City of Bartow and Commercial Risk Management v. Isidro Flores
CourtDistrict Court of Appeal of Florida
Date FiledMay 29, 2020
Docket1D18-1927
StatusPublished
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Full Opinion
FIRST DISTRICT COURT OF APPEAL
STATE OF FLORIDA
_____________________________
No. 1D18-1927
_____________________________
CITY OF BARTOW and CORRECTED PAGE: pg 7
COMMERCIAL RISK CORRECTION IS UNDERLINED IN RED
MAILED: June 1, 2020
MANAGEMENT, BY: FTA
Appellants,
v.
ISIDRO FLORES,
Appellee.
_____________________________
On appeal from an order of the Judge of Compensation Claims.
Robert A. Arthur, Judge.
Date of Accident: April 28, 2015.
May 29, 2020
M.K. THOMAS, J.
We review an order of the Judge of Compensation Claims,
(JCC) finding the Employer/Carrier (E/C) failed to comply with
section 440.13(2)(f), Florida Statutes (2015), the “one-time change
provision,” and awarding authorization of a claimant-selected
alternate physician. We write only to address a matter of first
impression—what satisfies the E/C’s obligation under section
440.13(2)(f) to “provide” an alternate physician or forfeit its right
of selection. We affirm as to all issues, though we certify a question
of great public importance asking the supreme court to clarify the
issue.
Facts
Following a compensable work injury in 2015, Claimant was
authorized to treat with Dr. Henkel, a neurologist. On June 20,
2017, Claimant’s counsel requested, via letter, a change in
physician within the same specialty. A response providing the date
and time of an appointment was requested from the carrier within
five days. The following day, the E/C’s attorney acknowledged the
request and advised Claimant’s counsel that the E/C “is
authorizing Dr. Mary Ellen Shriver, and Dr. Henkel is no longer
authorized. . . .” The E/C further informed that “[d]etails regarding
the appointment will be forthcoming under separate cover.”
Between June 28 and July 19, multiple communications
occurred between the parties as a result of Claimant inquiring
about the status of the appointment with Dr. Shriver. Claimant’s
counsel filed a Petition for Benefits on July 19, requesting “a one-
time change as requested on June 20, 2017” and designating Dr.
Koebbe as Claimant’s alternate physician selection, as the “E/C
has not provided the response requested within 5 days from the
request for the change.” On August 16, 56 days after the E/C’s
receipt of the one-time change request, Claimant was advised of
an appointment with Dr. Shriver for September 11 (63 days from
date of the request). Claimant’s counsel responded that Claimant
would not attend the appointment with Dr. Shriver and advised
the E/C to refrain from any resetting until after the issues raised
in the petition were addressed at final hearing. The E/C defended
the petition by asserting the one-time change provision was
satisfied, as it named Dr. Shriver and notified Claimant of the
authorization within one day of receiving the request for the one-
time change.
The E/C filed a motion for summary final order. Claimant
objected asserting that, prior to an adjudication of the claim, there
were multiple issues of fact to be considered by the JCC, including
the timeliness of the E/C’s actions and “the implied statutory
standard of reasonableness.” Claimant emphasized that during his
two-month wait for notification of an appointment date with Dr.
2
Shriver, he was without an authorized medical provider due to the
automatic deauthorization of Dr. Henkel. The JCC denied the
E/C’s motion, finding the matter required resolution of mixed
questions of law and fact.
At hearing on the petition, Claimant stipulated that the E/C
timely responded within five days to his request for a one-time
change. No witnesses were called by either party to testify;
however, during legal argument, the E/C’s attorney asserted that
“as an officer of the court,” she could establish that her office
contacted Dr. Shriver’s office on June 23 regarding acquisition of
an appointment date, and numerous calls were made on June 24
and 25 to acquire an appointment date. The defense attorney
further stated that “there [were] calls made, calls that came back
[and] that missed each other. And then there, was, having to send
over the records, there was having to wait for review by the doctor,
and then ultimately an appointment was made.” Claimant’s
attorney countered that he was entitled to authorization of Dr.
