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State Ex Rel. McKenzie v. Smith
569 S.E.2d 809
W. Va.
2002
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*1 fiftеen-page order is re- Judge Nibert’s family law mas- findings that the

plete with interpreting par- made mistakes

ter applying agreement and parental

ties’ 60(b) clearly provides that a mo-

law. Rule may granted judgment be for relief 4, swpra. note a mistake. See because 60(b) addition, has found Rule this Court misappli- granted to correct

relief Zirkle, 208 In Zirkle v. the law. cation of (2000), Court 540 S.E.2d 60(b) appropriate Rule relief found that wrong standard applied court

where custody Since deciding issue. of review 60(b) relief based granted Rule

Judge Nibert law, misapplication of the

upon mistake his discretion find that he abused cannot

we entering ruling. such

IV. CONCLUSION above,

Thus, set forth for the reasons of Roane of the Circuit Court

final order af- 2001 is

County December entered

firmed.

Affirmed. S.E.2d 809 Virginia ex rel. Michael

STATE West McKENZIE, Petitioner,

M. Commissioner, SMITH, Bureau

Robert J. Programs, Employment Workers’ Division, and Simonton Products, Inc., Respondents.

Building

No. 29645. Appeals

Supreme Court Virginia.

West 22, 2002. Jan.

Submitted 28, 2002.

Decided June

Dissenting Opinion of Justice

Maynard July 2002.

Dissenting Opinion Justice of Chief July

Davis *4 Cohen, Jr., Cohen, Esq.,

Robert F. Abate L.C., Cohen, Morgantown, & for the Petition- er. Robinson, Esq., M.

James Robinson & Rice, L.C., Huntington, Amicus Curiae. Crandall, Esq., Grant Mineworkers United America, Fairfax, for Amicus Curiae Unit- ed Mineworkers America. Maroney, Virginia P. Esq.,

