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Law Students,
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Clinical Learning
Michael E. Tigar, Esq.
Geoffrey H Schotter is licensed to practice law in New York State and is admitted to practice before the United States District
Courts for the Southern and Eastern Districts ofNew York. He received a BA from Cornell University and completed a joint JD/MA
program in law and legal history at Case Western Reserve University in Cleveland, Ohio. He was an editor of the Case Western
Reserve Law Review and a founding member of the Case Western Reserve Journal of Law, Technology and the Internet. After
completing a fellowship at the national office of the ACLU researching the growing crisis ofAmericas aging prisoner population,
Mr. Sch otter went into private practice. His primary focus is workers' compensation, and he also handles Social Security Disability
claims, employment discrimination cases, and Section 1983 civil rights cases.
4 Verdict Werkers' Gall'I eli/satlon: ¥In Insurance lndustr Windfall
ethic of the worker's autonomy over the labor process although the likelihood of an individual injured worker's
by deriving from it the principles underlying affirmative recovery against an employer remained far from certain."
defenses that effectively The quid pro quo structure
shifted the entire cost of underlying all modern
workplace injuries onto the A1nerican Workers' cmnpen-
injured worker." Converse- sation statutes - whereby
ly, it can be argued that the the injured worker is guaran-
existence of these affirma- teed medicbl coverage relat-
tive defenses incentivized ed to the work accident and a
employers to take a hands- limited amount of monetary
off approach to the manage- compensation, regardless of
ment of the labor process and who is at fault, but in
to refrain from encroaching exchange gives up the right
on the worker's autonomy, to recover a potentially far
because the greater the greater monetary amount
employer's involvement in from the employer in a com-
managing the work, the Illustration by Chuck Todd mon law negligence action
greater likelihood that the - was not an inevitable out-
employer's affirmative defenses would fail in a lawsuit come of the early twentieth-century impetus toward
by an injured employee. 14 Thus, although the nineteenth employer liability reform.
century common law of workplace accidents was dra-
conian from the standpoint of the injured worker seeking Enactment of Workers' Compensation
recovery, it functioned as a strong check on employers' Legislation in the United States
efforts to wrest discretion and control over the produc-
tion process from the workers. During the first decade of the twentieth century, the
After the Civil War, however, a nascent American U.S. labor movement gradually came to support work-
labor movement began to demand employer liability ers' compensation in principle, notwithstanding work-
reforms as the number and severity of industrial acci- ers' lingering concerns that such reforms were part of the
dents accelerated with the full development of U.S. indus- broader trend of the disappearance of their autonomy
try. 15 During the final third of the nineteenth century, within the production process. 18 By 1909, when New \
industrial development grew to the point where employ- York's state legislature established what became known
ers1 need to assert greater, more systematic control over as the Wainwright Commission to hold hearings
the labor process came to overpower the capacity of pre- throughout the state inquiring into the feasibility of
vailing state common law doctrines governing workplace employer liability reform, labor leaders had overwhelm-
accidents to deter employers from encroaching too far ingly come to support the establishment of a workers'
onto the worker's sphere of autonomy, lest they waive compensation system. 19
their affirmative defenses. 16 As this encroachment became The Wainwright Commission's findings provided
more common, states began to enact legislation limiting the basis in 1910 for New York's initial workers' com-
the scope of the common law defenses and courts found pensation statute, the Wainwright Act. 20 The law
employers increasingly liable in lawsuits by injured applied only to workers employed in eight specific
workers. By the first decade of the twentieth century, occupations that were considered unusually dangerous,
employers' liability for employee injuries (or insuring including most construction jobs and jobs involving the
against it) had become a significant cost of business, handling of electricity or explosives. 21 Accidents arising
from the inherent nature of these occupations were If the legislature can say to an employer, "you
compensable regardless of fault, unless they were must compensate your employee for an injury
caused by the worker's serious and willful miscon- not caused by you or by your fault," why can it
duct.22 The amount of monetary compensation due to not go further and say to the man of wealth,
the injured worker was determined by the worker's "you have more property than you· need and
actual daily earnings at the time of injury and the your neighbor is so poor that he can barely
dependence of others upon those earnings. 23 The maxi- subsist; in the interest of natural justice you
