The version of Section 287.220.1, 1 RSMo, applicable to this claim provides that in order to trigger Second Injury Fund liability, employee must show that he "[1] has a preexisting permanent partial disability whether from compensable injury or otherwise, [2] of such seriousness as to constitute a hindrance or obstacle to employment or to obtaining reemployment if the employee becomes unemployed, and ... receives a subsequent compensable injury resulting in additional permanent partial disability so that the degree or percentage of disability ... caused by the combined disabilities is substantially greater than that which would have resulted from the last injury, considered alone and of itself[.]"
The Second Injury Fund argues that "[f]und liability is only triggered 'by a finding of the presence of an actual and measurable disability at the time the work injury is sustained.'" *Appellant's Brief, p. 13* (quoting *Portwood v. Treasurer of Mo.-Custodian of the Second Injury Fund*, 219 S.W.3d 289, 292 (Mo. App. 2007)). However, Missouri case law provides that a preexisting disability does not need to be manifest prior to the primary injury. See *Harris v. Ralls Cty, No. ED107606, p. 50* (October 1, 2019) ("[A] work accident may be the prevailing factor in causing an injury sustained due to the aggravation of preexisting, asymptomatic degenerative condition. It was error for the Commission to find to the contrary.").
1 In his Award, the administrative law judge erroneously cited § 287.220.2, RSMo. We find that this was a simple, typographical error.
Injury No.: 07-087687
Employee: James Atchison
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The language "actual and measurable" comes from the Missouri Court of Appeals, Eastern District decision in *Messex v. Sachs Elec. Co.*, 989 S.W.2d 206, 214 (Mo. App. 1999).
The Eastern District later held that the Second Injury Fund's reliance on that language is misplaced because such language only referred to liability for permanent partial disability and not for permanent total disability. The court stated,
> On appeal, the Fund argues that a claimant's preexisting disabilities must be "actual and measurable" in order to establish Fund liability for PTD benefits. We disagree.
In *Leutzinger v. Treas. of Missouri, Custodian of Second Injury Fund*, 895 S.W.2d 591, 592-93 (Mo. App. E.D. 1995), this Court addressed a 1993 amendment to Section 287.220.1 by the General Assembly, which superseded the "industrial disability" standard formulated by the courts to determine which prior disabilities would trigger Fund liability. Pursuant to the amendments, the court found:
> [T]he proper criteria for determining whether a preexisting injury is serious enough to trigger the provisions of § 287.220 RSMo Supp. 1993 are as follows: The preexisting injury need only be a "hindrance or obstacle to employment or to obtaining reemployment." Accordingly, we expect that any preexisting injury which could be considered a hindrance to an employee's competition for employment in the open labor market should trigger second injury fund liability. Id. at 593. While the holding of *Leutzinger* is universally accepted by Missouri courts, the Fund, citing *Messex*, argues that the preexisting disability must also be "actual and measurable" to trigger Fund liability for PTD benefits. This Court disagrees because this language from *Messex* refers exclusively to the calculation of PPD benefits.
*Lewis v. Treasurer of Mo.*, 435 S.W.3d 144, 159-160 (Mo. App. 2014).
Therefore, an asymptomatic disability may still trigger Second Injury Fund liability in permanent total disability matters if such asymptomatic disability is a hindrance or obstacle to employment or to obtaining reemployment. The Missouri Court of Appeals, Western District agrees that it is the disability's potential that truly matters, instead of the past manifestation.
> [T]he proper focus of the inquiry as to the nature of the prior disability is not on the extent to which the condition has caused difficulty in the past, it is on the potential that the condition may combine with a work-related injury in the future so as to cause a greater degree of disability than would have resulted in the absence of the condition.
*Loven v. Greene County*, 63 S.W.3d 278, 287 (Mo. App. 2001).
MNKOI 0000811657
Injury No.: 07-087687
Employee: James Atchison
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Here, the administrative law judge found persuasive Dr. Garth Russell, who measured, or rated, employee's preexisting disability at 65-75%. Dr. Russell found that employee is unable to walk on his heels and has muscle spasms in his back. In his deposition, Dr. Russell explained that the rating indicated that the primary injury aggravated and accelerated employee's degenerative disc disease that he had in his back. When further explaining the rating, Dr. Russell focused on the disability's potential and stated that the rating "accounts for the progressive pain that [employee] has in his back, the progressive changes that [are] occurring in his back, and the effect on his future ability for utilization of his back physically." Tr., p. 228.
We also find persuasive Dr. Russell's opinion that employee had a preexisting disability that existed at the time of the primary injury. We further agree that the preexisting disability was serious enough to be a hindrance or obstacle for future employment or reemployment due to its potential to combine with another work-related injury to cause a greater degree of disability than would have resulted absent the preexisting disability.
**Conclusion**
We affirm and adopt the award of the administrative law judge as supplemented herein.
The award and decision of Administrative Law Judge Kevin A. Elmer is attached and incorporated herein to the extent not inconsistent with this supplemental decision.
We approve and affirm the administrative law judge's allowance of attorney's fee herein as being fair and reasonable.
Any past due compensation shall bear interest as provided by law.
Given at Jefferson City, State of Missouri, this 16th day of October 2019.
LABOR AND INDUSTRIAL RELATIONS COMMISSION
Robert W. Corgeje, Chairman
Reid K. Forrester, Member
Curtis E. Chick, Jr., Member
Attest:
Secretary