The significant issue in this case is whether the claimant sustained an accident which arose out of and in the course of her employment with the Baymont Hotel. If the answer to that question is yes, there is no dispute that she is entitled to treatment and to some back temporary total disability. If the answer is no, then the claimant is entitled to no benefits under the workers' compensation statutes.
The incident in this case occurred on July 19, 2006. As such, there is no dispute that the amendments enacted to the workers' compensation statutes in 2005 shall apply. In relevant part, Section 287.020 now reads:
- The word "accident" as used in this chapter shall mean an unexpected traumatic event or unusual strain identifiable by time and place of occurrence and producing at the time objective symptoms of an injury caused by a specific event during a single work shift. An injury is not compensable because work was a triggering or precipitating factor.
- (1) In this chapter the term "injury" is hereby defined to be an injury which has arisen out of and in the course of employment. An injury by accident is compensable only if the accident was the prevailing factor in causing both the resulting medical condition and disability. "The prevailing factor" is defined to be the primary factor, in relation to any other factor, causing both the resulting medical condition and disability.
(2) An injury shall be deemed to arise out of and in the course of the employment only if:
(a) It is reasonably apparent, upon consideration of all the circumstances, that the accident is the prevailing factor in causing the injury; and
(b) It does not come from a hazard or risk unrelated to the employment to which workers would have been equally exposed outside of and unrelated to the employment in normal nonemployment life.
(3) An injury resulting directly or indirectly from idiopathic causes is not compensable.
- In applying the provisions of this chapter, it is the intent of the legislature to reject and abrogate earlier case law interpretations on the meaning of or definition of "accident", "occupational disease", "arising out of", and "in the course of the employment" to include, but not be limited to, holdings in: Bennett v. Columbia Health Care and Rehabilitation, 80 S.W.3d 524 (Mo.App. W.D. 2002); Kasl v. Bristol Care, Inc., 984 S.W.2d 852 (Mo.banc 1999); and Drewes v. TWA, 984
S.W.2d 512 (Mo.banc 1999) and all cases citing, interpreting, applying, or following those cases.
In this case, the employer argues that Section 287.020.3(2)(b) applies in that the claimant's knee popped when she simply raised up after kneeling and this was a "risk unrelated to the employment to which workers would have been equally exposed outside of and unrelated to the employment in normal unemployment life."
This is an argument which had been raised by employers in many cases before with no success. Three prominent cases discussed application of this section. In Kasl v. Bristol Care, Inc, 984 S.W.2d 852 (Mo.banc 1999), the claimant was working in a residential care facility. While sitting, her foot fell asleep. When she arose to dispense some medicine, she fell and broke her ankle. The employer in that case argued that the injury did not arise out of and occur in the course and scope of her employment. The Supreme Court found the case compensable, however, since "without having to arise to dispense medicine (a job requirement), with a foot that had fallen asleep, Kasl would not have fallen, breaking her ankle."
Similarly, in Drewes v. Trans World Airlines, 984 S.W.2d 512 (Mo.banc 1999), the claimant fell while on her unpaid lunch break in a break room not controlled or leased by the employer. One of the arguments made by the employer was that the employee was equally exposed to that risk outside of her employment in that she could have fallen anytime. As in Kasl, the Supreme Court rejected that argument, pointing out that the claimant was not "equally exposed outside of her employment to the risk of falling during her lunch break."
Finally, there is Bennett v. Columbia Healthcare, 80 S.W.3d 524 (Mo.App. WD 2002). In that case, the claimant was employed as a nurses aid who had previous problems with her right knee. She claimed that while at work on several occasions she felt her knee pop. This occurred when she was walking up stairs and when she was walking around a patient's bed. None of the incidents involved a fall or other traumatic event. The ALJ denied compensation, finding that there was no accident in that she did not fall or otherwise sustain a trauma during the incident. The ALJ also found that the incidents occurred when she was just walking and that, as such, she was equally exposed to the same risk outside of her employment. The Court of Appeals reversed the case. Theyspecifically disagreed with the ALJ's findings that a claimant who was just walking was equally exposed outside of her
employment life.
The employer argues if this case were to arise under the old statutory scheme, the claimant would be entitled to compensation. Several changes in the 2005 statute, however, indicate that cases such as this are no longer compensable. Two changes in Section 287.020.2 are relevant. First, the new statute indicates that an "accident" shall "mean an unexpected traumatic or unusual strain". The statute in place when Kasl, Drewes, and Bennett were decided did not contain this language. Applying this language, it is clear there was no "unusual" strain at the time of the injury. The testimony is that the claimant was required to get down on her knees to move items from time to time and would be required to rise up. Likewise, it would not appear that the claimant sustained a "traumatic" strain in that she was simply doing the same type of movement she would do everyday in both employment and non-employment life.
The second change in Section 287.020.2 is also relevant. The old language, under which Kasl, Drewes, and Bennett were decided, stated "An injury is not compensable merely because work was a triggering or precipitating factor." The new statute takes out the "merely" and reads "An injury is not compensable because work was a triggering or precipitating factor." In this case, the event on July 19, 2006 wasa triggering or precipitating factor in that it just happened to have happened at work, but could have happened at any time in which the claimant was rising up from a squatted position.