mum payment was $3,000.00 in the case of death and must divide with your neighbor so that he and
$10.00 per week for eight years of disability. 24 Crucially, his dependents shall not become a charge
injured workers whose accidents fell under the scope of upon the State?" The argument that the risk to
the act retained the option of bringing a negligence an employee should be borne by the employer
action against the employer under the common law that because it is inherent in the employment, may
predated its adoption. 25 be economically sound, but it is at war with the
The following year, the New York Court of Appeals legal principle that no employer can be com-
struck down the Wainwright Act as unconstitutional in pelled to assume a risk which is inseparable
Ives v. South B.R. Co. 26 The court prefaced its reasoning from the work of the employee, and which may
with the observation that New York and the United exist in spite of a degree of care by the
States, unlike many European countries that had enact- employer far greater than may be exacted by
ed workers' compensation laws, had written constitu- the most drastic law. If it is competent to
tions whose express provisions supersede any economic impose upon an employer, who has omitted no
or social justifications for legislation that runs contrary legal duty and has committed no wrong, a lia-
to them. 27 It then acknowledged that the traditional bility based solely upon a legislative fiat that
common law affirmative defenses, upon which employ- his business is inherently dangerous, it is
ers relied when sued by injured workers in negligence equally competent to visit upon him a special
actions, could be constitutionally curtailed or even abol- tax for the support of hospitals and other char-
ished by legislative action. 28 The court also conceded itable institutions, upon the theory that they are
11
that, our present system is uncertain, unscientific and devoted largely to the alleviation of ills primar-
wasteful, and fosters a spirit of antagonism between ily due to his business. In its final and simple
employer and employee which it is to the interests of the analysis that is taking the property of A and
state to remove."29 But it ultimately held that the act vio- giving it to 8, and that cannot be done under
lated the right to property contained in the due process our Constitutions ... .
clauses of the state and federal constitutions. 30
In essence, the court found that the act unconstitu- We conclude, therefore, that in its basic and
tionally redistributed wealth from capital to labor with- vital features the right given to the employee by
out compensating capital: this statute, does not preserve to the employer
(415) 345-9333
7
!
i
' fHlei'lit{fiti : ', ' ,' ', ' · . · , Wotkers''Qomgensation: 'An' lnsurahd~ lndustr Win'f:lfalt,
the "due process" of law guaranteed by the serious and willful misconduct. This act protects
Constitutions, for it authorizes the taking of the both employer and employee, the former from
employer's property without his consent and wasteful suits and extravagant verdicts, the
without his fault. 31 latter from the expense, uncertainties and
delays of litigation in all cases and from the cer-
The court noted in closing, that although "it is within tainty of defeat if unable to establish a case of
actionable negligence. 38
the range of proper legislative action to give a workman
two remedies for a wrong when he had one before," it is In New York C.R. Co. v. White, 39 •the United States
not a proper exercise of the state's police power to give Supreme Court found that the 1913 act did not violate the
the worker a remedy for no wrong. 32 due process clauses of either the state or federal constitu-
On March 25, 1911, the day after the Court of tion because, unlike the 1910 act, it did not give covered
Appeals decided Ives, a fire broke out in the Triangle injured workers the choice of pursuing workers' com-
Shirtwaist Company's factory, which occupied the pensation claims or bringing tort actions against their
eighth, ninth, and tenth floors of a building adjacent employers for negligence:
to New York's Washington Square, resulting in the The statute under consideration sets aside one
deaths of some 150 mostly female immigrant factory body of rules only to establish another system in
employees. 33 Until September 11, 2001, this was the its place. If the employee is no longer able to
single deadliest workplace disaster in New York's his- recover as much as before in case of being
tory.34 The fire and its aftermath quickly led to New injured through the employer's negligence, he is
York's adoption of a constitutional amendment entitled to moderate compensation in all cases
expressly authorizing the state legislature to enact of injury, and has a certain and speedy remedy
workers' compensation laws. 35 without the difficulty and expense of establishing
In 1913, soon after the amendment became law, negligence or proving the amount of the dam-
New York enacted a new workers' compensation ages. Instead of assuming the entire conse-
statute that, with various amendments over the years, quences of all ordinary risks of the occupation,
survives to this day. 36 The law, which went into effect he assumes the consequences, in excess of the
July 1, 1914, survived early challenges to its constitu- scheduled compensation, of risks ordinary and