Koebbe, his choice of alternate physician, as the E/C did not
“provide” an appointment date with Dr. Shriver as required by
section 440.13(2)(f).
The JCC entered a final order granting Claimant’s request for
a one-time change of his choice. In response to the E/C’s
subsequent motion for rehearing and to vacate the final order, a
second hearing occurred to address due process arguments. 1
Subsequently, the JCC entered the Amended Final Order that is
the subject of this appeal. The JCC again ruled in Claimant’s favor
for authorization of Dr. Koebbe.
In the amended final order, the JCC made the following
findings of fact concerning the acquisition of an appointment with
Dr. Shriver:
On July 20, 2017 counsel for the [E/C’s] staff, responded
to Claimant’s inquiries advising that she had been trying
to get through to them, and that Claimant counsel would
1 We affirm the issues on appeal related to alleged due process
violations. Accordingly, these facts are not further developed.
3
be notified when a date/time had been obtained. Although
it is not entirely clear to whom E/C staff was referring as
“them,” the context surrounding the e-mail, the request
for information about an appointment with Dr. Shriver,
and the fact that all communication on this issue
originated directly from counsel for the [E/C] I accept that
the e-mail refers to attempts to get through to Dr.
Shriver. When the attempts to contact Dr. Shriver were
initiated is not entirely clear from the evidence. What the
evidence shows is that [E/C] did not “get through” to Dr.
Shriver until August 16, 2017 which is the date the
[E/C’s] counsel sent notice of a September 11, 2017
appointment with Dr. Shriver to counsel for the
Claimant.
(Emphasis in original.) The JCC further determined, “[f]rom the
limited evidence submitted it can be reasonably inferred that
attempts to contact Dr. Shriver were not initiated until a month
following the request for the change and multiple requests for
status from the claimant’s counsel.” The JCC found no evidence
Claimant had waived the right to select his one-time change of
physician as he did not attend the appointment with Dr. Shriver.
Legal Analysis
A JCC’s factual findings will be upheld if supported by
competent substantial evidence (CSE), regardless of whether
“other persuasive evidence, if accepted by the JCC, might have
supported a contrary ruling.” Pinnacle Benefits, Inc. v. Alby, 913
So. 2d 756, 757 (Fla. 1st DCA 2005). However, to the extent the
issues raised on appeal concern statutory construction, a question
of law is presented, and our review is de novo. Palm Beach Cty.
Sch. Dist. v. Ferrer, 990 So. 2d 13, 14 (Fla. 1st DCA 2008); Matrix
Emp. Leasing v. Hernandez, 975 So. 2d 1217, 1218 (Fla. 1st DCA
2008); Mylock v. Champion Int’l, 906 So. 2d 363, 365 (Fla. 1st DCA
2005).
The JCC defined the issue before him as “what constitutes the
authorization and provision of a change of physician as indicated
in [section 440.13(2)(f)].” Because this Court has previously
addressed the meaning of “authorization” in this context, we
4
rephrase the issue on appeal as what satisfies the E/C’s obligation
under section 440.13(2)(f) to “provide” an alternate physician or
forfeit its right of selection.
“The substantive benefit provided in paragraph 440.13(2)(f) is
a claimant-initiated, one-time change of physician, without regard
to medical necessity.” Gadol v. Masoret Yehudit, Inc., 132 So. 3d
939, 940 (Fla. 1st DCA 2014) (citing Sunbelt Health Care v. Galva,
7 So. 3d 556, 561 (Fla. 1st DCA 2009)). The one-time change
provision states:
Upon the written request of the employee, the carrier
shall give the employee the opportunity for one change of
physician during the course of treatment for any one
accident. Upon the granting of a change of physician, the
originally authorized physician in the same specialty as
the changed physician shall become deauthorized upon
written notification by the employer or carrier. The
carrier shall authorize an alternative physician who shall
not be professionally affiliated with the previous
physician within 5 days after receipt of the request. If the
carrier fails to provide a change of physician as requested
by the employee, the employee may select the physician
and such physician shall be considered authorized if the
treatment being provided is compensable and medically
necessary.
§ 440.13(2)(f), Fla. Stat. (emphasis added).