Thomas West Federation, AFL-CIO, State Labor Charles- mandating the ton, Virginia procedures State referral of Curiae West for Amicus Federation, “employer’s petitioner preferred Labor AFL-CIO. begin, vider for rehabilitation services.” We Em- Crynock, Esq., Bureau of Richard M. however, by petitioner’s discussing the on- Charleston, Respon- for Programs, ployment the-job injury subsequent treatment. Robert dent J. Smith. McKenzie, petitioner, M. Michael Heitz, Ramey, Esq., Misty L. Ancil G. respondent, for employed packer as a Charleston, Johnson, PLLC, Esq., Steptoe & (“Simonton”), Building Products Simonton Products, Building Respondent Simonton Pennsboro, facility in Virginia. West its Inc. job required that lift car petitioner’s he Huffman, Timothy Esq., & Kel- E. Jackson ry weigh up windows to 68 inches wide and Charleston, Vir- ly, Amicus West Curiae ing pounds. Industry ginia Business Council. 2,1998, petitioner strained On October back at continued work. STARCHER, Justice. work, pain in ‍‌‌‌‌​​‌‌​‌​​​​​‌‌​‌‌​‌‌​‌‌‌​​‌‌​​​‌‌​​​‌‌​‌​‌​​​‍wors- but when the his back seeking petition The instant case is ened, chiropractor. with а Af- he consulted to Robert J. writ mandamus directed terward, November he filed Smith, Virgi- of the West Commissioner claim for workers’ benefits *5 (“Com- Compensation nia Division Workers’ with the Division. missioner”). charged The Commissioner petitioner’s An MRI of back revealed the disbursing Compensation with the Workers’ petitioner ruptured the had a in his disk injuries in Fund to who workers receive the involving lower back a nerve root. The chi- resulting course of from their ropractor petitioner the to cease advised ment. 23-4-1 [1989]. work, Division, which in an he did. The petitioner a writ of The seeks mandamus the order dated November ruled compel Commissioner to abide the petitioner’s compensable claim and awarded Compen- provisions of the certain Workers’ petitioner disability temporary total ben- the services, regarding sation Act 1, through 1998 March efits from December prevent and to further the Commissioner’s 23,1999. poli- upon regulations reliance and internal petitioner to a The was released to return procedures cies and which mandate that 10, limited work schedule on March 1999. seeking workers rehabilitation be petitioner’s chiropractor gave peti- The the “preferred employer’s referred to them petitioner tioner a note limited which the provider for rehabilitation services.” working day lifting, four hours a with no below, As set forth we find that the Com- weeks, twisting bending for two and then Divi- Compensation missioner’s and Workers’ eight day lifting, twisting hours a no system using employer’s pre- sion’s months, bending for at which he three time ferred for rehabilitation services petitioner would be took rе-evaluated. provisions Act. contrary be to the We Simonton, safety manager the note to the requested manda- grant therefore the writ of job was but was told that there no available mus. required day. only four hours employment petitioner sought then with oth- I. 7, companies, job July er and obtained on telephone computer wir- Background installing Facts & However, ing. petitioner stopped the work- peti- The instant case revolves around the July 30, ing on because of back severe attempts, beginning repeated tioner’s pain. 1999, March obtain vocational rehabilita- 1999, August Virginia from the Work- In the Division issued services West Division”). (“the petitioner back ers’ Division authorization for the to have importantly, surgery, laminectomy on and dis- More the case focused a lumbar legality kectomy petitioner was on regulations, policies performed Division’s Additionally, September. petitioner petitioner stopped working after due to disability total temporary injury, employees ceived benefits his and the seasonal were 1, 5, through September April position told would be no there after the petitioner was 2000. The examined project completed. was Pebruaiy upon doctor based The record indicates that Simonton related report, granted peti- doctor’s Division QRS employee its concern that disability permanent partial on tioner 15% petitioner receiving any was workers’ com- June pensation employee, benefits as a “seasonal” during petitioner contends that petitioner eligible “is not stаted recovery injury, he from his October for vocational rehabilitation services due to requested Divi- occasions that three position being position[.]” a seasonal sion he authorize that receive rehabilitation response, QRS agreed employee to con- services. tact Division on Simonton’s behalf “to eligibility correct matters.” A. 23,1999, The record reflects that on March Attempt Petitioner’s First to Receive QRS petitioner’s repre- contacted the claims Rehabilitation Services Division, sentative at the and informed the being March after released representative petitioner claims being return to work but informed Si- as a employee “was hired seasonal and would safety manager that monton’s no work was eligible not be for vocational rehabilitation petitioner’s within limi- available medical repre- services due to this fact.” The claims tations, petitioner contacted his claims agreed that “if Mr. sentative McKenzie was a representative petition- at the Division. The employee seasonal then Mr. McKenzie would representative er discussed with the claims eligible vocational rehabilitation rehabilitation, possibility vocational day, That services.” same *6 on and March the Division entered by representative contacted the claims and Quality referring an order the claimant to for eligible told that he was not vocational Services, (“QRS”). Inc. Rehabilitation The rehabilitation benefits. QRS suggests desig- record that had been Subsequently, petitioner an the hired “preferred provider for nated as Simonton’s petitioner’s attorney attorney. The contact Division, by the and services” representative’s supervisor ed the claims was the for rehabilitation exclusive Division, supervisor the and the acknowl employees. services for Simonton wrong edged deny the Division in that was later, QRS days employee Several ing vocational rehabilitation services the Simonton, spoke respondent with was and petitioner employe because he was a seasonal by petitioner told Simonton that the was However, e.1 no action was taken because eligible for vocational rehabilitation services. petitioner planning the was have back petitioner was a Simonton stated that the surgery. is, job employee “seasonal” lasted —that only Following long company working petitioner’s surgery so on in as the the back particular September petitioner’s project. Apparently, by all the “season- letter employees off surgeon al” were laid from was sent to the Division recommend- Simonton retraining vocational ... approximately ing through December one month “some larly persons employing person Workers' Act does not con- another for any concerning carrying any industry, purpose tain limitation "seasonal form the on ees,” employees subject W.Va.Code, Act and states that stateL]” service or business persons [1995], employers (a) "are all service of and the does 23-2-1 definition exclude employed by purpose carrying them the employees, only "casual” but if number of business, industry, the they service or work in which employees period "does not and the exceed three engaged[.]” arc 23-2-la employment temporary, intermittent and [1991], sporadic nature and exceed ten does not cal- days quarter.” Employers subject per- to the Act endar calendar include "all sons, firms, Code, (b)(4) corporations regu- [1995J. associations 23-2-1 hierarchy.” This hierar- sug- step record “rehabilitation compensation.” The workman’s imple- chy through regulations is mandated was received the letter gests that regulation Division.2 The it is not mented representative; petitioner’s claims by stating that if Workers’ action, simply begins any, Division took if what clear determines Compensation Commissioner response to the letter. injured complete a lower- worker cannot hierarchy, B. step in then the numbered step be used. higher-numbered must next Attempt to Receive Petitioner’s Second steps hier- first four of the rehabilitation Services Rehabilitation injured returning worker archy require 10,1999, a was sent to letter On November at the same employer, to work with the same representative by an petitioner’s claims varying de- positions and with or different The letter stat- administrator Simonton. steps retraining. two grees The next administrator, had “re- ed that the Simonton employed injured quire that the worker from ... WC correspondence ceived step without retrain- employer, a new five eligible for re- claimant is indeed stated the retraining. The final ing, step six with letter The Simonton habilitation services.” seven, hierarchy, steр requires step representative Division claims asked the then in a worker be enrolled Recourse, Inc., “the petitioner to refer designed to suit- retraining program to lead provider for rehabilita- employer’s preferred employment in labor market. gainful able claims “had all them Simonton tion” because counselor also The Recourse rehabilitation QRS months to Recourse transferred Simonton, spoke and determined with ago.” duty provide light modified did Simonton January In an dated order However, employees. work to its Simonton Recourse, petitioner Division referred rehabilitation counselor —as indicated (“Recourse”) services. Inc. for rehabilitation QRS peti- previously it had advised —that job company had been ter- for Recourse tioner’s with the A rehabilitation counselor minated, petitioner, along positions with the other subsequently interviewed 18, 1998. clearly expressed employees, both a desire on December petitioner seasonal vocational a desire for to reten to work and multiple meetings After rehabilitation services. counsel, phone calls and his several Simonton, counselor deter- interned the the rehabilitation counselor The rehabilitation *7 eligible to petitioner was not meetings, that his reha- petitioner, in .mined several services. according a vocational rehabilitation to seven- receive proceed bilitation would 15.4, injured worker to the regulation, § forth the 4.1.2. Return of the sets 2. The 85 C.S.R. job employer preinjury and with steps in the reha- with the same sevеn which be followed must task, injured If a lower num- or work bilitation of an worker. modification of work structure hours; injured step inappropriate work- bered for the er, higher regulations next injured that "the em- state of the worker to 4.1.3. Return regu- priority The numbered utilized.” employer must be ployment in a differ- with the same lation states: position; ent injured em- of the worker to 4.1.4. Return professionals Qualified 4.1. rehabilitation ployment position in a different with the same high- following priorities. No must utilize the training; employer on-the-job and with priority unless er numbered be utilized injured Employment worker a of the 4.1.5. all low- determined that commissioner has training; new and without unlikely priorities to result er numbered On-the-job training injured work- 4.1.6. of placement injured into suit- worker employer; employment with a new er for gainful employment. num- able If a lower injured in a 4.1.7. worker Enrollment clearly inappropriate priority for the bered goal- retraining program of a which consists worker, pri- injured higher next numbered retraining designed period of formal plan oriented ority rehabilitation must be utilized. The gainful employment in the to lead to suitable explicitly and rationale must the reasons state market; provided, a that there exists priori- labor rejection for the lower numbered injured expectation of the worker ty. priorities reasonable The are as follows: upon actually obtaining employment such worker to the 4.1.1. Return of the completion program. employer; tire preinjury job with the same was, fact, position petitioner took legally eligi- The rehabilitation counselor that the job petitioner’s that because the had been services, for ble vocational rehabilitation terminated, pro- “this counselor is unable to gave pro- opportunity Recourse another steps four ceed with the first the rehabili- However, vide the services. the rehabilita- hierarchy!.]” tation As the counselor stated agree tion at not counselor Recourse did with report: her assessment, replied the Division’s petitioner’s repre- I contacted [the claims speak she would have to to Simonton’s attor- sentative at and informed Division] ney agree provide any she before could him, per my pre- with conversation rehabilitation petitioner. services to the injury employer, the claimant was eli- apparently rehabilitation counselor indicated gible to receive continued vocational reha- supervisor to the Division that she call would bilitation had services since he been termi- back she once had received advice from Si- from employment nated with Simonton attorney. monton’s Windows on as result 12/18/98 at rehabilitation counselor Recourse terms and conditions of his contract with responded never phone back to the Division’s employ- Simonton Windows as a seasonal call. ee. words, petitioner other because the was a employee, “seasonal” he could not be re- C. job turned to with Simonton —and there- complete steps fore could not first Attempt four Third Petitioner’s at hierarchy. the rehabilitation The rehabilita- Rehabilitation Services tion aрpears counselor to have taken Accordingly, on June the Division position petitioner that because the could not petitioner referring entered an order successfully complete the four steps, first he Services, company Vass Vocational steps was ineligible through for five seven preferred provider was not a for rehabilita- hierarchy. employer. tion services for Vass Voca- 1, 2000, May On the Recourse rehabilita- petitioner’s tional con- assessed the skills and petitioner counselor sent a letter dition, plan and drafted stating that his vocational rehabilitation file whereby petitioner would seek was closed3 ineligible because he was training, ment with new without petitioner’s at- services. The provided step five the rehabilitation torney disputed this declaration the re- plan hierarchy. The rehabilitation also counselor, spoke habilitation with su- petitioner vided that the would tem- receive pervisor by telephone. Division porary disability total benefits October supervisor agreed petitioner’s attorney through pay November the Recourse rehabilitation counselor job-search expenses. This wrong finding was that the plan ap- was submitted the Division for ineligible for vocational rehabilitation ser- proval. *8 supervisor vices. The indicated she would carry peti- with through Recourse the petitioner’s The Division not act did on the it “pre- tioner’s rehabilitation because was a plan. petitioner’s rehabilitation The claims employer company,” ferred or she would representative respond repeated failed provider find another of rehabilitation ser- phone messages calls e-mail Vass vices. plan ap- the was not Vocational. Because petitioner petitioner petition proved, in the did not receive The states that on benefits, disability supervisor spoke temporary total and had June the Division by telephone difficulty paying expenses with the rehabilitation the counsel- involved job. supervisor searching or at explained Recourse. The for Vass there- Vocational clear, services, peti- 3. To be the record indicates that the and not the Division. being tioner’s file was closed the of granting for to close The traditional standard decided, on December fore Syllabus Point mandamus relief stated petitioner’s vocational file.4 the Wheeling, City ex v. of rel. Kucera State of attorney spoke with then petitioner’s The (1969): 538, 170 153 W.Va. S.E.2d representative at the claims petitioner’s the 19, 2000, to determine December Division on not A writ of mandamus will issue unless plan ap- was never why the rehabilitation (1) legal a clear three elements coexist — representative indicated claims proved. The sought; petitioner to -the relief the plan, and had the she had never received (2) legal duty part respondent on of the regarding the status of inquiries no received thing petitioner seeks to do the which the she did not also indicated that plan. She (3) compel; another the absence of “private rehab.” The usually with work adequate remedy. she indicated representative claims met, prerequisites this “Once these case, and would petitioner’s would review to issue the writ is Court’s decision whether denying approving or either issue decision largely one discretion.” ex rel. Bill- of State plan. the vocational Pleasant, City ings v. Point 194 W.Va. at 2, 2001, had still not By Division April omitted). (footnote 304, 460 S.E.2d at 439 plan. According- approved the rehabilitation mind, we With this standard now address petition the instant ly, petitioner filed petition. merits of Mr. McKenzie’s against seeking mandamus a writ of of the Workers’ Commissioner III. Division, legality of Divi- challenging the upon system that relies sion’s rehabilitation Discussion preferred providers of rehabili- “employers’ services,” compel the instant case seeking to Several weeks after tation Court, April was filed with plan. his rehabilitation to act on Division approving Division an order entered

II. plan drafted Vass Vocation al, to contin and authorized Vass Vocational Standard Review providing rehabilitation services ue matter, initial we review stan- As an petitioner.5 petitioner was awarded issuing of mandamus. a writ We dard for temporary disability as well. total benefits mandamus an ‘ex- “[s]ince have held argue Division and the both remedy, it traordinary1 should be invoked petitioner has because received Billings City rel. sparingly.” ex State for sought, petition he a writ relief Pleasant, 301, 303, 460 Point 194 W.Va. moot. mandamus should be dismissed as (footnote omitted). (1995) 436, 438 S.E.2d however, petitioner, has use of mandamus been contends “The traditional agency system “employers’ preferred providers or an to confine administrative pre- that has devel- to a lawful exercise its rehabilitation services” inferior court any regulation jurisdiction compel oped ‘to it to authorized in scribed exer- statute, authority duty actually it its when is its to do cise violation Compensation Act.6 Woi’kers’ so.’” Id. given closing challenged "pattern file 6.The also

