Case Information
*1 Before TYMKOVICH , Chief Judge, LUCERO and MORITZ , Circuit Judges.
_________________________________ LUCERO , Circuit Judge.
_________________________________
Consolidation Coal (“Consolidation”) seeks review of a decision by the Department of Labor (“DOL”) awarding survivor’s benefits to Judy Noyes under the Black Lung Benefits Act (“BLBA”), 30 U.S.C. §§ 901-944. The administrative law judge (“ALJ”) assigned to the case determined that Mrs. Noyes was entitled to a statutory presumption that the death of her husband, James Noyes, resulted from his exposure to coal dust in underground coal mines. The ALJ further concluded that Consolidation failed to rebut that presumption by showing either that Mr. Noyes did not suffer from pneumoconiosis or that pneumoconiosis did not cause his death. In its petition for review, Consolidation argues that the ALJ erred in retroactively applying the rebuttal standard from DOL’s rеvised regulations to Mrs. Noyes’ claim for benefits. Further, the company contends that the ALJ’s determination that Consolidation failed to meet its burden of rebuttal is not supported by substantial evidence.
We hold that the ALJ permissibly applied the rebuttal standard from the revised regulations to Mrs. Noyes’ claim. The statutory presumption under 30 U.S.C. § 921(c)(4) encompasses both clinical and legal pneumoconiosis. And the rebuttal standard set forth in 20 C.F.R. § 718.305(d)(2)(ii), which requires an employer to effectively “rule out” any causal connection between pneumoconiosis and the miner’s death, is consistent with the requirements of the Administrative Procedure Act (“APA”) and the purposes underlying the BLBA. That standаrd may further be applied retrospectively to claims, like Mrs. Noyes’, that were filed prior to the effective date of the revised regulations.
However, we agree with Consolidation that the ALJ incorrectly stated the revised rebuttal standard in analyzing Mrs. Noyes’ claim. Exercising jurisdiction under 33 U.S.C. § 921(c) and 30 U.S.C. § 932(a), we grant Consolidation’s petition for review and remand for further proceedings.
I
A
The BLBA provides benefits to coal miners and their surviving dependents for
death or disability due to certain respiratory diseases known as “pneumoconiosis” arising
out of coal-mine employment. 33 U.S.C. § 901. There are two types of pneumoconiosis
under the BLBA: “clinical” and “legal.” 20 C.F.R. § 718.201(a). Cliniсal
pneumoconiosis refers to a group of diseases that are “recognized by the medical
community as pneumoconiosis” and “characterized by permanent deposition of
substantial amounts of particulate matter in the lungs and the fibrotic reaction of the lung
tissue to that deposition caused by dust exposure in coal mine employment.”
§ 718.201(a)(1). Legal pneumoconiosis, in contrast, “encompasses a broader class of
lung diseases that” do not all constitute “pneumoconiosis as the term is used by the
medical community.” Andersen v. Dir., OWCP,
An individual claiming survivor’s benefits under the BLBA must generally show that: (1) the miner had pneumoconiosis; (2) the miner’s pneumoconiosis arose out of coal-mine employment; and (3) the miner’s death was due to pneumoconiosis. § 718.205(a). Congress has enacted various presumptions intended to ease a claimant’s burden of establishing entitlement to benefits. See generally 30 U.S.C. § 921(c). Under § 921(c)(4), a survivor is еntitled to a “rebuttable presumption that . . . [a miner’s] death was due to pneumoconiosis” if the “miner was employed for fifteen years or more in one or more underground coal mines” and “evidence demonstrates the existence of a totally disabling respiratory or pulmonary impairment.” Id.
