Hargrave v. Louisiana
Annotate this Case
Justia Opinion Summary
Want to stay in the know about new opinions from the Louisiana Supreme Court?
Sign up for free summaries delivered directly to your inbox. Learn More ›
You already receive new opinion summaries from Louisiana Supreme Court. Did you know we offer summary newsletters for even more practice areas and jurisdictions? Explore them here.
The Supreme Court granted the Louisiana Department of Transportation and Development's (DOTD) writ application to consider whether the Office of Workers' Compensation hearing officer erred in requiring a vocational rehabilitation counselor to comply with the so-called "Crain Brothers conditions," drafted by claimant's counsel, before the counselor could commence or continue to provide vocational rehabilitation services to the claimant. Upon review, the Court held that the hearing officer erred in imposing these conditions ostensibly as a prophylactic measure without an evidentiary showing that any of the imposed conditions were reasonably necessary to resolve or rectify a "dispute . . . concerning the work of the vocational counselor" as provided in La. Rev. Stat. 23:1226(B)(3)(a). Accordingly, the Court reversed the lower courts' rulings, and remanded the case to the Office of Workers' Compensation.
Download PDF
Supreme Court of Louisiana FOR IMMEDIATE NEWS RELEASE NEWS RELEASE #060 FROM: CLERK OF SUPREME COURT OF LOUISIANA The Opinions handed down on the 16th day of October, 2012, are as follows: BY GUIDRY, J.: 2012-C -0341 ELLIS HARGRAVE v. STATE Compensation District 04) OF LOUISIANA (Office of Workers Accordingly, we reverse the lower courts rulings, and remand the case to the Office of Workers Compensation. REVERSED AND REMANDED. KNOLL, J., additionally concurs with reasons. 10/16/12 SUPREME COURT OF LOUISIANA No. 2012-C-0341 ELLIS HARGRAVE VERSUS STATE OF LOUISIANA ON WRIT OF CERTIORARI TO THE COURT OF APPEAL, THIRD CIRCUIT, OFFICE OF WORKERS COMPENSATION, DISTRICT 04 GUIDRY, Justice We granted the Louisiana Department of Transportation and Development s writ application to consider whether the Office of Workers Compensation hearing officer erred in requiring the vocational rehabilitation counselor to comply with the so-called Crain Brothers conditions, drafted by claimant s counsel, before the counselor could commence or continue to provide vocational rehabilitation services to the claimant.1 For the reasons expressed below, we hold the hearing 1 In Crain Brothers Inc. v. Richard, 02-1342 pp. 2-3 (La. App. 3 Cir. 4/9/03), 842 So.2d 523, 524-25, the appellate court ratified ten conditions imposed on the vocational rehabilitation counselor by the hearing officer at the request of the claimant s counsel. They were as follows: (A) That your meetings with my client be held at my office at Crowley, Louisiana. (B) That you agree not to question my client as to any facts other than those facts necessary to provide vocational rehabilitation under LSA R.S. 23:1226. (C) That I will be simultaneously copied on all documents sent to anyone concerning my client. This is to include correspondence, job analyses, and all appendices to your correspondence. (D) That I will be a party to all oral conversations between you and the employer, insurer or their representative or attorney. (There will be no secret conversations between yourself and the employer or insurer or their representatives.) (E) That you will not subject my client to jobs which are inappropriate. (F) That you will upon request provide your entire file for copying or provide a copy of your entire file without charge. (G) That you understand that although you were selected by and are paid by my clients' 1 officer erred in imposing these conditions ostensibly as a prophylactic measure without an evidentiary showing that any of the imposed conditions were reasonably necessary to resolve or rectify a dispute ¦ concerning the work of the vocational counselor as provided in La. Rev. Stat. 23:1226(B)(3)(a). Accordingly, we reverse the lower courts rulings, and remand the case to the Office of Workers Compensation. FACTS and PROCEDURAL HISTORY Ellis Hargrave was employed by the State of Louisiana, through the Department of Transportation and Development (hereafter DOTD ) as a mobile machine operator. In June 2005, Mr. Hargrave was injured when he slipped and fell in the course and scope of his employment. Eventually Mr. Hargrave filed a disputed claim for compensation with the Office of Workers Compensation (hereafter OWC ). Following a trial, in March 2009 the OWC rendered judgment in favor of Mr. Hargrave, awarding him inter alia temporary total disability benefits. The post-trial proceedings culminated in this court s determination that annual leave and sick leave should not have been included in the calculation of an hourly employee s average weekly wage for purposes of determining the appropriate workers compensation benefit. Hargrave v. State ex rel.DOTD, 101044 (La. 1/19/11), 54 So.3d 1102. While this litigation proceeded, the DOTD had commenced rehabilitation employer/insurer, you are dedicated to finding a job for my client which client can obtain and also continue to perform. (H) That the purpose of the vocational rehabilitation you provide is for the benefit of my client, who is also your client. (I) No other person has provided vocational rehabilitation in this case. (J) That you or your firm has no connection, directly or indirectly, with my client's employer or insurer or their agents, except that you were chosen and paid by the employer/insurer to provide vocational rehabilitation in this case. [Emphasis in original.] 