142 Wash. 2d 280 | Wash. | 2000
Lead Opinion
— This case involves the interpretation of chapter 7.68 RCW, the crime victims’ compensation act (Act). Robert Sebastian’s total uncompensated injuries exceed the maximum amount payable under the statute. The parties in this case dispute how to treat the collateral benefits Sebastian received when calculating benefits payable under the Act. The Court of Appeals agreed with Sebastian that the collateral benefits should be deducted from his total damages, rather than from the statutory cap, as the Department of Labor and Industries (Department) asserts. Sebastian v. Dep’t of Labor & Indus., 95 Wn. App. 121, 123, 974 P.2d 374 (1999). We affirm.
FACTS
Sebastian was severely beaten in a criminal assault. His injuries were calculated at $43,788.54. He was granted compensation under the Act; the total amount to be paid is the matter in dispute. The maximum payout under the Act for a single injury or death is $30,000. RCW 7.68.070(13). Sebastian had already received $7,788.54 from the Social Security Administration in time-loss compensation.
Sebastian contends “benefits payable” refers to his total amount of injuries as calculated according to the Act, less the amount of Social Security compensation he received. This leaves him with approximately $36,000 in damages. The Department argues that “benefits payable” refers to
Sebastian appealed the Department’s calculation of benefits. An industrial insurance appeals judge agreed with Sebastian and ordered that he receive $30,000. On appeal, the Board of Industrial Insurance Appeals reversed, ordering that Sebastian receive approximately $22,000. Sebastian appealed to the superior court, where both parties moved for summary judgment. The Department prevailed. Sebastian appealed to the Court of Appeals, which reversed in a published opinion in favor of Sebastian. Sebastian, 95 Wn. App. at 123. The Department petitioned this court for review, which we granted.
ANALYSIS
The amount of compensation a crime victim is entitled to under the Act is determined by chapter 51.32 RCW of the Industrial Insurance Act, with some specific omissions. See RCW 7.68.070. That calculation is not at issue in this case, as the parties agree Sebastian has $43,788.54 in injuries. However, the Legislature limited the total compensation to be awarded crime victims by two provisions of the Act. First, there is a $30,000 statutory cap. RCW 7.68.070(13). Second, the award will be reduced by certain other compensatory payments. This reduction is set out in RCW 7.68.130, which states in relevant part:
(1) Benefits payable pursuant to this chapter shall be reduced by the amount of any other public or private insurance available ....
(3) Payment by the department under this chapter shall be secondary to other insurance benefits ....
RCW 7.68.130.
To resolve this case, we must determine the definition of
Sebastian’s reading of this statute is reasonable. Since the statute directs the total damages be calculated pursuant to chapter 51.32 RCW, it is reasonable that the total damages would be the amount awarded but for the statutory cap and the reduction for other benefits. The Department’s reading of this statute is also reasonable. Since the statute limits payment, more damages will not be payable.
Since both the Department’s and Sebastian’s interpretations of “benefits payable” are reasonable, we find the statute ambiguous. See In re Sehome Park Care Ctr., Inc., 127 Wn.2d 774, 778, 903 P.2d 443 (1995) (holding statutes susceptible to more than one interpretation ambiguous). As the Court of Appeals noted, the Act is “patently remedial.” Sebastian, 95 Wn. App. at 125; Haddenham v. State, 87 Wn.2d 145, 148, 550 P.2d 9 (1976). We interpret the coverage provisions of remedial statutes broadly, and the limitations on coverage narrowly. Peninsula Sch. Dist. No. 401 v. Pub. Sch. Employees, 130 Wn.2d 401, 407, 924 P.2d 13 (1996). While the question here is not squarely the scope of a coverage provision, the principle can be applied by analogy, especially since determining which methodology the Legislature intended functions like a determination of the scope of coverage. Further, a remedial statute is construed broadly to accomplish its purpose: here, assuring at least a minimum level of compensation for crime victims through a combination of insurance and Act sources. Stand
Further, when interpreting ambiguous statutes, we attempt to give force to the intent of the Legislature, considering the act as a whole and any other materials that illuminate legislative intent. Sehome, 127 Wn.2d at 778. Unfortunately, as the Court of Appeals noted, “the legislative intent is not readily apparent, either from the language of the Act or its legislative history.” Sebastian, 95 Wn. App. at 125. Clearly, there was an intent to compensate crime victims; clearly there was an intent to contain costs. Beyond that, the history gives little guidance, and neither principle answers the question here.
