Mingo Logan Coal Company v. Dallas Owen
Filing
AMENDING ORDER/OPINION filed [999323750] amending and superseding Published Authored Opinion [999162958-2] dated 07/31/2013. Originating case number: 11-0154 BLA. Copies to all parties. [11-2418]
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Filed:
March 26, 2014
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
No. 11-2418
(11-0154 BLA)
MINGO LOGAN COAL COMPANY,
Petitioner,
v.
ERMA JEAN OWENS, widow of DALLAS R. OWENS; DIRECTOR, OFFICE
OF WORKERS’ COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT
OF LABOR,
Respondents.
O R D E R
The Court amends its opinion filed July 31, 2013, as
follows:
On page 21, fifth line of text, the sentence beginning
“In
sum”
is
corrected
to
read,
“In
sum,
we
conclude
that
although the Board announced a standard to rebut the § 921(c)(4)
presumption,
purportedly
restricting
rebuttal
methods
available
standard
was
in
not
fact
to
the
applied
Mingo
Logan
Secretary,
by
either
to
the
the
the
two
announced
ALJ
or
the
Board.”
For the Court – By Direction
/s/ Patricia S. Connor
Clerk
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PUBLISHED
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
No. 11-2418
MINGO LOGAN COAL COMPANY,
Petitioner,
v.
ERMA JEAN OWENS, widow of DALLAS R. OWENS; DIRECTOR, OFFICE
OF WORKERS’ COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT
OF LABOR,
Respondents.
On Petition for Review of an Order of the Benefits Review Board.
(11-0154 BLA)
Argued:
March 21, 2013
Decided:
July 31, 2013
Before NIEMEYER, DAVIS, and DIAZ, Circuit Judges.
Petition for review denied by published opinion. Judge Niemeyer
wrote the opinion, in which Judge Davis and Judge Diaz joined.
Judge Niemeyer wrote a separate concurring opinion.
ARGUED:
William Steele Mattingly, JACKSON KELLY, PLLC,
Morgantown, West Virginia, for Petitioner. John Crawford Cline,
Piney View, West Virginia; Sarah Marie Hurley, UNITED STATES
DEPARTMENT OF LABOR, Washington, D.C., for Respondents.
ON
BRIEF:
Ashley M. Harman, Jeffrey R. Soukup, JACKSON KELLY,
PLLC, Morgantown, West Virginia, for Petitioner.
M. Patricia
Smith, Solicitor of Labor, Rae Ellen James, Associate Solicitor,
Sean G. Bajkowski, Counsel for Appellate Litigation, UNITED
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STATES DEPARTMENT
Respondent.
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OF
LABOR,
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Washington,
2
D.C.,
for
Federal
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NIEMEYER, Circuit Judge:
After nearly 30 years of coal mine employment, Dallas Owens
became totally disabled because of breathing difficulties, and
in April 2008, he filed a claim for black lung benefits.
Administrative
Law
triggered
rebuttable
the
Judge
(“ALJ”)
found
presumption
that
for
Owens’
benefits
An
claim
under
30
U.S.C. § 921(c)(4), available to miners who are totally disabled
and have worked 15 years or more in underground coal mines, and
that Mingo Logan Coal Company, Owens’ former employer, failed to
rebut the presumption.
The ALJ therefore awarded benefits to
Owens, and the Benefits Review Board affirmed.
On appeal, Mingo Logan contends that the ALJ and the Board
applied the wrong legal standard in evaluating whether it had
met
its
rebuttal
burden,
erroneously
limiting
it
to
the
two
methods that the text of the statute specifies are the only
means by which the Secretary may rebut the presumption.
See 30
U.S.C. § 921(c)(4) (providing, “The Secretary may rebut such
presumption only by establishing that (A) such miner does not,
or did not, have pneumoconiosis, or that (B) his respiratory or
pulmonary
impairment
did
not
arise
with, employment in a coal mine”).
out
of,
or
in
connection
Mingo Logan contends that
limiting it to these two methods of rebuttal violated not only
the
clear
language
of
§
921(c)(4),
which
makes
the
rebuttal
limitations applicable to the Secretary, but also the Supreme
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Court’s holding in Usery v. Turner Elkhorn Mining Co., 428 U.S.
1, 35 (1976) (construing the statute to place no limitations on
the
means
by
which
an
employer
may
satisfy
its
burden
on
rebuttal).
Both
Owens
and
the
Director
of
the
Office
of
Workers’
Compensation Programs argue that even though the statute does
not, by its terms, limit employers to the two specified methods
of rebuttal, logic does, and therefore the ALJ and the Board
articulated the correct legal standard.
We do not reach Mingo Logan’s challenge to the standard
announced by the Board to rebut the § 921(c)(4) presumption of
entitlement to benefits, because we conclude that the ALJ did
not in fact apply rebuttal limitations to Mingo Logan, and the
Board affirmed the ALJ’s analysis.