2 services as required by statute, La. Rev. Stat. 23:1226(A).2 The DOTD contracted with Thomas and Associates to provide Mr. Hargrave with vocational rehabilitation counseling services. Scott A. Landry, a licensed professional vocational rehabilitation counselor, commenced serving the claimant, who had undergone lumbar surgery. According to a report prepared by Mr. Landry and dated May 8, 2008, Mr. Landry had scheduled a meeting with Mr. Hargrave, his counsel, and his surgeon on September 3, 2008. Mr. Landry eventually left his employment with Thomas and Associates in spring 2008 to join the United States Army. According to Mr. Hargrave s counsel, there were no complaints with Mr. Landry s services and Mr. Landry had agreed to abide by the so-called Crain Brothers conditions. Mr. Hargrave s case file was eventually transferred to Mary Lyles Adair, a licensed rehabilitation counselor who also worked for Thomas and Associates. Apparently, according to a report prepared by Ms. Adair dated November 26, 2008, Mr. Hargrave s counsel was unable to attend the scheduled meeting on September 8, 2008, with Mr. Hargrave s surgeon and the counselor. Ms. Adair sought to contact Mr. Hargrave and his counsel unsuccessfully on a number of occasions. According to Ms. Adair s November 26, 2008 report, Mr. Hargrave s counsel declined to permit the counselor to meet with him. According to Mr. Hargrave s counsel, Ms. Adair declined to abide by any additional conditions under Crain Brothers. Eventually, the DOTD discontinued its relationship with Thomas and 2 La. Rev. Stat. 23:1226(A) provides: A. When an employee has suffered an injury covered by this Chapter which precludes the employee from earning wages equal to wages earned prior to the injury, the employee shall be entitled to prompt rehabilitation services. Vocational rehabilitation services shall be provided by a licensed professional vocational rehabilitation counselor, and all such services provided shall be compliant with the Code of Professional Ethics for Licensed Rehabilitation Counselors as established by R.S. 37:3441 et seq. 3 Associates, and reassigned the case to Mr. Elier A. Diaz, of Vocational Solutions, Inc. Mr. Diaz commenced providing services but was similarly unable to meet with Mr. Hargrave and his counsel. In June 2009, Mr. Hargrave s counsel filed a motion to quash an upcoming meeting between Mr. Diaz and Lynn Dodge, an employee of DOTD. Apparently Mr. Hargrave s counsel believed there had been no order appointing Mr. Diaz as the vocational rehabilitation counselor. Before a hearing on Mr. Hargrave s motion to quash was conducted, Mr. Hargrave s counsel sent Mr. Diaz a letter dated July 8, 2009, in which he declined to permit Mr. Diaz to provide rehabilitation counseling services to his client unless Mr. Diaz agreed to ten conditions. These conditions were as follows: (A) (B) (C) (D) (E) (F) (G) (H) (I) (J) That your meetings with my client be held at my office at Crowley, Louisiana. That you agree not to question my client as to any facts other than those facts necessary to provide vocational rehabilitation under LSA R.S. 23:1226. That I will be simultaneously copied on all documents sent to anyone concerning my client. This is to include correspondence, job analyses, and all appendices to your correspondence. That I will be a party to all oral conversations between you and the employer, insurer or their representative or attorney. That you will not subject my client to jobs which are inappropriate. That you will upon request provide your entire file for copying or provide a copy of your entire file without charge. That you understand that although you were selected by and are paid by my clients' employer/insurer, you are dedicated to finding a job for my client which client can obtain and also continue to perform. That the purpose of the vocational rehabilitation you provide is for the benefit of my client, who is also your client. No other person has provided vocational rehabilitation in this case. That you or your firm has no connection, directly or indirectly, with my client's employer or insurer or their agents, except that you were chosen and paid by the employer/insurer to provide vocational rehabilitation in this case. [Emphasis in original letter.] The letter provided that Your setting up and appearing