United States Department of Veterans Affairs v. BoresiUnited States Department of Veterans Affairs v. Boresi
The United States Department of Veterans Affairs (VA) appeals the circuit court’s denial of its petition for a writ of mandamus. The VA petitioned for a writ to compel the chief administrative law judge to allow the VA’s intervention in the workers’ compensation proceeding of veteran Mark Hollis to seek payment for medical care the VA provided Mr. Hollis’ for his work-related injury. In its motion to intervene, the VA claimed entitlement to intervene in the workers’ compensation proceeding as a matter of right under
Factual and Procedural Background
Veteran Mark Hollis filed a claim for workers’ compensation benefits that is pending before the Missouri Labor and Industrial Relations Commission, Division of Workers’ Compensation. In his claim, he alleged that he sustained an injury during the course of his employment with United Homecraft, Inc., on November 20, 2002. Mr. Hollis received care and treatment for that injury, totaling $18,958.53, at a VA medical facility.
It is undisputed that United Homecraft did not authorize the care Mr. Hollis received from the VA. The VA filed a motion in Mr. Hollis’ workers’ compensation proceeding asserting its right, under
Standard of Review
The VA seeks appellate review of thе circuit court’s denial of its petition for a writ of mandamus rather than filing a petition for an original writ in the court of appeals or this Court. See Rules 84.22 to 84.26 and 94.01 et seq. An appeal will lie from the denial of a writ petition when a lower court has issued a preliminary order in mandamus but then denies a permanent writ. See State ex rel. Ashby Road Partners, LLC v. State Tax Com’n,
To be entitled to a writ, “ ‘a litigant asking relief by mandamus must allege and prove that he has a clear, unequivocal, specific right to a thing claimed.’ ” State ex rel. Office of Pub. Counsel v. Pub. Serv. Com’n of State,
Federal Law Compels Intervention
The VA claims, on appeal, that the cirсuit court erred in failing to issue a writ of mandamus. The requested writ would have compelled the administrative law judge to permit the VA to intervene in Mr. Hollis’ workers’ compensation proceeding. The VA asserts that a federal statute,
The administrativе law judge in Mr. Hollis’ workers’ compensation proceeding denied the VA’s petition for intervention because she found that the Missouri workers’ compensation statutes do not allow such intervention. The procedure for intervention in civil cases set out in Rule 52.12 does not apply to workers’ compensation proceedings. State ex rel. Treasurer of State v. Siedlik,
Under chapter 287, a claimant seeks compensation for injuries incurred in the course and scope of the claimant’s employment. Section 287.120. In addition to disability benefits,
While chapter 287 does not include a procedure for intervention by а health care provider seeking payment, there is a procedure for a health care provider to file notice of its claim and request the administrative law judge to order direct payment from settlement proceeds or the claimant’s award. A provider of health care to an injured claimant may “file an application for direct payment with the division” in a case where “an employer or insurer fails to make payment for authorized services provided to an employee ... due to а work-related injury that is covered under the Missouri Workers’ Compensation Law....” 8 CSR 50-2.030(2)(A); see also section 287.140.13(6). This application for direct payment becomes “part of the underlying workers’ compensation case” and requires the division to “notify the health care provider of all proceedings relating to the underlying workers’ compensation case.” 8 CSR 50-2.030(2)(G); section 287.140.13. The care provider then is “granted standing to appear as a party in the underlying workers’ compensation case for the limited purpose of establishing that the hеalth care provider is entitled to payment for services rendered.”
Instead of filing an application for direct payment and proceeding as a care provider as authorized by section 287.140.13, the VA sought to intervene in the workers’ compensation case, аsserting it is authorized to do so by
in any case in which a veteran is furnished care or services under this chapter for a non-service-connected disability ... [and] to the extent that the veteran (or the provider of the care or services) would be eligible to receive payment for such care or services ... from a third party to the extent that the veteran (or the provider of the care or services) would be eligible to receive payment for such care or services from such third party if the care or services had not been furnished by a department or agency of the United States.
As noted previously, Missouri statutes do not provide for intervention in a workers’ compensation proceeding by third parties. Nevertheless, procedural deficiencies cannot impede the VA from recovery or collection authorized by
No case was found addressing how recovery under
The district court denied the VA’s claim that
The lesson learned from United States v. New Jersey is that the lack of a legislatively recognized entitlement to payment is not a bar to the VA’s recovery because federal law provides the authority necessary for its claim in a state proceeding. Likewise, the lack of a state-legislated procedure for intervention is not a bar to the VA’s recovery because the federal law provides the authority necessary for the VA to intervene.