Because we also find that
Mingo Logan’s other challenges to the ALJ’s factual findings
lack
merit,
we
affirm
the
Board’s
award
of
benefits.
Accordingly, we deny Mingo Logan’s petition for review.
I
Owens worked in West Virginia coal mines for close to 30
years, beginning in 1974, and he spent the last 10 of those
years working in coal mines as an electrician for Mingo Logan
Coal Company.
He stopped working in 2003 when he developed
difficulty breathing, a problem that got worse with time.
4
In
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April 2008, Owens filed a claim under the Black Lung Benefits
Act,
which
awards
benefits
to
coal
disabled due to pneumoconiosis.
The
statute’s
implementing
pneumoconiosis
to
recognized
pneumoconiosis
as
include
miners
who
are
totally
See 30 U.S.C. § 901 et seq.
regulations
not
only
those
(“clinical
define
the
diseases
term
medically
pneumoconiosis”),
but
also “any chronic lung disease or impairment and its sequelae
arising out of coal mine employment” (“legal pneumoconiosis”).
20 C.F.R. § 718.201(a).
eligible
for
benefits
$1,048.10
a
month.
requested
a
formal
A claims examiner found that Owens was
and
ordered
Mingo
Logan
hearing
with
an
Mingo
Logan
contested
ALJ.
to
pay
him
award
and
hearing
was
the
The
conducted on December 9, 2009.
At
the
history
and
hearing,
his
prescribed oxygen.
Owens
breathing
testified
problems,
about
for
his
which
he
employment
had
been
He also testified that he had smoked about a
quarter of a pack of cigarettes a day when he was in his late
teens and early twenties but that he had not smoked since 1965.
In addition to Owens’ testimony, the parties introduced various
forms of medical evidence concerning his condition, including
(1) conflicting interpretations of two chest X-rays and three CT
scans;
(2)
the
results
from
pulmonary
function
tests
and
arterial blood gas studies; (3) notes of observations from two
of his treating physicians, Dr. Maria Boustani and Dr. Oscar
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Figueroa,
indicating
conflicting
Rasmussen
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medical
that
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Owens
had
pneumoconiosis;
opinions
by
(offered
from
Director),
the
three
physicians,
Dr.
and
Dr.
George
(4)
D.L.
Zaldivar
(offered by Mingo Logan), and Dr. Kirk Hippensteel (offered by
Mingo Logan), all three of whom agreed that Owens was totally
disabled
by
a
pulmonary
diagnosis and cause.
both
clinical
impairment
but
disagreed
as
to
its
Dr. Rasmussen diagnosed Owens as having
pneumoconiosis
and
interstitial
fibrosis
and
opined that both conditions were attributable to Owens’ exposure
to coal mine dust.
interstitial
Dr. Zaldivar diagnosed Owens with idiopathic
fibrosis
or,
in
his
words,
“an
interstitial
fibrosis of undetermined cause,” but unrelated to coal mining.
Dr. Hippensteel essentially reached the same conclusion, opining
that Owens’ “type of lung disease is a disease of the general
public unrelated to his prior coal mine dust exposure” and that
he “would be just as impaired by the same pulmonary problem had
he never worked in a coal mine.” ∗
∗
After the hearing but before the ALJ issued her decision,
Congress enacted the Patient Protection and Affordable Care Act
(“PPACA”), which contained a section amending the Black Lung
Benefits Act.
See Pub. L. No. 111-148, § 1556, 124 Stat. 119,
260 (2010).
As relevant here, for pending claims filed after
January 1, 2005, the PPACA reinstated a presumption that had
lapsed in 1982, specifying that a miner with at least 15 years
of underground coal mine employment who “demonstrates the
existence of a totally disabling respiratory or pulmonary
impairment” is entitled to a rebuttable presumption that he is
“totally
disabled
due
to
pneumoconiosis.”
30
U.S.C.
6
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In
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October
concluded
2010,
that
the
because
underground
coal
mine
established
that
he
Pg: 8 of 28
ALJ
Owens
awarded
had
employment
was
totally
Owens
more
and
benefits.
than
because
disabled
by
15
years
the
a
She
of
evidence
respiratory
impairment, the rebuttable presumption of § 921(c)(4) arose that
he was totally disabled due to pneumoconiosis.
The ALJ also
found that Mingo Logan did not rebut that presumption.
In this
respect, the ALJ considered seven interpretations of two chest
X-rays, giving more weight to the readings that interpreted the
films as positive for pneumoconiosis based on the physicians’
relative qualifications.
The ALJ also gave greater weight to
Dr. Rasmussen’s opinion as to the cause of Owens’ disability
than
to
the
opinions
offered
by
Dr.