This fifteen-year presumption was created in 1972. See Black Lung Benefits Act of 1972, Pub. L. No. 92-303, § 4(c), 86 Stat. 150, 154. It was repealed in 1981. See Black Lung Benefits Revenue Act of 1981, Pub. L. No. 97-119, § 202(b)(1), 95 Stat. 1635, 1643. In 2010, however, Congress revived the presumption as to all claims filed after January 1, 2005, and pending on or after March 23, 2010. See Patient Protection and Affordable Care Act, Pub. L. No. 111-148, § 1556(a), (c), 124 Stat. 119, 260 (2010). DOL subsequently issued a regulаtion providing that a party opposing a survivor’s claim may rebut the presumption by establishing that the miner did not have either legal pneumoconiosis or clinical pneumoconiosis arising out of coal-mine employment, or by demonstrating that “no part of the miner’s death was caused by pneumoconiosis.” § 718.305(d)(2). Although this new regulation went into effect on October 25, 2013, see Regulations Implementing the Byrd Amendments to the Black Lung Benefits Act, 78 *5 Fed. Reg. 59,102, 59,102 (Sept. 25, 2013), it applies to all claims covered by the statutory amendment. § 718.305(a).
B Between 1976 and 2004, Mr. Noyes worked as a foreman supervisor, mine manager, and mine superintendent for three different coal mining operations in Utаh, totaling twenty-two years of coal-mine employment. Mr. Noyes was also a long-time smoker. He died on February 11, 2008, after a prolonged battle with various respiratory conditions, including emphysema/chronic obstructive pulmonary disease (“COPD”), pneumonia, and lung cancer.
In 2008, Mrs. Noyes filed an application for survivor’s benefits under the BLBA.
[1]
Her claim was initially denied on September 3, 2009. While her administrative appeal
was pending before DOL’s Office of Administrative Law Judges, Congress restored the
fifteen-year presumption found in § 921(c)(4). See § 1556(a), (c),
ALJ, Richard Malamphy, denied Consolidation’s request to remand the case to the District Director for the development оf additional evidence in response to the restored presumption. ALJ Malamphy concluded that a remand was unnecessary because his review was de novo and the parties would have the opportunity to submit new evidence regarding the statutory change.
Following a formal hearing, ALJ Malamphy denied Mrs. Noyes’ application for benefits, concluding she had failed to establish that pneumoconiosis was a substantially *6 contributing cause or factor in her husband’s death. DOL’s Benefits Review Board (“BRB”) vacated the decision and remanded for consideration of whether Mrs. Noyes was entitled to invoke the fifteen-year presumption under § 921(c)(4). In a new оrder, ALJ Malamphy determined that the presumption applied and had not been rebutted. He consequently awarded benefits to Mrs. Noyes. Consolidation appealed, and the BRB vacated the ALJ’s decision in part for failure to give Consolidation an opportunity to disprove the existence of legal pneumoconiosis before discrediting the employer’s rebuttal evidence. The case was remanded to a new ALJ, Paul Johnson, who awarded benefits. Applying the fifteen-year presumption and the rebuttal standard under § 718.305(d), ALJ Johnson determined that Consolidation had failed to rebut the presumption of death due to pneumoconiosis. The BRB affirmed. Consolidation filed a timely petition for review with this court.
II
Consolidation raises several legal challenges to the BRB’s decision. We review
the BRB’s resolution of legal questions de novo. Antelope Coal Co./Rio Tinto Energy
Am. v. Goodin,
A Consolidation first argues that § 718.305(d) constitutes аn impermissible construction of the BLBA. With respect to claims for survivor’s benefits under the Act, that regulation provides that a company may rebut the fifteen-year presumption by:
(i) Establishing both that the miner did not have:
(A) Legal pneumoconiosis as defined in § 718.201(a)(2); and (B) Clinical pneumoconiosis as defined in § 718.201(a)(1), arising out of coal mine employment . . . ; or
(ii) Establishing that no part of the miner’s death was caused by pneumoconiosis as defined in § 718.201.
§ 718 .305(d)(2). Consolidation contends that the fifteen-year presumption applies only to clinical pneumoconiosis and thus the regulation impermissibly requires a showing that the miner did not have legal pneumoconiosis. We disagree.
