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Alabama is a physical-mental state which means you have to have a physical injury in order to be able to recover mental injuries.  Ten years ago,the Alabama Court of Civil Appeals held that PTSD could be recoverable as an occupational disease provided that there was a corresponding physical injury.  Lawmakers are now proposing to amend the Alabama Workers’ Compensation Act to make an exception for first responders. H.B. 44 would apply to law enforcement officers, firefighters, paramedics, emergency dispatchers, and emergency medical technicians of an emergency services agency or entity. The bill was referred to the House of Representatives committee on Ways and Means General Fund.

About the Author

This blog submission was prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a law firm dedicated to representing self-insured employers, insurance carriers, and third party administrators in all matters related to workers’ compensation. Fish Nelson & Holden is a member of the National Workers’ Compensation Defense Network. If you have any questions about this submission or Alabama workers’ compensation in general, please contact Fish by e-mailing him at mfish@fishnelson.com or by calling him directly at 205-332-1448.

Earlier today (2/28/20), the World Health Organization chief Tedros Adhanom Ghebreyesus told reporters that the risk of spread and impact of the coronavirus is now very high as a “global level”.  So how will this affect workers’ compensation in Alabama?  Most likely in a similar manner to how it will affect workers’ compensation in New Jersey.  The below article is re-published with the permission of nationally known New Jersey attorney and blogger, John Geaney.   It was originally published earlier today on Mr. Geaney's New Jersey Workers' Comp Blog (http://njworkerscompblog.com).  Alabama does not have the statutory presumptions for public safety workers that New Jersey does.  However, similar to New Jersey, for the coronavirus to be considered compensable in Alabama, the employee would have to be able to prove that contracting it was due to hazards in excess of those ordinarily incident to employment in general and that it is peculiar to the employee’s occupation.

The Potential Impact of the Coronavirus on New Jersey Workers’ Compensation

Many readers of this blog have inquired recently about the potential impact of the novel coronavirus on workers’ compensation claims.  Should a surge of serious coronavirus illnesses occur among New Jersey workers, would such claims be considered compensable under the law?

The answer to this question depends on whether one is or is not a public safety worker. Most New Jersey workers would not meet the test of a public safety worker.  For non-public safety workers, the likelihood of successfully maintaining an occupational disease claim under N.J.S.A. 34:15-31 would be very low.  The reason is that a claimant must show that the medical condition, for instance pneumonia, is more likely than not produced by causes which are characteristic of or peculiar to one’s occupation in a material degree.  This test is hard to meet because it is next to impossible to identify the source of the virus.  Many people who do not even know they have Covid-19 and are not yet symptomatic may be infecting large numbers of individuals in all sorts of locations.  For an infected employee, it would be hard to know whether one was exposed to the virus at work, in a store or some other places of human contact.  It would almost always be pure speculation where the exposure occurred.

Public safety workers, on the other hand, will have a strong argument for compensability.  The legislative intent of the Twenty First Century First Responders Protection Act was to protect public safety workers.  That law became effective in New Jersey on July 8, 2019.  This landmark legislation observes that “public safety workers are required by necessity to take great personal risks of serious injury, illness and death in their duties to protect the people of New Jersey from the dangers of catastrophic emergencies, including, but in no way limited to, terrorist attacks and epidemics.”  Unfortunately, the coronavirus has the potential to reach epidemic levels in the USA just as the virus has in China and other nations.

N.J.S.A. 34:15-31.4 defines a public safety worker broadly to include not just fire and police officers, but also “a Community Emergency Response Team approved by the New Jersey Office of Emergency Management, or a correctional facility, or a basic or advanced medical technician of a first aid or rescue squad, or any other nurse, basic or advanced medical technician responding to a catastrophic incident and directly involved and in contact with the public during such an incident. . .”  There are likely to be thousands of public safety workers in New Jersey who will be part of state efforts to contain any potential rapid spread of this virus.

N.J.S.A. 34:15-31.5 provides a presumption of compensability in subsection a. if a public safety worker can demonstrate exposure at work to “the excretions, secretions, blood or other bodily fluids of one or more other individuals or is otherwise subjected to a potential exposure, by the other individual or individuals, including airborne exposure, to a serious communicable disease, or is otherwise determined to be infected with or at significant risk of contracting the serious communicable disease. . . “ Readers should focus on the language “or is otherwise subjected to a potential exposure” in the preceding sentence.  The language does not say definite or proven exposure but rather “potential” exposure.  Public safety workers, by the nature of their work, are highly likely to have such potential exposures to those who are infected with coronavirus.

