ROSCOE DALE WILBURN V. A. P. GREEN INDUSTRIES, INC.; SPECIAL FUND; HON. JAMES L. KERR, ADMINISTRATIVE LAW JUDGE; AND WORKERS' COMPENSATION BOARD
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RENDERED: April 16, 1999; 2:00 p.m.
NOT TO BE PUBLISHED
C ommonwealth O f K entucky
C ourt O f A ppeals
NO.
1998-CA-001791-WC
ROSCOE DALE WILBURN
APPELLANT
PETITION FOR REVIEW OF A DECISION
OF THE WORKERS' COMPENSATION BOARD
ACTION NO. WC-9607662
v.
A. P. GREEN INDUSTRIES, INC.;
SPECIAL FUND;
HON. JAMES L. KERR,
ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
OPINION
AFFIRMING
** ** ** ** **
BEFORE:
GUIDUGLI, HUDDLESTON AND McANULTY, JUDGES.
GUIDUGLI, JUDGE.
Roscoe Dale Wilburn (Wilburn)appeals from an
opinion of the Workers’ Compensation Board (the Board) rendered
June 19, 1998, which affirmed an opinion and order of the
Administrative Law Judge (ALJ) finding that Wilburn failed to
meet his burden of proof on the issue of occupational disability.
We affirm.
Wilburn began working for appellee’s predecessor in
1972.
A. P. Green Industries, Inc. (A. P. Green) purchased
Wilburn’s prior employer’s business on August 1, 1994.
Wilburn
continued working until October 1, 1994, when he was laid off.
Wilburn testified that during his 22 year employment at the
brickyard he was constantly exposed to dust.
According to
Wilburn, he becomes short of breath upon exertion and tires
quickly.
Wilburn filed an application seeking benefits for
silicosis in April 1997.
The parties stipulated that Wilburn’s
last date of exposure was October 1, 1994.
In support of his claim, Wilburn submitted the medical
reports of Dr. Robert W. Powell (Dr. Powell) and Dr. John E. Myer
(Dr. Myer).
Dr. Myer diagnosed Level 1/2 silicosis based on his
x-ray interpretation.
Pulmonary function studies performed by
Dr. Myer showed an FVC of 108% and FEV 1 of 113%.
Dr. Myer gave
an impairment rating of 0-10%, but indicated that Wilburn’s
occupational implications were greater than the impairment rating
listed.
Dr. Powell diagnosed Level 1/1 silicosis and provided
pulmonary function study values of 109% FVC and 122% FEV 1.
Dr.
Powell assigned an impairment rating of 0%, and indicated that
Wilburn’s occupational implications were not greater than the
impairment rating listed.
A. P. Green presented medical reports from Dr. B. T.
Westerfield and Dr. Betty Joyce (Dr. Joyce).
Both doctors
indicated that Wilburn’s films were negative for occupational
disease.
It appears that neither of these doctors performed
pulmonary function testing.
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Dr. Joyce’s evaluation of Wilburn was performed
pursuant to KRS 342.315, which provides that “[t]he clinical
findings and opinions of [the university medical school
evaluator] shall be afforded presumptive weight by arbitrators
and administrative law judges and the burden to overcome such
findings and opinions shall fall on the opponent of that
evidence.”
KRS 342.315(2).
Wilburn filed a motion in limine
with the ALJ seeking to either exclude Dr. Joyce’s report or to
order that it not be given presumptive weight on the ground that
KRS 342.315 is unconstitutional.
Wilburn’s motion was denied.
On January 6, 1998, the ALJ entered an opinion and
order finding that Wilburn failed to meet his burden of proof
regarding the existence of occupational disability.
The ALJ
found:
As plaintiff’s claim is a claim for
silicosis and not coal workers’
pneumoconiosis, he must prove an occupational
disability pursuant to KRS 342.316. Review
of the medical evidence indicates that
plaintiff’s pulmonary functioning is normal
or above for a person of his age and height.
While he testified to shortness of breath
upon exertion, his testimony is not supported
by the testimony of his physicians. Further,
Dr. Powell assessed 0% impairment and stated
that plaintiff’s diagnosis did not have
occupational implications greater than the 0%
impairment. Accordingly, the Administrative
Law Judge cannot conclude that the plaintiff
retains any occupational disability as a
result of the alleged contraction of
silicosis and his claim must be denied.