for the conference with my client verifies that you are in agreement with the foregoing requests that rehabilitation services will be provided in accordance thereof. These conditions were essentially identical to those adopted by the Third Circuit in 4 Crain Brothers, Inc. v. Richard, 02-1342 (La. App. 3 Cir. 4/9/03), 842 So.2d 523. See Note 1, supra. Mr. Diaz, however, apparently refused to agree to abide by the conditions in the letter. Subsequent to a July 13, 2009 hearing, the OWC hearing officer appointed Mr. Diaz as the vocational rehabilitation counselor and ordered that Mr. Diaz could continue with the scheduled conference with Lynn Dodge; a judgment to that effect was signed on July 20, 2009. Thereafter, Mr. Hargrave filed a motion and order to compel arbitration. This motion is not in the record, but was referenced by the parties at a subsequent hearing. At some point, Mr. Diaz sought a meeting with Mr. Hargrave, but he was denied permission to do so. Consequently, the DOTD in November 2010 filed an expedited rule to show cause why an order should not be issued directing Mr. Hargrave to cooperate with the vocational rehabilitation counselor. At a hearing on February 25, 2011, the OWC hearing officer found that all ten conditions adopted in Crain Brothers were reasonable and that the vocational rehabilitation was to be conducted pursuant to the terms and conditions of Crain Brothers. The court of appeal majority amended the OWC s ruling to delete the condition that no other person has provided vocational rehabilitation in this case, noting that such a condition was unreasonable given that two other counselors had either provided services or attempted to do so. Hargrave v. State, 11-836 (La. App. 3 Cir. 12/21/11), 80 So.3d 1198. The court of appeal found the OWC hearing officer was not restricted by La. Rev. Stat. 23:1226 from exercising its inherent power to require that a vocational rehabilitation counselor, selected in accordance with the statute, act in accordance with the rules regulating his professional conduct to insure integrity, honesty and fair dealing in rendering the services prescribed. The 5 court of appeal noted that the Crain Brothers conditions had been upheld by other courts, though with the caveat that they are not mandatory in every case, nor should the OWC hearing officer deem them necessary in every case. We granted the DOTD s writ application to determine the correctness of the lower courts rulings. Hargrave v. State, 12-0341 (La. 5/4/12), 88 So.3d 469. LAW AND LEGISLATION As is obvious from the above recitation of the facts and history of this case, the issue presented to us originated in Crain Brothers. In that case, counsel for the claimant, the same counsel for Mr. Hargrave here, proposed ten conditions before the rehabilitation counselor could meet with his client. The counselor refused, so the employer filed a motion to compel vocational rehabilitation. The hearing officer ordered the counselor to meet with the claimant, and additionally found the conditions drafted by the claimant s counsel to be reasonable. Although the employer argued that these conditions expanded the rules established in La. Rev. Stat. 23:1226 by allowing the claimant to set forth conditions for the meeting, the Crain Brothers court disagreed, noting that La. Rev. Stat. 23:1226, taken in its entirety, does not restrict the OWC from exercising its inherent power to require that the vocational rehabilitation counselor, selected pursuant to statute, act in accordance with the rules regulating his professional conduct to assure integrity, honesty, and fair dealing in rendering the services prescribed. Id., p. 3, 842 So.2d at 525-26. The court of appeal further found no manifest error in the OWC s conclusion that the conditions were reasonable. Id., 842 So.2d at 526. As Mr. Hargrave now argues, the claimant s actions proposing the 6 conditions in the Crain Brothers case were intended, and apparently approved by the appellate court, as a reasonable response to the history of so-called sham rehabilitation cases in the 1980s and 1990s. Mr. Hargrave cites a number of cases exemplifying what he describes as the inherent conflict present when the employer or insurer selects and hires the vocational rehabilitation counselor, who then feels responsible to the party paying him, even though the claimant is owed a duty by the counselor as his client for the purposes of providing vocational rehabilitation services. See, e.g., City of Crowley v. Comeaux, 93-1116 (La. App. 3 Cir. 4/6/94), 638 So.2d 658, writ denied, 94-1184 (La. 6/24/94), 640 So.2d 1355; Maxie v. Brown Industries, Inc., 95-19 (La. App. 3 Cir. 5/31/95), 657 So.2d 443, writ denied, 95-1630 (La. 10/6/95), 661 So.2d 469; Livings v. Langston Companies, Inc./Continental Bag Div., 96-636 (La. App. 3 Cir. 12/5/96), 685 So.2d 405. Since Crain Brothers, however, the legislature has made several amendments to La. Rev. Stat. 23:1226. Prior to the amendment in 