tionality. In Jensen v. Southern Pac. Co.," the New York extraordinary. 40
Court of Appeals found that the new workers' com-
pensation act was "fundamentally different" from the The Court concluded by holding that "laws regulat-
old one that Ives invalidated: ing the responsibility of employers for the injury or death
That involved in the Ives case made the of employees arising out of the employment bear so close
employer liable in a suit for damages though a relation to the protection of the lives and safety of those
without even imputable fault and regardless of concerned that they properly may be regarded as coming
the fault of the injured employee short of within the category of police regulations."41
•
NEW YORK, NEW YORK 10279
DIRECT (212) 384-0202 Ext. 115
FAX (212) 233-3801
ALAN@SERRINSLAW.GOM
WWW.SERRINSLAW.GOM
56 ADAMS STREET
DUMBO * BROOKLYN * NY * 11201
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PH 718 801 8400 * FAX 718 801 8401
Terms of Workers' Compensation Laws accidents49 and cash payments known as indemnity bene-
fits.50 Indemnity may include wage replacement benefits
The 1913 act originally covered a far wider variety of that are paid on a week-to-week basis and, in certain cases,
occupations than the eight hazardous occupations covered fixed sums of money lo compensate for
by the 1910 act, and today the Workers' Compensation the permanent loss or impairment of
Law applies, with very few exceptions, to all occupations specific body parts, known as
within the state.42 It established a fund known as the New schedule loss of use awards.51
York State Insurance Fund, which to this day functions as Ti1ere is a crucial distinction
a public insurer with whom employers may contract to in the modern Workers'
cover their injured employees.43 To Compensation Law between
be in compliance with the "impairment," which is a med-
Workers' Compensation ical determination as to loss of
Law, employers have the bodily functioning made by a
option of purchasing a policy qualified medical expert, and
from this fund, purchasing a "disability," which is a legal
policy from a private insur- determination as to loss of
ance carrier, or being self- ability to work or wage earn-
insured, which requires ing capacity resulting from
them to maintain a certain impairment. 52
amount of cash in An injured worker's dis-
reserve.44 Employers who ability is considered temporary
Illustration by Chuck Todd
are not in compliance on the date for as long after the accident as
one of their employees is injured at work the worker is still recovering
are guilty of a criminal offense. 45 and has not yet reached maxinmm medical in1provement. 53
As the courts upholding the Workers' Compensa- When the worker is found to have reached maximum med-
tion Law in its infancy noted so approvingly, workers ical in1provement, the remaining disability is considered
whose injuries are compensable under it are barred permanent. Disability, whether temporary or permanent,
from bringing common law tort actions against their can be total, meaning the worker cannot work in any capac-
employers and may only file workers' compensation ity at all, or partial, meaning the worker is capable of per-
claiins. 46 Two critical exceptions to this rule, however, forming certain types or work that conform to his or her
are that a worker alleging injury due to the intentional medical restrictions.54
tort of the employer or a coworker may elect to bring a The amount of weekly wage replacement indemnity
civil action in lieu of filing a workers' compensation benefits lo which the injured worker is entitled is deter-
claim; and a worker who is injured while working for mined by the worker's average weekly wage during
an uninsured employer may elect lo bring even a civil the 52-week period preceding the date of accident. 55
negligence action against the employer in lieu of filing Workers who are totally disabled are entitled to the
a workers' compensation claim., and in such an action, lesser of two-thirds of that average weekly wage or a
the employer is barred from pleading any of the statutory weekly maximum that is determined by the
traditional common law defenses upon which employ- date of the accident. 56 Where the injured worker is par-
ers relied prior to the adoption of the Workers' tially disabled, the degree of partial disability is
Compensation Law. 47 expressed as a percentage less than 100, and the work-
Injured workers with established48 claims are entitled to er is entitled to the lesser of that percentage of two-
medical coverage that is causally related to their work thirds of the average weekly wage or the statutory
RICHARD DORN
ATTORNEY AT LAW
~Jl.qf~
ATTORNEY AT LAW
Comparison of Benefits for Permanent The statute assigns each schedulable body part or med-
Disability under Worker's Compensation. ical condition a certain number of weeks for 100 percent
loss of use - for example, 312 weeks of benefits at the
total disability rate for 100 percent loss of use of an
National Avcrage New York
arm. 64 The Workers' Compensation Board determines,
One arm $169,878 $252,299 on the basis of one or more doctors' opinions, what per-
One hand $144,930 $197,311 centage loss of use of that body part the injured worker
One thumb $42,432 $60,649 has - for example, 50 percent loss of use of an arm
One eye $96,700 $129,384 equals 156 weeks of benefits at the total disability rate.