The Board affirmed, finding the ALJ’s findings were supported by
substantial evidence.
In regard to Wilburn’s arguments
concerning KRS 342.315, the Board held:
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Wilburn’s arguments concerning the ALJ’s
ruling on the motion in limine are moot.
Neither his Opinion nor his order upon
reconsideration gave any indication that the
ALJ gave presumptive weight to the x-ray
interpretation of Dr. Joyce. The ALJ
determined that the evidence submitted by
Wilburn himself was insufficient to support
an award.
On appeal, Wilburn contends that the ALJ erred in
denying his motion in limine based upon his challenge to the
constitutionality of KRS 342.315.
Because we find that KRS
342.315 does not apply to Wilburn, we decline to address the
merits of this argument.1
KRS 342.315 was part of the December 1996 amendments to
the Kentucky workers’ compensation statutes.
Because Wilburn’s
last date of exposure was in 1994, we would have to find that the
presumptive weight provision of the statute is to be applied
retroactively for Wilburn to have standing to raise a
constitutional challenge.
In order to apply a statute retroactively, we must find
that the change brought by a statute is merely procedural as
opposed to substantive in nature.
For the most part, assignment
of the burden of proof has been deemed to be substantive in
nature.
Director, Office of Workers’ Compensation Programs,
Dept. Of Labor v. Greenwich Collieries, 512 U.S. 267, 114 S.Ct.
2251, 2254, 129 L.Ed.2d 221 (1994).
Changes which are outcome
determinative have also been found to be substantive.
Fite &
Warmath Const. Co. v. MYS Corp., Ky., 559 S.W.2d 729, 733 (1977),
1
Although not final, the same decision was reached in Magic
Coal Co. v. Fox, Ky. App., ___ S.W.2d ___ (1999).
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citing Erie Railroad Co. v. Tompkins, 304 U.S. 64, 58 S.Ct. 817,
82 L.Ed 1188 (1938).
Our reading of KRS 342.315(2) shows that it is clearly
substantive.
Under that provision, the findings of the
university physician are to be given presumptive weight by the
arbitrator and ALJ with the burden to overcome those findings
resting with the opponent of the evidence in question.
Because
the statute changes the burden and level of proof that the party
challenging the evaluator’s findings must meet, it has a
substantive impact.
Furthermore, under KRS 342.0015, substantive
provisions of the 1996 special session concerning Kentucky’s
workers’ compensation statutes only apply to those claims where
the last exposure occurred after December 12, 1996.
As Wilburn’s
last exposure occurred in 1994, the statute does not apply to him
and he therefore lacks standing to challenge its
constitutionality.
Wilburn also contends that the ALJ erred in finding
that he had no occupational disability as a result of his
exposure.
Because Wilburn was unsuccessful before the ALJ, he
must show that the evidence was so overwhelming as to compel a
different outcome.
418 (1985).
Paramount Foods v. Burkhardt, Ky., 695 S.W.2d
As long as the ALJ’s verdict is supported by
substantial evidence, a different outcome is not compelled.
Special Fund v. Francis, Ky., 708 S.W.2d 641 (1986).
Of the four doctors who evaluated Wilburn, only Dr.
Myer found evidence of impairment, and even then estimated it as
being from 0-10%.
As the Special Fund points out, workers’
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compensation benefits are awarded based on occupational
disability alone as opposed to mere functional impairment.
v. Paducah Recapping Service, Ky., 694 S.W.2d 684 (1985).
Cook
The
ALJ is given discretion to translate functional impairment
ratings into occupational disability ratings.
George M. Eady Co.
v. Stevenson, Ky., 550 S.W.2d 473, 474 (1977).
Given the medical
proof before the ALJ in this matter, we do not find that a
different result is compelled in this case.
The Board’s order of June 19, 1998 is affirmed.
ALL CONCUR.
BRIEF FOR APPELLANT:
BRIEF FOR APPELLEE, SPECIAL
FUND:
Hon. Robert W. Miller
Grayson, KY
Joel D. Zakem
Louisville, KY
No appearance for appellee,
A. P. Green
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