The third sentence of section 440.13(2)(f) requires that the
carrier “shall authorize” an alternative physician within five days.
This Court has defined the necessary steps required of an E/C to
satisfy authorization in this context. 2 See Gadol, 132 So. 3d at
940 (holding an E/C timely responds by informing claimant of new
doctor’s name within five days and “does not require the E/C to
actually contact or schedule an appointment with the new doctor”);
2 Neither section 440.13(2)(f) nor any other provision of section
440.13, Florida Statutes, defines the terms “authorize” or
“provide.”
5
Bustamante v. Amber Constr. Co., 118 So. 3d 921, 922 (Fla. 1st
DCA 2013) (holding E/C timely response to one-time change of
physician request requires notice to claimant of authorization—
the “flip side” of Frederic); Hinzman v. Winter Haven Facility
Operations LLC, 109 So. 3d 256, 257 (Fla. 1st DCA 2013) (holding
the five-day response period refers to calendar days, not business
days); HMSHost Corp. v. Frederic, 102 So. 3d 668, 668 (Fla. 1st
DCA 2012) (“E/C’s informing Claimant of a particular doctor’s
name within five days of receiving the request satisfied section
440.13(2)(f), even though the E/C did not contact the doctor.”);
Harrell v. Citrus Cty. Sch. Bd., 25 So. 3d 675, 678 (Fla. 1st DCA
2010) (noting that “[t]o timely respond to a claimant’s request, an
E/C is not required to schedule an appointment with the newly
authorized physician”); Dorsch, Inc. v. Hunt, 15 So. 3d 836, 837
(Fla. 1st DCA 2009) (holding authorization in the context of section
440.13(2)(f), does not “mean that an appointment with a specific
physician was ‘actually scheduled. . . .’ It requires merely that the
appointment be timely authorized”).
Here, Claimant concedes that the E/C named an alternative
physician and notified him of the physician’s name within five
calendar days of receipt of the written request. Thus, the third
sentence of section 440.13(2)(f), requiring the carrier to timely
“authorize,” was satisfied. However, Claimant argues that he is
nonetheless entitled to select the change of physician because
although the E/C timely named and authorized an alternative
physician, it did not “provide” that named physician as required by
the fourth sentence of the statute. Specifically, after
acknowledging Claimant’s written request and timely
“authorizing” Dr. Shriver, the E/C sat on its hands and did not
notify Claimant of an appointment date for 56 days. 3 During this
unreasonably long waiting period, Claimant was without
authorized medical care due to the automatic de-authorization of
the treating physician. Because the E/C failed to “provide” the
alternate physician within a reasonable time, Claimant argues the
3 The JCC’s order refers to a delay of 58 days and the party’s
reference 56 days between the request for an alternate and notice
of an appointment date. This discrepancy is not relevant to our
statutory interpretation.
6
JCC correctly determined the E/C forfeited its control, and he was
entitled to select the change of physician.
Conversely, the E/C interprets the third and fourth sentences
of section 440.13(2)(f) as jointly requiring but one obligation of an
E/C; that is, to name an alternate physician and notify the
claimant within five calendar days of receipt of the written
request. It further argues that the length of time between
authorization of an alternate physician and acquisition of an
appointment date is of no relevance. In support, the E/C cites to
this Court’s opinion in Frederic, which held “[t]he E/C’s informing
Claimant of a particular doctor’s name within five days of receiving
the request satisfied section 440.13(2)(f), even though the E/C did
not contact the doctor.” 102 So. 3d at 668. However, we are not
persuaded by Frederic as the limited issue presented there was
timely “authorization” of an alternate physician upon receipt of a
written request—a petition. Likewise, we decline to recognize
Harrell and Gadol as controlling for the same reason. Until now,
this Court has not addressed the specific meaning of “provide” in
the context of section 440.13(2)(f).
Here, the issue derives from the fourth sentence of section
440.13(2)(f), which instructs, “[i]f the carrier fails to provide a
change of physician as requested by the employee, the employee
may select the physician and such physician shall be considered
authorized if the treatment being provided is compensable and
medically necessary.” (emphasis added). While the third sentence
addresses authorization, the fourth sentence addresses both
actions—provision and authorization. In the context of section
440.13(2)(f), “authorize” connotes an administrative function while
“provide” encompasses affirmative action.