Zaldivar
and
Dr.
Hippensteel, emphasizing that Dr. Rasmussen’s opinion was better
§ 921(c)(4). In response to the amendment, the ALJ reopened the
record to allow both parties an opportunity to submit new
evidence, and Mingo Logan submitted supplemental reports from
both Dr. Zaldivar and Dr. Hippensteel.
The
preexisting
regulation
that
implemented
former
§ 921(c)(4), 20 C.F.R. § 718.305, remains inapplicable by its
terms.
See 20 C.F.R. § 718.305(e) (providing that the
regulation “is not applicable to any claim filed on or after
January 1, 1982”).
The Department of Labor, however, asserts
that the substance of that regulation “remains the Department’s
definitive interpretation of Section 921(c)(4),” and it has
proposed a new version of the regulation, which has not yet gone
into effect.
See Regulations Implementing the Byrd Amendments
to the Black Lung Benefits Act:
Determining Coal Miners’ and
Survivors’ Entitlement to Benefits, 77 Fed. Reg. 19,456
(proposed Mar. 30, 2012).
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supported by the objective medical evidence and “the opinions of
two pulmonary experts who treated [Owens],” while Dr. Zaldivar
and Dr. Hippensteel “chose to totally eliminate consideration of
[Owens’]
29
years
environmental
fibrosis.”
of
the
factor
of
coal
in
the
dust
exposure
development
of
as
a
potential
his
interstitial
The ALJ therefore concluded that “the preponderance
best
documented
and
reasoned
evidence
of
record
establishes the presence of clinical and legal pneumoconiosis.”
She also found that Dr. Zaldivar and Dr. Hippensteel’s diagnosis
of
idiopathic
establish
a
interstitial
cause
of
fibrosis
[Owens’]
workers’ pneumoconiosis].”
was
“not
disability
sufficient
other
than
to
[coal
She concluded, at bottom, that Mingo
Logan failed to rebut the § 921(c)(4) presumption.
The Benefits Review Board affirmed by a decision and order
dated October 28, 2011.
The Board concluded that the ALJ’s
findings were supported by substantial evidence and that the ALJ
properly explained her finding that the positive X-ray readings
outweighed the negative X-ray readings and “properly found that
Dr. Rasmussen’s opinion was better documented and reasoned than
the opinions of Drs. Zaldivar and Hippensteel.”
Mingo
Logan
filed
this
petition
for
review,
challenging
both the legal standard applied to its rebuttal evidence, as
well as the sufficiency of the analysis and the evidence.
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Owens died on July 8, 2012, but his widow continues to
pursue his claim on behalf of his estate.
II
Mingo Logan contends that the ALJ and the Benefits Review
Board applied the wrong legal standard in assessing whether it
rebutted the presumption established by 30 U.S.C. § 921(c)(4).
Under § 921(c)(4), if the miner shows that he worked 15 years or
more
in
totally
underground
disabling
rebuttable
coal
mines
respiratory
presumption
and
or
arises
that
suffers
pulmonary
that
disabled due to pneumoconiosis.”
he
the
from
impairment,
a
miner
“is
a
totally
In the absence of credible
rebuttal evidence, the miner would then be entitled to benefits.
In its opinion affirming the ALJ’s award of benefits, the
Board
stated
that
Mingo
Logan
could
rebut
the
§ 921(c)(4)
presumption only by showing either (1) that Owens did not have
pneumoconiosis
or
(2)
that
his
respiratory
or
pulmonary
impairment did not arise out of, or in connection with, his coal
mine employment.
the
statutory
In support of this statement, the Board cited
language:
“The
Secretary
may
rebut
such
presumption only by establishing that (A) such miner does not,
or did not, have pneumoconiosis, or that (B) his respiratory or
pulmonary
impairment
did
not
arise
with, employment in a coal mine.”
9
out
of,
or
in
connection
30 U.S.C. § 921(c)(4).
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Mingo Logan argues that the Board improperly applied to it
the rebuttal limitations of § 921(c)(4) even though the plain
text
shows
that
those
limitations
apply
“Secretary” seeks to rebut the presumption.
only
when
the
See Usery v. Turner
Elkhorn Mining Co., 428 U.S. 1, 35 (1976) (“[I]t [is] clear as a
matter
of
limitation
statutory
on
construction
rebuttal
evidence
.
that
.
.
the
applies
[provision’s]
only
to
‘the
Secretary’ and not to an operator seeking to avoid liability
. . .”).
Logan
By
applying
argues,
presumption
the
the
Board
with
rebuttal
denied
evidence
it
that
limitations
to
it,
the
to
rebut
the
did
not
chance
pneumoconiosis
Mingo
substantially contribute to Owens’ total disability.