2003, La. Rev. Stat. 23:1226 merely provided that the injured employee was entitled to prompt rehabilitation services and that the employee could bring a claim for vocational rehabilitation services if the employer refused to provide them. However, the statute was amended in 2003 and 2005, so that La. Rev. Stat. 23:1226(B)(3)(a) now provides as follows: The employer shall be responsible for the selection of a licensed professional vocational rehabilitation counselor to evaluate and assist the employee in his job placement or vocational training. Should the employer refuse to provide these services, or a dispute arises concerning the work of the vocational counselor, the employee may file a claim with the office to review the need for such services or the quality of services being provided. The procedure for hearing such claims shall be expedited as provided in R.S. 23:1124. The 2003 amendment therefore allowed the employee to file a claim with 7 the OWC to review the quality of services being provided if a dispute arises concerning the work of the vocational counselor ¦. Acts 2003, No. 980. The 2003 amendment also added paragraphs 3(b) and 3(c) to grant the counselor limited immunity from tort and to allow the employer to compel the employee s cooperation in the rehabilitation process. If the employee refuses to accept rehabilitation as deemed necessary by the OWC, he shall be subject to a fifty percent reduction in weekly compensation for each week of the period of refusal. La. Rev. Stat. 23:1226(B)(3)(c). The 2005 amendment mandated the counselor be a licensed professional vocational rehabilitation counselor. Acts 2004, No. 257. Thus, the legislature clearly recognized a right of the employee to challenge the quality of the vocational rehabilitation services and, consequently, set forth a procedure for resolving any disputes concerning the work of the vocational rehabilitation counselor. Since the legislative amendments, Crain Brothers has been met with mixed reactions by the appellate courts. The Third Circuit, as in the instant case, has generally approved of the imposition of the Crain Brothers conditions upon the vocational rehabilitation counselor, finding no manifest error in the hearing officer s determination of reasonableness without regard to a particular showing by the claimant that there is any dispute concerning the quality of the counselor s work or a deficiency therein. See, e.g., Moody v. Abrom Kaplan Memorial Hospital, 05-527 (La. App. 3 Cir. 12/30/05), 918 So.2d 1203, writ denied, 06-0197 (La. 4/24/06), 926 So.2d 548; Luquette v. Clayborn Self, 05-1367 (La. App. 3 Cir. 5/3/06), 929 So.2d 817, writ denied, 06-1311 (La. 9/22/06), 937 So.2d 385. Other circuits have been more circumspect with regard to the Crain Brothers conditions. In Anderson v. Eckerd Corp., 05-1381 (La. App. 1 Cir. 6/21/06), 939 So.2d 386, writ denied, 06-1849 (La. 10/27/06), 939 So.2d 8 1283, the vocational rehabilitation counselor refused to sign a similar agreement presented to him by the claimant s counsel requiring him to abide by the Crain Brothers conditions. The OWC hearing officer deemed rehabilitation services were necessary and that the claimant had unreasonably refused to accept rehabilitation services, subjecting him to the fifty percent reduction in weekly benefits. The First Circuit affirmed the hearing officer s determination that the services were necessary and that the claimant had refused them. The court further found no error in the hearing officer s reduction of benefits until the claimant cooperates with vocational rehabilitation services, citing evidence that the claimant s attorney had prevented the meeting between the counselor and the claimant s surgeon, a meeting to which the claimant and his attorney were invited to attend. The court noted: Nothing in [La. Rev. Stat. 23:1226] prevents a reduction in benefits as presented under the facts of this case and, in fact, said reduction helps to accomplish the stated goal of rehabilitation services to return a disabled worker to work as soon as possible. Id., p. 9, 939 So.2d at 390. In Mendoza v. Leon s Plumbing Company, 04-0189 (La. App. 4 Cir. 12/22/04), 892 So.2d 600, the Fourth Circuit similarly found unreasonable the requirement that the rehabilitation counselor agree to the Crain Brothers conditions before commencing rehabilitation services, but declined to hold the claimant liable for a reduction in benefits. There, the employer selected a licensed professional rehabilitation counselor to provide services to the claimant, but the claimant s attorney sent a letter agreement to the counselor requiring her to agree to abide by the Crain Brothers conditions therein. The counselor declined to do so, noting that it was tantamount to a contract between the parties. The employer sought to compel the claimant to cooperate. The OWC hearing officer concluded that all but three of the 9 conditions were reasonable and that the claimant had not refused rehabilitation services. The