This matter is before the Court for the second time.
See Consolidation Coal Co. v. Smith,
We briefly restate the facts and procedural history. Ms. Smith’s husband worked for Consolidation Coal Company for twenty-five years. His job “brought him in daily contаct with dust.” He died on November 3, 1977, of heart failure following an acute myocardial infarction.
After her husband’s death, Ms. Smith brought an action for survivor’s benefits under the Black Lung Benefits Act. The Office of Worker’s Compensation Programs determined she was eligible and notified Consolidation Coal of its potential liability. Consolidation Coal contested its liability. Id.
At a hearing, an AU considered several medical reports bearing on the cause of Mr. Smith’s death. The AU determined that the medical reports sufficiently established the existencе of pneumoconiosis to invoke the “interim presumption” in 20 C.F.R. § 727.203(a). That provision presumes that a miner is “totally disabled” at the time of death due to pneumoconiosis contracted from coal mine employment. 20 C.F.R. § 727.203(a). He found, however, that Consolidation Coal had rebutted the interim presumption with evidence that Smith had worked until his death, had smokеd heavily, was the victim of a prior heart attack, and was sixty-seven at the time he died. The AU therefore concluded that Ms. Smith was not entitled to benefits because pneumoconiosis had neither totally disabled Mr. Smith before his death nor caused his death. The AU denied the motion of reconsideration filed by the Office of Workers’ Compensation.
On аdministrative appeal, the Benefits Review Board held as a matter of law that the record could only support a finding that Mr. Smith had worked in his last years on the job with a disability cаused by pneumo-coniosis. 1 The Benefits Review Board found no evidence definitively linking breathing difficulties on the job to causes other than coal dust.
On appeal to this Court, wе found that the Board had exceeded the scope of its authority.
Id.
We stated that only one of the medical reports considered by the AU had found evidence of рneumoconiosis.
2
The Board failed to explain this report in light of other reports which had found little or no evidence of pneumoconiosis. While this evidence may have been sufficient for invocation of the presumption, it was not necessarily sufficient to establish, as a matter of law, that Mr. Smith had a disability caused by pneumoconiosis bеfore he died. Thus, we directed the Benefits Review Board to remand to the AU for more definite findings on the presence of pneumoco-niosis. On remand it was to be again determined whether the interim presumption in 20 C.F.R. § 727.203(a) was triggered. If triggered, the employer would be permitted to rebut the presumption under 20 C.F.R. § 727.203(b). If the AU found that the employer had rebutted the рresumption, the specific subdivision of section 727.-203(b) under which this was accomplished would be named.
On remand, the AU, in a decision dated August 3, 1983, found that the interim presumption should be invokеd but that Con
*323
solidation Coal had offered sufficient evidence to rebut the presumption under section 727.203(b)(3). Almost three years later on May 1, 1986, the Board reversed on apрeal holding
sua sponte
that 20 C.F.R. § 410.490 should apply. It reasoned that
Coughlan v. Director, Office of Workers’ Compensation,
We hold that the Board properly reversed the ALJ’s decision. In our view, however, reversal is required only because Consolidation Coal failed to rebut the interim presumption under section 727.-203(b)(3).
3
That section states in pertinent part that rebuttal succeeds if it establishes “that the total disability or death of the miner did not arise in whole or in part out of coal mine employment.” As the Director points out on appеal, the
employer
must
disprove any causal relationship
between a miner’s total disability or death and a respiratory ailment arising from coal mining employment.
See, e.g., Carozza v. United States Steel,
The ALT did not require Consolidation Coal to carry this burden. Instead, he held that the medical evidence established “no reasonable medical possibility either (a) that death was due to pneumoconiosis (or to multiple causes of which one was pneu-moconiosis) or (b) that decedent was totally disabled due to pneumoconiosis at the time of his death.” This determination ignores the fact that evеn if Mr. Smith’s disability were due only “in part” to pneumoconiosis, Ms. Smith would still be entitled to benefits.
We also hold that the record simply does not support a finding that Consolidation Coal has rebutted the interim presumption of disability. Even though the doctors who submitted reports stated that the primary cause of death was myocardial disease, not one stated that Mr. Smith’s an-thracosis was not a contributing factor to his disability or death.
Thus, Dr. Grover B. Swoyer reviewed autopsy slides and found signs of either “minimal” or “moderate” anthracosis, i.e., pneumoconiosis under the regulations. He failed to give an opinion as to whether anthracosis was a factor in Mr. Smith’s disability or death. Dr. Fred N. Beckman’s reports that “there is no doubt ... that thе major pathology was one of atherosclerosis and myocardial infarction in a background of chronic myocardial disease.” This statement similarly fails to address whether an-thracosis contributed to Mr. Smith’s disability or death.
Finally, Dr. Echols A. Hansbarger, Jr. reviewed the autopsy results and lung slide. He indicated that the decedent “suffered from a moderate degree of pulmonary congestion with some evidence of chronic bronchitis.” Dr. Hansbarger stated that “[sjince Mr. Smith did not suffer from coal workers’ pneumoconiosis or occupational pneumoconiosis, it obviously could have had no impact on his demise.” As the
*324
Director points out, however, the AU already rejected this interpretation by finding that Mr. Smith had at least minimal anthracosis, i.e., “legal pneumoconiosis.” Because the AU had already rejected the basis of this opinion in invoking the interim presumption, he could not resurrect it without explanation to rebut the presumption.
Cf. Markus v. Old Ben Coal Co.,
There is no evidence to support the AU’s conclusion that Consolidation Coal has carried its burden of showing that Mr. Smith was not disabled prior to death or that hе died due, in part, to pneumoconiosis. We therefore conclude that the Benefits Review Board should be affirmed and that Ms. Smith should be awarded benefits. We instruct that this be done promptly, as Ms. Smith has waited long enough for the benefits to which she is entitled.
Notes
. The record contains testimony of two of Mr. Smith’s co-workers that in the last years of his life, he could not do many оf the tasks his position required because of breathing difficulties. In addition, as we emphasized in our previous opinion, "evidence of continued mine employment up to the time of death is legally insufficient to rebut the interim presumption.” The fact that "Mr. Smith worked regularly up to two days prior to his myocardial infarction" could not be "the sole support for a finding that he was 'doing his usual coal mine work’ and thus was not totally disabled, 20 C.F.R. § 727.203(b)(1)."
. The report of a Dr. Grover B. Swoyer found evidence of "anthracosis.” Anthracosis is considered to be “pneumoconiosis” under the regulations, along with "coal worker’s pneumoconio-sis."
See
20 C.F.R. § 727.202 (where "anthraco-sis,” although misspelled as "anthracosisanthro-silicosis,”
. Consolidation Coal argues that because the question of section 727.203(b)(3) rebuttal was not raised before the Board and because the Board did not address its applicability, any claim under section 727.203 has not been exhausted. We disagree. Exhaustion generally requires that an agency render a final decision on a claim under a statutorily created review scheme before the courts may consider it.
See Bowen v. City of New York,
Any problem with our consideration of the section 727.203(b)(3) rebuttal would arise because of the
Chenery
doctrine. That doctrine generally requires this Court
to
affirm agency decisions on the basis of the reasons given by the agency.
See SEC v. Chenery Corp.,