“‘When the language of the statute is clear and unambiguous
and conveys a clear and definite meaning . . . the statute must be
given its plain and obvious meaning.’” Fla. Dep’t of Revenue v. New
Sea Escape Cruises, Ltd., 894 So. 2d 954, 960 (Fla. 2005) (quoting
A.R. Douglas, Inc. v. McRainey, 137 So. 157, 159 (Fla. 1931)). In
construing a statute, we presume that the Legislature knows the
meaning of the words it uses and that it intends to employ those
meanings in the statute. Overstreet v. State, 629 So. 2d 125, 126
(Fla. 1993); see also State v. Bryant, 953 So. 2d 585, 587 (Fla. 1st
7
DCA 2007) (“Common understanding and reason must be used
when analyzing a statute, and words of common usage not
specifically defined must be given their plain and ordinary
meaning.”). Critical to our interpretation of the third and fourth
sentences of section 440.13(2)(f), the Legislature's use of differing
language in the same statute is a sign the Legislature intended
varied meanings. Carlson v. State, 227 So. 3d 1261, 1267 (Fla. 1st
DCA 2017) (“The legislative use of different terms in different
portions of the same statute is strong evidence that different
meanings were intended.”) (citing DPRB v. Durrani, 455 So.2d
515, 518 (Fla. 1st DCA 1984)); see also ANTONIN SCALIA & BRYAN
GARNER, READING LAW: THE INTERPRETATION OF LEGAL TEXTS
170 (2012) (“[W]here the document has used one term in one place,
and a materially different term in another, the presumption is that
the different term denotes a different idea.”). We must not ignore
here that in the same statutory section, the Legislature chose two
separate and distinct terms: “authorize” and “provide.” We must
avoid statutory interpretations that render meaningless any words
the Legislature chose. See Fla. Police Benevolent Ass’n v. Dep’t of
Agric. & Consumer Servs., 574 So.2d 120, 122 (Fla. 1991). Here,
we regard the Legislature’s use of different terms in the same and
contiguous sentences as further bolstering its intent for a variation
in meaning.
Each sentence of section 440.13(2)(f), standing alone grants a
right and/or announces a duty and ramification for noncompliance.
The first sentence of section 440.13(2)(f) grants to injured workers
a right to a one-time change of physician. The second sentence
instructs that upon a claimant’s exercise of that right, the
authorized treating physician is automatically deauthorized. The
third sentence details that if an E/C “authorizes” the physician
within five days of receipt of the written request by a claimant, the
E/C retains its right of selection of the alternative physician.
Inherently, if an E/C does not timely respond, the right of selection
defaults to the claimant. Lastly, the fourth sentence instructs that
despite timely authorization of an alternative physician, the E/C
may still forfeit its right of selection by failing to “provide” that
alternate physician. The Legislature’s deliberate use of different
terms in the third and fourth sentences clearly indicates an intent
for a two-fold duty on the part of the E/C to retain its right of
selection—to timely authorize (defined by this Court as naming
8
the alternate physician and informing the claimant, see Gadol, 132
So. 3d at 940; Bustamante, 118 So. 3d at 922), and to provide the
physician by acquiring an appointment date and informing the
claimant.
Interpretation of section 440.13(2)(f) as proposed by the E/C
would be in stark contrast to the overall purpose of Chapter 440,
Florida Statutes—to efficiently deliver benefits to the injured
worker. See § 440.015, Fla. Stat. (2015) (“The department, agency,
the Office of Insurance Regulation, the Department of Education,
and the Division of Administrative Hearings shall administer the
Workers’ Compensation Law in a manner which facilitates the
self-execution of the system and the process of ensuring a prompt
and cost-effective delivery of payments.”). “Statutory
interpretation that renders statutory provisions superfluous ‘are,
and should be, disfavored.’” Johnson v. Feder, 485 So. 2d 409, 411
(Fla. 1986) (quoting Patagonia Corp. v. Bd. of Governors of the Fed.
