UNITED STATES DEPARTMENT OF LABOR
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UNITED STATES DEPARTMENT OF LABOR
OFFICE OF ADMINISTRATIVE LAW JUDGES
Washington, DC
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RECENT SIGNIFICANT DECISIONS -- MONTHLY DIGEST # 326
January - May 2026
Stephen R. Henley, Chief Judge
Longshore:
Paul R. Almanza, Associate Chief Judge for Longshore
Yelena Zaslavskaya, Senior Counsel for Longshore
Black Lung:
Deirdra Howard, Acting Associate Chief Judge for Black Lung
Francesca Ford, Senior Counsel for Black Lung
Suzanne Smith, Senior Staff Attorney
Margaret Scully, Senior Staff Attorney
I. Longshore and Harbor Workers’ Compensation Act
A. U.S. Supreme Court
Hencely v. Fuor Corp., 608 U.S. __, 146 S.Ct. 1086 (2026). 1
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In a six-to-three decision, the Supreme Court held that there was no constitutional
provision or federal statute that preempted suit brought by service member against
military contractor, Fluor, asserting claims under South Carolina law for negligent
supervision, negligent entrustment, and negligent retention arising from the injuries he
sustained when a Taliban operative working for the contractor carried out a suicide-bomb
attack at a military base in Afghanistan.
Fluor hired Ahmad Nayeb to work at a U.S. base in Afghanistan as part of the “Afghan First”
initiative, a military program that required contractors to hire Afghans to help stimulate the
This case is included for informational purposes only, as it did not involve a claim arising under the LHWCA
or its extensions.
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local economy and stabilize the Afghan Government. Nayeb, a Taliban operative, later
carried out a suicide-bomb attack at the base that killed 5 and wounded 17. The Army’s
investigation found Fluor primarily responsible for the attack because it negligently
supervised Nayeb in complying with base procedures. Former Army specialist Winston T.
Hencely, who suffered a fractured skull and brain injuries in the course of stopping Nayeb
before he could reach a larger crowd, sued Fluor in the U.S. District Court for the District of
South Carolina seeking damages under South Carolina law for negligent supervision,
negligent entrustment of tools, and negligent retention of Nayeb.
Following Fourth Circuit precedent, the District Court entered summary judgment for
Fluor. See In re KBR, Inc., Burn Pit Litigation, 744 F.3d 326, 349 (4th Cir. 2014). The Fourth
Circuit affirmed under its “battlefield preemption” doctrine, holding that during wartime,
state-law claims against military contractors under military command arising out of
combatant activities are preempted by federal law. It reasoned that the Federal Tort
Claims Act’s (“FTCA”) combatant-activities exception, which preserves the Federal
Government’s immunity against claims arising out of the combatant activities of the
military during wartime, also reflects a congressional intent to bar tort suits against
contractors connected with those combatant activities, even when the contractor is
alleged to have violated its instructions from the military. The Supreme Court concluded
this was error.
The Court held that Hencely’s state tort claims were not preempted by the federal law
where the Federal Government neither ordered nor authorized Fluor’s challenged conduct.
No provision of the Constitution, federal statute, or Court precedent justifies that
preemption of the State’s ordinary authority over tort suits.
First, the Court found that neither the Constitution nor any federal statute expressly
preempts Hencely’s suit. The Supremacy Clause of the Constitution requires state law to
yield only when it conflicts with rights or restrictions that stem from the Constitution or a
valid federal statute or treaty. Here, no constitutional provision or federal statute expressly
preempts Hencely’s suit. This Court previously held that the FTCA’s combatant-activities
exception does not itself apply to suits against federal contractors. The Fourth Circuit
improperly relied on Boyle v. United Technologies Corp., 487 U.S. 500, 108 S.Ct. 2510, 101
L.Ed.2d 442 (1988), because this case did not involve a procurement contract or the
FTCA’s combatant-activities exception. More importantly, Boyle only recognized
preemption when there is a significant conflict between state law and an identifiable
federal policy or interest – accordingly Boyle protects a contractor only when the
Government directed the contractor to do the very thing challenged in the suit. Hencely,
by contrast, sued Fluor for conduct that was not authorized by the military and was
allegedly contrary to federal instructions. Even assuming a uniquely federal interest in
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regulating military bases overseas, no significant conflict exists between that interest and
state-law negligence liability based on a contractor’s departure from military instructions.
The FTCA’s combatant-activities exception protects the Government’s own combatrelated decisions. Any comparable federal interest would therefore preempt state law only
where the challenged conduct can fairly be treated as the military’s own conduct or
decision. But the Fourth Circuit expressly concluded that resolving Hencely’s claims
would not require evaluating the reasonableness of military judgments, and it nonetheless
found preemption simply because the suit arose in a wartime combat setting. Such
blanket preemption is not justified.
The Court stated that none of this should come as a surprise to Fluor under existing
statutes and regulations. Congress knows full well how to make its intention to preclude
private liability known. The Court listed several examples, including the Defense Base Act,
whereby Congress channeled claims by contractors’ employees to an administrative
process, see 42 U.S.C. §§ 1651(a), (c), but did not do the same for suits by soldiers on
military bases. Moreover, the Government advised Fluor that it would not have a
blanket defense based on its status as a military contractor.
