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In re Morelli

COURT OF APPEALS OF THE STATE OF OREGON
Apr 19, 2017
395 P.3d 650 (Or. Ct. App. 2017)

Opinion

A160635

04-19-2017

Scott V. MORELLI, Petitioner, v. ARGONAUT INSURANCE COMPANY and Tektronix Inc., Respondents.

Julene M. Quinn, Albany, argued the cause and filed the briefs for petitioner. Trisha D. Hole argued the cause and filed the brief for respondents.


Julene M. Quinn, Albany, argued the cause and filed the briefs for petitioner.

Trisha D. Hole argued the cause and filed the brief for respondents.

Before Ortega, Presiding Judge, and Lagesen, Judge, and Wilson, Senior Judge.

PER CURIAMClaimant, who depends on a wheelchair for mobility, appeals a final order of the Director of the Department of Consumer and Business Services that concluded that lawn care services recommended by claimant's attending physician are not compensable medical services under ORS 656.245(1)(b). Claimant's physician noted that there are adaptations available for people with disabilities to allow them to mow their lawns but did not recommend such adaptations for claimant in order to preserve his shoulder function. Instead, claimant's physician asked that insurer consider paying for his lawn care. On appeal, claimant contends that lawn care services constitute direct medical services because they serve the purpose of maintaining the functionality of an injured body part and because they prevent further worsening of a compensable condition. Claimant also argues that lawn care services qualify as a prosthetic, because they are a "substitution for a prosthesis [that] he cannot use because of the circumstances of his compensable injuries."

ORS 656.245(1)(b) provides, in part:

"Compensable medical services shall include medical, surgical, hospital, nursing, ambulances and other related services, and drugs, medicine, crutches and prosthetic appliances, braces and supports and where necessary, physical restorative services."

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Consistent with our prior case law, we conclude that lawn care services do not constitute medical or "other related services" within the meaning of ORS 656.245(1)(b), because "they are not of the same kind or class as those services specifically enumerated in the statute." See Lorenzen v. SAIF , 79 Or.App. 751, 752, 719 P.2d 1336, rev. den. , 301 Or. 667, 725 P.2d 1294 (1986) (concluding that child care services are not compensable medical services); see also Baar v. Fairview Training Center , 139 Or.App. 196, 205-06, 911 P.2d 1232, rev. den. , 323 Or. 690, 920 P.2d 549 (1996) (concluding that housekeeping services are not compensable medical services). Further, under the circumstances presented here, we are not persuaded that lawn care services, regardless of whether they are a substitute, constitute a prosthetic under the statute. But cf. SAIF v. Glubrecht , 156 Or.App. 339, 348-50, 967 P.2d 490 (1998) (concluding that structural modifications to the claimant's home constituted "prosthetic appliances, braces and supports" because they were "an extension of the wheelchair itself, without which the wheelchair could not serve as the tool it is intended to serve").

Affirmed.


Summaries of

In re Morelli

COURT OF APPEALS OF THE STATE OF OREGON
Apr 19, 2017
395 P.3d 650 (Or. Ct. App. 2017)
Case details for

In re Morelli

Case Details

Full title:Scott V. MORELLI, Petitioner, v. ARGONAUT INSURANCE COMPANY and TEKTRONIX…

Court:COURT OF APPEALS OF THE STATE OF OREGON

Date published: Apr 19, 2017

Citations

395 P.3d 650 (Or. Ct. App. 2017)
395 P.3d 650