We, therefore, conclude “benefits payable” as used in RCW 7.68.130(1) refers to the benefits calculated under the Act, incorporating by reference the benefits schedules laid out in the Industrial Insurance Act. Since we find “benefits payable” refers to the damages as calculated under the Act, it follows that “[b]enefits payable . . . shall be reduced by the amount of any other public or private insurance available . . .,” RCW 7.68.130(1), and requires that after the determination of damages, insurance benefits (such as the $7,788.54 at issue here) shall be deducted. The statutory cap is then applied. RCW 7.68.070(13).
This liberal interpretation is also consistent with RCW 7.68.130(3), which states: “[p]ayment by the department under this chapter shall be secondary to other insurance benefits . . . .” While the Act does not function like an insurance provider, it is reasonable the Legislature intended the statute to be interpreted according to principles similar to those governing the interplay between primary and secondary insurance policies. Secondary insurance pays when the primary insurance does not cover all of the
We affirm the Court of Appeals and remand for further proceedings consistent with this opinion. Pursuant to RCW 51.52.130, we grant Sebastian attorney’s fees.
Guy, C.J., and Smith, Alexander, Sanders, and Ireland, JJ., concur.
We decline to reach the Department’s argument that affirming the Court of Appeals will obligate the Department to overspend its funds. This issue was raised for the first time in the Department’s motion for reconsideration filed with the Court of Appeals and, therefore, there is no record before this court upon which to review this claim.
Dissenting Opinion
(dissenting) — The majority opinion, in agreeing with the Court of Appeals, imports ambiguity into the statutory design of the crime victims’ compensation act (Act), chapter 7.68 RCW, and reaches a result plainly unintended by the Legislature. I respectfully dissent.
A. Background
RCW 7.68.070(6) states:
The benefits established in RCW 51.32.080 for permanent partial disability shall be the benefits obtainable under this chapter, and provisions relating to payment contained in that section equally apply under this chapter.
Except for medical benefits authorized under RCW 7.68.080, no more than thirty thousand dollars shall be granted as a result of a single injury or death, except that benefits granted as the result of total permanent disability or death shall not exceed forty thousand dollars.
(Emphasis added.) Thus, even though the benefits under the Act are initially determined by reference to the Industrial Insurance Act (IIA), Title 51 RCW, they are then immediately capped by the statute.
A clear reading of the Act shows the Legislature placed stringent restrictions on the benefits allowable under the Act. In Standing v. Department of Labor and Industries, 92 Wn.2d 463, 465, 598 P.2d 725 (1979), we noted that although the amount of compensation awarded crime victims is “related to the level of benefits available to an injured worker under RCW Title 51,” the Act “modifies the award to a certain extent.” For example, the Act is not intended to be a primary insurer: “Payment by the department under this chapter shall be secondary to other insurance benefits . . . .” RCW 7.68.130(3) (emphasis added). In addition, the statute specifically limits the amount of compensation available. RCW 7.68.070(13) (“no more than thirty thousand dollars shall be granted as a result of a single injury or death”). In Standing, we further acknowledged this benefit cap when we stated:
although the legislature intended to assist and compensate victims of crime, it clearly evidenced a desire to insure only a basic level of recompense. . . . the Act insures that the victim will receive at least a minimum level of monetary compensation.
Standing, 92 Wn.2d at 469 (emphasis added).
However, what is at issue in this case is the operative effect of the $30,000 benefit cap established in RCW 7.68.070(13) and whether the cap applies to the entire
B. Statutory Interpretation
A straightforward reading of RCW 7.68.130 reveals the correct approach to determining benefits under the Act. The first sentence of RCW 7.68.130(1) says: “Benefits payable pursuant to this chapter shall be reduced by the amount of any other public or private insurance available.” The key words are “benefits payable pursuant to this chapter.” “This chapter” means chapter 7.68 RCW. Thus, our task is to identify the benefits payable pursuant to chapter 7.68 RCW.