Reserve Sys., 517 F.2d 803, 813 (9th Cir. 1975)). The interpretation
favored by the E/C would provide no ramification for an E/C’s
unreasonable delay in acquisition of an appointment date with the
alternate physician while an injured worker is indefinitely without
authorized medical care. 4 As this Court has consistently
emphasized, “[a]n employer’s right to select and/or ‘authorize’
doctors from whom an employee may receive treatment is
concomitant with its affirmative duty to provide appropriate care
at the appropriate time.” Parodi v. Fla. Contracting Co., 16 So. 3d
958, 961 (Fla. 1st DCA 2009) (citing Butler v. Bay Ctr., 947 So. 2d
570, 572 (Fla. 1st DCA 2006)); (emphasis added).
The Legislature has constructed other portions of section
440.13 in a similar manner to the one-time change provision.
4 We note the last sentence of section 440.13(2)(f) provides that
failure of a carrier to comply with the subsection “shall be a
violation of this chapter and the carrier shall be subject to
penalties as provided for in s. 440.525.” Such an audit of carrier
performance is critical to ensure compliance but does not provide
an available expeditious remedy when an injured worker is
unreasonably denied compensable and medically necessary
medical care.
9
Regarding provision of initial medical treatment, section
440.13(2)(c), Florida Statutes, requires that the carrier “shall
furnish” to the employee such medically necessary remedial
treatment, care, and attendance for such period as the nature of
the injury requires. This subsection, also known as the “self-help
provision,” dictates that if the employer fails to “provide” the initial
treatment within a reasonable time period, the employee may
select a physician and obtain the care at the expense of the
employer. § 440.13(2)(c), Fla. Stat. Notably, this Court has
previously recognized the distinction between “authorization” and
“provision” in other statutory sections of Chapter 440. In Osceola
County School Board v. Arace, 884 So. 2d 1003, 1006 (Fla. 1st DCA
2004), the plain meaning of “initial provision of benefits” in section
440.20(4), Florida Statutes, the “120-day provision,” was
determined to be “[t]he first authorized doctor’s visit by a
claimant.’” In Tomaskovich v. Lapointe, 904 So. 2d 538 (Fla. 1st
DCA 2005), in determining whether an E/C was estopped from
asserting a denial of compensability under the “120-day” provision,
this Court held that a benefit that triggers a time period “must
actually be provided, not merely authorized.” Id. at 540 (quoting
Arace, 884 So. 2d at 1006).
Our interpretation is further supported by prior applications
of Chapter 440, which distinguished between an E/C authorization
of a benefit and its actual provision of it. See Lord v. Santa Rosa
Corr. Inst., 135 So. 3d 1170 (Fla. 1st DCA 2014) (Determined that
hours included in an attorney’s fee to claimant’s attorney,
agreement to authorize a doctor at mediation did not stop fee clock
as attorney had to file a motion to enforce afterwards to actually
acquire a named physician); Amerimark, Inc. v. Hutchinson, 882
So. 2d 1114, 1115 (Fla. 1st DCA 2004) (“[T]imeliness of payment of
benefits is determined not by the date of which the E/C notifies a
claimant’s attorney that the claim is accepted and benefits will be
paid, but by ‘the date checks of payment are placed in the mail.’”);
Smith v. AMS Staff Leasing, 29 So. 3d 1142, 1144 (Fla. 1st DCA
2009) (An employer would suffer no negative consequences for
delaying compliance with a compensation order until the last
possible moment, even though the claimant’s petition for rule nisi–
and the associated costs and fees he incurred–may have been the
direct cause of the employer's compliance); Jennings v. Nat’l Linen
Servs., 995 So. 2d 1153, 1155 (Fla. 1st DCA 2008) (“Had the JCC
10
found the E/C unreasonably delayed appointment of a physiatrist,
or if, because of the E/C’s actions, Claimant was not receiving
treatment for his condition, it would be appropriate to award
attorney's fees. See § 440.34(3)(a), Fla. Stat. (1997).”). Whether the
E/C timely “provides” the alternate physician and retains the right
of selection is a fact-based question to be determined by the JCC. 5
In keeping with the spirit of section 440.015 to ensure a quick
and efficient delivery of disability and medical benefits to an
injured worker, the parties are under an implied duty to act
reasonably and fairly. See Zekanovic v. Am. II, Corp., 208 So. 3d
851 (Fla. 1st DCA 2017); Gonzalez v. Quinco Elec. Inc., 171 So. 3d
153 (Fla. 1st DCA 2015). Here, the JCC determined that as a result
of its unreasonable delay, the E/C failed to provide the alternate
physician. CSE exists to support this factual finding.