Owens
and
the
Director
of
the
Office
of
Workers’
Compensation Program contend that the standard announced by the
Board was appropriate even if the statutory language does not
directly apply to the employer, because the methods of rebuttal
articulated in § 921(c)(4) are the only logical methods by which
the presumption can be rebutted.
In short, they argue that the
statute’s “rebuttal limitations” are actually not limitations at
all.
While the dispute over the correct rebuttal standard could
affect
whether
a
miner
receives
benefits,
in
this
case
we
conclude that Mingo Logan was not in fact restricted in the
evidence it offered in rebuttal, and the ALJ did not apply the
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rebuttal limitations in considering the evidence.
Rather, the
ALJ analyzed whether Mingo Logan presented credible evidence to
rebut
any
aspect
of
the
miner’s
claim
covered
by
the
presumption.
The Black Lung Benefits Act awards benefits to miners who
are
totally
disabled
§§ 901(a),
921;
due
to
20
C.F.R.
This
725.201(a)(1).
pneumoconiosis.
language
§§
30
718.204(a),
defining
when
U.S.C.
725.1(a),
benefits
are
available is the same as the language defining the scope of the
presumption created by § 921(c)(4).
To establish an entitlement
to
show
benefits,
a
claimant
must
(1)
that
he
has
pneumoconiosis, in either its “clinical” or “legal” form; (2)
that the pneumoconiosis arose out of coal mine employment; (3)
that
he
is
totally
disabled
by
a
pulmonary
or
respiratory
impairment; and (4) that his pneumoconiosis is a substantially
contributing
cause
725.202(d)(2),
of
his
total
disability.
718.204(c)(1).
20
C.F.R.
“Pneumoconiosis
is
§§
a
‘substantially contributing cause’ of the miner’s disability if
it
(i)
[h]as
a
material
adverse
effect
on
the
miner’s
respiratory or pulmonary condition; or (ii) [m]aterially worsens
a totally disabling respiratory or pulmonary impairment which is
caused
by
employment.”
a
disease
or
exposure
Id. § 718.204(c)(1).
11
unrelated
to
coal
mine
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Relating these claim elements to § 921(c)(4)’s presumption,
when a miner proves 15 years of coal mine employment and element
(3),
i.e.,
the
total
disability
element,
a
rebuttable
presumption arises that the miner is totally disabled due to
pneumoconiosis.
presumptively
Thus,
satisfies
pneumoconiosis),
(2)
with
claim
this
elements
(pneumoconiosis
(1)
(the
arose
miner
existence
of
Although Mingo Logan argues that the ALJ limited
rebut
the
presumption
by
the
mine
disability).
to
caused
coal
of
and
ability
(pneumoconiosis
out
the
employment),
its
(4)
provision,
applying
to
total
it
the
rebuttal methods applicable only to the Secretary, the record in
fact shows that the ALJ did no such thing.
Rather, the ALJ
considered all of the evidence that Mingo Logan presented and
found that it did not rebut any of the three elements covered by
the presumption.
Specifically,
pneumoconiosis),
as
the
to
ALJ
element
(1)
considered
(the
Mingo
presence
Logan’s
of
evidence,
together with the evidence presented by Owens, and concluded, “I
find that the preponderance of the best documented and reasoned
evidence
of
record
establishes
legal pneumoconiosis.”
the
presence
of
clinical
and
As to element (2) (that pneumoconiosis
arose out of coal mine employment), the ALJ pointed to another
rebuttable
presumption,
as
stated
in
20
C.F.R.
§ 718.203(b),
which establishes this element if the miner had at least 10
12
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years of coal mine employment.
Mingo
Logan
“ha[d]
not
presumption,”
Owens
pneumoconiosis
arising
She then concluded that because
presented
“ha[d]
evidence
out
established
of
coal
to
the
mine
rebut
the
presence
of
employment.”
And
finally as to element (4) (that pneumoconiosis caused the total
disability), the ALJ understood that the presumption could be
rebutted by
the
employer.
The
ALJ
considered
the
causation
evidence submitted by both sides and concluded that Mingo Logan
“has failed to establish that [Owens’] respiratory disability is
due to a condition other than pneumoconiosis.”
effectively
rebut
rejected
element
(4)
the
by
evidence
showing
offered
that
by
The ALJ thus
Mingo
pneumoconiosis
Logan
was
to
not
a
substantially contributing cause of Owens’ total disability.
In affirming the ALJ, the Benefits Review Board recited the
ALJ’s holding, explicitly referring to the ALJ’s conclusion that
Mingo Logan did not rebut element (4):
The administrative law judge also found that employer
failed to establish that claimant does not have
clinical or legal pneumoconiosis, or that claimant’s
total disability was not due to pneumoconiosis.
Consequently, the administrative law judge found that
employer failed to rebut the presumption of total
disability due to pneumoconiosis at Section 411(c)(4)
of the Act, 30 U.S.C. § 921(c)(4).