The right to benefits, the amount of benefits, and the limitations on benefits are all set forth at RCW 7.68.070. Thus, RCW 7.68.070 determines the benefits payable under chapter 7.68 RCW. Initially, the benefits available to a crime victim depend upon the nature of the injuries the crime victim sustained, i.e., death, permanent disability, permanent partial disability, etc. See RCW 7.68.070(4) (death); 7.68- .070(5) (permanent total disability); 7.68-.070(6) (permanent partial disability). These amounts
Sebastian suffered a permanent partial disability as the victim of a crime, so we turn to RCW 7.68.070(6) to determine what benefits he is entitled to: “The benefits established in RCW 51.32.080 for permanent partial disability shall be the benefits obtainable under this chapter, and provisions relating to payment contained in that section equally apply under this chapter.” We look to RCW 51.32.080 to determine what benefits Sebastian may obtain.
RCW 51.32.080 sets forth the schedule of payments for permanent partial disabilities there described in terms of losses by amputation. For instance, loss by amputation of the great toe at the metatarsophalangeal joint is due compensation of $6,804.00. RCW 51.32.080(1). For injuries other than amputations, the statute provides:
Compensation for any other permanent partial disability not involving amputation shall be in the proportion which the extent of such other disability, called unspecified disability, shall bear to the disabilities specified in subsection (1) of this section, which most closely resembles and approximates in degree of disability such other disability, and compensation for any other unspecified permanent partial disability shall be in an amount as measured and compared to total bodily impairment.
RCW 51.32.080(3)(a). Sebastian’s injuries totaled $43,788.54, as determined according to RCW 51.32.080. This amount is the “benefits obtainable” under RCW 7.68.070(6). But that is not the end of the story.
Once Sebastian’s “benefits obtainable” are established under RCW 7.68.070(6), the next step in the determination of what is actually payable to him is to move forward in the same section of the Act to RCW 7.68.070(13), which provides a cap on the “benefits obtainable”: “Except for medical benefits authorized under RCW 7.68.080, no more than thirty thousand dollars shall be granted as a result of a single injury or death, except that benefits granted as the
But the Legislature added language further in the chapter to reduce that amount by the amount of any collateral sources of payment available to a crime victim:
Benefits payable pursuant to this chapter shall be reduced by the amount of any other public or private insurance available, less a proportionate share of reasonable attorneys’ fees and costs, if any, incurred by the victim in obtaining recovery from the insurer. Calculation of a proportionate share of attorneys’ fees and costs shall be made under the formula established in RCW 51.24.060. The department or the victim may require court approval of costs and attorneys’ fees or may petition a court for determination of the reasonableness of costs and attorneys’ fees.
RCW 7.68.130(1). In Sebastian’s case, he had already received time-loss compensation from the Social Security Administration of $7,788.54. Thus, this amount has to be subtracted from his “[b]enefits payable pursuant to this chapter,”—$30,000—to reach the amount of compensation to which he is entitled under the Act, $22,211.46. Here, Sebastian received a total of $30,000 from the combination of payments from Social Security and the Act.
The proper protocol for determining a compensation award under the Act is simply to follow the statute in the order it is written. First, referring to RCW 7.68.070, the
The fallacy in the approach of the Court of Appeals and majority is to equate the phrase “benefits payable,” which first appears in RCW 7.68.130, with the determination of the “benefits obtainable” under RCW 7.68.070. The “benefits obtainable” are not the “benefits payable pursuant to this chapter” until they have been capped by the limitations imposed at RCW 7.68.070(13).
C. Agency Interpretation
Both the Court of Appeals and the majority declare the statute ambiguous but then both ignore our rule of deference for dealing with an ambiguous statute when an agency of the executive branch of government has been interpreting the statute:
Whether an agency’s construction of the statute is accorded deference depends on whether the statute is ambiguous. Where an agency is charged with the administration and enforcement of a statute, the agency’s interpretation of an ambiguous statute is accorded great weight in determining legislative intent. . . . Absent ambiguity, however, there is no need for the agency’s expertise in construing the statute.
Waste Mgmt. of Seattle, Inc. v. Utils. & Transp. Comm’n, 123 Wn.2d 621, 628, 869 P.2d 1034 (1994) (citations omitted). Thus, while we always retain the authority to decide the meaning of a statute when there is no ambiguity in it, when there is ambiguity, we defer to the interpretation of the agency charged with administering the statute, particu
The primary foundation and rationale for this rule is that considerable judicial deference should be accorded to the special expertise of administrative agencies. Such expertise is often a valuable aid in interpreting and applying an ambiguous statute in harmony with the policies and goals the legislature sought to achieve by its enactment. At times, administrative interpretation of a statute may approach “lawmaking,” but we have heretofore recognized that it is an appropriate function for administrative agencies to “fill in the gaps” where necessary to the effectuation of a general statutory scheme. See Barry & Barry, Inc. v. Department of Motor Vehicles, 81 Wn.2d 155, 500 P.2d 540 (1972). It is likewise valid for an administrative agency to “fill in the gaps” via statutory construction—as long as the agency does not purport to “amend” the statute.