One ear $38,050 $48,519 The injured worker then receives the product of the
One leg $153,221 $232,891 number of weeks his or her percentage loss of use yields
One foot $91,779 $165,773 and his or her total disability rate - for example, a
Big toe $23,436 $30,729 worker with an average weekly wage of $600.00 and a
50 percent schedule loss of use of an arm is entitled to
Figures from ProPublica. 156 weeks of benefits at $400.00 per week for a total of
$62,400.00. Any amount previously paid to the worker
weekly maximum. 57 There is also a minimum weekly in temporary disability benefits is deducted from the
benefit rate that is similarly determined by the date of schedule loss of use amount due to the worker. 65
the accident. 58 Where the injured worker who has reached maxi-
Injured workers who are temporarily disabled, mum medical improvement has permanent impair-
whether totally or partially, collect weekly wage replace- ments that are not on the enumerated list of schedulable
ment indemnity benefit payments for all time periods body parts and medical conditions (or whose schedula-
during which they are not working or working at ble impairments are of such a high severity or number as
reduced earnings as a result of their established to affect the worker's overall ability to function), the
injuries. 59 When the injured worker reached maximum worker is classified with a permanent disability. 66 Classi-
medical improvement, the type of indemnity benefits, if fication indemnity benefits are awarded in the exact
any, that he or she receives thereafter depends on the same manner as all temporary disability benefits. They
type of permanent impairment that is found to remain. are paid on a week-to-week basis at a rate determined
If the impairment only affects one or more of a list of by the worker's average weekly wage and degree of dis-
enumerated body parts and medical conditions, which ability from work. 67 Thus, unlike schedule loss of use
include arms, legs, hands, feet, eyes, fingers, toes, loss of awards, classification awards are only payable to injured
hearing, loss of vision, and head or facial disfigure- workers who are not working or working at reduced
ment,60 the injured worker receives a schedule loss of use earnings as a result of their established injuries. 68 Also,
award. The purpose of a schedule loss of use award is to unlike schedule loss of use awards, classification awards
compensate the worker for a permanent partial disability are not invariably paid at the total weekly disability rate
by quantifying the worker's future lost earnings resulting but, like temporary disability benefits, are paid at a
from the impairment of one or more schedulable body lower rate where the disability is partial. 69
parts or functions. 61 Thus, even workers who have Prior to 2007, injured workers who were classified with
returned to their jobs without any restrictions can receive permanent disabilities were entitled to lifetime weekly
schedule loss of use awards. 62 indemnity benefits whether their disabilities were total or
The award consists of a fixed sum of money but is partial. 70 Such injured workers whose accidents occurred
calculated in weeks by multiplying the injured worker's after 2007, however, are only entitled to lifetime weekly
total disability rate by the number of weeks awarded. 63 indemnity benefits if their permanent disability is total.71
LAW OFFICES OF
RICHARD A. ZIMMERMAN
233 BROADWAY, SUITE 2208
NEW YORK, NY 10279
~q'J,
(212) 962·1818 :1..t>
b~
'\1 , .. .. ··
.. ..
Good Luck, CCLP q ... ··
.. •..