court of appeal agreed that some of the conditions were unreasonable, and went further to find additional conditions unreasonable under the facts of the case. The court thus concluded that the letter agreement itself was unreasonable, as it effectively created a binding contract governing the relationship between the counselor and the claimant, and, furthermore, constituted a refusal of treatment and a failure to participate in vocation rehabilitation. Id., p. 10, 892 So.2d at 607. Nevertheless, the court of appeal found no manifest error in the hearing officer s determination that the claimant s acts did not constitute obstruction to and refusal of vocational rehabilitation in that case, given the claimant s attempt to reasonably rely on Crain Brothers. Id., pp. 10-11, 892 So.2d at 607. In Interiano v. Fernando Pastrana Const., 04-430 (La. App. 5 Cir. 10/26/04), 887 So.2d 547, the Fifth Circuit found no error in the OWC hearing officer s ruling ordering the claimant to cooperate in vocational rehabilitation services but declining to require the counselor to agree to abide by the Crain Brothers conditions before commencing to provide such services. There, the claimant s attorney presented the properly selected vocational rehabilitation counselor with a letter agreement outlining the ten conditions adopted in Crain Brothers that would govern the relationship between the claimant and the vocational counselor. The counselor declined to sign the agreement, and no services were commenced. The employer moved to reduce the claimant s benefits for failure to cooperate with vocational rehabilitation. The employer argued that the statute governing vocational rehabilitation, La. Rev. Stat. 23:1226, does not require a vocational rehabilitation counselor to agree to certain terms prior to 10 performing rehabilitation services, but instead, the employee may file a claim with the OWC, under La. Rev. Stat. 23:1226(B)(3)(a), if a dispute arises regarding the quality of the services of the vocational counselor or the necessity for such services. At the conclusion of the hearing, the OWC hearing officer stated in pertinent part: .... [T]here is no indication that the vocational rehabilitation services are not needed. And there's also no indication at this time, since she has not performed the services, as to whether or not her performance of these duties are appropriate or inappropriate. It's premature for us to even consider that at this point in time. The court is not going to render a decision based on speculation as to how the vocational rehabilitation counselor will do her job. The court is going to assume that she does it appropriately. If not, then defendant has all rights-claimant has all rights reserved to them to pursue this matter at that point in time. But at this point in time the parties will proceed as indicated. If in fact the claimant does not cooperate with the vocational rehabilitation efforts, then the court will consider at that time to reduce her [sic] benefits accordingly in accordance with the statute. Id., 887 So.2d at 548. On appeal, the Fifth Circuit affirmed and stated: LSA-R.S. 23:1226 does not require a vocational counselor to agree to certain conditions prior to providing vocational rehabilitation services. Rather, LSA-R.S. 23:1226(B)(3)(a) provides that the employee may file a claim with the Office of Worker's Compensation if a dispute arises regarding the quality of the services of the vocational counselor or the necessity for such services. (Emphasis added.) Further, the Third Circuit's decision in Crain, which is persuasive but not binding on this Court, does not require the vocational counselor to agree to certain terms prior to the performance of rehabilitation services. Id., pp. 4-5, 887 So.2d at 549. ANALYSIS Keeping in mind the recent legislative amendments to La. Rev. Stat. 23:1226 and the jurisprudence interpreting La. Rev. Stat. 23:1226 before and after, we turn to the issues presented in this case. 11 Here, the claimant presented to the licensed professional vocational rehabilitation counselor, properly appointed by the hearing officer, a letter agreement by which the counselor would agree to abide by ten conditions, similar to those set forth in Crain Brothers, prior to the commencement of services. The vocational rehabilitation counselor declined to agree to the terms in the claimant s letter; consequently, the employer sought to compel cooperation in vocational rehabilitation. At the hearing, the only evidence introduced into the record comprised of two exhibits: one exhibit was the Rules of Professional Conduct for Licensed Professional Rehabilitation Counselors, while the other consisted of the letter agreement dated July 8, 2009. The only other information about what transpired between the parties consisted of argument of counsel. Mr. Hargrave s counsel stated as follows: there is a history of sham rehabilitation in the circuit; the Crain Brothers conditions were a response thereto; the