In light of the importance of the timely provision of medical
treatment and the question of statutory interpretation
presented, we certify to the Florida Supreme Court the following
as a question of great public importance:
WHETHER AN E/C’S DUTY TO TIMELY FURNISH MEDICAL
TREATMENT UNDER SECTION 440.13(2), WHICH INCLUDES A
CLAIMANT’S RIGHT TO A ONE-TIME CHANGE OF PHYSICIAN
DURING THE COURSE OF SUCH TREATMENT PURSUANT TO
SUBSECTION (2)(f), IS FULFILLED SOLELY BY TIMELY
AUTHORIZING AN ALTERNATE PHYSICIAN TO TREAT THE
CLAIMANT OR WHETHER—IN ORDER TO RETAIN ITS RIGHT
OF SELECTION AFTER TIMELY AUTHORIZING THE
ALTERNATE PHYSICIAN TO TREAT THE CLAIMANT—THE E/C
5 We acknowledge that multiple factors will be relevant in a
JCC’s determination of whether the E/C “failed to provide” the
alternate physician such as: geographical availability of
physicians; office policies of individual physicians; requirement of
medical record review by physician before acceptance of new
patients; efforts of the carrier; exigency of injured workers’ medical
condition; and treatment needs, among others.
11
MUST ACTUALLY PROVIDE THE CLAIMANT AN APPOINTMENT
DATE WITH THE AUTHORIZED ALTERNATE PHYSICIAN?
Conclusion
Upon a written request to the E/C, section 440.13(2)(f) entitles
an injured worker to a one-time change of physician. The E/C
controls selection if the alternate physician is authorized within
five days of receipt of the request. However, the E/C forfeits the
right of selection if it subsequently fails to provide the alternate
physician by unreasonable delay in acquisition of an appointment
date. Thus, we AFFIRM but CERTIFY a question of great public
importance.
MAKAR, J., concurs; WINOKUR, J., concurs in part and dissents in
part with opinion.
_____________________________
Not final until disposition of any timely and
authorized motion under Fla. R. App. P. 9.330 or
9.331.
_____________________________
WINOKUR, J., concurring in part, dissenting in part. 1
The majority makes a compelling argument that its
interpretation promotes the “spirit” of the workers’ compensation
law, which requires expeditious provision of medical services for
injured workers, by preventing a carrier from “[sitting] on its
hands” when it should be attempting to secure medical care for an
injured worker. But I find that neither the applicable statute nor
controlling case law supports the majority’s interpretation,
1 I concur in the majority’s decision to certify a question of
great public importance. I otherwise dissent.
12
irrespective of its value as good public policy. As such, I believe we
must reverse the order under review.
The statutory provision under review states as follows:
Upon the written request of the employee, the carrier
shall give the employee the opportunity for one change of
physician during the course of treatment for any one
accident. Upon the granting of a change of physician, the
originally authorized physician in the same specialty as
the changed physician shall become deauthorized upon
written notification by the employer or carrier. The
carrier shall authorize an alternative physician who shall
not be professionally affiliated with the previous
physician within 5 days after receipt of the request. If the
carrier fails to provide a change of physician as requested
by the employee, the employee may select the physician
and such physician shall be considered authorized if the
treatment being provided is compensable and medically
necessary.
§ 440.13(2)(f), Fla. Stat. (emphasis added). The dispute here
involves the third sentence, which requires a carrier to “authorize”
an alternative physician, and the fourth sentence, which gives the
employee the right to select his or her own physician if the carrier
fails to “provide” a change of physician. The majority, consistent
with this Court’s case law, reads the third sentence as placing an
obligation on the carrier to identify a new physician and inform the
employee of its authorization within five days after receipt of the
request for change of physician. But the majority goes on to read
the next sentence as setting a separate, additional obligation on
the carrier to “provide” the change of physician to the employee.