These new provisions of New Jersey’s occupational disease law demonstrate that public safety workers who may contract coronavirus will have a strong case for compensability given the presumption provided for in the statute.  Having a presumption of compensability is powerful.  When there is presumption of compensability, the burden of proof shifts to the employer to show that the exposure is not work related.  Just as I said earlier that it is hard for a non-public safety worker to prove exposure, so too it would be very hard for an employer to prove that a public safety worker more likely than not was infected through non-work exposures.  The employer will have no idea when the disease was contracted, and it would be speculation to say that the exposure was not work related.  So the presumption in a public safety worker scenario will almost certainly lead to compensable awards.

The statute drives this point home:  “If it is ascertained that the public safety worker has contracted a serious communicable disease or related illness under the circumstances set forth in subsection a of this section, there shall be a presumption that any injury, disability, chronic or corollary illness or death of the public safety worker caused by, attributable to, or attendant to the disease is compensable under the provisions of R.S. 34:15-1 et seq.” 

The CDC has concluded that it is just a matter of time before the coronavirus is considered a pandemic and before it spikes in parts of the United States.  If the CDC is right, New Jersey public safety workers run a high risk of contracting the illness in the course of their employment.  While slightly more than 80% of coronavirus patients have had mild symptoms, the remaining percentage has had serious symptoms.  Sadly, a small percentage of deaths is related to the coronavirus.  It is true that the percentage of deaths from coronavirus may not be any higher than the percentage of deaths from the flu each year in the USA, but there is a difference: there is no current vaccine for this virus and it has proven thus far to be highly contagious.

Our guest blogger from New Jersey, John H. Geaney, Esq., is an Executive Committee Member and a Shareholder in Capehart Scatchard's Workers' Compensation Group. Mr. Geaney concentrates his practice in the representation of employers, self-insured companies, third-party administrators, and insurance carriers in workers' compensation, the Americans with Disabilities Act and Family and Medical Leave Act. Should you have any questions or would like more information, please contact Mr. Geaney at 856.914.2063 or by e mail at jgeaney@capehart.com.

About the Author

This blog submission was prepared by Mike Fish, an attorney with Fish Nelson & Holden, LLC, a law firm dedicated to representing self-insured employers, insurance carriers, and third party administrators in all matters related to workers’ compensation. Fish Nelson & Holden is a member of the National Workers’ Compensation Defense Network. If you have any questions about this submission or Alabama workers’ compensation in general, please contact Fish by e-mailing him at mfish@fishnelson.com or by calling him directly at 205-332-1448.

 

February 2020

Tennessee Appeals Board Finds “Could Be” Medical Testimony Insufficient to Establish Causation

Prior to 2014, the compensability of Tennessee workers’ compensation injuries was frequently established by medical testimony that the injury “could be” or “might be” work related. That ended in 2014 with the Tennessee Workers’ Compensation Reform Law. One of the many changes brought about under the Reform was the statutory requirement that an injury was not compensable unless it aroseprimarily out of and in the course and scope of employment. Moreover, causation had to be established to a reasonable degree of medical certainty, meaning more likely than not, “as opposed to speculation or possibility.” Presumably, this now means that “could be” or “might be” medical testimony is generally not enough to support a finding of compensability. 

The Tennessee Workers’ Compensation Appeals Board put that proposition to the test on January 21, 2020, in the case ofArmstrong v. Chattanooga Billiard Club.  In that case, the employee alleged injuries to her mouth, face, and right arm as a result of receiving an electrical shock in the course of her employment. The employer denied causation of the alleged dental injuries, relying on the opinion of Dr. Richard Johnson that the dental injuries were not work related. However, the employee responded by submitting the medical opinion of Dr. Drew Shabo that the dental work needed to save the employee’s teeth “could very well be needed due to the electrical shock.”

The Appeals Board reviewed this case on a motion for summary judgment from the employer.  Finding that Dr. Johnson’s opinion was sufficient to negate an essential element of the employee’s claim, the burden shifted back to the employee to demonstrate the existence of specific facts in the record that could convince the court to resolve the causation issue in her favor. The Appeals Board found Dr. Shabo’s “could be” opinion insufficient to satisfy the statutory causation standard. Therefore, the employer was entitled to summary judgment with regard to the alleged dental injuries.

