[11/20] In the Matter of Maureen Kigin v. State of New York Workers' Compensation Board
In this case, claimant was injured on the job and entitled to worker's compensation, but upon receipt of acupuncture treatment, a Workers' Compensation Law Judge determined that claimant's medical provider failed to show that the additional acupuncture treatments were medically necessary. The Workers' Compensation Board affirmed the Judge's determination, arguing that the treatments were not medically necessary within the "Medical Treatment Guidelines." Order of the Appellate Division affirming the Board's decision is affirmed, where: 1) the establishment of the variance procedure was within the Board's broad regulatory powers; 2) it was reasonable for the Board to promulgate uniform guidelines for defining the nature and scope of treatment considered medically necessary; 3) nothing in the Workers' Compensation law precludes the Board from requiring proof of medical necessity from claimant's health care provider; 4) the carrier bears the burden of proffering "substantial evidence"; and 5) the Guidelines provide claimants with a meaningful opportunity to be heard on the denial of any variance request.
[08/06] LeFiell Manufacturing Co. v. Superior Court (Watrous)
In an action brought by plaintiff-employee under Labor Code section 4558, which provides an exception to the exclusivity of the workers' compensation system for employees injured as a result of the employer's knowing removal of, or knowing failure to install, a point of operation guard on a power press, the trial court erred in denying defendant-employer's motion for summary judgment, where: 1) the door that was removed from the Fenn 5F swaging machine operated by plaintiff-employee is not a point of operation guard as a matter of law; and thus, 2) defendant -employer is entitled to summary judgment.
[07/18] Benavides v. WCAB
The decision of the Workers' Compensation Appeals Board rescinding petitioner's disability rating is annulled, where there was good cause for the Workers' Compensation Judge (WCJ) to reopen the case and therefore the appeals board is directed to reinstate the WCJ's award of a 72 percent disability rating. (Opinion after rehearing)
[06/27] Old Republic Construction Program Group v. Boccardo Law Firm
The trial court's order denying defendants' motion under the anti-SLAPP law, to strike three causes of action asserted against them by plaintiff, alleging that defendants law firm and attorney wrongfully withdrew settlement funds derived from a now-defunct lawsuit, which they had deposited in their trust account pursuant to a stipulation requiring plaintiff's consent to any withdrawal, is affirmed, where: 1) in determining whether a cause of action arises from conduct protected by the statute, the focus is on the wrongful, injurious conduct identified in the complaint, and whether that conduct comes within the statute's description of protected conduct; 2) unless the wrongful conduct is communicative in character, it is protected by the statute only if it was undertaken in connection with an issue of public importance; and here, 3) because the withdrawal of funds underlying the causes of action at issue was neither communicative nor related to an issue of public interest, the trial court properly denied a motion to dismiss those causes of action.