(Emphasis
added).
affirmance
by
addresses
how
While
referring
the
to
the
the
Secretary
Board
then
sentence
in
may
13
rebut
the
summarized
§
its
921(c)(4)
that
presumption,
it
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nonetheless proceeded to address substantively the ALJ’s factual
findings and evaluation of the evidence and affirmed them.
In
short,
while
the
Benefits
Review
Board
purported
to
subject the employer to the rebuttal methods applicable to the
Secretary
aspect
in
of
§
the
921(c)(4),
presumption
it
concluded
was
in
rebutted,
substance
affirming
that
the
no
ALJ’s
finding that Mingo Logan failed to show that Owens had only mild
pneumoconiosis
that
total disability.
did
not
substantially
contribute
to
his
Accordingly, because the record shows that
§ 921(c)(4)’s two methods of rebuttal did not affect the Board’s
disposition
of
claim
restricting
that
this
case,
we
need
employers
not
to
address
those
Mingo
methods
Logan’s
improperly
raised its burden on rebuttal.
III
On the merits, Mingo Logan contends that, in concluding
that it had not rebutted the § 921(c)(4) presumption, the ALJ
failed
to
consider
the
failed
to
provide
an
conclusions,
resulting
medical
adequate
in
a
evidence
rationale
decision
in
in
that
its
entirety
support
falls
and
of
her
below
the
minimum threshold required by the Administrative Procedure Act
(“APA”).
Specifically,
it
argues
(1)
that
the
ALJ
did
not
adequately explain her weighing of the chest X-ray evidence; (2)
that
she
improperly
discounted
14
the
medical
opinions
of
Dr.
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Zaldivar
and
opinion,
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Dr.
Hippensteel;
combined
insufficient
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to
with
and
(3)
Owens’
support
the
that
Dr.
treatment
ALJ’s
Rasmussen’s
records,
finding
of
was
legal
pneumoconiosis.
Our review of these matters assesses whether “substantial
evidence supports the factual findings of the ALJ and whether
the legal conclusions of the [Board] and ALJ are rational and
consistent with applicable law.”
Harman Mining Co. v. Dir.,
Office of Workers’ Comp. Programs, 678 F.3d 305, 310 (4th Cir.
2012)
(alteration
omitted).
original)
(internal
quotation
marks
Substantial evidence is “such relevant evidence as a
reasonable
mind
conclusion.”
(1938).
in
might
accept
as
adequate
to
support
a
Consol. Edison Co. v. NLRB, 305 U.S. 197, 229
As part of “determining whether substantial evidence
supports the ALJ’s factual determinations, we must . . . address
whether
all
of
whether
the
ALJ
the
relevant
has
evidence
sufficiently
crediting certain evidence.”
F.3d 524, 528 (4th Cir. 1998).
has
explained
been
his
analyzed
rationale
and
in
Milburn Colliery Co. v. Hicks, 138
But we must also be mindful that
the ALJ, as the trier of fact, “is charged with making factual
findings, including evaluating the credibility of witnesses and
weighing
contradicting
evidence.”
Doss
v.
Dir.,
Office
Workers’ Comp. Programs, 53 F.3d 654, 658 (4th Cir. 1995).
15
of
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With
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respect
to
Mingo
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Logan’s
contention
that
the
ALJ
failed “to provide adequate explanation under the APA for her
weighing of the chest X-ray evidence,” the APA does require ALJs
to “include a statement of . . . findings and conclusions, and
the reasons or basis therefor, on all the material issues of
fact, law, or discretion presented on the record.”
§ 557(c)(3)(A).
5 U.S.C.
An adequate explanation, however, “can be a
succinct one,” Lane Hollow Coal Co. v. Dir., Office of Workers’
Comp. Programs, 137 F.3d 799, 803 (4th Cir. 1998), and the APA’s
“duty of explanation” is satisfied as long as “a reviewing court
can discern what the ALJ did and why she did it,” Harman, 678
F.3d at 316 (alterations and internal quotation marks omitted).
In this case, the ALJ had before her three interpretations
of a chest X-ray taken on May 15, 2008, and four interpretations
of an October 15, 2008 X-ray.
The ALJ first explained the
relative radiological qualifications of the persons who made an
interpretation, noting that a physician becomes a “B reader”
when
he
assessing
passes
and
an
examination
classifying
X-ray
testing
evidence
his
of
“proficiency
in
pneumoconiosis,”
while a Board-certified radiologist has received certification
in radiology or diagnostic roentgenology by the American Board
of Radiology or the American Osteopathic Association.
C.F.R. § 718.202(a)(ii)(C), (E).