According to the majority, this additional obligation requires the
carrier to obtain an appointment for the employee with the new
physician, and to do so within a “reasonable” time. I find that
neither the structure of the statutory provision, nor the case law
applying it, supports this interpretation.
I. The structure of section 440.13(2)(f)
Sentences three and four, read reasonably, do not place
separate obligations on carriers. The third sentence does place an
13
obligation on carriers: the carrier “shall authorize” an alternate
physician within five days after receipt of a change-of-physician
request. 2 Case law, discussed below, already establishes contours
of this requirement. However, the fourth sentence does not place a
requirement on carriers. Instead, it places a sanction on a carrier
that fails to meet its obligations under the third sentence: if the
carrier does not comply with the third sentence, then it loses the
right to name an alternate physician.
If the Legislature wished to place an additional obligation on
carriers in the fourth sentence, it stands to reason that it would
have used the same type of mandatory language, such as “the
carrier shall provide a change of physician.” 3 Instead, the fourth
sentence is negative: if the carrier fails to provide a change of
physician, then the employee may select his or her own. In other
words, the structure of the third and fourth sentences shows that
it creates an obligation, and then creates a sanction for failure to
meet that obligation. I submit that an interpretation creating
separate obligations disregards the structure of the paragraph.
The majority reasons that the third and fourth sentence
cannot refer to the same obligation because it uses different
words—authorize an alternative physician versus provide a
2 The word “shall” is generally interpreted to “impose a
mandatory duty.” Johnson v. Johnson, 88 So. 3d 335, 338 (Fla. 2d
DCA 2012). See also Dawson v. Clerk of Circuit Court-Hillsborough
Cty., 991 So. 2d 407, 409 (Fla. 1st DCA 2008) (“The use of the word
‘shall’ in . . . section 440.13(2)(f) means that this one-time change
is mandatory[.]”).
3 It also stands to reason that the Legislature would have
placed a specific time limitation on this requirement. The
majority’s interpretation requires judges to divine a “reasonable
time period” in which the carrier is required to set an appointment
with the alternate physician. Considering that the statute sets
forth a specific time period in which the carrier is required to
authorize an alternate physician, it seems problematic that it
implied a separate obligation without establishing a time period,
leaving it to judges to determine whether the amount of time was
“reasonable.”
14
change of physician—because “[t]he Legislature’s use of different
terms in different sections of the same statute is strong evidence
that different meanings were intended.” This maxim of statutory
interpretation is generally known as the presumption of consistent
usage. See In re Failla, 838 F.3d 1170, 1176-77 (11th Cir. 2016)
(“The presumption of consistent usage instructs that ‘[a] word or
phrase is presumed to bear the same meaning throughout a text’
and that ‘a material variation in terms suggests a variation in
meaning.’” (quoting Antonin Scalia & Bryan A. Garner, Reading
Law: The Interpretation of Legal Texts 170 (2012))). See also
Carlson v. State, 227 So. 3d 1261, 1267 (Fla. 1st DCA 2017)
(holding that “[w]e typically view the Legislature’s use of varied
language in the same statute as a sign the Legislature intended
varied things”). I disagree that this maxim should apply here.
In Carlson, we noted that “[t]his rule of interpretation is far
from absolute” Id. The presumption of consistent usage, we
explained, “‘assumes a perfection of drafting that, as an empirical
matter, is not often achieved.’ A. Scalia & B. Garner at 170. For
whatever reasons, ‘drafters more than rarely use the same word to
denote different concepts, and often . . . use different words to
denote the same concept.’” Id. This observation applies here.
Again, the most reasonable reading of the paragraph is that the
third sentence imposes a requirement on carriers, and the fourth
sentence imposes a sanction on the carrier if it does not comply
with that requirement. While it used different words to describe
the carrier’s obligation, the structure of the paragraph shows that
the fourth sentence does not impose an additional obligation. See,
e.g., Norfolk & W. Ry. Co. v. Am. Train Dispatchers Ass’n, 499 U.S.