4. The was this: reason managers not issu- claim manager believes that it is unethical This case Virgi- ing protestable required by orders as West participate Mr. McKenzie voca- advise However, § nia Code the Division 23-5-1.” plan if the rehabilitation tional rehabilitation in its *9 by *10 gainful employment injury. an after provider of rehabili- employer’s preferred injured employees encourage to to order to workers return tation services Division provider employment encourage then contacts the to and assist job. The and employ- to the list that simply employers providing added suitable and is selecting a rehabilitation ser- injured employees, uses it shall be a Division ment to vendor. priority vices to commissioner achieve likely early to identification individuals concedes that there is The Commissioner and to assess need rehabilitation services authority statutory regulatory for the no injured needs of these Instead, option. the Com- second Division’s employees. goal It shall be the rehabili- began brief that states missioner tation to return workers to em- years ago” when a vendor of rehabil- “several comparable in ployment which shall be approached the Commission- itation services pay which the individual work and to that wanted to be stating that her firm er prior injury. If performed a return ser- provider” of rehabilitation “preferred possible, comparable work employer. The then- a Charleston vices for goal of rehabilitation shall be return the proposal “approved this Commissioner employ- individual alternative suitable option] concept the second [for ment, job using possible all alternatives provider was born.” preferred modification, restructuring, reassignment as- beginning, the Commissioner From training, will so that the individual “developed inter- that the Division has serts require- productivity with his or em- “necessary return her procedures” nal with or, ployer necessary, if may approve a with another em- Division ments” so that the employer’s pre- ployer. Legislature further finds vendor as responsibility it is em- services. the shared of rehabilitation ferred ployer, physician and employee, in his brief that The Commissioner states cooperate the de- commissioner option, are 16 rehabili- the first ‍‌‌‌‌​​‌‌​‌​​​​​‌‌​‌‌​‌‌​‌‌‌​​‌‌​​​‌‌​​​‌‌​‌​‌​​​‍there under process velopment of a rehabilitation de- participating with 99 tation vendors who signed promote reemployment for the petitioned to employers establish who injured employee. them workers. managed programs for care ap- Additionally, option, under second however, has, Legislature imposed proximately 50 rehabilitation vendors are upon limits rehabilitation services. For ex- “employers’ as listed the Commissioner 23-4-9(b) W.Va.Code, ample, provides that 1,532 em- preferred providers” representing expenditures “for vocational rehabilitation ployers. shall not exceed ten thousand dollars for begin our the Commis- We examination injured employee.” expendi- one To control system by con- “preferred provider” tures, sioner’s statutorily autho- the Commissioner sidering statutory basis rehabilitation. rized to establish a schedule of “maximum integral part of the West Rehabilitation is an paid reasonable amounts” to be to rehabilita- compensation system. As Virginia workers’ providers service the Commissioner states, Act the Workers’ empowered “preferred to enter into 2R4-9(a) W.Va.Code, [1999]: is, managed agreements,” vider and care agreements it is Legislature hereby finds that between the Division and the W.Va.Code, goal program provider. 23- compensation See 3(a)(1)[1995].7 to assist workers to return to suitable 4— stales, 23-4~3(a) may pertinent part: ees entitled thereto as be hereunder follows: (a) shall The workers division (1) ... Such sums for rehabilitation services alter from time to time as the establish and reasonably may required. ... as be The divi- appropriate be division determine to reasonably that which is sion shall determine schedule of maximum reasonable amounts meaning required within tire this section paid providers ... of rehabilitation .... The to enter into division is authorized services.... preferred provider managed agree- pay care The division shall disburse personal injuries fund for to such ments. such

299 argues regulations compensa- The Commissioner sions this Court the workmen’s system referring support the creation of a given tion statute of this must State clаimants, not to Division’s chosen interpretation liberal in order that its benefi- services, but vider of rehabilitation to an purposes may cent not be defeated employer’s provider, order to chosen strict construction of its terms.” Walk v. expenditures. duce Comm’r, 223, Compensation State 134 W.Va. 228, (1950). 791, sum, 58 S.E.2d 794 however, petitioner, argues that The Compensation “[t]he Workmen’s Law is re- system referring claimants to entire nature, medial in given its and must be employer’s preferred provider for rehabilita- accomplish pur- liberal construction to support tion services has no the law. 3, pose Syllabus McVey intended.” Point v. First, petitioner contends that Co., Chesapeake Telephone & Potomac 103 Compensation specifically pro- Act Workers’ (1927). 519, also, W.Va. 138 S.E. 97 See entering an hibits from into an Div., Compensation Martin v. Workers’ 210 agreement provider, with a care health 270, (2001); 557 W.Va. S.E.2d 324 Plummer requiring employee then Div., Compensation Workers’ v. 209 W.Va. employment of their course seek medical 710, (2001); 551 Zackery S.E.2d 46 v. State W.Va.Code, provider. from that care 23-4- Comm’n, Compensation Workmen’s 162 3(b) provides penalties both civil and criminal 932, (1979); 253 W.Va. S.E.2d 532 Johnson v. so, doing part that: states in Comm’r, Compensation Workmen’s 155 State any No shall into enter con- 624, (1972); Burgess W.Va. 186 S.E.2d 771 any physicians, tracts with hospital, its of- Comm’r, 571, Compensation 121 State W.Va. ficers, agents employees or to render med- (1939); 5 S.E.2d 804 Martin v. State Com- ical, hospital give or or dental service Comm’r, pensation 111 W.Va. 162 S.E. surgical any medical or therein to attention (1932); Compensation Vandall v. State employee injury cоmpensable within Comm’r, (1931); W.Va. S.E. 499 purview chapter, of this and no em- Bonner v. Compensation State Comm’r 110 ployer permit require any employ- shall or (1931); S.E. 847 Kincannon v. contribute, directly indirectly, ee to or Comm’r, State 107 W.Va. any medical, payment fund for of such (1929). 149 S.E. 665 surgical, hospital dental or service within hospital compensable injury. such for such Code, purpose of W.Va. beneficent Any employer violating this section shall protect 23-4-3 is to a claimant’s interest in damages employer’s be liable determining his or own her course treat employees provided eight, as section injury. compensable ment for a Part of that chapter, any two of article this em- obviously course of treatment would include ployer hospital agent employee or or or rehabilitation, any physical or vocational violating provisions thereof of this sec- the term “rehabilitation” is defined to include misdemeanor, and, guilty tion shall be of a “medicines, medical, surgical, hospi dental or thereof, upon punished conviction shall be W.Va.Code, 23-4-9(b). tal treatment.” We by a fine not less than one hundred dollars prohibition against therefore believe that the nor than more one thousand dollars or employers entering “into contracts with imprisonment exceeding year, not one officers, any hospital, agents physicians, its both ... medical, employees dental or render statute, enacting Legislature rec- W.Va.Code, hospital service” contained 23- ognized the inherent conflict results 3(b) regarding includes contracts the ren 4— employer’s provide from contract medi- dering physical or vocational rehabilitation an employee. cal services to services. however, respondents, argue “medical, argues services den also the Act hospital plainly protects tal or under serviee[s]” 23-4-3, exempt are therefore claimant’s initial to choose his or her However, “[b]y prohibition. inju- numerous deci- health care for work-related *12 organization, in shall concedes his then the claimant select ry. Even the Commissioner pre- in provider through the “weakness both a such brief new health care system managed and the provider managed program. ferred care claimant needs to system is care However, participates if in the Division a right to initial rehabilita- select the provider, a managed relationship care with 23-4-3(b) Code, states, Va. provider.” W. tion not, employer claimant’s and the does then part: in may the Division the claimant a refer [N]othing in this shall be deemed section provider choosing.8 of the Division’s right a claimant to select of restrict Thirdly, petitioner argues that the Act provider initial or her health care his requires that the Workers’ compensable injury a or dis- of treatment employers or Commissioner —and not them ease. agents develop a claimant’s and direct reha- — Legislature This statute enacted 4—9(b) W.Va.Code, states, plan. bilitation 23— doctors,” system “company to abolish part: pertinent whereby injured required workers were at the [T]he commissioner shall earliest employer’s solely their treatmеnt seek possible time whether the em- determine physician and chosen none other. returning ployee would be assisted does, however, employ- allow statute provi- employment with the remunerative plan group maintain a insurance ers to health and if sion of rehabilitation services managed arrange- care that involves health commissioner determines to limit non-work-related medical ex- ments physically vocationally ee can be reha- clear, howev- penditures. The statute makes ... bilitated commissioner shall forth- er, change that if a claimant decides to health develop plan a employer maintains providers, care a and, employee due notice to the em- after plan, managed care then the claimant —not ployer, expend such an amount as be provider a within employer choose —must necessary purposes[.] for the aforesaid plan. employer’s managed care health 23-4-3(b) statute, W.Va.Code, states, in added.) Furthermore, (Emphasis the Act part: provides responsibility that “it is the shared a employer, employee, physician such claimant thereafter wish to