allowed for the first time settlement agreements between
100%
injured workers and employers and insurance carriers
releasing the latter permanently from liability in exchange
50%
for a single lump sum, thereby ending the law's blanket
25% 200% prohibition on waiver of the injured workers' rights,93 and
made it easier for employers and carriers to accuse injured
workers of workers' compensation fraud and interfere
with their benefits pending the -resolution of such
50% fraud allegations. 94
The Workers' Compensation Reform Act of 200795
was the product both of persistent complaints by the
business lobby in the decade following the 1996 reforms
* --¼
f'I
that high premiums were hurting economic opportuni-
ty in the state and the growing promulgation of nega-
tive stereotypes of injured worker_~ as moochers and
malingerers96 and of complaints by workers of benefit
Schedule Loss of Use of Hand due to
Amputation (New York State Guidelines for Determining
caps that lagged behind inflation, 97 burdensome delays
Permanent Impairment and Loss of Wage Earning in receiving medical treatment after filing claims, cor-
Capacity) ruption and fraud by employers and carriers, and a lop-
sided penal structure whereby workers who committed
fraud were guilty of felonies but employers and carriers
control. 88 The only such "reform" that employers who did were only guilty of misdemeanors. 98
demand, however, is the type that further shifts the The central feature of the 2007 reform was a "bargain"
burden of getting injured on the job from employers between workers and employers whereby the statutory
and insurance carriers onto injured workers weekly indemnity cap would be raised rapidly over the
themselves. 89 Other methods of reducing premiums ensuing years and ultimately be indexed to two-thirds of
such as preventing workplace accidents, reducing the slate's average weekly wage,99 and in exchange,
fraud by employers and carriers, and controlling workers whose injuries occurred on or after March 13,
insurance company profits and legal expenditures are 2007 would give up the right to lifetime weekly indemni-
never considered. 90 ty benefits for non-schedulable permanent partial disabil-
This "crisis-reform-crisis" cycle can be readily seen in ities and accept durational caps on such benefits ranging
the history of legislative and judicial changes to the Work- from 225 to 525 weeks after the date on which the injured
ers' Compensation Law between 1996 and the present. worker's disability is found to be permanent. 100
The Omnibus Workers' Compensation Reform Act of The duration of benefits for non-schedulable perma-
199691 repealed the expanded employer tort liability estab- nent partial disabilities for workers injured on or after
lished by the New York Court of Appeals in 1972,92 March 13, 2007 is determined not by medical impairment
-¥i'
CARTOONIST ILLUSTRATOR DESIGNER
Salutes the Coalition of Concerned Legal Professionals
(707) 765-2406
e-mail: petemcd@sbcglobal.net
a®ti4tAri'oJiil~t4Btiiiif·Jiittiiiih1lklitdiatmtttn~wt®I
alone, as it had previously been, but by a category called 2016, 163 workers classified with a permanent partial
"loss of wage earning capacity," which is a percentage disability had exhausted their durational benefits and
figure arbitrarily101 decided by the Board after it consid- another 327 were within one year of doing so. 106 Not one
ers the claimant's medical impairment, functional loss, of these injured workers was classified with a loss of
and such non-medical vocational factors as age, educa- wage earning capacity above 80 percent such as would
tion, work experience, and English language proficien- qualify him or her for an extension of benefits nnder the
cy.102 The reform included a "safety net" provision where- "safety-net" provision.1°7 Of the 163 workers who had
by injured workers with non-schedule permanent partial already exhausted their benefits, 133 dia not receive
disabilities classified with a loss of wage earning capaci- wages in New York State in the second quarter of
ty that is greater than 80 percent may apply for an exten- 2016. 108 As for the "additional steps" that the Commis-
sion of benefits when their statutory cap periods rw1 sioner of Labor thinks are necessary to reduce the
out. 103 However, given the arbitrary manner by whim the number of workers who have exhausted their benefits
Board determines the percentage of loss of wage earning but have not returned to gainful employment, the report
capacity, there is no rational way for injured workers or notes simply that "links to the Department's career
their attorneys to predict the likeliliood of the safety net services have been posted on the Board's website, as
provision applying in a given case. well as links to vocational rehabilitation resources and
The 2007 reform also mandated that: other career centers." 109
the commissioner of labor ... shall track all Another major aspect of the 2007 reform was the
claimants who have been awarded permanent introduction of medical impairment guidelines 110 for
partial disability status and report annually on certain types of injuries whereby insurance carriers
... the number of said claimants who have, were for the first time able to deny certain surgeries,
returned to gainful employment, been recate- prescription drugs, and other treatments and even
gorized as being totally industrially disabled, physical therapy sessions above a certain number,
subject to the statutory durational caps on forcing injured workers and their doctors to fill out
indemnity benefits, and not returned to work, reams of new paperwork in order to obtain "variances"
and whose indemnity payments have expired for such treatment and precipitating a universe of new
and the additional steps the commissioner con- legal battles for which attorneys representing the
templates are necessary to minimize the injured workers would never be compensated because
number of workers who have neither returned no monetary recovery is generated by winning
to work nor been recategorized from perma- such battles.
nent partial disability. 104 The previous decade also saw partially disabled
workers facing new case law that added more obstacles
However, this provision was not complied with between to collecting benefits. In 2012, the Court of Appeals held
2008 and 2016. that injured workers with partial disabilities must "find
In 2016, the Commissioner of Labor finally did pub- alternative work consistent with their physical limita-
lish a safety net report. 105 The report found that as of tions, or at least show reasonable efforts at finding such
SETH SCHLUSBERG
299 Broadway, Suite 1508
m
New York, NY 10007-2001
San Francisco
BRIDGE SERVICE CORP.
