Hively v. District of Columbia Department of Employment ServicesHively v. District of Columbia Department of Employment Services
Lead Opinion
Pеtitioner/claimant Oran Hively seeks review of the Decision of the Director of the District of Columbia Department of Employment Services (DOES) denying his claim for a supplemental allowance under the District of Columbia Workers’ Compensation Act of 1979,
I.
Mr. Hively injured his neck, shoulders, and back on or about July 18,1984, while working for C & P Telephone Company, in the District of Columbia. He requested and began receiving temporary total disability benefits from the date of the injury. After several years, he submitted а claim for a supplemental allowance to DOES. A hearing examiner issued a compensation order denying a supplemental allowance, ruling that only those claimants with permanent total disabilities are eligible for such allowances under
II.
As this case presents a difficult issue of statutory interpretation, we will discuss in order, the statutory language, DOES ease law, our standard of review for agency decisions, and finally, our resultant conclusion.
A Statutory Language
The relevant subsection of the Act is as follows:
When the average weekly wage has changed as provided for in § 36-305, any person who has been totally and continuously disabled or any widow or widower who is receiving payments for income benefits under this chapter in amounts per week less than the new maximum for total disability or death shall receive weekly from the carrier, without application, an additional supplemental allowance calculated by the Mayor in accordance with the provisions of subseсtions (b) and (c) of this section: Provided, that such allowance shall not commence to accrue and be payable until the average weekly wage exceeds $396.78. The Mayor shall notify the carrier of the amount of such additional supplemental allowance.
According to Mr. Hively, an individual with a temporary total disability is eligible for supplemental allowances under this section. The Director of DOES, however, concluded that the phrase “totally and continuously” requires that the individual be totally and permanently disabled in order to receive supplemental allowances. Therefore, since the claimant had not taken the steps necessary to qualify as an individual with а “permanent” disability, he could not collect supplemental allowances.
B. Department of Employment Services Case Law
The Hearings and Adjudication Section of DOES first dealt with this issue in 1988, when a hearing examiner concluded that individuals with temporary disabilities could receive supplemental allowances. Butler v. Pitston Brinks,
Following Butler, DOES hearing examiners deferred to this decision in order to ensure the orderly administration of the workers’ compensation system. See Smith v. Security Storage, OWC No. 0176751, H & AS No. 91-405, 2-3 (December 19, 1991) (citing cases follоwing Butler). However, the Director of DOES never decided one of these cases on appeal, so there was not a definitive agency decision on the issue. In Smith v. Security Storage, the hearing examiner questioned the reasoning in Butler and decided that it should not be followed. Id. at 5. This examiner performed his own analysis of the issue, and concluded that “[bjased upon the record evidence, a reading of the pertinent case law, and investigation of the legislative history ... claimant is not entitled to a [
The Smith decision was appealеd to the Director, who affirmed the hearing examiner. Smith v. Security Storage, Dir. Dkt. No. 92-5 (January 22, 1993). This precedent was relied on in the instant case, where the Director again held that individuals with temporary disabilities could not receive supplemental allowances. Hively v. C & P Telephone Co., Dir. Dkt. No. 92-8 (October 11, 1994).
C. Standard of Review
Our standard of review is limited by the District of Columbia Administrative Procedure Act, D.C.Code § l-1510(a)(3) (1992 Repl.). This court has held that
we must give great weight to any reasonable construction of a regulatory statute that has been adopted by the agency charged with its enforcement. The interpretation of the agency is binding unlеss it is plainly erroneous or inconsistent with the enabling statute. Consequently, we sustain the agency decision even in casesin which other, contrary, constructions may be equally as reasonable as the one adopted by the agency.
Lee v. District of Columbia Dep’t of Employment Servs.,
Mr. Hively, relying upon the case of Railco Multi-Construction Co. v. Gardner,
[Petitioner] claims that because he chаllenges an agency interpretation of a statute — i.e., because he raises “a pure question of law” as to the availability of supplemental benefits — this court should show no deference to the agency. However, in both eases cited by the petitioner to support this assertion, the terms construed by the agency were outside its expertise_ In contrast, the interpretation here is one basic to the agency’s function of awarding compensation. We repeat that the question before us is solely whether the statutory interprеtation urged by the agency is a permissible one.