Should change provider cooperate or her his health care and the commissioner development pi-ocess a employer if or her has established and de- managed program signed promote reemployment maintains a care for the in- health W.Va.Code, 23-4-9(a). consisting preferred provider organi- jured employee.” However, program, рrocess zation or a health maintenance must 4—3(b)provides, pertinent provider select a new health care shall 23— part: through managed program. such care More- over, foregoing provisions agreement of this subsection if the division enters into an prohibit employer be deemed shall not compensa- approved which has been participating provider preferred from organization in a programs performance council with a program or health mainte- or a provider program, preferred organization or organization managed organi- nance or care organization a health maintenance or other or other zation medical cost containment delivery organization organi- health care or medical, lationship providers with the zations, change if then claimant seeks Provided, hospital or other health care: pro- her initial health care his or choice of however, nothing That in this section shall and if the vider claimant’s does be deemed to restrict the claimant organization provide access to such an pro- or health care to select his her initial general part employer's of the health in- injury compensable vider for treatment of a benefit, surance then the claimant shall be Should a claimant thereaf- or disease. such provided with a care new health change ter wish to his or her health care provider organi- preferred from the division’s provider and if her has es- his or program, orga- zation or health maintenance managed tablished maintains a health delivery organi- nization or other health care program consisting preferred pro- care of a organizations him organization available to or program, zation vider a health organization, maintenance then the her. claimant plan to “shall.” “It to a rehabilitation be devel- is well established that the word “pursuant ‘shall,’ a rehabilitation oped language and monitored the absence in the injured employee.” for each W.Va. showing contrary fessional part statute intent on the 4—9(b). Code, Legislature, should be 23— afforded man- datory Syllabus connotation.” Point Nel- statutory It is a basic con rule Virginia Employees v. West Public son Ins. “[sjtatutes pari struction materia Bd., (1982). S.E.2d 86 together legisla and the must be construed *13 in question believe that statutes We the are intention, gathered from as the whole of tive unambiguous, impose and and enactments, clear mandato- given Syl effect.” the must be 3, Sims, ry upon Graney parties. duties and restrictions the Point ex rel. v. labus State (1958). 72, 105 144 S.E.2d 886 are W.Va. We mindful that:

also hold We therefore that under W.Va.Code, 23-4-3(b), an statutory prohib of workers’ com- Given basis remedies, rights pensation entering and ited from into contract resultant primary ascertaining provider purposes method of provid health care for availability scope seivices, seivices, and of such benefits is to ing including rehabilitation plain applicable meaning look injured employee-claimants in the course Legislature’s and to statutes ascertain employment. and аs a result of them Fur enacting provisions issue. intent thermore, W.Va.Code, 23-4-3(b), a under primary object construing “The a stat- claimant has a to select his or her initial give is to effect to ute ascertain and provider provider health care of rehabili 1, Syl. pt. Legislature.” intent tation services for the of a treatment com Compensation v. Smith Workmen’s State pensable injury or If disease. the claimant Comm’r, 108, 219 159 S.E.2d 361 W.Va. change his pro thereafter wishes to or her (1975). vider, employer participates and if in a Industries, Vieweg, ex rel. ACF Inc. v. State costs, program manage health care then 525, 537, 176, 204 S.E.2d 188 W.Va. 514 provider through the claimant choose a must (1999). accord, In Martin Workers’ employer’s program. managed care If ., 210 557 W.Va. Div claimant change wishes to thereafter (2001). 324, 334 S.E.2d provider, her if the and does not statutes, petitioner these managed asserts that participate program, in a care but together, impose responsibility solely read participate managed the Division does in a Commissioner, upon and not the program, Division care then the choose er, develop and execute provider through the claimant’s new its man plan for an aged program. Simply put, care rehabilita claimant, prohibit and the Commissioner tion seivices to be accorded are the same requiring a claimant to receive rehabili- currently given any treatment other solely seivices from rehabilitation tation on-the-job ‍‌‌‌‌​​‌‌​‌​​​​​‌‌​‌‌​‌‌​‌‌‌​​‌‌​​​‌‌​​​‌‌​‌​‌​​​‍health care or medical services for provider under contract with the claimant’s injuries. emplоyer. Additionally, we hold that when language of a “Where the statute that a Commissioner determines claimant ambiguity plain and without clear services, a candidate for rehabilitation W.Va. meaning accepted resorting is to without Code, requires 23-4-9 Commissioner Syllabus interpretation.” to the rules of develop plan implement claim 2, Elder, 571, Point State v. W.Va. 165 152 ant’s rehabilitation The Commis seivices. (1968). accord, Syllabus 108 Point S.E.2d must, sioner with the assistance of the claim 1, City Lewisburg, Peyton v. 182 Council of develop 297, (1989); professional ant’s rehabilitation Syllabus 532 W.Va. S.E.2d plan, monitor Rivesville, the rehabilitation the em Mallamo v. Point Town of (1996). claimant, physician the claimant’s ployer, the stat W.Va. S.E.2d 525 cooperate must petitioner are and the Commissioner cited couched utes duty using development plan. mandatory of a the word the rehabilitation terms Syllabus Point that, language of a light statute.” asserts petitioner 28-4-9, W.Va.Code, Craig, 211 Corp. v. W.Va.Code, Transmission 23-4-3 CNG (2002). system using an em- 564 S.E.2d the Commissioner’s provider ployer’s preferred case, statutory provi- instant In the sum, law. violation of is in services First, employer’s sions are clear. the extent the Com- argues that to of rehabilitation agreement with policies and regulations, internal missioner’s “preferred employer’s services to be the Act, regu- those with the procedures conflict against provider” prohibition violates the void and unenforcea- policies lations providers con- contracts with health care agree. ble. We 23-4-3(b). Whether tained statutory construc a rule of As “approved” a contract has been or not such tion, repeatedly held that: we have “managed care as a the Commissioner provid- “preferred plan” or as an informal regulations drafted Any rules or *14 purpose arrangement, faithfully the intention er” the contract’s reflect agency must expressed in or services Legislature, provide the medical rehabilitation of the injury compensable Where a statute for an controlling legislation. to a claimant unambiguous language, purview of the Workers’ Com- contains clear within the regulations give prohibit- must agency’s pensation an rules Act. a contract Such unambig- ed, same clear and language the demonstrates the that and the instant case language that the Legislature’s adoption force and effect uous for the reasons statute. in the prohibition. commands the 4, University v. Syllabus Point Maikotter employer pattern of an This case shows Trustees, 691, 206 527 W.Va. Bd. W.Va. exercising its cho- substantial influence over (1999). Syl similarly in We held 802 S.E.2d professional, all with the sen rehabilitation Dept. 3 of Rowe W.Va. labus Point acquiescence of the Commissioner. When 230, Corrections, 650 170 W.Va. 292 S.E.2d by petitioner the Division the was referred (1982)that: QRS, preferred provider employer’s the first Legislature law that the It is fundamental services, QRS of rehabilitation refused agency an may delegate to administrative petitioner provide ground on the the services regulations to make rules and power to the QRS employee. was a deter- “seasonal” which the implement the statute under employer’s insistence —that mined —at exercising рow- that In agency functions. legally eligible for petitioner was not er, however, may agency an administrative benefits, upon rea- reliance rehabilitation regulation which is inconsistent not issue essence, soning supported by law. In with, statutory which alters or limits its employer’s preferred rehabilitation authority. posi- employer’s for became advocate Contractors, also, Anderson Anderson & See eligible petitioner was not 803, 807-08, Latimer, 257 162 W.Va. Inc. v. benefits, petition- and not an advocate for the (1979) (“Although agency S.E.2d er’s return to the workforce. power promulgate rules and may have Similarly, petitioner was referred regulations must when the regulations, the rules Recourse, Inc., employer’s pre- second and conform to the laws enact- be reasonable sum, specialist provider, stat- ferred the rehabilitation Legislature.”). “[a] ed that, rule, not, ute, consulta- un- at Recourse determined after or an administrative modified, employer, petitioner could ‘interpretation,’ tion with the guise of der the job revised, Syllabus his or rewritten.” never be returned to Simonton amended employee he was a “seasonal” Advocate Div’n v. Public because Point Consumer —and Comm’n, determined that 182 W.Va. 386 S.E.2d therefore Service (1989). complete steps four judiciary final au- could not the first “The is the construction, hierarchy. This statutory determination thority on issues of regula- contrary reject to the Commissioner’s obliged to administrative and we are tions, step in require that if a lower contrary to the clear constructions rehabilitation, clеarly hierarchy inap- starting the rehabilitation “is ferred to all at step worker, propriate five.9 for the the next

