GERRARD, J.
The Nebraska Department of Health and Human Services (DHHS) determined that Darline Liddell-Toney was required to participate in a self-sufficiency program in order to receive cash assistance benefits under the Welfare Reform Act, despite her documented disability. The district court affirmed the determination of DHHS, and Liddell-Toney timely appeals. For the following reasons, we reverse the judgment of the district court and remand the cause with directions.
Liddell-Toney is a 36-year-old single mother who is disabled by degenerative disk disease. Liddell-Toney receives cash assistance benefits pursuant to the Welfare Reform Act (hereinafter the Act).
Before the DHHS state review team, Liddell-Toney presented a physician's confidential report as evidence of her inability to enter the workforce. The report stated that Liddell-Toney suffered from degenerative disk disease, first onset in 2006, and had a reduced range of motion, a loss of normal curvature of her spine, and bilateral neuropathy of her lower extremities. The report also stated that the disease was anticipated to be of lifetime duration; that the prognosis, including rehabilitation potential, was "[p]oor"; that Liddell-Toney was unable to walk without a cane and was restricted to limited standing and walking, and that Liddell-Toney was unable to work due to the disease. The report also noted that Liddell-Toney was prescribed numerous medications, which included morphine, hydrocodone, and oxycodone. Nonetheless, the state review team denied Liddell-Toney's request for an Employment First exemption on June 18, 2009, finding that Liddell-Toney was not incapacitated and could participate in the Employment First program.
Liddell-Toney then requested a hearing, wherein DHHS received other evidence of Liddell-Toney's degenerative disk disease. This evidence included a supplement to the physician's confidential report, in which her treating physician indicated that in his professional judgment, Liddell-Toney was currently able to participate in work or job readiness activities for 0 hours per week. However, he indicated that Liddell-Toney was able to participate in some job search skills training, such as resume writing, learning to complete an application, and interview training. Her physician noted that Liddell-Toney would require more than 6 months of treatment before she could complete the work requirements of the Employment First program. Also received into evidence were radiology reports from a medical center in Omaha, Nebraska, indicating that Liddell-Toney suffered degenerative disk disease and noting various abnormalities in regard to Liddell-Toney's spine. In the margins of the reports are handwritten notes which read "Mild DDD." Also received at hearing was a medication profile for Liddell-Toney for June 2009. The profile lists Liddell-Toney's medications as including Cymbalta, diazepam, Lidoderm, nortriptyline, hydroxyzine, morphine, oxycodone, and cyclobenzaprine.
After the hearing, DHHS affirmed the state review team's denial of the Employment First exemption, noting that though Liddell-Toney had physical impairments, those impairments did not prevent her from participating in the Employment First program. DHHS noted that the Nebraska Administrative Code provides that an individual is not required to participate in Employment First component activities if that individual
Liddell-Toney petitioned for judicial review. The district court, citing evidence that Liddell-Toney was participating in another rehabilitation program at the time she requested an exemption from the Employment First program, inferred that if Liddell-Toney was able to participate in one vocational rehabilitation program, she was also able to participate in Employment First. The district court found that Liddell-Toney was not so limited or incapacitated that she was physically precluded from engaging in Employment First program activities.
Though the district court recognized that § 020.02(2)(b) provides an exception to participating in the Employment First program where an individual is unable to engage in employment or participate in some Employment First component activities, the court found that the evidence supported the finding that Liddell-Toney was able to participate in some Employment First component activities and that this evidence was a sufficient basis for denying Liddell-Toney an Employment First exemption. Liddell-Toney appeals.
Liddell-Toney assigns that the district court erred in finding that (1) DHHS can deny an exemption from participation in the Employment First program even if the person requesting the exemption demonstrates that he or she is unable to engage in employment and (2) DHHS presented sufficient evidence to find that Liddell-Toney is not entitled to an exemption from participation in the Employment First program.
A judgment or final order rendered by a district court in a judicial review pursuant to the Administrative Procedure Act may be reversed, vacated, or modified by an appellate court for errors appearing on the record.
To the extent that the meaning and interpretation of statutes and regulations are involved, questions of law are presented, in connection with which an appellate court has an obligation to reach an independent conclusion irrespective of the decision made by the court below.
As noted above, under the Act, families "with at least one adult with the capacity to work" must participate in an Employment First self-sufficiency contract "as a condition of receiving cash assistance."
The word "or," when used properly, is disjunctive.
The evidence clearly indicates that Liddell-Toney is prevented from entering employment for a substantial period of time, if at all, due to her disability. Her treating physician determined that Liddell-Toney's degenerative disk disease reduced her range of motion and restricted her to limited standing and walking, which required the use of a cane. Her treating physician also noted that the disease would be of lifetime duration, that the prognosis and rehabilitation potential were poor, and that Liddell-Toney was able to participate in work or job readiness activities for 0 hours per week. And though the radiology reports contained handwritten notes of "Mild DDD" in the margins, even assuming that Liddell-Toney's degenerative disk disease is "mild," the record contains no evidence which would indicate that Liddell-Toney is able to enter the workforce in the reasonably foreseeable future. In fact, the evidence in the record which indicates that Liddell-Toney is unable to enter the workforce is uncontroverted. Liddell-Toney therefore has met the requirements for an exemption under § 020.02(2)(b), and the district court erred when it affirmed DHHS' determination that Liddell-Toney failed to meet the requirements for an exemption under DHHS regulations.
The district court noted that Liddell-Toney's ability to participate in some Employment First component activities was a sufficient basis for denying her an Employment First exemption. DHHS argues that an individualized Employment First program contract could be formulated
However, because the uncontroverted evidence indicates that Liddell-Toney's impairment prevents her from entering employment, she meets the first exemption under the plain language of § 020.02(2)(b), and the question whether she is able to perform some Employment First activities under the second exemption contained within § 020.02(2)(b) becomes moot. Because DHHS' interpretation of § 020.02(2)(b) is inconsistent with the plain language of the regulation, we do not accord that interpretation deference. The uncontroverted evidence in the record indicates that Liddell-Toney is presently unable to enter the workforce for a substantial period of time, if at all, and as such, she is entitled to an Employment First exemption under § 020.02(2)(b) as a matter of law.
At oral argument in this appeal, DHHS conceded that if Liddell-Toney was permanently unable to work, she would be entitled to an Employment First exemption. And this certainly makes sense. It would seem absurd to require an individual to participate in resume writing and interview training activities if that individual is incapable of entering the workforce at the conclusion of the training sessions. At argument, DHHS merely asserted that the evidence was not sufficient to establish the potential duration of Liddell-Toney's disability. But the record simply does not support DHHS' argument. Liddell-Toney's evidence established that her condition was disabling and that her prognosis for rehabilitation and recovery were poor. There is no reasonable interpretation of the record under which Liddell-Toney did not establish that her condition "prevents [her] from entering employment" and "is expected to exist for a continuous period exceeding three months."
The district court erred when it affirmed DHHS' determination that Liddell-Toney did not qualify for an exemption from participating in the Employment First program. The evidence clearly indicates that Liddell-Toney's impairment prevents her from entering employment for a period exceeding 3 months, if at all, and she therefore qualifies for an exemption to the Employment First program under § 020.02(2)(b). The judgment of the district court is reversed, and the cause remanded with directions to reverse the determination made by DHHS.
REVERSED AND REMANDED WITH DIRECTIONS.
CONNOLLY, J., participating on briefs.
WRIGHT, J., not participating.