See 20
The ALJ then explained that a
dually qualified physician (i.e., a radiologist who was both a B
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reader and Board-certified) and a doctor who was a B reader had
interpreted
the
first
X-ray
as
positive
for
the
presence
of
pneumoconiosis, while one dually qualified physician read the
film as negative.
Giving more weight to the reading that had
been
the
corroborated,
ALJ
found
“that
this
[May
2008]
film
supports finding the presence of pneumoconiosis.”
The ALJ similarly evaluated the conflicting interpretations
of the October 2008 X-ray, noting that it had been read as
positive by two dually qualified physicians and negative by one
dually qualified physician and by one physician, Dr. Zaldivar,
who had subsequently lost his B reader certification.
She then
explained that she was giving “more weight to the jointly held
opinions of the dually qualified physicians who interpreted the
film as positive.”
She thus concluded that “the preponderance
of the X-ray evidence supports a finding of the presence of
pneumoconiosis.”
On this record, the Board found that the ALJ adequately
explained her assessment of the X-ray evidence.
The
applicable
X-ray
reports
regulation
are
in
specifies
conflict,”
the
that
ALJ
“where
must
And we agree.
two
or
more
consider
“the
radiological qualifications of the physicians interpreting such
X-rays.”
20 C.F.R. § 718.202(a)(1).
Because the ALJ did just
that here, we conclude that she sufficiently explained why she
found the X-ray evidence on the whole indicated that Owens had
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pneumoconiosis
and
that
Pg: 19 of 28
substantial
evidence
supported
that
finding.
Next, with respect to Mingo Logan’s contention that the ALJ
incorrectly disregarded the opinions of its experts, the ALJ
gave a number of reasons in support of her decision to “accord
less weight to the opinions of Drs. Zaldivar and Hippensteel.”
She found that they both “dismissed in a cursory [fashion] the
medical
literature
interstitial
that
fibrosis;”
idiopathic
interstitial
population,
but
neither
associated
that
coal
they
fibrosis
dust
both
“maintained
exists
adequately
exposure
in
addressed
the
the
with
that
general
fact
that
[Owens] is not a member of the general population” based on his
extensive coal-dust exposure; and that they “[b]oth acknowledged
that the diagnosis of idiopathic interstitial fibrosis depended
on ruling out all suspected factor[s], but neither doctor gave
an adequate explanation for why coal dust inhalation could not
have caused at least some of [Owens’] impairment.”
found
their
opinions
“compromised
by
not
The ALJ also
being
fully
documented,” noting (1) that “[n]either doctor fully addressed
the
fact
that
two
treating
pulmonary
specialist[s]
found
sufficient evidence to diagnose [coal workers’ pneumoconiosis]
rather than idiopathic interstitial fibrosis;” (2) that “[b]oth
doctors relied upon negative readings of X-rays and CT scans,
regardless
of
contrary
interpretations
18
by
dually
qualified
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physicians,
or
by
the
treatment;”
(3)
that
Pg: 20 of 28
doctor
neither
who
read
addressed
the
one
films
of
the
during
treating
pulmonologists’ “findings of a mixed obstructive and restrictive
defect;” and (4) that neither “gave adequate consideration to
whether the evidence established legal pneumoconiosis.”
At
bottom,
Hippensteel
did
the
not
ALJ
found
adequately
that
Dr.
explain
Zaldivar
why,
in
and
their
Dr.
view,
Owens’ interstitial fibrosis was not “significantly related to,
or substantially aggravated by,” his exposure to dust through
his
coal
mine
employment.
20
C.F.R.
§ 718.201(b).
In
other
words, the ALJ found that these doctors’ reports and testimony
did not adequately explain why Owens’ interstitial fibrosis -which they identified as the cause of his total disability -did not constitute legal pneumoconiosis.
Nonetheless,
Mingo
Logan
challenges
this
finding
by
pointing to places in the record where it contends Dr. Zaldivar
and
Dr.
Hippensteel
did
indeed
explain
“how
and
why
they
eliminated Mr. Owens’ coal dust exposure as the cause of his
interstitial
fibrosis.”
But
the
ALJ
never
said
that
these
doctors failed to provide any explanation for their views on
this critical point.
Instead, she found that the explanations
they gave were inadequate and ultimately unconvincing.
Having fully reviewed the record, we conclude that the ALJ
acted
within
her
factfinding
role
19
in
deciding
to
give
less
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weight to the opinions of Dr. Zaldivar and Dr. Hippensteel.
See
Westmoreland Coal Co. v. Cochran, __ F.3d __, No. 11-1893, slip
op. at 13 (4th Cir. June 4, 2013) (noting that “[i]t is the role
of the ALJ -- not the appellate court -- to resolve” the “battle
of the experts”).
