910 F.3d 254
6th Cir.2018Background
- Jay Wilkerson worked >25 years in coal mining, retired in 1994, and filed for Black Lung benefits in 2012 claiming disabling pneumoconiosis from coal-mine employment.
- Administrative Law Judge (ALJ) Timothy McGrath held a hearing with conflicting medical evidence from four physicians (Chavda, Baker, Selby, Tuteur) and issued a 40-page opinion awarding benefits; the Benefits Review Board affirmed.
- Island Creek Coal Company appealed, arguing (1) the ALJ lacked authority under the Appointments Clause and (2) the record lacks substantial evidence to support the ALJ’s finding of total disability and causation.
- The Sixth Circuit treated the Appointments Clause challenge as forfeited because Island Creek raised it for the first time in its reply brief and declined to excuse the forfeiture.
- On the merits, the court reviewed the ALJ’s credibility determinations for substantial evidence: it found the ALJ reasonably credited Dr. Chavda and permissibly discounted other experts, and held Island Creek failed to rebut the statutory presumption linking Wilkerson’s disability to coal-mine employment.
Issues
| Issue | Plaintiff's Argument (Wilkerson) | Defendant's Argument (Island Creek) | Held |
|---|---|---|---|
| Whether ALJ’s appointment violated the Appointments Clause | No violation asserted by Wilkerson | ALJ is an inferior officer appointed unconstitutionally; award invalid | Forfeited by Island Creek (raised first in reply brief); court declined to reach merits |
| Whether record contains substantial evidence of total respiratory disability | Wilkerson: pulmonary function tests and Dr. Chavda establish total disability | Island Creek: post-bronchodilator results and other doctors undercut disability finding | ALJ’s credibility determinations credited Dr. Chavda and were supported by substantial evidence; disability finding affirmed |
| Whether employer rebutted presumption that pneumoconiosis arose from coal-mine employment | Wilkerson: presumption applies (≥15 years) and employer failed to rebut | Island Creek: challenged causal link and relied on contrary medical opinions | Employer failed to rebut; presumption stands and award affirmed |
| Whether ALJ improperly weighed or omitted reliance on specific tests (lung volumes, blood gases) | Wilkerson: ALJ permissibly relied on pulmonary function tests and credible testimony | Island Creek: ALJ erred by not requiring certain tests or by inconsistent standards | Court found ALJ explained credibility choices; no reweighing on appeal; decision upheld |
Key Cases Cited
- Golden v. Comm’r, 548 F.3d 487 (6th Cir.) (failure to raise issue in opening brief forfeits argument)
- Jones Bros., Inc. v. Sec’y of Labor, 898 F.3d 669 (6th Cir.) (Appointments Clause challenges are not jurisdictional and are subject to waiver/forfeiture)
- Greene v. King James Coal Min., Inc., 575 F.3d 628 (6th Cir.) (substantial-evidence review of ALJ credibility determinations)
- Brandywine Explosives & Supply v. Dir., Office of Workers’ Comp. Programs, 790 F.3d 657 (6th Cir.) (statutory presumption of pneumoconiosis after 15 years of qualifying coal-mine employment)
- Freytag v. Comm’r, 501 U.S. 868 (U.S.) (forfeiture/rare-exception discussion for constitutional claims)
- Lucia v. SEC, 138 S. Ct. 2044 (U.S.) (ALJ appointment/appointments-clause framework)
- Tussey v. Island Creek Coal Co., 982 F.2d 1036 (6th Cir.) (role of pulmonary function tests in Black Lung adjudications)
- Cent. Ohio Coal Co. v. Dir., Office of Workers’ Comp. Programs, 762 F.3d 483 (6th Cir.) (evaluation of medical evidence and testing in disability determinations)