rehabilitation counselor has divided loyalties, given that he is paid by the employer and even though his counseling client is the claimant; the conditions in the letter are to insure fair dealing; the counselor and the attorney for the employer met for a period of time prior to the hearing; and the counselor in this case, Mr. Diaz, was dismissed from another case when he refused to provide a report to the claimant s counsel in that case. In his brief to this court, Mr. Hargrave cites other cases in which allegedly the same counselor as here indicated that his loyalty may have been owed to the employer or insurer paying for his services rather than the claimant. Mr. Diaz was not called to testify, and there is no indication he retains that view at the present time. However, none of this is admissible evidence on which the hearing officer could have reasonably found that there is an actual dispute concerning the rehabilitation services and the 12 quality thereof, or that imposition of any of these conditions, or any other reasonably tailored condition, would resolve or rectify the dispute. Accordingly, we conclude the hearing officer manifestly erred in determining that the conditions set forth in the letter agreement were reasonable or necessary. La. Rev. Stat. 23:1226(B)(3)(a) sets forth a procedure by which an employee may file a claim with the Office of Workers Compensation if a dispute arises regarding the quality of the services of the vocational counselor or the necessity for such services. As the Interiano court reasoned, there is no requirement in La. Rev. Stat. 23:1226 that a vocational rehabilitation counselor must agree to certain conditions prior to providing vocational rehabilitation services. Certainly absent any showing by the claimant that there is an actual dispute as to the provision of services or the quality thereof, requiring the counselor to abide by such conditions, even if intended as a prophylactic measure, necessarily resorts to speculation and conjecture as to the future actions of the counselor. Accordingly, the OWC hearing officer and the court of appeal erred in requiring the vocational rehabilitation counselor to agree to certain conditions prior to the performance of rehabilitation services in the absence of an evidentiary showing that there was an actual dispute as to the quality of the services of the vocational rehabilitation counselor or the necessity for such services. CONCLUSION For the reasons set forth above, we find the Office of Workers Compensation hearing officer erred in requiring the vocational rehabilitation counselor to comply with certain conditions before the counselor could commence or continue to provide vocational rehabilitation services to the claimant. We thus hold the hearing officer erred in imposing these 13 conditions without an evidentiary showing that any of the conditions were reasonably necessary to resolve or rectify a dispute ¦ concerning the work of the vocational counselor as provided in La. Rev. Stat. 23:1226(B)(3)(a). Accordingly, we reverse the lower courts rulings, and remand the case to the Office of Workers Compensation. REVERSED AND REMANDED 14 10/16/12 SUPREME COURT OF LOUISIANA NO. 2012-C-0341 ELLIS HARGRAVE VERSUS STATE OF LOUISIANA ON WRIT OF CERTIORARI TO THE COURT OF APPEAL, THIRD CIRCUIT, OFFICE OF WORKERS COMPENSATION, DISTRICT 04 Knoll, J., additionally concurring. I agree with the majority, but write separately to express my concerns with the legal regime set up to provide our State s injured workers with vocational rehabilitation services. In my view, this system does not currently serve the best interests of our injured workers and impacts the quid pro quo that is the foundation of the Workers Compensation Act. First, I subscribe to the majority opinion because there is no record evidence establishing a dispute between Hargrave and Diaz concerning the quality of Diaz s services, or that Diaz, in this case, failed to comply with the ethical canons governing vocational rehabilitation counselors, La. Admin. Code tit. 46, §§ 1600 1611. I would not, however, foreclose the possibly of a hearing officer imposing curative conditions similar to, or mirroring, the Crain Brothers conditions in a case where such evidence exists. A hearing officer, like a judge, should have the discretion to fashion an appropriate remedy in the event an injured worker files a claim under La. Rev. Sat. § 23:1226(B)(3)(a). If a dispute arises over the quality of a vocational rehabilitation counselor s services, then the injured employee has a statutory right to file a claim with the OWC. La. Rev. Stat. § 23:1226(B)(3)(a). Under this 1 provision, a hearing officer is the arbiter of these disputes, a role that brings him or her into the ordinary ebb and flow of litigation. Moreover, our courts of appeal generally require hearing officers, when resolving disputes arising under the Workers Compensation Act, La. Rev. Stat. § 23:1310.3(F), to conduct themselves as if they were district court judges. 