Finally, Mingo Logan contends that Dr. Rasmussen’s opinion,
combined
with
the
notes
of
Owens’
treating
pulmonary
specialists, did not amount to substantial evidence to support
the
ALJ’s
finding
that
Owens
had
both
clinical
and
legal
pneumoconiosis or her finding that Mingo Logan failed to show
that Owens’ pulmonary disability was not due to these diseases.
Mingo Logan argues that Dr. Rasmussen offered only an equivocal,
differential diagnosis.
This assertion, however, takes certain
statements by Dr. Rasmussen out of context and overlooks his
clearly expressed opinion that Owens’ condition was “primarily
the result of [his] long term exposure to coal mine dust and
that
he
suffers
from
coal
mine
induced,
totally
that
ALJ
disabling
chronic lung disease.”
Similarly,
Mingo
Logan
argues
heavily on Owens’ treatment records.
the
relied
too
In our view, however, the
ALJ followed the standards established in 20 C.F.R. § 718.104(d)
and
gave
Boustani
developed
appropriate
and
Dr.
consideration
Figueroa,
sufficiently
to
noting
allow
20
me
to
that
to
the
opinions
“the
accord
record
their
of
Dr.
is
not
opinions
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controlling weight” and instead deciding to give their opinions
“significant weight.”
We thus reject Mingo Logan’s challenge to the sufficiency
of the evidence.
*
*
*
In sum, we conclude that although the Board announced a
standard
to
rebut
the
§
921(c)(4)
presumption,
purportedly
restricting Mingo Logan to the two rebuttal methods available to
the Secretary, the announced standard was not in fact applied by
either the ALJ or the Board.
the
evidence
pneumoconiosis
that
did
Mingo
not
Instead, the ALJ considered all of
Logan
cause
or
offered
to
demonstrate
substantially
that
contribute
to
Owens’ total disability, and the Board affirmed the substance of
the ALJ’s analysis.
We also reject Mingo Logan’s challenges to
the ALJ’s analysis and the sufficiency of the evidence.
Accordingly, Mingo Logan’s petition for review is denied.
It is so ordered.
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NIEMEYER, Circuit Judge, concurring:
I write this separate concurring opinion on my conviction
that Mingo Logan’s challenge to the standard for rebutting the
§ 921(c)(4)
presumption
should
have
been
addressed.
And
in
addressing it, I would hold that the rebuttal standard announced
by the Board was erroneous, as demonstrated both by the explicit
language
of
§
921(c)(4)
and
the
Supreme
Court’s
holding
in
Usery.
The Board stated that it was applying to Mingo Logan the
limiting rebuttal standard applicable to the Secretary, failing
to recognize that in Usery, the Supreme Court held that the
standard applicable to the Secretary did not apply to employers.
Only because it applied the limiting standard clumsily in this
case
--
and
thus
considered
all
methods
of
rebutting
the
§ 921(c)(4) presumption that Mingo Logan offered -- have we been
able to resolve this appeal without addressing the standard.
But this quirk, which was uncovered only by a close reading of
the Board’s opinion, leaves sufficient doubt about the issue
that we should resolve it.
I now write to demonstrate why the standard announced by
the Board was erroneous.
As we point out, under § 921(c)(4), if the miner shows that
he worked 15 years or more in underground coal mines and that he
suffers
from
a
totally
disabling
22
respiratory
or
pulmonary
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impairment, a rebuttable presumption arises that the miner “is
totally
disabled
due
to
pneumoconiosis.”
In
the
absence
of
credible rebuttable evidence, the miner would then be entitled
to benefits.
The
Board
indicated
that
Mingo
Logan
could
rebut
the
§ 921(c)(4) presumption only by showing either (1) that Owens
did not have pneumoconiosis or (2) that his impairment did not
arise out of, or in connection with, his coal mine employment.
In doing so, the Board referenced the statutory language:
“The
Secretary may rebut such presumption only by establishing that
(A) such miner does not, or did not, have pneumoconiosis, or
that (B) his respiratory or pulmonary impairment did not arise
out of, or in connection with, employment in a coal mine.”
30
U.S.C. § 921(c)(4).
As noted above, the parties disagree on whether the Board
announced the correct rebuttal standard for employers.
Logan
argues
that
the
Board
improperly
applied
to
Mingo
it
the
rebuttal limitations of § 921(c)(4) because the plain text shows
that those limitations apply only when the “Secretary” seeks to
rebut the presumption.
See Usery, 428 U.S. at 35.
By applying
the rebuttal limitations to it, Mingo Logan argues, the Board
denied it the chance to rebut the presumption with evidence that
pneumoconiosis
did
not
cause
the
miner’s
total
disability.
Relying on how 20 C.F.R. § 718.204(c)(1) defines this causation
23
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standard,
it
Filed: 03/26/2014
reasons
that
Pg: 25 of 28
the
Board’s
standard
effectively
denied it the opportunity to show that Owens’ disability was
caused
by
idiopathic
interstitial
fibrosis
and
that
his
pneumoconiosis was so mild as not to “substantially contribute”
to his disability.