Section 921(c)(4) creates a rebuttаble presumption that a “miner is totally disabled
due to pneumoconiosis, that his death was due to pneumoconiosis, or that at the time of
his death he was totally disabled by pneumoconiosis” if certain requirements are met. Id.
Although “pneumoconiosis” was originally understood to encompass only those diseases
recognized as pneumoconiosis by the medical community, the definition was broadened
in 1978. Black Lung Benefits Reform Act of 1977, Pub. L. No. 95-239, § 2(b), 92 Stat.
95, 95 (1978); see also Andersen,
Following this statutоry amendment, numerous circuits recognized that the revised
definition encompasses both legal and clinical pneumoconiosis. See, e.g., Gulf & W.
Indus. v. Ling,
Thus, for purposes of the BLBA, “pneumoconiosis” has been consistently
defined—statutorily, judicially, and administratively—to include a wide range of
respiratory and pulmonary conditions arising out of coal-mine employment that do not all
constitute pneumoconiosis as the term is used by the medical community. “Under sеttled
canons of statutory construction, we presume that identical terms in the same statute have
the same meaning.” United States v. Richards,
Consolidation argues that our decision in Andersen mandates a contrary
conclusion. There, we held that a different presumption under § 921(c)(1) extends only
to clinical pneumoconiosis, despite the canon of consistent usage. Andersen, 455 F.3d at
1106. However, we reached that conclusion only because reading the particular language
of that subsection to include legal pneumoconiosis would create “an absurd result.” Id.
Section 921(c)(1) provides: “If a miner who is suffering or suffered from
pneumoconiosis was employed for ten years or more in one or more coal mines there
shall be a rebuttable presumption that the pneumoconiosis arose out of such
employment.” Id. As we noted in Andersen, this presumption is helpful to a claimant
with clinical pneumoconiosis, who is only required to show “that he is afflicted with a
disease considered by the medical community as pneumoconiosis.”
Our holding in Andersen was required to avoid this circularity. But there is no
сircularity with respect to § 921(c)(4), which establishes that a miner who worked for
fifteen years in underground coal mines and had a totally disabling respiratory or
pulmonary impairment is presumed to have died as the result of pneumoconiosis. Id. In
contrast to § 921(c)(1), this provision creates no redundancy or overlap with the
definition of legal pneumoconiosis. Accordingly, we do not see any reason to depart
from the general, inclusive definition of pneumoconiosis employed throughout the
BLBA. See Andersen,
Our cоnclusion accords with decisions by this court and our sibling circuits.
Although they have not directly addressed the issue presented in this case, several
decisions have applied the fifteen-year presumption to legal pneumoconiosis. See, e.g.,
Antelope Coal Co.,
Congress revived the fifteen-year presumption in 2010 against the backdrop of
Barber and DOL regulations defining “pneumoconiosis” to include both clinical and legal
definitions. We presume that Congress was aware of these interpretations of the BLBA.
See Lorillard v. Pons,
B
Consolidation argues that even if the fifteen-year presumption applies to legal
pneumoconiosis, the rebuttal standard under § 718.305(d) violates the APA by shifting
the burden of persuasion to the party opрosing entitlement. The APA states that,
“[e]xcept as otherwise provided by statute, the proponent of a rule or order has the burden
of proof.” 5 U.S.C. § 556(d).
[3]
The APA applies to adjudications under the BLBA,
unless regulations of the Secretary provide otherwise. 30 U.S.C. § 932(a) (incorporating
33 U.S.C. § 919(d), which applies the APA to claim adjudications “except as otherwise
provided . . . by regulations of the Secretary”); Greenwich Collieries,
[3] “The phrase “burden of proof” under § 556(d) refers to the burden of
persuasion. Dir., OWCP v. Greenwich Collieries,
We conclude that the BLBA shifts the burden of proof by statute and thus § 556(d)
does not apply. Section 921(c)(4) provides that if a miner had a totally disabling
respiratory impairment after fifteen years of mine work, “there shall be a rebuttable
presumption . . . that his death was due to pneumoconiosis.” Id. The provision further
states that this presumption may be rebutted “only by establishing that (A) such miner
does not, or did not, have pneumoconiosis, or that (B) his respiratory or pulmonary
impairment did nоt arise out of, or in connection with, employment in a coal mine” Id.