For more information, please contact:

Fredrick R. Baker, Member

1420 Neal Street, Suite 201
P.O. Box 655
Cookeville, TN 38503-0655
Phone: 931-372-9123
Fax:  931-372-9181
fbaker@wimberlylawson.com
www.wimberlylawson.com 

 

Two bills of interest to the Workers' Compensation Field:

SB 275
Also, as previously reported, an intermediate court of appeals of West Virginia is one step closer to reality asSenate Bill 275 advanced out of the Senate by a mostly party line vote of 18-14, with two Senators absent. As previously reported, Senate Bill 275 would create an Intermediate Court of Appeals which would hear, by right, all appeals from Circuit Courts after June 30, 2021, and its decisions would be accorded precedential effect by the lower courts. Appeals of decisions from that court to the Supreme Court of Appeals would be by discretion only. The judges are elected to 10-year terms by the citizens in non-partisan election. The bill creates a northern and southern district within West Virginia, each with a three-judge panel to hear appeals arising out of its geographical area and is expected to cost $6.3 million a year. Additionally, the bill significantly reorganizes workers' compensation appeals by transferring all powers and duties of the current Workers' Compensation Office of Administrative Law Judges to the three-judge panel of the Workers' Compensation Board of Review. The Office of Judges would issue final decisions on all objections in its possession on or before September 30, 2021, and will then sunset on October 1, 2021. The Intermediate Court of Appeals would exercise appellate jurisdiction over all decisions issued by the Office of Judges and the Board of Review after June 30, 2021.
 
The bill was reported to the House where it was double-referenced to Judiciary and then Finance. Its future in the House is cloudy, at best, given its history there.

SB 339 and SB 752
When the West Virginia Medical Cannabis Act of 2017, as created bySenate Bill 386, was enacted, the program had serious shortcomings which had to be addressed in 2019 bySenate Bill 1037. One of those shortcomings, according to medical cannabis advocates and market watchers was the restrictive manner of delivery of medical cannabis. Indeed, Senate Bill 386 only permitted pills, oils, tinctures, and creams, but did not permit leaf or plant forms, unless such were approved by the Department of Health & Human Resources in the rules it was required to promulgate to implement the program. Therefore, when medical cannabis advocates in the Legislature had under consideration those very rules, as bundled in Senate Bill 339, they successfully amended the same in committee to permit dispensaries to provide medical cannabis in dry leaf of plant form. The committee amendments were adopted by the full House by a vote of 74-23, with three absent. Since the House amended a Senate bill, it was reported back to the Senate for concurrence. The Senate, meanwhile, had under considerationSenate Bill 752 which, among other things, expanded the definition of serious medical conditions for which medical cannabis is approved to include ulcerative colitis as well as opioid use disorder. Furthermore, the bill made it easier to change the form of delivery of medical cannabis by empowering the commissioner of the Bureau of Public Health to approve such forms upon a recommendation of the advisory board. This bill is expected to pass the Senate on February 26. Its future in the House seems bright, given the action that chamber took on the rules bundle in Senate Bill 339. 

For more information or any questions, please contact Dill Battle at 304-340-3800.

 

 

Adjusters and employers familiar with other state workers’ compensation laws are often surprised to find out that the New Jersey Workers’ Compensation Act contains no statute requiring employers to pay for transportation costs to get employees to medical appointments and no mileage reimbursement provision.  

When an employer requires an injured worker who has moved out of state to come back to New Jersey for an independent medical examination, the employer does not have to pay for airfare, reimburse costs of travel, or reimburse mileage.

Yet there are situations where it may make good sense for employers to consider providing transportation. One such situation occurs when there is an offer of light duty.  As readers well know, the Harbatuk case stands for the proposition that an employer can terminate temporary disability benefits on an offer of light duty if the injured employee refuses the light duty offer.  Suppose the injured employee is more than willing to accept the light duty offer, but the authorized treating doctor will not permit the injured worker to drive a car as a result of the work injury?   Should the employer refuse to pay temporary disability benefits when the employee does not appear for the light duty assignment?

This situation happens quite frequently because many injuries lead to restrictions on driving following surgery or the employee may be taking authorized prescription medications that negate driving.  When faced with this issue, most Judges of Compensation will not endorse the termination of temporary disability benefits when an employee wants to come back to work light duty but cannot due to a restriction against driving imposed by the treating doctor.  Judges do not consider this to be a refusal to perform light duty, so it may make sense in this situation to provide some means of transportation.