higher priority must be utilized.” When a plaintiff believing Skaggs, he would supervisor at the Division told Recourse services, receive some rehabilitation met with interpreta- rehabilitation counselor that her employer’s preferred provider for reha- incorrect, legally tion was the rehabilitation meeting, signed bilitation At services. he provide counselor refused services without listing a document the rehabilitation hierar- consulting approval first to seek the of—the chy indicating accepting he was employer’s attorney. Again, employer’s voluntarily and that his rehabilitation would preferred provider of rehabilitation services begin later, step five. Several weeks employer, became an advocate for the and plaintiff job was fired because the petitioner. not the needs of had, plaintiff stated document, signing voluntarily indicated Coal, Skaggs v. Eastern Associated job. he was to ever to his unable return (2002), S.E.2d 769 we consid- Skaggs We held in plaintiff that the had egregious pattern ered an fact that demon- prima established case of discrimina- facie purpose strates the statute. The Act, tion under the Workers’ plaintiff, on-the-job injury, who received an finding employer’s alleged use of the to return to released work two doc- system (and Instead, tors. the defendant *15 removing as a employees means of from its apparently without the of involvement the payroll questions regarding raised of fact Commissiоner) plaintiff determined that the plaintiff whether the was discriminated should to be referred vocational rehabilita- against filing as a of result a workers’ com- tion. pensation claim. examining plaintiff, Without the the defen- requirement The Commissioner’s that a dant that plaintiffs determined the rehabili- employer’s claimant receive services from the begin five, tation step whereby was to preferred provider of rehabilitation services plaintiff getting employ- would be assisted W.Va.Code, 23-4-3(b), also violates ment with a new train- without preserves a workers’ claimant’s ing. agent An of the defendant testified that right provider the initial of choose ser- injured workers were never to voca- referred Commissioner, previously vices. The indi- tional initially rehabilitation unless it cated, admits that there is a “weakness” determined that worker could not be system regarding right the claimant’s employer. returned to work with the provider select his or her initial of rehabilita- standard, agent that was a stated unwrit- W.Va.Code, 23-4-3, tion services. Under an policy, upwards ten and that former employer may certainly participate in a man- employees aged plan of the defendant had been as a care such health maintenance by your 9. An affidavit submitted into the record 12. an That Affiant has now and has had Robinson, attorney, “repre- M. who James has preferred several where cases rehabilitation years sented of over 22 thousands claimants” in providers assigned provide rehabilita- were practice, prob- a contains similar statement of tion services and none of cases has a these preferred employer's lems use of with the an preferred provider rehabilitation recom- provider for rehabilitation Mr. services. Robin- beyond step mended five in rehabilitation son states: hierarchy any of services nor has ever stated providers 11.That there are rehabilitation impaired that a claimant is so not benefit as to employees provide that hire services to rehabilitation; training claimants have no education your ... [three That Affiant checked with qualify that field them to work in the rehabilitation attorneys] other each claimant’s ... and (e.g. testimony Affiant has taken the Compensation these Practitioners Workers' employed by pro- a individuals preferred could relate no incident of rehabili- degree marketing vider who had a training with no provider going beyond step tation 5 or ever or classes rehabilitation that testi- stating got job impaired specialist fied he a claimant was so as to ren- as a rehabilitation by answering [provider] totally with the an ad in a der disabled[.] he/she Pennsylvania newspaper); (HMO) priority may preferred provider higher No numbered be uti- organization (PPO). However, lized has deter- statute unless comniissioner organization injured priorities all lower initial- mined that numbered preserves unlikely placement to result in particular of a ser- ly his or select injured gainful worker into suitable vice.10 employment. using preferred Lastly, system added). (emphasis § 15-4.1 C.S.R. services violates the viders of rehabilitation words, regula- other the Commissioner’s own 23-4-9 the Com- mandate of place responsibility classifying tions implement plan for a develop and missioner in the hier- claimant’s condition example, For con- rehabilitation. claimant’s archy Commissioner; yet C.S.R. statute, § trary to this 85 C.S.R. 15-13.5 regulation § 15-13.5 contradicts this “employer need not obtain the states gives responsibility to employer. full We approval on prior of the Commissioner only regulation supported think the former is injured pertinent reha- to an worker’s issue Act, by the while the latter not. regulation, bilitation services.” Under therefore We hold the Commis complete control has over regulations, policies procedures sioner’s rehabilitation,11 though even claimant’s regarding to an “em referral claimants contrary by clearly intent statute indicates ployer’s preferred provider for rehabilitation regulation Legislature. As such the does contrary language services” are the clear Leg- laws enacted not conform the Act, the Workers’ islature and void unenforceable. void and therefore unenforceable. Contracts regulation also oth- contradicted by employers “preferred providers with their Commissioner, regulations er enacted provide ser services” regulations pertaining namely the to the re- job employees vices to violate hierarchy. regulations, W.Va.Code, 4—3(b), Those habilitation and the Commission 23— 15-4, § require found at C.S.R. which are employer’s er’s or initial of claimants referral *16 “qualified professionals” to uti- “preferred providers” rehabilitation to a those violates prioritiеs right in the rehabilitation of a initial lize seven claimant’s to his or her choose However, regulations specifi- provider, in claimant. rehabilitation service as stated 23-4-3(b). Furthermore, cally state: factor(s) employees employers utilizing in 10. We note that for the commissioner to consider given opportunity determining any permanent par- or PPOs are to the amount HMOs disability disability physicians participating permanent a tial choose from list of total injured might preserving employ- which the HMO award to worker oth- with the or PPO — provider. erwise be entitled. choice of health care Under the ee's suggest preferred system employers' employers' The that preferred briefs Commissioner’s services, providers impose habilitation often difficult reha- providers for rehabilitation goals, and then right bilitation terminate rehabilitation to her ee has no whatsoever choose his or by cooperate” when the claimant “fails provider. to rehabilitation completing required goals. tire given example by parlies One actual is a petitioner and 11. The briefs of the amici curiae claimant, step five of the hierar- rehabilitation suggest system, giving this chy, required jobs apply to in a who was for 30 rehabilitation, control over ally claimant’s eventu- ill, period. two only The week claimant became and power gives substantial de- to jobs. employer’s applied for The rehabil- claim, indirectly and termine the outcome of a to specialist itation terminated the claimant's voca- deny severely ability injured any a сlaimant program tional rehabilitation because of permanent disability receive benefits. "non-cooperation” program. claimant's with the regulations, § The rehabilitation C.S.R. 15- regulations, Under the Commissioner’s 2.2.1, following requirement cooperate" that a contain the claimant's "refusal to could have re- "cooperate” any disability permanent claimant with a rehabilitation sulted in a reduction However, plan: might vider's rehabilitation have award she received. extremely cooperate "through vigor- An refusal worker’s asserts advocacy by lawyer,” process with the assessment ous her the woman was participate in an authorized rehabilitation allowed to continue in vocational rehabilita- plan showing good program. without tion cause is a regulations policies payroll grower payments and abdi- and Virgi- Commissioner’s West duty per year. and nia develop cate Commissioner’s exceed million dollars plan eligible implement I am Pilgrim’s thankful that Pride chose employer’s preferred provid- claimants to the Virginia. do It business West is obvious er of rehabilitation services. that its the numbers above contribution duty has a legal The Commissioner clear economy is substantial. State’s While develop implement and grateful company I am chose to do busi- claimants, plans eligible cooperation 1,600 employ ness in our state and of our claimant, employer, with and the workers, surprised. wonderful I am little physician, claimant’s the assistance Why? eight Consider this. Of the states monitoring by claimant a rehabili- Pilgrim’s operation, which Pride has its professional. petitioner, tation The Virginia compensation West rates situated, similarly claimants fact, In highest. are far the its West initially choose their of rehabilita- Virginia paid by Pilgrim’s rates exceed those services, tion free from the constraints of Pride in the seven other states combined in by employers contracts for those services. which it does business! Look at the num- petitioner’s right to relief from exist- compensation bers. premi- Total workers’ ing regulations policies of the Commis- paid Pilgrim’s equaled ums Pride clear, sioner discern no rem- we other $3,895,539. amount, $2,468,201 Of this were edy granting requested other than relief. paid in Virginia. astonishing West This is considering only company’s 7% the IV. words, employees work here. In other Pil- grim’s paid Pride 63% of its total workers’ Conclusion premiums compensation behalf of 7% of writ granted of mandamus is comparison, its workforce. In in the seven moulded. business, in which paid other states it does $1,407,583 compensa- Writ Granted as Moulded. total of in workers’ $22,848 premiums including only in Ar- Justice, $228,930 MAYNARD, dissenting. kansas and in Texas.1 round Pilgrim’s figures, Pride’s total (Filed 2002) July dollars, bill nationwide is 3.9 million and 2.5 Pilgrim’s Corporation Pride is the sec- paid Virginia million of in West alone. largest poultry producer ond in the United Virginia, addition West very States. it has There businesses them *17 Texas, Arkansas, Arizona, operations operate Virginia. must in West nature Carolina, Oklahoma, Pennsylvania, North These include extractive industries such as Virginia. coal, products and gas, you operate Its are sold under and if timber. But business, Pride, Pilgrim’s Wampler Pilgrim’s la- such as Pride and Foods which can service, States, anywhere food and bels retail frozen entree locate in the consid- United above, ering you customers. Its net sales for fiscal 2001 were the numbers set forth would largest 2.2 Virginia? billion dollars. As in West locate While there are Hardy County, Virginia, Pilgrim’s many good West reasons for businesses locate 1,600 here, workers, employees. including has It high-quality Pride more than an effi- 47,000 annually transportation transports system, cooperation than more tractor- cient feed, officials,2 loads of live birds trailer and finished from local and state state’s Moorefield, products compensation sig- and out of and its onerous workers’ rates are report, quality employees; Virginia 1. This information from a dated is the fact West 11/11/01, chickens; H, presented which was to a optimal committee area to raise Corridor Virginia Legislature the West an officer of the extremely important which is means of trans- Pilgrim's Corporation. Pride cooperation portation; and excellent from local officials.1 Pilgrim's report, its Pride listed 11/11/01 positive things Virginia: about West its excellent naturally injures limiting That all workers their any would business nifieant factors choosing opportunities employment locate here. within West before consider Virginia. Pilgrim’s Pride under- example of companies to invest Few want here be- Vir- problem with the West a serious scores system. I cause: compensation am ginia workers’ majority opinions convinced (cid:127) state, by the not Comp Workers’ is run the effect Repass, which have