As we recognized in Bosco v. Twin Pines Coal Co.,
Consolidation’s citation to Greenwich Collieries does not alter our conclusion.
There, the Supreme Court held that DOL’s “true doubt” rule, which provided that a
benefits claimant would win if the еvidence was in equipoise, violated the APA by
shifting the burden of persuasion to the party opposing entitlement. Greenwich
Collieries,
C
Consolidation also contends that the “rule-out” standard contained in
§ 718.305(d)(2)(ii) is impermissibly high. Under that provision, an employer may rebut
the fifteen-year presumption by “[e]stablishing that no part of the miner’s death was
caused by pneumoconiosis.” § 718.305(d)(2)(ii). In other words, an employer must rule
out any relationship between pneumoconiosis and the miner’s death. See Antelope Coal
Co.,
As we noted in Antelope Coal Co., our court previously applied a rule-out
standard to a similar presumption of pneumoconiosis triggered by proof of total disability
and ten years’ coal-mine employment. See id. at 1336 (citing Rosebud Coal Sales Co. v.
Weigand,
interpretation was “wholly at odds with the decisions rendered by six courts of appeals,
including this court, which apply Section 727.203(b)(3) as written, requiring that any
relationship between the disability and coal employment be ruled out.” Id. Those
decisions, which we cited in Rosebud Coal, upheld the “rule-out” standard as a
permissible construction of the BLBA. See, e.g., Carozza v. U.S. Steel Corp., 727 F.2d
74, 78 (3rd Cir. 1984); Bethlehem Mines Corp. v. Massey,
The Third Circuit recently ruled in accord. See Helen Mining Co, v. Elliot, ___
F.3d ___,
We are persuaded by the foregoing analyses. The rule-out standard contained in
§ 718.305(d)(2) is consistent with both Congress’ intent in enacting the fifteen-year
presumption and the broad remedial purposes of the BLBA. See Bridger Coal Co. v.
Dir., OWCP,
Consolidation lastly asserts that the retroactive application of § 718.305(d)(2) violates its right to due process. The revised regulations went into effect on October 25, 2013, nearly five years after Mrs. Noyes filed her claim for benefits; however, they govern all claims filed after January 1, 2005, and pending on or after March 23, 2010. § 718.305(a).
In Anteloрe Coal Co., we upheld this retrospective application of the new rebuttal
standard contained in § 718.305(d)(1). Antelope Coal Co.,
explained, a revised regulation that is “substantively consistent with prior regulations or
prior agency practices, and has been accepted by all Courts of Appeals to consider the
issue,” may be applied to pending cases. Id. (quotation omitted). After concluding that
the revisions to § 718.305(d)(1) satisfied this requirement, we upheld the ALJ’s
application of the rule-out standard in that provision to a miner’s claim for benefits,
which, like Mrs. Noyes’, was filed prior to the effective date of the revised regulations.
Antelope Cоal Co.,
III Although we reject Consolidation’s constitutional and statutory arguments, we are persuaded by its contention that the ALJ incorrectly stated the revised rebuttal standard in analyzing Mrs. Noyes’ claim. As noted above, there are two methods for rebutting the fifteen-year presumption. Under the first, an employer must demonstrate that the miner did not have either legal pneumoconiosis or clinical pnеumoconiosis arising out of coal- mine employment. § 718.305(d)(2)(i). Under the second, an employer must establish “that no part of the miner’s death was caused by pneumoconiosis.” § 718.305(d)(2)(ii).