D. Conclusion
The issue in this case centers on the meaning of the words “totally and continuously.” When interpreting a statute, this court has stated that we are to first look at the plain meaning of the statutory language. J. Parreco & Son v. District of Columbia Rental Hous. Comm’n,
Based on these statutory principles, the petitioner argues that being disabled for the preceding year qualifies as “continuously” disabled. The petitioner bases this argument on the fact that the legislature could have used the word “permanently,” but instead chose to use the word “continuously.” We reсognize that “continuously” and “permanently” have slightly different meanings and therefore are not entirely interchangeable words. Therefore, we understand peti
We will begin by looking at the legislative history of the Act. The Act replaced the Longshore and Harbor Workers’ Compensation Act (LHWCA),
In this regard, the supplemental allowance provision in the amended bill (Bill 3-106) as introduced on December 11, 1979, by Councilwoman Willie J. Hardy read as follows:
Section 7 (a) When the average weekly wage has changed as provided for in Section 6, any person who has been totally and continuously disabled for over two (2) years, or any widow or widower who is receiving payments for income benefits under this Act in amounts per week less than the new maximum for total disability or death shall receive weekly from the carrier, without application, an additional supplemental allowance calculated by the Mayor in accordance with the provisions of subsection (b) and (c)....
The HED report laid out the significant differеnces between the LHWCA and the proposed bill, and noted the following in terms of supplemental allowances:
(5) Under the [LHWCA], benefits received for death or total disability are annually adjusted by the percentage increase in the National Average weekly wage. As this percentage increase can not be predicted and as insurance premiums are prepaid for the coming year, insurance costs are as a result escalated to reflect this uncertainty. Bill 3-106 seeks to make supplemental payments predictable while providing an adequate increase to the recipient. Bill 3-106 sets the supplemental allowance at 3% of the maximum benefit received in the previous year.
HED Report at 10-11. This discussion implies that the only change the Council intended to make in the supplemental allowance provision of the LHWCA was to add a cap on the amount of the benefit.
Moreover, the HED report also contained a seetion-by-section analysis of the bill, and stated the following in reference to section 7:
Page 12 Section 7 — Benefit Adjustment— This sectiоn allows for adjustments in benefits for permanently totally disabled employees and widow/widowers based on changes in the maximum compensation amount.... The supplemental payment is limited to 3% of the maximum weekly benefit received by the individual in the preceding year. This percentage limitation will permit predictability for purposes of rate setting while adequately meeting theincreased needs of the recipient due to inflation and takes into consideration the elimination of work-related costs to such recipient.
HED Report at 14 (emphasis added). Therefore, the Committee on Housing and Economic Development expressed its intention to limit supplemental allowances to individuals with permanent disabilities.
The Committee on Public Services and Consumer Affairs made recommendations and offered a substitute bill. In relation to section 7, the Committee urged the elimination of the two-year waiting period and proposed a 9% cap on the benefits. PS/CA Report at 10-11. In the final version, the supplemental allowance provision did not include the waiting period and contained a 5% cap. The “totally and continuously” language of the original bill was not changed.
In sum, the legislative history supports the Director’s conclusion that individuals with temporary disabilities are not eligible for supplemental allowances. The Council intended to narrow the coverage of the LHWCA, not expand it. Any expansion of coverage would undoubtedly have been made clear in the legislative history. The fact that the HED Committee’s seetion-by-section analysis clearly embraces the words “totally and continuously” in lieu of “permanently” leads to the conclusion that the intent was to exclude individuals with temporary disabilities from this category.
We can also look to policy and the statute’s “manifest purpose” in order to assist us in interpreting the word “continuously.” The petitioner argues that the Director’s interpretation encourages claimants to give up on rehabilitation in favor of seeking permanent disability benefits. We also recognize that workers’ compensation statutes are to be liberally construed for the benefit of the employee. Railco, supra,
In conclusion, we recognize that the Council’s use of the word “continuously” has created some ambiguity as to who is eligible for supplemental allowances. While we may have come to the opposite conclusion if we were to decide this issue in the first instance, we cannot say that the determination of DOES is “plainly erroneous or inconsistent with the enabling statute,” especially since it is suppоrted by the legislative history of the Act. Lee, supra,
Affirmed.