www. bridgeservice, com
~@4ttri•lllifNbt1iii&fiitbii,M>Jtl,lR?iMUttilh~'btG@I
work" in order to remain eligible to collect wage replace- and year submitted, the nature of employment
ment indemnity benefits because only by doing so can sought, name and address of the employer and
they "demonstrate that their the response of the potential employer.
reduced earniug capacity is due
to the disability, not ... factors Where the injured worker's
unrelated to the disability." 111 evidence of an independent
Such alternative work or rea- job search alone is not suffi-
sonable efforts to find it is cient to support a finding of
II
known as attachment to the a good faith job search, his
labor market," and where there or her active and continued
is no dispute among the med- participation in any one of
ical experts in a case that the the following would be suffi-
injured worker's disability is cient to show a good faith
partial and not total, the insur- job search and/or attach-
ance carrier 1nay "raise attach- ment to the labor market: (1)
ment," at which point the one of New York State's
injured worker "is obligated to Department of Labor's
produce continuing documen- reemployment services, (2)
tation of a good faith search for Illustration by Myles Davis the services offered by a
work within his/her restric- One Stop Career Center,
tions" or else lose his or her workers' indemnity bene- (3) a retraining program, (4) a rehabilitation pro-
fits.U2 gram by VESI0 114 or other board approved reha-
In Employer: American Axle,113 the Workers' Compen- bilitation program, (5) a job service commonly uti-
sation Board explained the process which the partially lized to secure work within a specific industry, or
disabled injured worker must undertake in order to pre- (6) enrollment and full time attendance in an
vent the sudden cessation of indemnity benefits:
accredited educational institution to pursue
While an independent job search is encouraged, employment within the work restrictions. 115
absent documentation verifying a timely, dili-
gent, and persistent outreach to potential Given the often arbitrary distinction between total dis-
employers for work within the medical restric- ability and a high degree of partial disability, and given
tions, there is no credible evidence upon which the various vocational age, education, and language limi-
to find an attachment to the labor market. At a tations that lessen many workers' job prospects indepen-
minimum, if the independent job search is in dently of any physical injury they may have, the effort to
person, documentary evidence should provide attach to the labor market is for many injured workers a
the day, month, and year of the contact; the futile and humiliating charade amounting to little more
name and address of the employer; the name than yet another mechanism whereby insurance carriers
and telephone number of the person with whom can save money at workers' expense.
employment was discussed; the type of job This year, the state legislature struck another work-
sought; and the response of the potential ers' compensation reform deal as part of the budget
employer. If the contact was written, copies of process. 116 Key pro-worker provisions include the abo-
the resume submitted if any; the inquiry letter or lition of the permanently partially disabled injured
e-mail communication; or the application com- workers' obligation to demonstrate ongoing attach-
pleted is necessary along with the day, month, ment to the labor market, inclusion of all permanent
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~ffliti:JtMi·Ji;lfNit-#id❖,ihtti/S@iliiirii:ittmttlh,W@
partial disabilities above 75 percent (as opposed to the temporary disability, and a 71 percent LWEC restricts the
former 80 percent threshold) in the "safety-net provi- injured worker to 400 weeks of future benefits.
sion," the introduction of mandatory full 13-commis- The 2017 reform also provides that the Chair "shall
sioner Board review of appeals decisions by three-com- consult with representatives of labor, business, 1nedical
missioner panels that reduce an Loss of Wage Earning providers, insurance carriers, and self-inSured employ-
Capacity (LWEC) percentage finding high enough to ers,, on how to revise the Workers' Compensation
qualify the injured worker for the "safety-net" provi- Board's guidelines on how schedule loss of use percent-
sion lo one below that threshold, and an easing of the ages are determined and requires that revisions be adopt-
burden of proof for emergency first responders bring- ed by the end of this year that are "reflective of advances
ing mental stress claims. in modern medicine that enhance healing and result in
Howeve1; the 2017 reform also caps the number of better outcomes." This language is the product of a
weeks for which permanently partially disabled workers decade-long campaign by the business and insurance
with classifiable injuries who were injured after the lobbies to convince lawmakers that schedule loss of use
reform became law can receive indemnity benefits dur- payouts are too high in light of the increase to the statu-
ing the period of temporary disability at 130, allowing tory weekly indemnity caps that the 2007 reform imple-
insurance carriers to credit every such week over 130 mented. In all likelihood, the guidelines will be changed
toward the weeks of permanent disability they owe, in such a way that saves employers and insurance carri-
reducing the latter number of weeks by the same ers money at injured workers' expense, even though
amount. Thus, for example, an injured worker who does logic would dictate that advances in medicine that enable
not reach maximum medical improvement until ten patients to recover from their injuries more fully would
years after the date he is injured due to multiple surg- result in lower schedule loss of use findings in compari-
eries or the addition of new consequential injuries to the son to previous eras even under the current guidelines.