VA’s Pleading Is Sufficient
The chief administrative law judge argues that even if
In her argument, the chief administrative law judge does not cite any law to support the pleading requirement she advocates. As stated above, “The Compensation Act itself is an exclusive and complete code and provides for its own procedure.” Groce,
While the VA’s initial motion does not allege that that the employer failed or refused to authorize Mr. Hollis’ care, the VA’s motion does indicate the procedure in which it sought to intervene, state its purpose of collecting $18,958.53 for the medical care it provided to Mr. Hollis, and identify the authority by which it sought intervеntion. This is adequate to meet the informal pleading requirements of chapter 287. This Court cannot read into the workers’ compensation statutes pleading requirements that are not there. Section 287.800 (“Administrative law judges, associate administrative law judges, legal ad-visors, the labor and industrial relations commission, the division of workers’ compensation, and any reviewing courts shall construe the provisions of this chapter strictly.”). Therefore, the VA’s motion was pleaded sufficiently. In proceedings regarding the VA’s claim after its intervention, it either will be able to show that it is entitled to recover because United Homecraft, Inc., failed or refused to provide reasonable care for Mr. Hollis or it will not make such a showing and the administrative law judge can adjudicate its claim accordingly.
Conclusion
Under
Rule 94 governs mandamus proceedings in the circuit court, and Rule 84 governs mandamus proceedings in this Court and the court of appeals.
Circuit Court Proceedings in Mandamus
The normal circuit court proceedings in mandamus established in Rule 94
The proceedings in this case differed from those anticipated by Rule 94. Here, the United States Department of Veterans Affairs filed a petition for a writ of mandamus in the circuit court. The circuit court failed to issue a preliminary order in mandamus, however, and instead, issued a summons. The Respondent argues that, because no preliminary order in mandamus issued, VA’s only recourse is to file a petition for writ in the next higher court. The issue, then, is whether the circuit court’s issuancе of a summons, rather than a preliminary order, precludes an appeal.
I concede the court of appeals has considered on appeal and authored opinions based on denials or dismissals of writ petitions when the circuit court presumably ruled on the merits even though no preliminary order in mandamus issued.
Conclusion
If a preliminary order is not issued pursuant to Rule 94 or Rule 97 based on the allegations in the petition, then an original writ petition should be filed in a higher court in accordance with Rule 84. I disagree with the principal opinion that the
Notes
. Judge Fischer's concurring opinion correctly notes that the city of St. Louis circuit court’s practice of issuing a summons in lieu of a preliminary writ is not authorized by Rule 94. Writs are extraordinary remedies, and their procedures differ from normal civil actions. Id. The practice of issuing a summons rather than a preliminary order fails to acknowledge the nature of thе remedy. Additionally, it requires a response from the respondent without regard to the merits of the petition. Nevertheless, this Court is exercising its discretion to consider the matter on the merits and issue the writ because the parties, who already have litigated the matter fully, were not at fault and should not be required to initiate a new writ proceeding due to the circuit court’s failure to follow the procedure proscribed by the rules. This Court is not required to exercise its discretion in like manner in the future.
. All references to Missouri statutes arе to RSMo Supp. 2012, unless otherwise indicated.
. Although this Court has not considered the matter, the court of appeals has held that a health care provider is not entitled to receive an order for direct payment in a workers' compensation proceeding because section 287.140.13(6) provides that "the administrative law judge may order direct payment,” (emphasis added); any award of payment is left to the discretion of the administrative law judge. Miller v. Wangs,
. When the Third Circuit ruled on this case, the federal statute was numbered as
. The law recognizes only rare exceptions to this rule. In the matter of depositions taken pursuant to section 287.560, ROMs 2000, this Court has held that the Supreme Court Rules apply. State ex rel. McConaha v. Allen,
. In its brief, the VA admits that, because none of the parties have provided any information regarding whether the employer had failed or refused to authorize healthcare for Mr. Hollis' work injury, it lacked the information to make such a specific claim.
. Rule 94.01 states:
Proceedings in mandamus in a circuit court shall be as proscribed in this Rule 94 and in this Court or the court of appeals shall be as prescribed in Rule 84.22 to Rule 84.26, inclusive, and this Rule 94. In all particulars not provided for by the foregoing provisions, proceedings in mandamus shall be governed by and conform to the rules of
. Rule 97 provides for the same procedures when the appropriate extraordinary writ is prohibition.
. Thereafter, the proceeding in this Court or the court of appeals is governed by Rule 84.22 to Rule 84.26.
. Whеre, for example, the respondent answered the petition on the merits, and the circuit court considered the merits in dismissing the petition, Jones v. Jackson Cnty. Circuit Court,
. I did concur in that opinion but did nоt realize that the procedure of allowing a summons to be substituted for a preliminary order, which was not authorized by this Court's
. The purpose of a preliminary writ is to:
1. "advise the respondent specifically of the matters and things wherein it was sought to obtain from this court a permanent prohibition against further action on his part;
2. and to require him on the day stated in the notice tо show cause why he should not be prohibited from further action in the specified particulars;
3. and in the meantime, and until the further order of this court, to forbid any ‘further action in the premises.' ” State ex rel. Powers v. Rassieur,190 S.W. 915 , 919 (Mo. banc 1916).
. The cases cited in Ashby, FN 5,