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Supreme Court Holds That IME Costs for an "Examination" are Included in Code Section 85.39

Mid American Construction LLC v. Sandlin , No. 22-0471 (Iowa Feb. 9, 2024) In this action, the sole question presented to the Court was whether the cost of an "examination" conducted as a part of an independent medical examination was reimbursable to claimant or whether the amount to be paid was limited to the the component cost of the impairment rating under section 85.39 of the Code.  The commissioner had included the costs of the examination and the district court agreed.  On appeal to the Court of Appeals, the court limited the amount to the cost involved in providing the impairment rating and awarded only $500 of the $2200 amount charged by the IME physician. On further review, the Supreme Court reverses the decision of the Court of Appeals and holds that the cost of the examination was payable by the employer.  The Court begins by noting that section 85.39(1) and (2) both require an employee to submit to examinations as a part of the workers' compensation claims....

Supreme Court Holds That 85.39 Examination Not Taxable as Costs Under 876 IAC 4.33(6)

The Supreme Court, in DART v. Young , No. 14-0231 (Iowa June 5, 2015) , held that an independent medical evaluation under section 85.39 could not be completely paid under the "costs" section of the commissioner's administrative rules at 876 IAC 4.33(6).  The court affirmed the decision of the Court of Appeals, although discussing the issue in more detail.  The case was decided on a 4-3 vote, with Justices Hecht, Appel and Zager in dissent. The facts in DART  were relatively straightforward.  Defendants accepted claimant's back injury, but did not obtain a rating of impairment under section 85.39.  Claimant obtained an evaluation of her own, and sought to tax the expense of this evaluation as costs under 876 IAC 4.33(6).  The commissioner and the district court ordered that the evaluation to be paid in full under 4.33(6), and the district court affirmed.  The Court of Appeals reversed, finding that ordering payment for the exam as costs would defeat t...