Notes
. Initially it is often helpful to look to the authoritative treatise of Professor A. Larson. 2 Larson, The Law of Workmen’s Compensation, §§ 60.60 et seq. (1995). Larson provides little guidance here, however: "[b]ecause of the relative novelty of this type of provision, no standard pattern has appeared — indeed, the provisions vary so wildly that it is almost impossible to frame any general rules or observations applicable to them.” Id. § 60.61, at 10-802. However, Larson did con-elude, without explanation, that the cost-of-living adjustment found in the Act is applicable exclusively to permanent total disability and death benefits. Id. § 60.61, at 10-796 n. 11.
. The spelling of the party "Pitston” has appeared in various forms throughout the cases and briefs. However, in the caption of the actual case it is spelled "Pitston.”
Dissenting Opinion
dissenting:
I disagree with the denial of a supplemental allowance to Hively. I agree, of course, that if
“Permanent disability” is a term of art under the workers’ compensation statute. See, e.g.,
The root word “continue” appears elsewhere in the statute in a manner reinforcing the distinction between “continuous” and “permanеnt.”
In sum, the Director’s interpretation of “continuously” gleans no support from the statute. Instead the Director looked, as does the majority, entirely to the legislative histоry of
The Director is thus left to rely upon a single reference in the section-by-section analysis of the original bill submitted by the Committee on Housing and Economic Development (“HED”), in which the Committee stated that § 7 of Bill 3-106 “allows for adjustments in benefits for permanently disabled employees....” HED Report at 14 (emphasis added). This, the majority says, “clearly equates the words ‘totally and continuously’ with ‘permanently.’ ” Ante at 1163 (emphasis added). The “clarity,” however, becomes obscured when we look to other portions оf the HED Report. Earlier in the report, the HED Committee discussed the compliance of the proposed D.C. Workers’ Compensation Act with the nineteen “essential recommendations” for a viable workers’ compensation system set forth in the 1972 report of the National Commission on State Workmen’s Compensation Laws (“National Commission”). HED Report at 5. In its analysis, the HED Committee asserted that the proposed Act for the District was in “full compliance” with the following recommendation of the National Commission:
We recommend that total disability benefits be paid for the duration of the worker’s disability or for life, without any limitation as to dollar amount or time.
HED Report at 8 (emphasis аdded). The National Commission thus made no distinction between permanent and temporary total disabilities.
The majority also cites the section-by-section analysis of the proposed D.C. Act included in the report of the Committee on Public Services and Consumer Affairs (“PS/CA”). The majority explains that while the PS/CA
Thus, the legislative history is inconclusive at best, and suggests no reason for us to depart from the unambiguous meaning of the statutory word “continuously.” I therefore would reverse the Director’s denial of benefits based upon equating “totally and continuously” with “totally and permanently” and remand the case solely for the Director’s determination of the point from which, under
. See, e.g., Webster's New Twentieth Century Dictionary (1978) ("permanent”: "lasting or intended to last indefinitely without change”; “continuous”: "without cessation or interruption").
. See Fort Chaplin Park Assocs. v. District of Columbia Rental Hous. Comm'n,
. The drafters also recognized that both permanent and temporary total disabilities could be "continuous.” See
. Moreover, this recommendation immediately followed the Commission's recommendations that permanent and temporary total disabilities be compensated at the same rate, 66%% of the worker’s gross weekly wage, which again suggests that identical treatment was contemplated for each class of disability. See HED Report at 7-8. The HED Committee emphasized that the proposed D.C. Act was in "full compliance” with these recommendations as well. See id.
. Later, as cited by the majority, the HED Committee described in detail the "significant differences” between the proposed D.C. Act and its predecessor, the Longshoremen's and Harbor Workers’ Compensation Act. See ante at 1162. The majority is correct that, although the LHWCA expressly limited benefit adjustments to those workers with a permanent total disability, the only significant change noted by the HED Committee was the imposition of a cap on the amount of the adjustment. The majority fails to discuss the fact, however, that in the same section, the HED Committee mischaracterized the persons to whom the adjustment was available under the LHWCA. Spеcifically, the HED Committee stated that
[ujnder the [Longshoremen's and Harbor Workers’ Compensation] Act, benefits received for death or total disability are annually adjusted by the percentage increase in the National Average weekly wage.
HED Report at 10 (emphasis added). This characterization standing alone would imply that workers afflicted with temporary total disabilities also would be entitled to adjustments. The fact that it may well have been a mistake only reiterates the risk of placing dispositive weight on a single statement of meaning or intent within a committee report to determine the meaning of an unambiguous statutory term.