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On December 7, 2001, MaryAnn Whiteside, Director of the Division of Workers' Compensation (DWC), adopted an emergency amendment to the Workers' Compensation Rules of Procedure (W.C.R.P.) in reaction to a Denver District Court ruling that C.R.S. §§ 8-42-107(8)(b)(II), 8-42-107(8)(c), 8-42-107.2(5) and W.C.R.P. XIV(L)(4) are unconstitutional as applied to indigent claimants who are unable to pay for Division-sponsored independent medical examinations (DIME). In Smith v. Whiteside, 00CV9120, a class action lawsuit was brought by all current and future indigent workers' compensation claimants who have been or will be discharged from care by their employer-selected treating physicians because they have reached maximum medical improvement (MMI), and who wish to challenge either the date of MMI and/or the impairment rating. The plaintiffs alleged that the requirement to obtain a DIME and pay for it prevents indigent claimants from challenging either the date of MMI or the impairment rating in violation of the equal protection and/or due process clauses of the Fourteenth Amendment. The district court judge agreed, and granted plaintiffs' motion for summary judgment. The defendants have appealed the ruling to the Colorado Supreme Court. Director Whiteside's emergency rule is W.C.R.P. XIV(P), which sets up a process for claimants to apply for indigent status. An administrative law judge (ALJ) will make a determination regarding the application based upon written submissions, unless there are genuine issues of disputed material fact to necessitate a hearing. If the ALJ holds that the claimant is indigent, the insurer or employer shall be required to pay for the DIME. The insurer or employer will be entitled to reimbursement once a final order is issued, an uncontested final admission is filed, or the claim is settled. The insurer or employer is also entitled to offset the DIME cost against permanent indemnity benefits. A hearing regarding permanent adoption of the amendments to Rule XIV is scheduled for February 1, 2002 at the DWC offices at
1515 Arapahoe Street, Tower 2, 4th Floor, Denver, Colorado.
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