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Iowa Supreme Court Concludes Vascular Injuries are not Per Se Whole Body Injuries for Fund Purposes; Holds that a Sequella Injury to the Body As. Whole Does Not Automatically Preclude Fund Benefits

  Delaney v. Second Injury Fund , No. 23-0182 ((Iowa May 10, 2024) Claimant suffered an injury to her left leg and 33 years later suffered an injury to her right leg. Following surgery on the right leg, claimant developed lymphedema. She filed for benefits against the Fund and the commissioner concluded that because lymphedema was an unscheduled injury, claimant was not entitled to benefits against the Fund under 85.64. The district court affirmed the decision of the commissioner. The Court of Appeals reversed, finding that even if a second injury resulted in a sequella body as a whole injury, claimant was still entitled to consideration of the second injury under 85.64. The Supreme Court first concludes that the agency erred in concluding that a per se rule for vascular injuries that concluded that such injuries precluded an action against the Fund was erroneous.The Court rejects the reliance of the agency on Blacksmith v. All-American , finding that Blacksmith  did not suppo...

Court of Appeals Holds that Injuries to Two Shoulders Are Not to be Considered Industrially Under 85.34(2)(v)

Nordstrom v. Carmer , No. 23-1423 (Iowa App. May 8, 2024) Claimant suffered an accepted injury to her right shoulder in August of 2018. She subsequently developed pain in her left shoulder due to overcompensating for her right shoulder injury with her other arm. Claimant's IME physician opined that the left shoulder injury was due to overcompensation due to the right shoulder injury while defendants' doctor indicated that the left shoulder injury was due to rheumatoid arthritis and was not work-related.  The commissioner concluded that both shoulder injuries arose out of and in the course of employment and found that the injuries should be treated as unscheduled under 85.34(2)(v).  The district court affirmed the decision of the commissoiner. On appeal, the Court of Appeals first concludes that the report of Dr. Segal, claimant's IME doctor, was supported by substantial evidence.  The Court noted that the decision concerning medical causation was essentially within the do...

Supreme Court Holds That Simultaneous Injury to Separate Body Parts is Not to be Considered as an Unscheduled Injury Under 85.34(2)(v)

Bridgestone Americas, Inc. v. Anderson , No. 22-1328 (Iowa March 29, 2024) In this case of first impression,  claimant suffered simultaneous injuries to his arm and shoulder arising out of his work.  The commissioner concluded that because such simultaneous injuries were not encompassed under the listing of scheduled member injuries in 85.34(2)(a)-(u), it should be considered under the catch-all provisions of 85.34(2)(v), which requires injuries not encompassed under 85.34(2)(a)-(u) to be considered industrially under the Code.  The commissioner concluded that claimant had suffered a 50% industrial disability. This finding was affirmed by the district court. The employer appealed to the Supreme Court, raising three issues.  First, there was insufficient evidence to support the conclusion that claimant's injuries arose out of employment. Second, the injuries should be compensated as unscheduled injuries.  Third, the 50% award was excessive.  The Court conclu...

Court of Appeals Rules Failure to Comply with Iowa Drug-Testing Statute Does Not Bar Admission of Drug Tests in Workers' Compensation Claim, Finds Claimant Failed to Rebut Presumption He Was Intoxicated

Davis v. Gordon Food Service, Inc. , No. 22-1944 (Iowa App. Feb. 21, 2024) Claimant suffered an injury at work.  Pursuant to the employer's drug policy, claimant took a drug test following the injury, which was positive for methamphetamines.  The test was not conducted in accordance with 730.5, which requires that two samples be taken to allow the person being tested to have the samples independently tested.  At hearing, the deputy concluded that the violation of 730.5 did not make the admission of the drug test inadmissible for purposes of the workers' compensation act.  The deputy also concluded that claimant did not rebut the presumption that he was intoxicated under 85.16 of the Code, despite the fact that claimant testified that he had not taken drugs for four days before the injury and there was no testimony that claimant was acting in an intoxicated manner and no evidence that intoxication led to the injury.  The commissioner affirmed, as did the district...

Supreme Court Concludes that Functional Portion of Industrial Injury is Apportionable Under 85.34(7)

Loew v. Menard, Inc. , No. 22-1894 (Iowa Feb. 9, 2024) Claimant suffered a low back injury resulting in a 20% functional impairment and a resulting 30% award of industrial disability.  Claimant suffered a second work-related back injury, which was compensated functionally as he continued to work for the employer earning wages in excess of those at the time of the injury.  As a result of the second award, claimant was found to have a 28% functional disability.  The commissioner concluded that the employer was not required to pay additional benefits for the second injury, as the employer received a credit for the 30% award that had previously been paid, which was in excess of the 28% functional award.  The district court affirmed the commissioner's decision.  The Supreme Court accepted review of the claim. The Court first notes that Iowa's worker's is statutorily based and that the statute is "liberally construe[d] . . .in claimant's favor to effectuate the statut...

Supreme Court Holds that Scheduled Member Injury Cannot be Apportioned Against Unscheduled Injury, But Can Be Apportioned Against the Functional Portion of the Earlier Injury

P.M. Lattner Manufacturing Co. v. Rife , No. 22-1421 (Iowa Feb. 9, 2024) Claimant suffered a right shoulder injury in 2009, which ultimately resulted in a commutation settlement for 29.6% of the body as a whole.  Claimant subsequently suffered another injury to the right shoulder in 2018, following changes to the Code which made shoulder injuries unscheduled.  At hearing, claimant was awarded a 19% functional impairment for the injury to his right shoulder.  The employer argued that the entire award should be credited given that the earlier commutation resulted in a greater award than the second right shoulder injury.  The commissioner rejected this argument, but noted that defendants could arguably be entitled to a credit for the functional portion of the injury.  In this case, however, defendants failed to prove the amount of the credit and thus no credit was awarded. A secondary issue was also presented regarding payment of the IME.  The commissioner awa...

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....