Petitioner, a correction officer, suffered a heart attack in 2007 and was
diagnosed with and treated for high blood pressure. Petitioner returned to work
in 2008, voluntarily joining a unit tasked with returning parole absconders to
the counties of their convictions. In February 2017, Petitioner, complaining of
fatigue and edema, sought treatment from a cardiologist, who diagnosed
petitioner with coronary artery disease, heart failure and high blood pressure.
Approximately one month later, Petitioner sought further treatment after
experiencing chest pains and shortness of breath while at work, and he did not
thereafter return to work.
Petitioner applied for performance of duty disability retirement benefits in
September 2017, contending he was permanently incapacitated from the performance
of his duties as the result of a heart condition. Although Petitioner was found
to be permanently incapacitated, his application for benefits was denied upon
the ground that his disability was not sustained as a result of the performance
or discharge of his duties.
Following a hearing and redetermination, the Hearing Officer upheld the
denial, finding that Petitioner's heart disease was not caused by his
employment. The State Comptroller adopted the Hearing Officer's findings of
fact and conclusions of law, and Petitioner commenced this CPLR Article 78
proceeding challenging the Comptroller's determination.
The Appellate Division affirmed the Comptroller's determination, noting that
the New York State and Local Employees' Retirement System concedes that Petitioner
is permanently incapacitated from the performance of his duties as a correction
officer as a result of his heart condition and, further, that the "heart
presumption"* embodied in Retirement and Social Security Law §507-b(c)
applies. However, said the court, citing Matter of Park v DiNapoli, 123 AD3d 1392; Matter of Walters v DiNapoli, 82 AD3d 1487; and Matter of Rivera v DiNapoli, 78 AD3d 1295, "the
issue distills to whether the Retirement System successfully rebutted the heart
presumption, which, in turn, required the Retirement System to demonstrate --
through expert medical proof -- that Petitioner's cardiac condition was caused
by risk factors other than his employment".
The Retirement System's medical expert [Expert] reviewed Petitioner's job
description, together with numerous medical records, test reports and office
notes, and conducted a physical examination of Petitioner in January 2018. After
examining Petitioner, Expert diagnosed Petitioner with "nonobstructive coronary
artery disease, very mild congestive heart failure and diabetes (not well
controlled)". According to Expert, diabetes is "a major risk factor"
for, among other things, heart attack and coronary artery disease; Petitioner's
"additional risk factors for coronary artery disease included hypertension,
dyslipidemia, obesity and a sedentary lifestyle."
In the words of the Appellate Division, "Although Expert agreed that Petitioner
was permanently incapacitated from the performance of his duties as a
correction officer as a result of his cardiovascular disease, Expert was
adamant that Petitioner's correctional officer duties were not the cause of
such disease, stating that '(c)oronary artery disease is not occupation
specific.' Rather, Expert opined, there are 'well-defined risk factors for
coronary artery disease,' including the various risk factors previously attributed
to Petitioner. With respect to work-related stress, Expert acknowledged that
stress could be a contributing factor to, for example, Petitioner's high
blood pressure, but he made clear that stress was neither a recognized risk
factor for developing coronary artery disease nor a cause of coronary artery
disease or hypertension in the first instance (see Matter of Walters v
DiNapoli, 82 AD3d at 1488). Expert further opined that the identified risk
factors could not be viewed in isolation, i.e., no one individual risk factor
may be said to have caused [Petitioner's] coronary artery disease; rather, such
disease was the 'collective' effect of the recognized risk factors identified
in Expert's report.
The Appellate Division said Expert's testimony, in its view, was sufficient
to exclude Petitioner's employment as a causative factor in the development of
his disabling coronary artery disease and, as such, the statutory presumption
was effectively rebutted. Further, opined the court, "The testimony
offered by Petitioner's treating cardiologist, which the Comptroller was free
to reject ... does not warrant a contrary result, as such testimony -- at best --
establishes that stress "appears to" or may "possibl(y)"
have some effect upon the development or progression of coronary artery
disease. The decision then notes that Petitioner's remaining arguments on this point, to the extent not
specifically addressed, had been examined and found to be "lacking in merit" by the Appellate Division.
* RSSL §507-b(c) provides as follows: c. Notwithstanding any provision of this chapter or of any general or special law
to the contrary, any condition of impairment of health caused by diseases of the heart,
resulting in disability or death to a member covered by this section, presently employed
and who shall have sustained such disability while so employed, who successfully passed
a physical examination on entry into service as a correction officer or security hospital
treatment assistant, which examination failed to disclose evidence of any disease
or other impairment of the heart, shall be presumptive evidence that it was incurred
in the performance and discharge of duty, unless the contrary be proved by competent
evidence.
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decision posted on the Internet.