14 H. Alston Johnson III, LA. CIV. L. TREATISE, WORKERS' COMPENSATION LAW AND PRACTICE § 385, p. 399 (5th ed. 2011). In sum, I agree that a hearing officer does not have carte blanche authority to impose conditions on a vocational rehabilitation counselor prior to an actual dispute arising over that counselor s services. The language of La. Rev. Stat. § 23:1226(B)(3)(a) makes this point clear. However, if record evidence of a dispute existed in this, or any other case, then I believe the imposition of curative conditions, though not expressly authorized under § 23:1226, would be an appropriate remedy, falling well within a hearing officer s discretion. Additionally, I write to express my displeasure with the way in which La. Rev. Stat. § 23:1226 impacts the quid pro quo underlying the Workers Compensation Act. This quid pro quo is a compromise in which the employer is granted immunity from tort claims, and, in return, the employee forgoes his right to full damages for his injury in exchange for limited but certain compensation. Austin v. Abney Mills, Inc., 01-1598, pp. 10 (La. 9/4/02); 824 So. 2d 1137, 1144 45. This compromise is the quintessential characteristic of the workers compensation movement. O Regan v. Preferred Enterprises, Inc., 98-1602, p. 15 (La. 3/17/00); 758 So. 2d 124, 134. In its current form, La. Rev. Stat. § 23:1226 upsets the delicate balance struck by this compromise, tilting the scales in favor of employers to the detriment of our State s injured workers. Throughout the 1990s, and well into the 2000s, our courts, and in particular the Third Circuit, adjudicated numerous sham rehabilitation cases. See e.g., 2 Broussard v. Lafayette Parish School Bd., 05-575 (La. App. 3 Cir. 4/5/06); 926 So. 2d 713, writ denied, 06-1044 (La. 6/23/06); 930 So. 2d 983; Vermillion Parish Policy Jury v. Williams, 02-12 (La. App. 3 Cir. 7/3/02); 824 So. 2d 466. In these cases, vocational rehabilitation counselors were often placing the interests of the employer, or its workers compensation insurer, above the interests of their client, i.e., the injured worker. See e.g., Williams, 02-12 at 3 5, 824 So. 2d at 473 75 (Thibodeaux, J., specially concurring). In many instances, vocational counselors were providing injured workers with minimal to non-existent services. E.g., Page v. Page, 98-1625, pp. 6 7 (La. App. 1 Cir. 9/24/99); 762 So. 2d 18, 22; Maxie v. Brown Industries, Inc., 95-19, pp. 3 9 (La. App. 3 Cir. 5/31/95); 657 So. 2d 443, 445 47, writ denied, 95-1630 (La. 10/6/95); 661 So. 2d 469. These abuses not only deprived injured employees of the prompt rehabilitation they were entitled to, but also subverted the humane and salutary purposes of the Workers Compensation Act. Williams, 02-12 at 3, 824 So. 2d at 473. The State argues the 2005 amendments to La. Rev. Stat. § 23:1226 addressed the sham rehabilitation problem by requiring vocational counselors to comply with Code of Professional Ethics for Licensed Rehabilitation Counselors ( Code of Professional Ethics ). 1 Prior to 2005, La. Rev. Stat. § 23:1226(A) provided, [w]hen an employee has suffered an injury covered by this Chapter 1 House Bill 680, which contained the 2005 amendments to § 23:1226, was an omnibus bill that revised and amended numerous provisions of the Workers Compensation Act. H.B. 680, 2005 Reg. Sess. (La. 2005). When the omnibus bill was presented to the House Labor and Industrial Relations Committee, its proponents did not specify, and the committee members did not question, the purpose behind the amendments to § 23:1226. Hearing on H.B. No. 680 Before House Comm. on Labor and Industrial Relations, 2005 Reg. Session, May, 12, 2005, available at http://house.louisiana.gov/rmarchive/Ram/RamMay05/LImay12-05.ram. Thus, it is unclear whether these amendments were promulgated as a direct response to the sham rehabilitation problem. However, legislators are presumed to act deliberately and with full knowledge of existing laws on the same subject, with awareness of court cases, and with knowledge of the effect of their acts and purpose in view. Hunter v. Morton s Seafood Rest. & Catering, 08-1667, p. 5 (La. 3/17/09); 6 So. 3d 152, 155. Following this canon of statutory construction, I presume the Legislature was well aware of the case law detailing the sham rehabilitation problem, and that prior to 2005, §§ 23:1226(A) and (B)(3)(a) did not require vocational counselors selected to provide rehabilitation services to be licensed professional vocational rehabilitation counselors. Therefore, I believe the 2005 amendments were a deliberate and purposeful response by the Legislature to the sham rehabilitation problem. 