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Ayala v. Tyson Foods Inc.

Court of Appeals of Iowa

January 11, 2017

ALFREDO AYALA, Petitioner-Appellant,
v.
TYSON FOODS INC., Respondent-Appellee.

         Appeal from the Iowa District Court for Polk County, Paul D. Scott, Judge.

         Claimant appeals the denial of his petition for review-reopening. AFFIRMED.

          Andrew W. Bribriesco and William J. Bribriesco of Bribriesco Law Firm, Bettendorf, for appellant.

          Jean Z. Dickson of Betty, Neuman & McMahon, P.L.C., Davenport, for appellee.

          Considered by Danilson, C.J., and Doyle and McDonald, JJ.

          MCDONALD, Judge.

         Alfred Ayala challenges the Iowa Workers' Compensation Commissioner's decision denying Ayala's review-reopening petition to increase his permanent disability benefits. Ayala contends the commissioner's decision was irrational, illogical, and wholly unjustifiable. Ayala also contends the decision is not supported by substantial evidence.

         Judicial review of final agency action is limited. See Iowa Code § 17A.19(10). "The administrative process presupposes judgment calls are to be left to the agency. Nearly all disputes are won or lost there." Sellers v. Emp't Appeal Bd., 531 N.W.2d 645, 646 (Iowa Ct. App. 1995) (citation omitted). Rarely will the judiciary reverse final agency action on the ground the decision is irrational or not supported by substantial evidence. See McComas-Lacina Constr. v. Drake, No. 15-0922, 2016 WL 2744948, at *1 (Iowa Ct. App. May 11, 2016) ("A case reversing final agency action on the ground the agency's action is unsupported by substantial evidence or is irrational, illogical, or wholly unjustifiable is the Bigfoot of the legal community-an urban legend, rumored to exist but never confirmed.").

         At all times material hereto, Ayala was employed by Tyson Foods, Inc. Ayala suffered a compensable back injury in 2006. His doctor assigned him a rating of thirteen percent partial impairment to the body as a whole and imposed work restrictions, including not lifting over twenty pounds and avoiding repetitive bending, twisting, and stooping. In 2009, the agency found Ayala suffered a forty-five percent industrial disability and awarded him commensurate permanent disability benefits. Neither Ayala nor Tyson appealed the prior agency decision.

         In February 2013, Ayala filed a petition for review-reopening, claiming his industrial disability had increased and he was entitled to additional industrial disability benefits.

The workers' compensation statutory scheme contemplates that future developments (post-award and post-settlement developments), including the worsening of a physical condition or a reduction in earning capacity, should be addressed in review-reopening proceedings. The review-reopening claimant need not prove, as an element of his claim, that the current extent of disability was not contemplated by the commissioner (in the arbitration award) or the parties (in their agreement for settlement).

Kohlhaas v. Hog Slat, Inc., 777 N.W.2d 387, 392 (Iowa 2009) (citation omitted). Instead, the claimant must prove by a preponderance of the evidence an entitlement to increased compensation. See Iowa Code § 86.14(2) ("In a proceeding to reopen an award for payments or agreement for settlement as provided by section 86.13, inquiry shall be into whether or not the condition of the employee warrants an end to, diminishment of, or increase of compensation so awarded or agreed upon."); E.N.T. Assocs. v. Collentine, 525 N.W.2d 827, 829 (Iowa 1994) ("The claimant carries the burden of establishing by a preponderance of the evidence that, subsequent to the date of the award under review, he or she has suffered an impairment or lessening of earning capacity proximately caused by the original injury."). In the context of an industrial disability determination, this requires the claimant establish a "reduction in the employee's earning capacity." Iowa Code § 85.34(2)(u). "Factors that should be considered [in assessing industrial disability] include the employee's functional disability, age, education, qualifications, experience, and the ability of the employee to engage in employment for which the employee is fitted." Quaker Oats Co. v. Ciha, 552 N.W.2d 143, 157 (Iowa 1996).

         The commissioner found Ayala had not proved any increase in his industrial disability and denied the petition. The record reflects Ayala underwent fusion surgery in May 2012. He returned to work in October 2012. In 2013, his doctor, Dr. Sergio Mendoza, found Ayala had sustained eighteen percent partial impairment to the body as a whole and imposed a restriction of not lifting more than fifty pounds. Ayala chose to do a reevaluation in May 2014. His doctor, Dr. Robert Milas, increased Ayala's impairment rating to twenty-three percent. He also recommended restricting lifting to twenty pounds. Ayala complained of new symptoms associated with his injury, including numbness in his feet and difficulty sleeping. The commissioner acknowledged the medical evidence but also found there had been no change in Ayala's earning capacity. Ayala was able to manage his pain with over-the-counter medication. His work restrictions remained largely unchanged or lessened. Ayala remained employed by Tyson in a position within his work restrictions. He earned $14.00 per hour-more than at the time of the initial decision. He worked approximately forty to fifty hours per week. He had not suffered any absenteeism due to his impairment.

         Ayala contends the commissioner's decision was irrational, illogical, and wholly unjustifiable. Ayala argues the commissioner improperly considered the work accommodations provided Ayala and Ayala's actual earnings. Where, as here, the application of law to fact "has clearly been vested by a provision of law in the discretion of the agency, " the court will disturb the commissioner's decision only where it is "irrational, illogical, or wholly unjustifiable." Iowa Code § 17A.19(10)(m); see Larson Mfg. Co. v. Thorson, 763 N.W.2d 842, 856-57 (Iowa 2009) (finding because the claimant's "challenge to the agency's industrial disability determination is a challenge to the agency's application of law to the facts, we review this issue under the 'irrational, illogical, or wholly unjustifiable' standard." (citation omitted)). "A decision is 'irrational' when it is 'not governed by or according to reason.' A decision is 'illogical' when it is ...


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