Hama Hama Co. v. Shorelines Hearings Bd., 85 Wn.2d 441, 448, 536 P.2d 157 (1975). Accord Spokane County Health Dist. v. Brockett, 120 Wn.2d 140, 155, 839 P.2d 324 (1992); Mall, Inc. v. City of Seattle, 108 Wn.2d 369, 378, 739 P.2d 668 (1987). The agency is obviously not amending the statute by its interpretation. The Court of Appeals and the majority have disagreed with the Department of Labor and Industries’ and the Board of Industrial Insurance Appeals’ interpretation of the statute without even referring to our rule of construction, according great weight to an agency’s interpretation when a statute is ambiguous. This is error. We are not writing on a clean slate when we attempt to resolve an allegedly ambiguous statute that an administrative agency as well as a quasi-judicial agency has already interpreted.
The United States Supreme Court follows the same rule of deference, and has described its rationale explicitly:
When a court reviews an agency’s construction of the statute which it administers, it is confronted with two questions. First, always, is the question whether Congress has directly spoken to the precise question at issue. If the intent of Congress is clear, that is the end of the matter; for the court, as well as the*293 agency, must give effect to the unambiguously expressed intent of Congress. If, however, the court determines Congress has not directly addressed the precise question at issue, the court does not simply impose its own construction on the statute, as would be necessary in the absence of an administrative interpretation. Rather, if the statute is silent or ambiguous with respect to the specific issue, the question for the court is whether the agency’s answer is based on a permissible construction of the statute.
Chevron, U.S.A., Inc. v. Natural Res. Def. Council, Inc., 467 U.S. 837, 842-43, 104 S. Ct. 2778, 81 L. Ed. 2d 694 (1984) (footnotes omitted).
Here, the Department and the Board have interpreted the Act the Legislature directed it to administer. That interpretation is entitled to great weight when the statute is ambiguous. The majority holds the statute to be ambiguous, but rather than deferring to the Department, interprets the statute as it sees fit. Such an approach is contrary to our well-settled rule of deference. City of Pasco v. Pub. Employment Relations Comm’n, 119 Wn.2d 504, 509, 833 P.2d 381 (1992) (“In view of the ambiguity in the statute, we accord the agency interpretation great weight in determining legislative intent.”). As the Supreme Court has said: “It is enough to observe that the well-reasoned views of the
D. Legislative History
Additionally, our rules of statutory construction require us to effectuate the intent of the Legislature. Whatcom County v. City of Bellingham, 128 Wn.2d 537, 546, 909 P.2d 1303 (1996). The majority suggests the Act should be construed liberally as it is a remedial statute. The majority, however, confuses the Act with the IIA. Unlike the IIA, the Act contains no language to suggest we should liberally construe the Act in favor of the claimant. But see RCW 51.12.010 (“This title shall be liberally contrued. . . .”). Nonetheless, as a remedial statute, the Act is “entitled to a liberal construction to effect its purpose.” Peninsula Sch. Dist. No. 401 v. Pub. Sch. Employees, 130 Wn.2d 401, 407, 924 P.2d 13 (1996) (emphasis added); see also Haddenham v. State, 87 Wn.2d 145, 148, 550 P.2d 9 (1976) (noting the statute is “patently remedial”). Thus, we should liberally construe the Act to effect its purpose—ensuring a minimum level of compensation for crime victims for a maximum number of recipients. Far from being an entitlement program, as that term is commonly understood, the Act provides limited compensation to crime victims as a matter of legislative grace.
When dealing with an ambiguous statute, we have looked to legislative bill reports and fiscal summaries to determine the Legislature’s intent. Davis v. Dep’t of Licensing, 137 Wn.2d 957, 969-70, 977 P.2d 554 (1999); Young v. Estate of Snell, 134 Wn.2d 267, 280, 948 P.2d 1291 (1997). Contrary to the Court of Appeals, Sebastian v. Department of Labor &
The essential difference between the former crime victims benefit format and the one proposed in SHB 828 is that the latter would limit the amounts that could be paid both in the aggregate and for selected benefit categories. .. . The following are the principal benefit changes the proposed legislation would make—
(b) No more than $15,000 for all benefits in the aggregate, medical benefits excepted[.]