Distance is often the key variable. Many injured workers have long drives to work where no public transportation is available.  Some employers will offer to have a fellow employee pick up the injured worker and drive the injured worker to the light duty assignment.  In rare situations, employers may even provide an Uber or Lyft driver.  Still other employers faced with this dilemma will simply continue to pay temporary disability benefits until the injured worker reaches maximal medical improvement or can return to driving.  New Jersey is a state where temporary disability benefits end at MMI or return to work full duty, whichever is earlier.

Another transportation issue arises when the injured worker cannot get to physical therapy or make treating appointments because of a driving restriction placed on the worker by the authorized physician.  Again, there is no case law on this issue, nor any statute that addresses it.  Employers will often come up with a creative solution because they know that if the employee cannot get to treatment or therapy, the recovery period will be lengthened.  

Thus far we have discussed cases involving driving restrictions.  But there is a large contingent of New Jersey workers who do not own cars and only get to work through employer provided transportation.  When an injury occurs to such an employee, there may be no way to get to the office of the treating doctor.  Some employers provide transportation in this situation.  It is also worth noting that there are a few occupational health facilities and physicians that provide transportation, picking the employee up for treatment and returning the employee to his or her residence. This is an important service that employers should bear in mind. 

The lesson in all of this is that the absence of a statutory provision on transportation has not prevented New Jersey employers from creating practical solutions to challenges in getting employees to work and to medical appointments.

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John H. Geaney, Esq., is an Executive Committee Member and a Shareholder in Capehart Scatchard's Workers’ Compensation Group.  Mr. Geaney concentrates his practice in the representation of employers, self-insured companies, third-party administrators, and insurance carriers in workers’ compensation, the Americans with Disabilities Act and Family and Medical Leave Act. Should you have any questions or would like more information, please contact Mr. Geaney at 856.914.2063 or by e‑mail at jgeaney@capehart.com. 

Download our 2020 Case Law Update here:

Case Law Update 2020

Case Law Update 2020 (289 KB)

Download our 2020 Wisconsin Worker's Compensation "Cheat Sheet" here:

2020 Cheat Sheet

2020 Cheat Sheet (208 KB)

First Responder PTSD Bill Advances to the Full West Virginia House of Delegates

February 17, 2020: A first responder PTSD bill advanced to the full House of Delegates after an unanimous voice vote from the House Judiciary Committee meeting this morning. House Bill 2321 provides that PTSD suffered by a first responder is a compensable injury "upon a diagnosis by a licensed psychiatrist that the first responder suffers from the disorder and upon a finding that the disorder occurred as a result of an event or events that occurred in the course of within the scope of the first responder's employment duties." HB 2321 modifies W. Va. Code § 23-4-1f which provided that mental-mental claims are not compensable in West Virginia. The current law states: "No alleged injury or disease shall be recognized as a compensable injury or disease which was solely caused by nonphysical means in which did not result in any physical injury or disease to the person claiming benefits." The proposed bill defines first responder as a law-enforcement officer, firefighter, emergency medical technician, or paramedic. PTSD is defined as a "disorder that meets the diagnostic criteria for post-traumatic stress disorder specified by the American Psychiatric Association in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, or a later addition as adopted by rule of the insurance commissioner." The Legislature finds it is the moral obligation of the state to provide coverage to this class of individuals for their work-related injury because first responders are required "to expose themselves to post-traumatic stress disorder causing events" during the course of their employment, and because of "the severe nature and deliberative effect of post-traumatic stress disorder."

The Legislature may have meant to say PTSD is severe and can have a "debilitating effect" on those suffering from it. PTSD symptoms or diagnosis may not manifest immediately after an event, so noticeably lacking from the bill is criteria for determining whether the PTSD claim is an occupational injury or an occupational disease for the purpose of determine the statute limitations. As drafted, it appears the drafters believe PTSD is an injury because the disorder arises on the date of the event or events causing PTSD, which would trigger a six-month statute limitations for occupational injuries under W. Va. Code § 23-4-15(a). The longer three-year period for filing an occupational disease claim in W. Va. Code § 23-4-15(c) would not apply. If the PTSD does not manifest and a diagnosis is made within the six-month period after the triggering event, a first responder could be barred from filing a claim.

