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2026 Workers' Compensation Appeal Decisions

  January 2026 Madrid v. Mexico Lindo Grill & Cantina , No. 24700714.01 (Arb./App. Jan. 2, 2026) In this case, the interim commissioner, who heard the case as a deputy, makes an arbitration decision which he indicates is a final agency decision for purposes of administrative efficiency, citing 10A.321(5) and 17A.15(1).  Neither of these sections really appears to justify the arbitration decision as appeal decision result.  10A.321(5) indicates that the decision of the WC commissioner is final agency action, but this particular provision does not indicate that an appeal under 10A.321(1) is forfeited in this situation.  It's certainly more efficient, but raises questions as to the legality of the order under Iowa law and also seems to raise due process concerns. That having been said, for purposes of this reviewing appeal decisions, this decision will be considered as such. The issues in the case involve whether claimant sustained a work-related injury, whether the...

Court of Appeals Finds District Court Correct in Holding it Did Not Have Jurisdiction to Hear Claimant's Alternate Medical Care Dispute

  Towns v. Silver Oaks Nursing and Rehabilitation Center , No. 25-0310 (Iowa App. Dec. 17, 2025) In this somewhat complicated jurisdictional dispute, claimant initially filed an application for alternate medical care, which was denied.  A petition for judicial review resulted in the district court remanding the issue to the agency to redetermine the alternate medical care dispute based on more specific evidentiary findings.  The agency, through a deputy, issued a decision again denying alternate medical care.  Rather than filing an application for judicial review, claimant filed a document captioned "presentment of agency response to remand order for additional factual finding and request for order for hearing transcript and scheduling orders" with the district court. At hearing, defendants challenged jurisdiction, as claimant had not filed a petition for judicial review. Claimant argued the court had retained jurisdiction under its earlier remand order. The court ag...

Court of Appeals Affirms Commissioner's Finding on Rate, Award of Penalty Benefits

  US Nursing Corp. v. Decormier , No. 25-0407 (Iowa App. Dec. 3, 2025) Claimant suffered an injury at work.  Under her contract at work, she was initially guaranteed 48 hours of work per week at $65 per hour, with $97.50 overtime.  She received a $10 per hour raise the week before she was injured. The deputy concluded her weekly rate was $1562.50 and denied penalty benefits.  On appeal, the commissioner agreed with the weekly rate but awarded a $5500 penalty.  Defendants filed a judicial review, which affirmed the decision of the commissioner The fighting issue with respect to the rate was whether section 85.36(6) or 85.36(9) was to be applied. The commissioner found that 85.36(6) appied, as claimant had worked at US Nursing for not only ten weeks in Sioux City but on an earlier assignment.  Defendants' argument that 85.36(9) applied because claimant had earned no wages or less than the usual wages customary in the industry was denied, as defendants' own wi...

Court of Appeals Affirms Commissioner's Rating of Distal Clavicle Excision Which Used a 25% Modifier

  Koeller v. Cardinal Logistics Management Corp. , No. 25-0172 (Iowa App. Dec. 3, 2025) Claimant suffered an injury to his shoulder and was found to need a shoulder surgery , which included a distal clavicle excision .  Dr. Bollier , the physician who performed the surgery, provided a 6% permanent impairment rating based on loss of range of motion . No rating was provided for the distal clavicle excision, as Dr. Bollier did not believe this was related to the work injury. Dr. Taylor , claimant's IME physician , provided a 19% upper extremity impairment rating, which included a 10% rating for the distal clavicle excision.  In making this rating, Dr. Taylor indicated he did not use the 10% modifier from Table 16-18 of the AMA Guides because he believed that Table 16-27 was inadvertently listed as one of the tables to which the modifier should be applied.  Dr. Crites performed a record review and also found that the modifier did not apply and gave the full 10% impair...

Court of Appeals Concludes That Injury to the Skin Under the Guides is to be Treated as a Scheduled Injury

LaGuerre v. JBS USA Holdings, Inc. , No. 24-2049 (Iowa App. Oct. 29, 2025) Claimant suffered a degloving injury which resulted in skin being grafted from claimant's right thigh to his right arm.  The employer's expert provided claimant a 9% upper extremity impairment despite the fact that the Guides treat a skin injury as an injury to the whole body.  Claimant's expert provided a 7% body as a whole impairment for a class I skin impairment.  The deputy found that claimant had sustained a scheduled injury, but provided a 7% whole body rating as the Guides instructed. The commissioner affirmed, as did the district court. On appeal, claimant argued that the legal question presented to the Court was whether the injury should be considered unscheduled because the Guides rates that impairment as a whole person impairment.  Claimant conceded that earlier precedent supported the deputy's decision to considered the injury a scheduled injury, but argued that the 2017 amendments...

Court of Appeals Agrees with District Court's Reversal of Commissioner's Denial of Benefits

  Culpepper v. CNH Industrial America LLC , No. 24-2040 (Iowa App. Oct. 29, 2025) The agency denied claimant's alleged back pain, rejecting the report of the treating physician and also finding claimant had not provided timely notice of the decision.  On judicial review, the district court reversed both findings and remanded the claim to the agency for further proceedings.  The Court of Appeals affirms the holdings of the district court. Claimant alleged that he suffered a neck injury while at work and alleged injury dates of 6/8/21, 9/3/21 and 10/29/21. Dr. Abernathey, the treating physician, provided statements concerning the injury on three occasions.  In the first two of those statements, which were referenced in the opinion of the deputy, Dr. Abernathey indicated that work activities did not "cause" the work injury.  In the third report, not discussed by the deputy, Dr. Abernathey opined "within a reasonable degree of medical certainty that [Culpepper's] wo...

Supreme Court Concludes That Once a Worker Returns to Work at the Same or Greater Pay, and Injury is to be Considered Functionally Under 85.34(2)(v)

  Den Hartog Industries v. Dungan , No. 23-1402 (Iowa Oct. 3, 2025) In this case interpreting 85.34(2)(v) of the Act, the Supreme Court concludes that an employee who returns to work at the same or greater wages following an otherwise industrial work injury is to have that injury considered functionally under 85.34(2)(v)(3). The decision reverses an earlier 2-1 decision of the Court of Appeals that had concluded the statute was unclear and was to be interpreted liberally. The court had concluded claimant's injury was to be determined industrially. Claimant suffered an injury at work and continued to work for the employer for 11 months with some work restrictions.  After returning to work, he was paid wages that equaled or exceeded the wages he had previously received. He testified that his pain caused him to miss "a fair bit of work." He left the job after 11 months to take a different job and move closer to his family.  He subsequently found work, making more than he was...