Nor does the Constitution’s structure implicitly bar this suit. Although the Constitution
gives Congress and the President broad war powers, that assignment has never been
understood to bar all war-related tort suits. And federal contractors do not automatically
share the Government’s immunity merely because they perform services for it. Absent a
statute to the contrary, States can regulate or tax federal contractors on the same terms as
any private company. Fluor does not attempt to, and could not, invoke
a defense under Yearsley v. W. A. Ross Constr. Co., 309 U.S. 18, 60 S.Ct. 413, 84 L.Ed. 554
(1940). The Yearsley doctrine shields a contractor only when it is being sued precisely for
accomplishing what the Federal Government requested. Because Fluor is alleged to
have acted outside the authority the military granted it, Yearsley does not apply.
[Federal Preemption]
B. U.S. Circuit Courts of Appeals
Peña Garcia v. Director, OWCP, 169 F.4th 111 (2nd Cir. 2026).
The Second Circuit held that marijuana could not be treated as reimbursable medical
treatment for purposes of Section 7 of the LHWCA, because it is presently classified as a
Schedule I substance under the Controlled Substances Act (“CSA”), 21 U.S.C. § 812.
Claimant, a resident of Puerto Rico, sustained multiple physical injuries in 1994, resulting
in permanent total disability. In 1998, he was awarded medical benefits under the LHWCA,
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as extended by the DBA. In 2019, claimant’s physician recommended medical cannabis,
consistent with Puerto Rican law. Employer denied the request. The ALJ denied claimant’s
request for reimbursement on the ground that marijuana is classified as a Schedule I
substance under the CSA, and thus cannot have any accepted medical use as a matter of
federal law. The Board affirmed by a 2-1 vote. The court agreed.
Section 7 requires employers to “furnish” eligible workers injured on the job with “medical,
surgical, and other attendance or treatment … for such period as the nature of the
[covered] injury ... may require.” This Section and its implementing regulations require
reimbursement of “all reasonable and necessary medical expenses” for eligible workrelated injuries. However, the CSA makes it unlawful knowingly to manufacture, distribute,
or possess with intent to distribute controlled substances. Under the CSA, a drug is
classified in Schedule I if (1) it has a high potential for abuse, (2) it has no currently
accepted medical use in treatment in the United States, and (3) there is a lack of accepted
safety for use of the drug or other substance under medical supervision. Congress
currently lists marijuana as a Schedule I drug.
Claimant argued that medical marijuana is a reasonable and necessary treatment for pain
management. However, this argument is foreclosed by the plain text of the CSA, which
states that Schedule I substances, like marijuana, have “no currently accepted medical
use in treatment in the United States.” The Supreme Court has held that marijuana’s
classification as a Schedule I substance amounts to an express Congressional finding that
the drug has “no acceptable medical uses.” See Gonzales v. Raich, 545 U.S. 1, 27, 125
S.Ct. 2195, 162 L.Ed.2d 1 (2005). Federal law thus bars marijuana from being deemed a
reasonable and necessary medical expense for purposes of the LHWCA.
Annual appropriations riders prohibiting the DOJ from preventing states from implementing
laws authorizing the use, distribution, possession, or cultivation of medical marijuana do
not amount to congressional recognition of marijuana’s medicinal value. They do
not change federal law with respect to controlled substances and cannot be interpreted as
having implicitly repealed Congress’s statutory classifications of controlled substances in
the CSA. Further, the term “medical marijuana” is used in the riders only to describe the
nature of state laws, not to alter existing federal law with respect to controlled substances.
And finally, they say nothing about marijuana’s classification as a reasonable and
necessary medical expense for purposes of federal workers compensation programs like
the LHWCA.
While claimant cited recent actions taken by both the President and Congress as evidence
of a more permissive federal policy, these actions are unrelated to whether marijuana can
be reimbursed under the LHWCA. Removing marijuana from Schedule I cannot be done by
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executive fiat; it requires either an Act of Congress or a duly completed administrative
rulemaking proceeding. Neither, to date, has occurred.
While it may be true that state law has trended toward reimbursement of claims for
medical marijuana in state worker’s compensation regimes, these state policies bear no
relation to whether medical marijuana can be reimbursed under federal law. Where
federal regulations of controlled substances are more stringent than state analogs, the
restrictions imposed by federal law govern. The Supremacy Clause unambiguously
provides that if there is any conflict between federal and state law, federal law shall
prevail.
Finally, whether or not the CSA imposes criminal penalties for the reimbursement of
medical marijuana is irrelevant. All that matters is that CSA unequivocally provides, for
purposes of federal law, that marijuana has no accepted medical use.
While it may be the case that the federal government will remove marijuana from Schedule
I of the CSA, the court is obligated to apply the law as it currently stands.