3 which precludes the employee from earning wages equal to wages earned prior to the injury, the employee shall be entitled to prompt rehabilitation services. In 2005, the Legislature revised this section, adding the following sentence: [v]ocational rehabilitation services shall be provided by a licensed professional vocational rehabilitation counselor, and all such services provided shall be compliant with the Code of Professional Ethics for Licensed Rehabilitation Counselors . . . H.B. 680, 2005 Reg. Sess. (La. 2005). Additionally, the Legislature amended La. Rev. Stat. § 23:1226(B)(3)(a); this provision, which formerly provided [t]he employer shall be responsible for the selection of a vocational counselor. . ., was amended to read, [t]he employer shall be responsible for the selection of licensed professional vocational rehabilitation counselor. Id. La. Rev. Stat. §§ 23:1226(A) and (B)(3)(a) now require vocational rehabilitation counselors, who are hired to assist injured workers, to be professionally licensed. As licensed professionals, these counselors must adhere to and enforce the ethical standards contained in the Code of Professional Ethics. La. Admin Code tit. 46, § 1600(A). This Code makes clear licensed vocational counselors serve one client, the injured worker. La. Admin. Code tit. 46, §1602(A) ( The primary obligation of licensed rehabilitation counselors is to their clients . . . defined as individuals with disabilities who are receiving services from licensed rehabilitation counselors . . . . ) (emphasis added). Requiring employers to hire licensed vocational rehabilitation counselors was a step in the right direction toward eliminating sham rehabilitation. If anything, the Code of Ethics makes clear these counselors serve the interests of the injured worker the client not the interests of the employer or its insurer. The 2005 amendments to § 23:1226 were not, however, a cure-all for the sham rehabilitation problem. 4 In my view, this area of the law cries out for further legislative reform. The statutory scheme for providing injured workers with rehabilitation services continues to breed an irreconcilable conflict, whereby the vocational counselor is required to serve two masters with divergent interests. See Maxie, 95-19, p. 9, 657 So. 2d at 447. This aspect of the statutory scheme is inherently problematic. La. Rev. Stat. § 23:1226(B)(3)(a) mandates that the employer, without input from the claimant or a neutral third party, shall be responsible for the selection of a licensed professional vocational rehabilitation counselor to evaluate and assist the employee in his job placement or vocational training. 2 Under this selection process, the vocational counselor is placed in an untenable position. On the one hand, he is bound by the Code of Ethics to advance the interests of the injured worker. On the other, he is beholden to and must appease the entity responsible for hiring and paying him, i.e., the employer/insurer. Ultimately, the unfettered discretion § 23:1226(B)(3)(a) grants employers in selecting vocational counselors impacts the quid pro quo compromise of competing interests struck by our workers compensation system. While the employer s interests are advanced through the vocational counselor, whom it selects and pays, the injured worker s interests in obtaining prompt and meaningful rehabilitation are often thwarted. Again, we cannot resolve this conflict by permitting hearing officers to impose prophylactic conditions on vocational counselors. The Legislature, however, can by allowing a neutral third party to select the vocational counselor. Finally, I take umbrage with the practice of vocational rehabilitation counselors meeting with the employer, insurer, or their representative attorney 2 This provision stands in stark contrast to La. Rev. Stat. § 23:1121. La. Rev. Stat. § 23:1121(A) requires the injured employee to submit to a medical examination provided and paid for by the employer as soon after the accident as the employer demands. Thereafter, the employee is given a choice. He may select one treating physician in each specialty, but must obtain the employer s consent to change specialists after making his initial choice. La. Rev. Stat. § 23:1121(B)(1). Notably, there is no history of sham treatment analogous to sham rehabilitation. 5 without the claimant s attorney present. A vocational counselor an expert hired to serve the needs of the injured worker meeting with his client s adversary, the employer/insurer, without the client s attorney is patently unfair to the injured worker and detrimental to the rehabilitation process. Not surprisingly, one of the Crain Brothers conditions sought to combat this practice. 02-1342, p. 1 (La. App. 3 Cir. 4/9/03); 842 So. 2d 523, 524. But this too is a practice more appropriate for the Legislature, not this Court, to address, unless this practice leads to abusive tactics. When there is record evidence of such abuse, the hearing officer can then fashion a remedy curing such abuse, i.e., imposing conditions to stop it. 6
Some case metadata and case summaries were written with the help of AI, which can produce inaccuracies. You should read the full case before relying on it for legal research purposes.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
