain virtually identical language with respect to this issue and therefore it makes little practical difference which statute is applied in this case.
. Prior to the purchase of the van, Brawn used the family pickup truck, modified with a wheelchair ramp, for transportation.
. Although the phrase "reasonable and proper” appears in the beginning sentence of section 206, and not in subsection 206(8), it is implicit that both mechanical and physical aids must be "reasonable and proper" to be compensable under the Act.
. The Board held that, although the Inn purchased Brawn's first specially adapted van, Brawn was entitled to apply the trade-in value of her first van toward the purchase of the replacement van. Because we conclude that the Inn must purchase the replacement van, the Inn should receive the trade-in value of Brawn’s first van.