The two changes noted in Section 287.020.2 are even more important when read in conjunction with another statutory change from 2005. Section 287.800 now reads:
287.800. 1. Administrative law judges, associate administrative law judges, legal advisors, the labor and industrial relations commission, the division of workers' compensation, and any reviewing courts shall construe the provisions of this chapter strictly.
- Administrative law judges, associate administrative law judges, legal advisors, the labor and industrial relations commission, and the division of workers' compensation shall weigh the evidence impartially without giving the benefit of the doubt to any party when weighing evidence and resolving factual conflicts.
At the time Kasl, Drewes, and Bennett were decided, the law in place required the law to be liberally construed in favor of the claimant. Elrod v. Treasurer of Missouri, 138 S.W.3d 714 (Mo.banc 2004). As such, it is understandable why the courts would have stretched the law to find compensable injuries in those cases. Strictly applying 287.020.3(2)(b), however, it is clear that the claimant's injury is not compensable. In addition to there being no traumatic or unusual strain, a strict construction of the statute indicates that the claimant would have been equally exposed outside of and unrelated to the employment in normal nonemployment life. In this case, the claimant was simply rising up after squatting to move some cords. This is the type of movement which everybody does from time to time in their normal nonemployment life.
The final statutory change which is relevant to this case is the most telling. Section 287.020.10 reads:
- In applying the provisions of this chapter, it is the intent of the legislature to reject and abrogate earlier case law interpretations on the meaning of or definition of "accident", "occupational disease", "arising out of", and "in the course of the employment" to include, but not be limited to, holdings in: Bennett v. Columbia Health Care and Rehabilitation, 80 S.W.3d 524 (Mo.App. W.D. 2002); Kasl v. Bristol Care, Inc., 984 S.W.2d 852 (Mo.banc 1999); and Drewes v. TWA, 984 S.W.2d 512 (Mo.banc 1999) and all cases citing, interpreting, applying, or following those cases. As if it were not clear already that the legislature meant to change the law in these so called "positional risk" cases, they specifically set forth that they intended to overrule the Kasl, Drewes, and Bennett case as they related "accident," "arising out of" and "in the course of the employment." The legislature's intent was, that when faced with similar facts, the statute would dictate a different result. The facts of this case are similar to those in earlier cases. Like those cases, the claimant was doing a routine activity at work, one that she was equally exposed to outside of work, and happened to get injured. The legislature clearly intended that, when faced with similar facts again, the injury would not be compensable under the workers compensation system.
The employer and insurer are aware that a case with similar facts has recently been heard by the Commission. In Norman v. Phelps County Regional Insurer, the claimant was a custodian at a hospital. Prior to cleaning an
operating room, the custodian was putting on booties over her shoes. When she lifted her leg up to put on the booties, her left knee popped and dislocated. The ALJ found that there was no "accident" within the meaning of the statute in that the claimant was just doing a routine task which she was equally exposed outside of work. TheCommission reversed in a 2 to 1 vote. This case, however, is distinguishable on its facts. In Norman, the claimant was required to put "booties" on over her boots. This was both mandated by the employer and an unnatural act which the claimant would not have had the need to do except at work. In the present case, the claimant was simply rising up from a squatted position. This is something that all individuals are required to do in their nonemployment life.
The far more relevant recent Commission decision is Johnson v. Town \& Country Supermarkets, Inc., Injury No. 06-078999. In that case, an employee was walking through a supermarket aisle when he "stepped wrong" and rolled his ankle. There was nothing in the aisle that he tripped over. In this case, the Commission carefully examines the history of the "positional risk" cases and concludes that the legislature intended that they were no longer compensable. The Commission wrote:
In the instant case, the employee was walking down a grocery aisle, at a rapid pace, however, there was no evidence that the rapid pace at which he was walking was remotely connected to the fact that he misstepped causing his injury. According to Dr. Pearson, the misstep resulted in an inversion type injury, and there was no other contributing factor. As further opined by Dr. Pearson, the event/trauma could have occurred anywhere. From the record presented the Commission cannot conclude or find any unique condition of employment which contributed to the resultant injury. On the other hand, the evidence does lead to the conclusion that the injury resulted from a hazard or risk unrelated to the employment.
The burden rests upon the employee to show some direct causal connection between the injury and the employment. An award of compensation may be issued if the injury were a rational consequence of some hazard connected with the employment. However, the employment must in some way expose the employee to an unusual risk or injury from such agency which is not shared by the general public. The injury must have been a rational consequence of that hazard to which the employee has been exposed and which exists because of and as a part of the employment. It is not sufficient that the employment may simply have furnished an occasion for an injury from some unconnected source.
The Commission cannot establish a causal connection between the conditions under which the employee was performing his work and the resultant injury. An award of compensation, given the facts of the instant case, can only be justified by accepting the but for reasoning of the positional or actual risk doctrine, i.e., an injury arises out of the employment if it would not have occurred but for the fact that the conditions and obligations of the employment placed employee in the position where he was injured.
In 2005, the legislature abrogated such earlier case law interpretations, and required proof greater than the fact that the conditions and obligations of the employment placed employee in the position where he was injured. An employee must satisfy the concept of causation, i.e., establishing some rational connection between his work and his injury. That is the element of proof employee's case is lacking.
In the present case, as in Johnson, the claimant cannot establish she was at any greater risk at work than she would have been outside of work. It is not enough to establish that she was injured while at work.