As DOL acknowledges in its brief, the rule-out standard applies to the second
method of rebuttal but not the first. See also Bender,
The ALJ cited this regulatory definition in the introductory section of his order but used decidedly different language in analyzing whether Consolidation met its burden under subsection (d)(2)(i)(A). In concluding that Consolidation failed to establish rebuttal under that provision, the ALJ stated that the company’s expert “ha[d] not ruled out any connection between coal-mine employment and Mr. Noyes’s lung cancer.” Similarly, he found that “the evidence [did] not rule out any connection between Mr. Noyes’ emphysema and his coal-mine employment.”
In affirming the ALJ’s decision, the BRB considered only the lung cancer ruling.
Although it did not expressly use the ALJ’s “rule out” language, the BRB cited to Rose v.
Clinchfield Coal Co.,
By citing Rose, the BRB’s decision joins the ALJ’s order in suggesting that an employer must rule out any causal relationship between a miner’s “cancer and his coal mine employment” to establish rebuttal under § 718.305(d)(2)(i). But this standard is materially different from the requirement that an employer show a miner’s lung disease was not “significantly related to, or substantially aggravated by, dust exposure in coal mine employment.” § 718.201(b). An employer may well show that a miner’s lung condition was not “significantly related” to coal-mine employment but fall short of ruling out “any connection.”
DOL urges us to treat the ALJ’s reference to “rul[ing] out” as a mere
colloquialism rather than a misapplication of the rebuttal standard. It relies on
Consolidation Coal Co. v. Galusky,
In Energy West Mining Company v. Estate of Blackburn,
We cannot say the same in this case. The ALJ’s comments below bear some resemblance to those at issue in Energy West Mining, as both ALJ orders criticized an expert for relying on generalities rather than the claimant’s particular case. See id. However, in contrast to that case, the ALJ below did not make an express credibility finding, and he further equivocated in his assessment of the positions advanced by Consolidation’s expert. See id. at 832-33. In discussing the competing expert opinions *22 on the “connection between coal-dust exposure and the carcinoma of the lung,” the ALJ stated that Consolidation’s expert “ha[d] the better of th[e] professional dispute.”
We think remand is the appropriate course under these circumstances. Although it is unfortunate that we must send this case to an ALJ for yet another round of review, our remand should not require a great deal of time or energy. To the extent the ALJ merely used the term “rule out” in its colloquial sense, proceedings should be very brief. If not, the ALJ will be required to reconsider the existing evidence under the proper standard.
IV We GRANT the petition for review and REMAND for further proceedings consistent with this opinion.
Notes
[1] Mrs. Noyes passed away after filing her claim. Kirk Hanna, the personal representative of her estate, is the respondent.
[2] Consolidation argues that the fifteen-year presumption is predicated on the
close causal connection between clinical pneumoconiosis and coal-mine employment,
and that such a connection is lacking with respect to legal pneumoconiosis. It relies
on two studies concerning the prevalence of pneumoconiosis among coal miners.
The first study, which is cited in the Appendix to the House Report on the
1978 amendments to the BLBA, showed that 88% of coal miners with more than
fifteen years of underground mining employment had coal workers’ pneumoconiosis.
H. Rep. 95-151, at 31 (1977), as reprinted in 1978 U.S.C.C.A.N. 237, 267.
Consolidation claims that the fifteen-year presumption was “based on” this finding.
Yet the presumption was enacted nearly six years prior to issuance of the cited House
Report. See Black Lung Benefits Act of 1972, § 411(c)(4),
[4] This conclusion compels us to reject Consolidation’s related argument that it
is entitled to an opportunity to develop further evidence in light of the revised
rebuttal standard. Because the revisions to § 718.305(d) did “not substantively
change the law,” Antelope Coal Co.,
[5] DOL also suggests that this issue was not raised in Consolidation’s opening brief. We disagree. After quoting the ALJ’s statement that the medical expert had not “ruled out any connection between coal-mine employment and Mr. Noyes’ cancer,” Consolidation argues that this analysis was “based on an erroneous interpretation of the 2013 rebuttal standard.” It then quotes the proper standard under § 718.201(b) and argues that its expert showed Mr. Noyes’ lung cancer was not “significantly related to, or substantially aggravated by” coal-dust exposure.