McKenzie and enterprise. private liberalizing compensation workers’ of further (cid:127) directly appealed to the Cases law, joining problem. I am only add to the Half the Supreme workload state Court. two cases Davis’s dissents these Justice settling high court what should be wholeheartedly with her agree I because tasks. administrative sepa- applicable I law. write analysis of the (cid:127) liability ais new The unfunded debt very what I will rately fear be to discuss share, employers don’t want to thus slow- majority opinions impact that adverse ing development to a crawl. economic development will on economic (cid:127) compa- Some the 185 self-insured state. fold, dumping nies could their Workers’ system compensation workers’ present responsibilities Comp onto other Nobody really deep very is in trouble. ers. system’s un- amount of the knows the exact (cid:127) Rulings by Supreme the state Court anywhere liability. range Estimates funded payments beyond have liberalized benefit dollars than two billion to more 1.8 intent, original driving up thus My guess is rough own billion dollars. costs. liability may greater than the unfunded (cid:127) system companies Some beat everyone agrees dollars. While three billion they pay premiums not do should. compensation system is in that the (cid:127) cash, a substantial infusion of Health-care costs have mushroomed. dire need significant disagreement as there (cid:127) many Too old claims were never fund- are, doubt, no problem which causes of the i.e., properly, in full. ed complex. say that many Some this, light the state’s economic pays out too Division Workers’ development putting are like efforts say money in frivolous claims. Others much рaint pre- coat of an Edsel fresh on system is or that under funded tending isit new. paying fair share employers are them This will not The state work. needs Daily Mail premiums. The Charleston liability up its face unfunded once Big Debt” cently ran an editorial titled “The for all. sys- concerning the workers’ Ray But as State Senate President Earl say crises. I cannot it tem’s fiscal Because really “Nobody said: Tomblin knows how better, reproduce I that editorial here in much debt we there.” have out entirety.3 its owes, how much Until the state knows simple: concept is A worker problem long And as remains. as the job employer. deserves from his aid *18 remains, comp problem al- workers’ is an Legislature up the set the Work- ship on the of state. batross Compensation as a of man’s Fund means lengthy, aiding without workers briefly to this I would like discuss Court’s costly litigation. liberalizing payments “beyond role benefit original exemplified years, than name intent” which is the more the has the

Over Lawyers program. Repass. As I have changed. took over the McKenzie said be- fore, They regularly transformed into a series of aster- this Court conducts de novo compensation development. appeals, of isks that slow economic review workers’ Mail, Editorial, Daily 4A. June at ton Big Tire The State Needs A Debt: Fund, The Charles- Comp Workers’ Handle On Its time, adjudicated majority already pours been before same of this Court which have Division, Judges, gasoline the Office of and Workers’ fire. the Board, Compensation Appeals regularly Accordingly, I dissent. in favor claimants. these bodies of reverses way this the Court doеs overuse One DAVIS, C.J., dissenting. plain liberality rule of in contravention of the (Filed 2002) July statutory provisions. example One will suf- (1995) expressly § 23-4-6a right only thing fice. W.Va.Code “The to dissent the occupational judge appel- makes tolerable for a of an provides the decision life late court.”1 As is following evident the numer- pneumoconiosis board made a hear- opinions separate ous I have authored this shall ing be affirmed “unless the decision term, frequently I find ever more the need to reliable, clearly wrong in proba- view the my dissent, right to urge my exercise and to and substantial evidence on the whole tive torturing refrain from brethren to the law of Court, as a practice, record.” This standard state, this usurping the role of the and/or mandate, abrogates Legislative applies this legislature, to achieve result du desired them rule, liberality disregards findings of so, jour. I again, disagree And once must board, occupational pneumoconiosis majority. the decision of the grants higher occupational the claimant justified pneumoconiosis than can award be brought simple request This case was aas by the evidence. McKenzie for a Michael writ mandamus compel the to Commissioner Workers’ eases, In the two instant once Court (hereinafter Compensation Division “the again compensation skews to law Commissioner”) provide him with voca- claimants, contrary Legislative favor clear Although tional rehabilitation services. Specifically, disability awards and intent. requested granted services were Mr. higher payments will now thanks to the be during pendency of ap- McKenzie this newly-mandated Range of Model method peal, majority to dismiss declined injuries spine, fact evaluate and the Instead, majority case as moot. ruled claimants have a now to select claimant, only opposed the Com- initial health them care rehabilita- missioner, may select his or her vocational input by employer. tion services with no providers. rehabilitation service To reach pay- larger undeniable will result holding, majority physical this confuses ments made the Workers’ rehabilitation, and vocational misuses the ex- expense at companies Division like mandamus, traordinary remedy of and ex- This, turn, Pilgrim’s Pride. West makes liberality beyond any rule of tends the Virginia many less than desirable other anticipated by legislature bounds or our in which to states locate business. predecessors Consequently, on this Court. below, I the reasons set out dissent.2 past years, Legisla- Over several A. Rehabilitation Services: Vocational place steps has taken ture the workers’ Physical versus system back compensation on solid financial Court, footing. by issuing opinions This like types are two There Repass, McKenzie opposite. has done the ferred to in the workers’ stat- hot, summer, dry In the midst of one utes, physical. vocational and One of the easily imagines Legislature furiously glaring problems majority most with the fighting opinion distinguish subdue the wildfires of workers’ is its failure to between while, liability types It compensation unfunded these two is crucial that services. Douglas, granted Challenged 4 1. William O. America Mr. McKenzie the rehabilitation services *19 (1960). sought, pursued Mr. he remedy McKenzie could See, appeal. e.g., in this court via an Corp., Skaggs type ‍‌‌‌‌​​‌‌​‌​​​​​‌‌​‌‌​‌‌​‌‌‌​​‌‌​​​‌‌​​​‌‌​‌​‌​​​‍Eastern 212 W. 2. note that I do not condone the con- v. Assoc. Coal Va. I C.J., (2002) (Davis, allegedly engaged 569 S.E.2d 769 concur- duct J., ultimately Maynard, ring, joining). Had case. the Commissioner not complete purposefully done to obscure the types of made as these two this distinction different,3 majori- supporting authority and are not very absence of rehabilitation statutory majori- subject ty’s holdings to the same in this While the necessarily ease.8 § § 23- to W. Va.Code 23-4- provisions.4 ty correctly Pursuant notes that W. Va.Code (1999) 4-9(b) physical (1995) rehabili- 3(b) grants a claimant (Supp.2001), (Repl.Vol.1998) provision “the tation refer services his or her initial health right “to select limbs, crutches, approved or other artificial compensable provider for treatment of a care medicines, medical, appliances, or mechanical added), pro- (emphasis it injury or disease” treatment!,]”5 hospital surgical, or dental provision to con- misapply this to then ceeds in- services rehabilitation while vocational grants a claimant the exclusive clude that on-the-job training, or clude “vocational right a vocational rehabilitation ser- to select obtaining appropri- counseling, assistance plainly It provider. is evident vice site, work permanent work temporary ate or provider, un- rehabilitation service vocational modification!.]”6 hours work duties or common statutory definition as well as der its then, is asso- Clearly, physical rehabilitation nomenclature, provider. not a health care is aspects of a claim- ciated with the medical services are limited Vocational rehabilitation injury, recovery compensable ant’s on-the-job training, counsel- “vocational or pertains and vocational rehabilitation obtaining appropriate tem- ing, assistance job training viding a claimant with and/or site, permanent work work duties porary or him to enable necessary accommodations W. Va.Code modification!.]” or work hours workforce. See Bender her return 4—9(b). Nothing description in this § 23— Corp., 298 A.2d Anderson Deflon care, absolutely thus to health there fers (“In framework of (Del.Super.Ct.1972) granting a claimant statutory support for no compensation, rehabilitation workmen’s a vocational counselor select types: of two to be generally considered guise selecting an initial health under is sim- The former physical and vocational. 23-4-3(b). § W. provider under Va.Code care of medical treatment ply an extension fact, expressly prohibit regulations purview of undoubtedly fall within the would § interpretation. 7A 85- such an See C.S.R. dealing employer’s with the existing statutes (stating [vocational “the term reha- 15-3.11.2 and the obligation provide medical services provider] does not include bilitation services accept Larson employee’s duty to them. psychologists physicians, licensed licensed Law, 61.20, p. § Workmen’s being provided hospitals services where the rehabilitation, aspect of 88.262. The second provi- injured employеe fall to an under vocational, strictly speaking, in- not ie. does 23-4-3, § and are out- sions of W. Va.Code is, but supplying of medical services volve the scope pertinent side the instead, retraining an a means plan.”). employee in an to direct limited effort physical capability into other useful channels 23-4-3(b) permit- plain § W.Va.Code productivity.”). initial ting claimants to select their “health Consequently, it was provider.” unnec- majority has care legislate, its rush in- improper majority synonymous.7 essary and This made these two terms law oranges” terpret the statute. It is black letter “apples and was commingling of (1994) (defin- While, § respects A C.S.R. 85-15-3.10 the 1wo terms are 6. See also 3. in some services). regulations commingled regulations, ing in the vocational that a vocational rehabili- nevertheless are clear equivalent is not the tation service solely My upon the issue of 7. dissent focuses pages provider. text at health care See infra services, as that is vocational and 5. type in Mr. McKen- rehabilitation identified appeal. zie’s seeking in this case vocation- The claimant services, physical rehabilita- al rehabilitation supra 8. But see note 3. tion services. (1994) (defining § 5. See 7A 85-15-3.7 also C.S.R. services). physical rehabilitation