Fiscal Note, SHB 828 (Feb. 9, 1982), at 1.
Later, one proposed amendment attempted to increase the cap from $15,000 to $70,000, but did not pass. Engrossed Second Substitute S.B. 6259. Instead, the Legislature amended the cap from $15,000 to $30,000. Laws of 1990, ch. 3, § 502. See also Final B. Rep., 2SSB 6259, at 6 (“Three different statutory limits on crime victims’ compensation awards are increased. The limit on recovery for a single injury or death is increased from $15,000 to $30,000.”) (emphasis added). The language in these bills
The legislative history of the Act continually reflects the Legislature’s fiscal concerns. For example, in a memorandum from Bill Perry, Legislative Staff Counsel, to Representative Earl Tilly, Mr. Perry recommends vetoing a portion of House Bill 828 because of “ [t]he problem of claims overwhelming revenue without the split effective dates [.]” Memorandum at 2 (Mar. 25, 1982) (on file with Office of Program Research, House of Representatives). In addition, when the Act was reinstated, the Legislature included a new section (10), which stated:
NEW SECTION. Sec. 10. The intent of the legislature is that the victim of crime program will be self-funded. Toward that end, the department of labor and industries shall not pay benefits beyond the resources of the account.
Second Substitute H.B. 828, 47th Leg., 1st Spec. Sess. § 10 (1982). Inclusion of this section attests to the Legislature’s concern with overspending its annual appropriations.
E. Policy
The reason for deferring to the agency interpretation in this case is precisely because the policy at issue here is not resolvable as a rule of law. While the approach of the majority benefits Sebastian, it also acts as a detriment to other potential crime victims. The money the Legislature allocates for the Act is finite. See, e.g., Laws of 2000, 2d Spec. Sess., ch. 1, § 217(l)-(3) (budget appropriation for crime victims compensation program). Moreover, the Legislature recognized the limited availability of funding in 1982: “The intent of the legislature is that the victim of crime program be self-funded. Toward that end, the department of labor and industries shall not pay benefits beyond the resources of the account.” Laws of 1982, 1st Ex. Sess., ch. 8, § 10 (not codified; this session law appears in the “Historical and Statutory Notes” following RCWA 7.68.035). Similarly, the Legislature more recently recognized a short
If Sebastian and those in his circumstances get more, others get less or perhaps nothing. To illustrate this point, the Department asserts the majority’s interpretation of the Act, “considering the time loss compensation, permanent partial disability and pensions portions of the Act alone, would result in an estimated shortfall of 4.7 million dollars per biennium,” 19 percent more than the Legislature appropriated to the Act in this year’s budget. Pet. for Review at 15.
In conclusion, the proper approach is to follow the statutory design sequentially, as the statute was written. First determine the compensation award by referring to the schedules in the IIA. Then apply the statutory cap, if necessary. These two steps determine the “benefits payable.” Next, subtract any amount constituting a collateral source from the “benefits payable” to determine the amount due under the Act.
There is no ambiguity in the Act unless we import it. As a policy matter, the Legislature has recognized the amount of funding available for crime victims is limited. The Legislature has not declared a wish to provide an advan
Madsen and Bridge, JJ., concur with Talmadge, J.
Reconsideration denied February 21, 2001.
If Sebastian’s damages had been less than $30,000, of course, the statutory cap would not apply.
Our “collateral source rule” against the admissibility of evidence regarding collateral sources of compensation to a tort victim does not apply here, of course. Compensation under the Act is a matter of legislative grace, and the Legislature may condition that compensation any way it sees fit. See Standing v. Dep’t of Labor & Indus., 92 Wn.2d 463, 598 P.2d 725 (1979) (upholding Act against equal protection challenge).
The cap is $40,000 in the case of total permanent disability or death. RCW 7.68.070(13).
The rule enunciated in this case is now widely referred to as “Chevron deference.” See, e.g., Curtis A. Bradley, Chevron Deference and Foreign Affairs, 86 Va. L. Rev. 649 (2000).
The rule the majority relies upon requires construing ambiguous, remedial statutes liberally. That rule, while applicable in general, does not apply here because an agency has interpreted the ambiguous statute and we should accord deference to the agency interpretation, unless it is plainly wrong.
The Department failed to cite its source for this information.