Owens
and
Id.
the
Director
of
the
Office
of
Workers’
Compensation Program contend that the standard announced by the
Board was appropriate even if the statutory language does not
directly apply to the employer, because the methods of rebuttal
articulated in § 921(c)(4) are the only logical methods by which
the presumption can be rebutted.
In short, they argue that the
statute’s “rebuttal limitations” are actually not limitations at
all.
Resolution of the parties’ differences requires comparing
the
four
claim
elements
necessary
to
establish
a
claim
for
benefits and the rebuttal methods contained in § 921(c)(4).
As we have already pointed out, to establish entitlement to
benefits, a claimant must show that (1) he has pneumoconiosis;
(2) his pneumoconiosis arose out of coal mine employment; (3) he
has a total disability; and (4) his pneumoconiosis caused the
total
disability.
Thus,
claim
elements
(1)
and
(3)
are
existential elements, requiring the existence of pneumoconiosis
and the existence of total disability, while claim elements (2)
and (4) articulate causal relationships.
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Relating the claim elements to § 921(c)(4), when the miner
proves 15 years of coal mine employment and claim element (3),
i.e.,
the
total
disability
element,
a
rebuttable
presumption
arises that the miner is totally disabled due to pneumoconiosis.
Thus,
with
this
claim
elements
provision,
(1)
(the
(pneumoconiosis
arose
(pneumoconiosis
caused
presumption
logically
is
be
out
the
existence
of
the
to
coal
total
rebuttable,
entitled
miner
the
presumptively
of
mine
defeat
pneumoconiosis),
(2)
employment),
and
(4)
Because
the
disability).
coal
it
satisfies
mine
by
operator
introducing
would
evidence
rebutting any of those three claim elements.
Because the statute specifies that the Secretary may rebut
the presumption only by showing that the miner does not have
pneumoconiosis (rebutting claim element (1)) or that there is no
connection
between
the
miner’s
disability
and
his
coal
mine
employment, it imposes a higher standard for rebuttal than would
otherwise be logically permissible to rebut claim element (4).
Claim element (4) could logically be rebutted by showing that
the miner’s pneumoconiosis was not a substantially contributing
cause
of
minimal
his
total
amount
§ 718.204(c)(1).
disability,
to
In
his
this
even
if
it
impairment.
way,
the
contributed
See
statute
Secretary’s ability to rebut claim element (4).
20
some
C.F.R.
limits
the
But the statute
is silent about the scope of an employer’s rebuttal, and the
25
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employer’s
Filed: 03/26/2014
methods
of
Pg: 27 of 28
rebuttal
are
thus
not
limited.
Consequently, because the presumption covers claim elements (1),
(2), and (4), the employer may carry its burden by introducing
evidence rebutting any of these elements, without limitation.
Owens and the Director failed to appreciate the statutory
language
and
Secretary’s
the
logic
rebuttal
of
§
methods
921(c)(4),
are
also
claiming
the
that
employer’s
the
only
logical rebuttal methods, especially when the various elements
of a claim are examined through their definitions.
But the
straightforward language of § 921(c)(4) belies their position,
as
noted.
Moreover,
the
Supreme
Court
has
confirmed
the
existence of a limitation on the Secretary that does not apply
to the employer, necessarily recognizing that rebuttal methods
(A)
and
(B)
identified
in
§
921(c)(4)
are
not
logically
equivalent to the methods that would otherwise be available.
In
Usery,
the
Court
actually
stated
methods of § 921(c)(4) were limiting.
And
precisely
because
they
were
that
the
rebuttal
Usery, 428 U.S. at 34.
limiting,
the
coal
mine
operators involved in Usery made the same argument that Mingo
Logan makes here:
The Operators contend that this limitation erects an
impermissible irrebuttable presumption, because it
establishes
liability
even
though
it
might
be
medically demonstrable in an individual case that the
miner’s pneumoconiosis was mild and did not cause the
disability -- that the disability was wholly a product
of other disease, such as tuberculosis or emphysema.
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Disability due to these diseases, as the Operators
note, is not otherwise compensable under the Act.
Id.
at
34-35.
Accepting
the
legitimacy
of
the
operators’
argument, the Court held:
[W]e think it clear as a matter of statutory
construction that the [§ 921(c)(4)] limitation on
rebuttal evidence is inapplicable to operators.
By
the language of [§ 921(c)(4)], the limitation applies
only to “the Secretary” and not to an operator seeking
to avoid liability [for benefits].
Id. at 35.
Accordingly, I would conclude that the Board announced and
purported
to
apply
to
Mingo
Logan
rebuttal
limitations
that
applied only to the Secretary and that, in this respect, it
erred as a matter of law.
27
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