309 “ unambig- implement is clear and to providing ‘[w]hen a statute method for voca- tional legislative plain intent is rehabilitation services to uous and the statute claimants. courts, The Commissioner has this interpreted exercised discre- should by developing duty of aforementioned list. case it is the courts not such ” apрly but to the statute.’ Hall v. construe Because actions of the Commissioner County 208 Mingo, Board Educ. discretionary, of of improper of were for the 534, 539, 624, (2000) S.E.2d W.Va. 541 629 grant majority to of the writ' mandamus to Syl. 1, (quoting pt. v. Cummins State Work- impose judgment its own over that of the 781, Comm’r, Comp. 152 166 men’s W.Va. Commissioner. This Court has “character- (1969)). Moreover, 562 also “[i]t S.E.2d is purpose of [of ized the the writ mandamus] ‘duty of this Court avoid whenever the enforcement of an established possible a of a which construction statute corresponding the enforcement of a im- inconsistent, absurd, unjust un- leads or duty perative imposed by created or law.” ” Hall, 1, reasonable results.’ 208 W.Va. Syl. pt. State Cummings, ex rel. Ball v. 539, (quoting 393, 398, 541 S.E.2d at 629 v. 917, State 208 W.Va. 540 S.E.2d 922 Kerns, 130, 135, 532, (1999) (citing 183 W.Va. 394 Bronaugh S.E.2d City State ex rel. v. (1990)). 568, instant proceeding, Parkersburg, 537 148 136 W.Va. S.E.2d of (1964)). majority reading explained has embraced “absurd” 783 It has been further 23-4-3(b). § proper remedy “[m]andamus W. Va.Code is a require performance aof nondiscretion- B. Writ of Mandamus ary duty governmental agencies various accurately majority points out that W. 1, Syl. pt. or bodies.” ex rel. State Allstate 23-4-3(b) § Va.Code also directs that no em- Dist., Ins. Co. v. Union Pub. 151 Serv. W.Va. ployer permitted con- any to “enter into 207, (1966) added). (emphasis 151 102 S.E.2d any hospital, physicians, its offi- tracts it is While true that “[m]andamus lies to cers, medical, agents employees or to render action ... control the offi- administrative hospital or give dental or to service medical in the exercise of cer[s] [their] discretion surgical any employ- attention therein to arbitrary capricious[,]” when such action is However, majority absolutely ee[.]” Grill, Syllabus, Crow, Beverly Inc. v. 133 wrong finding prohibition pre- “ 214, (1949), 57 W.Va. S.E.2d 244 ‘it is never using from vents Commissioner a list prescribe employed they in what manner preferred vocational rehabilitation act, they shall or to correct errors providers. above, nothing As noted service Gustke, made.’” State ex rel. v. State 205 23-4-3(b) per- § contained W. Va.Code 2, 72, 283, 76 n. W.Va. 516 287 n. 2 S.E.2d tains vocational rehabilitation services. (1999) 8, Duncil, Syl. (quoting pt. Nobles v. Therefore, provide this statute does not 523, (1998) (addi 442 202 W.Va. 505 S.E.2d ruling proper basis for that- employers omitted)). Syl. 4, pt. tional citation Accord preferred not submit list of vocational reha- Revenue, Dep’t Paxton v. State Tax and providers bilitation service the Commis- 213, (1994); 779 Syl. 192 451 S.E.2d W.Va. sioner. 3, Richardson, pt. Anderson v. 191 W.Va. majority opinion my Neither the nor own 488, (1994); 6, Syl. pt. Lyons 446 710 S.E.2d independent research has uncovered Richardson, 157, v. 189 429 44 W.Va. S.E.2d laws statute the workers’ (1993); Co., Day Francis Inc. v. O. West expressly prohibiting the Commissioner Review, Virginia Reclamation Bd. 188 using preferred a list of vocational 418, 422, 763, (1992); 424 W.Va. S.E.2d 767 However, providers. Va. 2,State Cortellessi, W. Syl. pt. ex rel. Lambert v. 23-4-9(e) § provides 142, com- (1989); “[t]he Code Syl. 386 640 S.E.2d promulgate pur- missioner shall rules for the pt. Canterbury County ex rel. v. State developing comprehensive pose 1013, 158 Wayne County, rehabili- Court 151 W.Va. program (1967); will tation assist v. County Meador S.E.2d Court gainful employ- County, workers return to suitable McDowell 141 W.Va. (1955); authority pt. provi- Syl. ment[.]” Under of this S.E.2d State ex sion, O’Brien, granted Commissioner discretion rel. Buxton 97 W.Va.