If you have questions or need more information, please call or e-mail Dill Battle at 304.340.3823 ordbattle@spilmanlaw.com

H. Dill Battle III, Esq.

Spilman Thomas & Battle, PLLC
300 Kanawha Boulevard, East
Charleston, WV 25301
304.340.3823 - office
304.340.3801 - fax
dbattle@spilmanlaw.com

The recently passed legislation L. 2019, C. 387 increasing the value of hand and foot injuries in New Jersey has generated considerable debate about which cases the law affects. Does it affect only cases filed after the date the law was passed?  Or does it affect all cases presently pending in the Division of Workers’ Compensation but not yet subject to a court order?

One point all practitioners agree on is that the law does not affect prior court orders.  There is no indication that the law was meant to be primarily retroactive, requiring old orders to be reconsidered.  But there remains the question of whether the law is supposed to be secondarily retroactive, meaning affecting all present claims, even those filed before the effective date of the law, but not yet subject to a court order.

The law states that “This act shall take effect immediately.” There is no language specifically stating that the law should have “prospective relief only,” nor any clear language stating that the law should be in any way retroactive.  So the focus is on the meaning of the words “shall take effect immediately.”

Practitioners have two reported workers’ compensation cases to consider on this issue.  Unfortunately, these two cases seem to be in conflict. Both involve the dependency statute.  The first is Harris v. Branin Transport, 312 N.J. Super. 38 (App. Div.), certif. denied, 156 N.J. 408 (1998). In that case, Anne Harris became a statutory dependent back in 1979 when her spouse died in a work-related accident.  Under the old law, any income after 450 weeks had to be offset against dependency benefits.  Harris was earning $128 per week after 450 weeks, so that amount was deducted from her dependency award. 

In 1995 the law was changed removing the earnings credit.  Harris applied to end the removal of the earnings credit.  The question was whether or not the new law removing the earnings credit would apply to only new dependents after 1995 or to all current and existing dependents. The Appellate Division held that the new law was intended to apply to Harris and others like her who were already receiving dependency benefits, calling this “secondarily retroactive.”  The Supreme Court declined to accept the case, so that the Appellate Division stood.  If Harris is followed, the hand and foot bill would affect all existing claims in the Division not yet decided.

Nine years later another change in the dependency law occurred.  In Cruz v. Central Jersey LandscapingInc., 195 N.J. 33 (2008), the Supreme Court considered an amendment that removed the graduated dependency scale.  Prior to 2004, one dependent received 50% of wages, two received 55%, three received 60%, four received 65% and five or more received 70% of wages.  The new law established that one dependent alone would receive 70% of wages, eliminating the graduated scale.

Four separate cases were tried and eventually were consolidated before the Supreme Court.  All four claimants were existing dependents who had filed claims before the law was passed in 2004, and they argued that they should get the benefit of the new law.  The Division split on whether the new law was prospective only; the Appellate Division ruled the new law was secondarily retroactive as in Harris above, but the Supreme Court reversed.  The very same language appeared in that Act, namely that the law was supposed to have immediate effect.   The Supreme Court held that the new law should only apply to those who filed after the effective date of the Act.  The Supreme Court said:

Indeed there is nothing in the amendments or in the sponsors’ statements that suggests that the Legislature intended to give the new benefit level retroactive effect of any kind.  We certainly see no basis in the legislative history, and in an interpretive framework that includes our prior holding that vesting occurs on the date of death, to conclude that the Legislature intended to effect a reopener of settled awards.  Nor is there anything in the directive that the act ‘shall take effect immediately’ to suggest retroactivity.  On the contrary, these words bespeak an intent contrary to, and not supportive of, retroactive application.

The Supreme Court interpreted the words “shall take effect immediately” to imply only to those cases filed in the future, i.e., filed after the effective date of the amendment to the Act.   The Court was concerned about how far back one goes, stating that retroactive application would mean reaching even beyond pending and non-finalized claims, implying that it could be applied to closed orders in the past.  But no one is arguing that the hand and foot bill should affect orders entered in the past. The argument on the hand and foot bill is between secondary retroactivity (existing claims) versus prospective effect.  If Cruz is followed, the hand and foot bill will only apply to claim petitions filed after the effective date in late January 2020. 

It is very difficult to reconcile the decision in Harris with the decision in Cruz.  In Harris the Supreme Court did not take the case and therefore let the Appellate Division stand; In Cruz the Supreme Court took the case and reversed.  The decisions were only nine years apart but the reasoning diverged markedly.  