case and is then classified with a 71 percent LWEC would Finally, the 2017 reform mandates the adoption by the
be entitled to only ten additional weeks of benefits at the end of this year of a "comprehensive drug formulary" in
permanent partial disability rate because the carrier which certain prescription medications are pre-approved
would be able to take credit for 390 past weeks at but others require prior authorization by the carrier,
Percent Loss of Use of the Leg: Flexion Defects of the Knee 1. See Gregory P. Guyton, "A Brief History of Workers' Compensa-
(New York State Guidelines for Determining Permanent tion," 19 Iowa Orthop. J. 106, 106-110 (1999); see also R Tecumseh
Impairment and Loss of Wage Earning Capacity). Sherman, "The Jurisprudence of the Workmen S Compensation
Laws," 63 U. Penn L. Rev. 823, 825-26 (1915) and John Fabian Witt,
thereby taking ever more control over a patient's medical "The Transformation of Work and the Law of Workplace Accidents,"
treatment away from the patient and doctor and adding 1842-1910, 107 Yale L.J. 1467, 1468-70, n.14 (1998).
to the cumbersome litigation over medical treatment that 2. See Guyton, supra note 1, at 106-110.
injured workers and their attorneys must endure. 3. Id.
Although workers' compensation is acutely impor- 4. See Sherman, supra note 1, at 823-24; Albert E. Wilson, "Work-
tant to the lives and livelihoods of workers throughout men's Compensation and Employer'.<; Liability Acts" 13-14 (1971).
the State of New York, there is a pervasive ignorance and 5. See Margaret O'Donnell, "Disability Benefit Law-Development
misunderstanding of the history and purpose of the of Employer's Liability from Common Law, New York Employer~'
Workers' Compensation Law and of the rights and pro- Liability Act and New York Workmen S Compensation Act," 24 St.
tections it provides for injured workers. As a result, these John's L. Rev. 105, I 05-06 (1949).
very rights and protections are more threatened political- 6. See, e.g., Butterfield v. Forrester, 11 East 60, 103 Eng. Rep. 926
ly than other rights and protections workers have won (K.B. 1809); Smith v. Smith, 2 Pick. 621 (Mass.1924).
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7. See, e.g., Cruden v. Fentham, 2 Esp. 685, 170 Eng. Rep. 496 "Nothing contained in this constitution shall be construed to limit
(1799); Russell v. Minneapolis & St. Louis Ry., 32 Minn. 230, 20 the power of the legislature to enact laws for the protection of the
NW 147 (1884). lives, health, or safety of employees,· or for the payment, either by
8. See, e.g., Priestly v. Fowler, 3M &WI, 150 Eng. Rep. 1030 employers, or by employers and employees or otherwise, either
(1837); Farwell 1, Boston & Worchester R.R., 4 Mete. 49 (Mass.1842). directly or through a state or other system of insurance or other-
9. See Witt, supra note 1, at 1470. wise, of compensation for injuries to employees or for death of
employees resulting from such injuries without regard to fault as a
10. Id. at 1471,· see also Daniel T. Rodgers, The Work Ethic in Indus-
cause thereof, except where the injury is occasioned.,by the wil(ful
trial America, 1850-192017 (1978).
intention of the injured employee to bring about the injury or death
11. Witt, supra note I, at 1473-75. of himself or herself or of another, or where the injury results sole-
12. Id. at 1473. ly from the intoxication of the injured employee while on duty,· or
I 3. See Id. at 1478. for the adjustment, determination and settlement, with or without
14. See Id. at 1480. trial by jury, of issues which may arise under such legislation; or
15. See Robert Asher, "Failure and Fulfillment: Agitation.for Employ- to provide that the right of such compensation, and the remedy
therefore shall be exclusive of all other rights and remedies for
er S Liability Legislation and the Origi.ns of Workmen S Compensation
injuries to employees or for death resulting from such injuries; or
in New York State, 1876-1910," 24Lab. Hist. 198,203 (I983).