310 (1924). majority’s compensation appeals.”). Contrary to holding in this The 154

S.E. exploitation, liberality of merely perceived a the rule corrected error unabashed easе this historically has in com- by in been used workers’ the Commissioner exercis- committed authority. in a did discretionary pensation In the ab- cases manner that not ing his legal finding principles trample that the Commissioner’s and a sacrifice basic sence of arbitrary capricious, authority it and upon legislative was of ex- actions were wrong extraordinary simply government. to reme- of use ecutive branches mandamus in this manner. dy of dissenting opinion Repass In my in v. majority ultimate of the deci result 86, Div., Comp. 212 Va. 569 Workers’ W. long case a of in this is to overrule line sion (2002) J., (Maynard, joining), I S.E.2d 162 of of prohibiting the use a writ precedent explain liberality, that of in detail the rule to manner dictate the in which mandamus reasonableness, by which must be mollified agency government should exercise its dis to should never be used as an excuse inter- cretionary authority. majority has pret statutory language plain, or that is to precise in mandated the manner which judicial engage improper legislating. in See may exercise discretion Commissioner 102, Mitcham, 104, Ala.App. also v. Ford 53 develop selecting a method for vocational re (1974) 34, (“liberality 298 of con- So.2d 36 by providers, permitting habilitation service point proceed not struction should to such only claimants the selection. The to make judicial legislation.”); as to amount to Deese majority’s of decision has made the writ Co., Expert v. Lawn Southeastern & Tree by a tool used mandamus to be the Court (1982) 275, 277, 140, 306 293 S.E.2d 143 N.C. any every government and action control (“liberality beyond not ... should extend This of of extension the writ desires. new [statutes], clearly expressed language th[e] of basis, has is mandamus no constitutional and enlarge ordinary not our courts dangerous separa a real and threat legislature meaning of the terms used powers in this tion of doctrine embodied legisla- judicial in engage method of League ex state’s constitution. See State rel. judiciary [Consequently, tion. ... should Virginia Tom Women Voters West v. of blin, upon something ingrafting avoid law 579, 565, 355, 209 W.Va. 550 S.E.2d 369 omitted, ought has [it] been believes (2001) (Davis, J., dissenting) (“Integral (citations and internal been embraced.” separation powers is the notion that omitted)); Corman, quotation re marks In government its each of the branches of has (“[C]ourts 966, (Wyo.1996) 909 971 P.2d components own constituent own de its guise not under the of liberal construc- free functions.”). fined compensation tion to extend worker’s bene- reasonably fits ... fall within that do Liberality C. Rule of (citation omitted) (emphasis statute.” add- Finally, troubling, majori- most ed)). ty’s justi- liberality reliance the rule majority judice, fication to statutes this ease. the case sub has rewrite liberality employed judicially rule of this and other workers’ cases Court,9 majority requirements recently legislative this cannot decided create existing disturbing reasonably gleaned its members have demonstrated statutes. simply touting liberality wrong. rule As one court trend to ration- Such action it, put imply authority liberality rule of “does not overstepping alize this Court’s See, liberality goals. e.g., or that common order desired boundless achieve Div., disregarded.” Comp. Martin v. 210 sense is Civic Ac- Workers’ Christian (2001) 270, 285, 324, 241, 246, (May- McCuen, 557 339 v. 318 Ark. S.E.2d Comm. (1994). nard, J., type (observing 608 dissenting) this S.W.2d illogical engaged “routinely libеrality crusading brazen and Court cites the rule majority appropriately justify it to this uses its decisions case See, Div., Corp., e.g., Repass Comp. W. Coal 212 W. Va. v. Eastern Assoc. Workers' (2002). (2002), Skaggs Va. v. S.E.2d 769 S.E.2d 162

3H Quinn deed, dissenting opinion represents yet case exam- denounced another State, Cal.Rptr. 15 Cal.3d ple majority determination *22 (1975) 761, (Clark, J., 539 P.2d dis- liberality the rule of use undermine senting): regulation statute or designed executive construction, statutory promote

[T]he rule liberal the fiscal health our workers’ by majority, compensation system. regard, relied on does not In this I invest power agree this court with to administer Stephen work dissent in L.H. fit_“[H]ow L.H., ers’ as we “[jjudicial see Sherry espousing activ- ‘liberality' far ... extend would seem thing; judicial stupid ism is one activism (1) depend upon two considerations: quite another.” 398 n. permitted by wording latitude (1995) C.J., n. 2 (Neely, S.E.2d construed; (2) statute is to be dissenting). permitted, the latitude within such limita I am at a loss as to what it will take tions, by reviewing views tribu majority to realize there is a future nal. objec The first is a limitation of an generation of workers who will need the ser- character; subjective tive the second is healthy of a vices com- viable workers’ personal limitation. the latter When pensation system. The decision this ease former, ignores question may [a] well simply step by majority in a another interpretation arise as where liberal journey leading ultimately com- to workers’ begins.” ends and nullification ... We pensation system so afflicted unreason- temptation must eschew the become incapa- laws that will utterly able become crusaders. providing legitimate ble of claimants with the (Internal omitted). citations Without some they desperately benefits services so majority, modicum of restraint our need. compensation system may worker’s soon suc- irreparable damage. cumb to I foregoing, In view of I am dissent. Maynard authorized to state that Justice D. The End of the Road for West joins dissenting me in opinion. this Virginia Workers’ System majority in

The decision of the this case

represents judicial a form of unbridled activ-

ism that is an principles insult

statutory developed construction

Court integrity to maintain the of the inde-

pendent government. branches of state In- notes brief that has settled this issue will Workers’ [the] be authorized Com- not stating petitioner, Compensa- pensation the Workers' Mr. McKenzie Division to reimburse attempting tion has expenses for to Commissioner his time and while gainful employment a new obtain with determined, pro- by ... as documented er. Order, managers posed that claim is- Consent protestable Apparently, in claims where such sue orders Simonton has contested this order required Compensa- be in accordance with W.Va. filing protest would a with the Workers’ managers § Judges. claim Code 23-5-1 that the Officeof 297 Syllabus preferred Point 1 providers of State ex rel. for rehabilitation ser- Carter, Lilly vices,” v. 63 W.Va. public S.E. 873 great of interest to workers (1908), general this Court established the capable repetition. this State and is of If regal'd with by stating: doctrine mootness this simply Court this dismissed action as moot, may future claimants af- adversely be questions or propositions, Moot abstract system. fected this of possi- Because nothing of avail the decision which would bility that the Division’s continued utilization rights determination of controverted system may of escape this review ‍‌‌‌‌​​‌‌​‌​​​​​‌‌​‌‌​‌‌​‌‌‌​​‌‌​​​‌‌​​​‌‌​‌​‌​​​‍at the persons property, of or not properly of level, appellate address the we merits of this cognizable by a court. exception case under the Kinder-Israel However, Syllabus Point 1 of State rel. ex the mootness doctrine. Kinder, M.C.H. v. W.Va. S.E.2d (1984), we outlined a well-established provides Workers’ Act exception to the mootness doctrine in cases benefits to who per- workers have “received present similar to the case: injuries resulting sonal in the course of and A case is not though rendered moot even from employment!!]” their covered W.Va. party litigation change has had a Code, 23-4-1 [1989]. The benefits available longer status such that he no has such include rehabilitation services “voca- legally cognizable litigation interest in the on-the-job tional or training, counseling, as- or the issues lost their adversarial obtaining appropriate temporary sistance vitality, such capable repe- issues are if site, permanent work work duties or work yet (Empha- tition ivill evade review. modification, crutches, hours ... artificial added.) sis limbs, or approved other appli- mechanical Syllabus Point 1 of Israel Israel medicines, ances, medical, surgical, dental Comm’n, Secondary Schools Activities or hospital treatment!.]” 23-4- (1989), 182 W.Va. 388 S.E.2d 480 we [1994], 9(b) determining established test for whether that, represents pro- Commissioner a moot address issue: vide rehabilitation services to some claim- Three factors to be considered decid- ants, “preferred Division utilizes a ing technically whether to address moot system permits vider” two either of first, are as follows: issues the court will options. option system The first is a determine whether sufficient collateral “managed providers” care of rehabilitation consequences will result from determina- regulations, services. The Commissioner’s questions presented tion of the so as to 15-13, § allow an C.S.R. to for- relief; second, justify technically while mally petition the Commissioner to establish context, moot in the questions immediate “managed its own care” physi- vocational and great public may interest nevertheless cal program its services be guidance addressed for the future injured If an workers. chooses third, public; bar and of the issues a “managed option, use such care” then repeatedly presented be employer must processing undertake the court, yet escape trial appel- review the payment charges direct of all invoices and fleeting late level because their provided services nature, may appropriately determinate workers. decided. Although longer option “preferred provid- second for a no has is, legally cognizable system litigation simply, interest in the er” an informal method he sought, “employers’ because has received the he using pre- relief the Division list of issue, underlying namely legal legali- providers ferred for rehabilitation services.” ty system referring option, Division’s employers work- Under second contract “employers’ ers’ directly claimants to providers to be should decline to issue such We protestable accept parties representations being adjudi- orders a matter prevent this issue has been addressed. cated.

Case Details

Case Name: State Ex Rel. McKenzie v. Smith
Court Name: West Virginia Supreme Court
Date Published: Jul 17, 2002
Citation: 569 S.E.2d 809
Docket Number: 29645
Court Abbreviation: W. Va.
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