This practitioner has spoken with many attorneys and clients about this issue.  Defense attorney Joe Soriano took the time to review the legislative history and the sponsor’s statement and notes that there is no clear intention that the bill should be retroactive in any way.   He points out the word “retroactive” does not appear anywhere in the legislative history, sponsor’s statement or the legislation itself.

This practitioner has also spoken with several petitioners’ counsel.  They make the point that the words “shall take effect immediately” do not mean the same thing as “shall have prospective effect.”  The argument from the petitioner side is that if that was the intention, why wouldn’t the Legislature have simply said:  “This law shall only apply to claim petitions filed after the effective date.”  The meaning of the language “shall take effect immediately “ is open to interpretation.

In the meantime, what should employers and carriers do?  Suppose they settle a case without paying the new higher rates on hand and foot injuries, only to receive a decision a year from now from the Appellate Division ruling that they should have paid the increased weeks?  In that instance, the award would have to be reopened and corrected.  For this reason, it may be wise to reserve for this potential outcome until there is a decision.

What about petitioners’ counsel?  Suppose the Judge of Compensation rules that the petitioner is entitled to the benefit of the new law, only for the Appellate Division to rule a year from now that the law is not retroactive.  Does the petitioner owe the money back to the carrier?  Should an amount be set aside for that eventuality? 

The sooner we hear from the courts on this issue the better for all workers’ compensation practitioners. We thank the many counsel who have provided their input on this important issue.

 

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John H. Geaney, Esq., is an Executive Committee Member and a Shareholder in Capehart Scatchard's Workers’ Compensation Group.  Mr. Geaney concentrates his practice in the representation of employers, self-insured companies, third-party administrators, and insurance carriers in workers’ compensation, the Americans with Disabilities Act and Family and Medical Leave Act. Should you have any questions or would like more information, please contact Mr. Geaney at 856.914.2063 or by e‑mail at jgeaney@capehart.com. 

In New Jersey a medical provider dispute arising from a work injury can only be filed in the Division of Workers’ Compensation ever since the 2012 Amendments.  But the 2012 Amendments to the New Jersey Workers’ Compensation Act failed to answer one fundamental question:  how long does the provider have to bring a claim in the name of the injured worker?  Are medical providers bound by the same two-year rule that applies to claimants? The Supreme Court provided the final answer on February 3, 2020 in The Plastic Surgery Center, P.A. v. Malouf Chevrolet- Cadillac, Inc.

The case involved several claim petitions filed by The Plastic Surgery Center more than two years after the employee’s accident.  The Judge of Compensation ruled that the claims were out of time, but the Appellate Division reversed in favor of the medical providers.  The Supreme Court granted certification and heard the arguments last month.   In its decision the Supreme Court adopted the reasoning of the Appellate Division wholesale. 

First the Court observed that before the 2012 Amendments, medical provider claims were governed by the general six-year statute of limitations which applies to contract claims. The Supreme Court agreed with the two main arguments that the medical providers made to the Appellate Division. The 2012 Amendments could not have been intended to restrict claims to two years because the definition of claimant in the New Jersey Workers’ Compensation Act would have to be expanded to include medical providers.

More importantly, the Court said:

Second, the two-year period simply doesn’t fit:  N.J.S.A. 34:15-51 requires that a petition for compensation be filed within two years of ‘the accident,’ but it is likely that an employee might be treated by a medical provider for a period greater than the two-year period following the accident or even not be treated by a particular medical provider until after two years elapsed from the work-related accident. . . . As a result, a provider’s legitimate claim might actually be extinguished before it even accrued.  . . . The appellate court declined to interpret legislative silence to produce such a result.

This represents a significant win for medical providers. The result basically guarantees that the number of medical provider claims will continue to rise sharply in the New Jersey Division of Workers’ Compensation.  New Jersey remains one of the few states without a medical fee schedule in workers’ compensation.  This decision emphasizes the need for employers to work with medical repricing companies which really know the New Jersey market for workers’ compensation treatment in respect to usual and customary charges.

 

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John H. Geaney, Esq., is an Executive Committee Member and a Shareholder in Capehart Scatchard's Workers’ Compensation Group.  Mr. Geaney concentrates his practice in the representation of employers, self-insured companies, third-party administrators, and insurance carriers in workers’ compensation, the Americans with Disabilities Act and Family and Medical Leave Act. Should you have any questions or would like more information, please contact Mr. Geaney at 856.914.2063 or by e‑mail at jgeaney@capehart.com.