to provide that the amount of such compensation.for death shall
16. See Witt, supra note 1, at 1482-83.
not exceed a fixed or determinable sum; provided that all moneys
17. See Price v. Fishback & Shawn Everett Kantor, The Adoption of paid by an employer to his or her employees or their legal repre-
Workers' Compensation in the United States, 1900-1930 12-17 (Nat'! sentatives, by reason of the enactment of any of the laws herein
Bureau of Economic Research, Working Paper No. 5840, 1996). authorized, shall be held to be a proper charge in the cost of oper-
18. Witt, supra note 1, at 1499. ating the business of the employer."
19. Jd.; Wilson, supra note 4, at 14-16. Formerly §19. Renumbered by Constitutional Convention o/1938 and
20. See James Parker Hall, The New York Workmen S Compensation approved by vote of the people November 8, 1938; amended by vote of
Act Decision, 19 J. Pol. Econ. 694, 694 (1911). the people Navember 6, 2001.
21. Id. 36. Id. at 279.
22. Id. 37. 2I5NY 514 (1915), rev/;/ on other grounds, 244 U.S.205 (1917).
23. Id. 38. Id. at 523-24.
39, 243 U.S. 188 (1917).
24. Id.
40. Id. at 201.
25. Id. The full text of the statute is reproduced in the !iyllabus sec-
tion of Ives v. South B.R. Co., 201 NY 271 (1911). 41. Id. at 208.
42. See NY Wk Comp. Law§ 3.
26. 201 NY 271 (1911).
43. Id.§§ 2(10), 76-100.
27. Id. at 287.
44. Id.§§ JO, 50.
28. Id. at 289-90.
45. Id.§ 52.
29. Id. at 294.
46. Id. §§ 11, 29.
30. Id.
47. Id,· see also Acevedo v. Consolidated Edison Co. ofNew Tork; Inc.,
31. Id. at 295-96, 298. 189A.D.2d 497 (App. Div., 3d Dept. I993).
32. Id. at 305. 48. In order for an injured worker to be entitled to workers' com-
33. Mary L. D 'Agostino, "New York State .S 2007 Jforkers 'Compensation pensation for a specific injury, that injury must be "established" by
Reform: Success or Failure?," 76Albany L. Rev. 367, 373-80 (20I3). the Workers' Compensation Board. To establish a claim, the injured
worker must prove that he or she sustained an accident arising out
34. Id. at 373-74.
of and in the course of employment and notified the employer of
35. See Wilson, supra note 4, at 27. Section 18 of the New York such accident within thirty days of its occurrence and that the
Constitution provides: resulting disability or impairment is causally related to the claimed
i
fare 3, 8 (2015). (2012) (citing Burns v. Varriale, 9 N.Y.3d 207,216 (2007) and
97. The statutory maximum weekly indemnity benefit rate for accidents Jordan v. Decorative Co., 230 NY. 522, 526-27 (1921)).
occurring between July], 1992 and July], 2007 was $400.00. See 112. See Employer: NYC Transit Authority, 2016 WL 7010133, at *I
N.Y. Wk. Comp. Law§ 15(6); D'Agostino, supra note 35, at 383-84. (N.Y. Work. Comp. Bd. Nov. 21, 2016).
98. See Ostrov, supra note 98, at 8. 113. 2010 WL 438153 (N. Y. Work. Comp. Bd., Feb. 4, 2010).
99. See NY. Wk. Comp. Law§ 15(6). 114. Vocational and Educational Services for Adults with Disabilities.
JOO. See id.§ 15(3)(w). 115. Supra, note 113 at *7.
101. See Employer: Gregory Paul Collis, 2017 WL 585454, at *2 (N.Y. 116. For a more comprehensive overview of the changes to the New
rfvrk. Comp. Bd., Feb. 6, 2017) ("There is no simple formula to deter- York worker S compensation system contained in the 2017 reform, see
mine loss of wage earning capacity, and the finding made for one rfvrkers'Compensation Subject Number 046-936 (Apr. 25, 2017),
claimant is not dispositive of a loss of wage earning capacity finding available at http://www.wcb.ny.gov/ content/main/ SubjectNos/
made for a different claimant in another case.'') sn046_936jsp. \;''
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