117, 129 (1991) (stating that “canon[s] do[] not control . . . when
the whole context dictates a different conclusion”).
This conclusion is supported by the fact that the statute is
inexact in other places. For example, the disputed provisions do
not even specify the same object: the third sentence requires a
carrier to authorize “an alternative physician,” while the fourth
sentence sanctions the carrier if it fails to provide “a change of
physician.” In spite of the different language, the majority does not
dispute that the statute means the same thing when it refers to an
“alternative physician” in one sentence and a “change of physician”
in the next. It does not appear that the drafters of this provision
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were overly concerned about consistent usage. 4 Finally, it should
be noted that the statute appears to misuse the word “alternative”
(“alternative physician”) when it seems to have meant “alternate.”
Compare Alternate, The American Heritage College Dictionary (3d
ed. 1993) (defining “alternate” as something or someone that
serves in “place of another”), with Alternative, The American
Heritage College Dictionary (3d ed. 1993) (defining “alternative” as
“[t]he choice between two mutually exclusive possibilities[,]”
whereby the second option does not replace the first). I submit that
we err in attributing excessive scrupulosity to the drafting of this
paragraph.
II. Case law interpreting § 440.13(2)(f)
Our cases make it clear that a carrier’s obligation under
paragraph (2)(f) is to inform the employee of the name of a new
physician within five days of the request for a change of physician,
and not to schedule an appointment with the physician. See
HMSHost Corp./Gallagher Bassett Servs. Inc. v. Frederic, 102 So.
3d 668 (Fla. 1st DCA 2012) (holding that the “E/C’s informing
Claimant of a particular doctor’s name within five days of receiving
the request satisfied section 440.13(2)(f), even though the E/C did
not contact the doctor”). See also Gadol v. Masoret Yehudit,
Inc./U.S. Adm’r Claims, 132 So. 3d 939, 940 (Fla. 1st DCA 2014)
(stating that Frederic holds that E/C timely responds by informing
claimant of new doctor’s name and “does not require the E/C to
actually contact or schedule an appointment with the new doctor”);
Harrell v. Citrus Cty. Sch. Bd., 25 So. 3d 675, 678 (Fla. 1st DCA
2010) (noting that “[t]o timely respond to a claimant’s request, an
4 Moreover, other paragraphs of the same subsection provide
a similar obligation on the part of the carrier to “furnish”
treatment to the employee, which appears synonymous with
“provide.” See § 440.13(2)(a) & (2)(c), Fla. Stat. (requiring the
employer to “furnish to the employee such medically necessary
remedial treatment . . . .” and prohibiting the employee from
recovering certain expenses unless he or she has requested the
employer to “furnish that initial treatment or service” and the
employer has failed to do so). Again, the subsection appears to use
different words when referring to the essentially the same thing.
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E/C is not required to schedule an appointment with the newly
authorized physician”). In short, we have consistently defined the
extent of a carrier’s obligations under section 440.13(2)(f), Florida
Statutes, which does not include the obligation proposed by the
majority.
The majority states that these authorities merely set out the
carrier’s obligation to “authorize” a change of physician for the
employee, whereas the requirement it discusses is a separate
obligation to “provide” a change of physician. I disagree for two
reasons. First, as stated above, I find that this interpretation is
inconsistent with the statute. Second, I believe that each of the
case noted above sets forth the entirety of a carrier’s obligations
under paragraph (2)(f). No case implies that the fourth sentence of
the paragraph imposes requirements additional to the ones they
set out. As such, I believe the majority opinion is inconsistent with
this prior case law.
We must apply the statute as written, regardless of whether
we find that it would promote sound policy to interpret it
otherwise. Because I believe the judge of compensation claims
erred in interpreting section 440.13(2)(f), we should reverse the
order under review.
_____________________________
Vanessa J. Johnson and Warren K. Sponsler of Sponsler, Bishop,
Koren & Hammer, P.A., Tampa, for Appellants.
Nicolette E. Tsambis of Smith, Feddeler, Smith, P.A., Lakeland,
for Appellee.
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