[Section 7 – Medical Benefits - Section 7(a)—Necessary and Reasonable Treatment]
Renteria v. Grieg Star AS, 168 F.4th 775 (5th Cir. 2026).
Plaintiff Balvina Renteria, a longshore worker, brought state-court action against Grieg
Star, the vessel’s technical manager, for negligence under Section 5(b) of the LHWCA,
alleging that while unloading cargo from the vessel, she stepped on a plastic sheeting
covering a gap between stacked cargo and fell ten feet to the steel deck of the cargo hold.
The district court granted Grieg Star’s motion for summary judgment. The Fifth Circuit
affirmed this ruling.
Section 5(b) of the LHWCA supplies the relevant tort-based duties owed by vessel owners
to longshoremen. The primary responsibility for the safety of a longshoreman rests upon
the stevedore. A vessel owner’s turnover duty under the LHWCA relates to the condition of
the ship upon the commencement of stevedoring operations. It places two obligations on
the vessel owner: first, the owner owes a duty to exercise ordinary care under the
circumstances to turn over the ship and its equipment in such condition that an expert
stevedore can carry on stevedoring operations with reasonable safety; second, the owner
owes a duty to warn the stevedore of latent or hidden dangers which are known to the
vessel owner or should have been known to it. The duty to warn is narrow and does not
include dangers which are either: (1) open and obvious or (2) dangers a reasonably
competent stevedore should anticipate encountering. It may extend to certain latent
hazards in the cargo stow, because an improper stow can cause injuries to longshoremen,
and thus is among the hazards on the ship to which the duty to warn attaches.
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In this case, defective condition within the vessel’s cargo stow, specifically, the gaps
between the rolls of kraft liner board underneath the plastic sheeting, was open and
obvious, and thus the vessel’s technical manager did not breach its turnover duty under
the LHWCA to warn when it did not warn Renteria not to step on the plastic sheeting. The
worker had been doing the same work for multiple days, knew there were gaps between
the cargo underneath the plastic sheeting, stepped on plastic sheeting without knowing
whether there was a hole or spacer beneath her, and failed to look through the holes in
plastic sheeting to see whether there was a gap in the area where she stepped. If a
longshoreman knew of a defect, then it is considered open and obvious, and there is no
breach of the vessel owner’s turnover duty to warn under the LHWCA.
A shipowner’s active control duty under the LHWCA applies once stevedoring operations
have begun and imposes liability on the shipowner for injury caused by hazards under the
control of the ship. A shipowner may be liable for injuries if it actively involves itself in the
cargo operations and negligently injures a longshoreman, or if it fails to exercise due care
to protect longshoremen from hazards they may encounter in areas, or from equipment,
under the active control of the vessel during the stevedoring operation. Liability based on
this duty is not relieved when a hazard is open and obvious; if, however, a vessel has
relinquished control over an area to the stevedore, then it is the primary responsibility of
the stevedore to remedy a hazard in that area. If active control is not maintained, once
stevedoring operations begin the shipowner has no general duty to monitor the stevedoring
operation, and it may rely on the stevedore’s judgment that equipment is reasonably safe
for continued use during the work.
To show the existence of a genuine dispute of material fact regarding the shipowners active
control duty, as will preclude summary judgment, a longshoreman must provide evidence
that the shipowner exercised active control over the actual methods and operative details
of the longshoreman’s work. Mere presence of a vessel’s crew to monitor the progress of
cargo operations or ensure some degree of orderliness does not constitute active control.
In this case, the vessel’s technical manager did not actively involve itself in stevedoring
operations and thus did not breach its active control duty. Although vessel crew members
attended daily safety meetings with stevedore supervisor, oversaw cargo operations, and
were instructed to intervene if they saw longshoreman engaging in unsafe practice, where
cargo holds had been turned over to stevedore, the foreman or “lead man” of the
longshore crew provided all instructions to longshoremen on how to discharge the cargo,
Renteria never communicated with any member of the vessel’s crew, and no member of
the vessel’s crew was present at the time of the accident.
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Likewise, there was no basis to conclude that Grieg Star failed to protect Renteria from any
hazard encountered in areas under the active control of the vessel. The cargo holds were
turned over to the stevedore each day before cargo operations began, and Renteria was
injured in an area under the active control of the stevedore.
[Section 5(b)]
In re Complaint of Verplanck Fire District, 175 F.4th 144 (2d Cir. 2026).
Troy Dyckman, a firefighter employed as a volunteer by the Fire District, was injured aboard
a vessel owed by the Fire District while responding to a reported boat fire when he tried to
avoid a collision with another vessel. He asserted three distinct bases for compensation:
(1) negligence and unseaworthiness pursuant to the Jones Act, 46 U.S.C. § 30104; (2)
unseaworthiness under the doctrine of Seas Shipping Co. v. Sieracki, 328 U.S. 85, 66 S.Ct.
872, 90 L.Ed. 1099 (1946); and (3) negligence under general maritime law. The district
court granted the Fire District’s motion for summary judgment with respect to all three
claims. Dyckman appealed this decision, except for the denial of his Jones Act claim. The
Second Circuit vacated the district court’s judgment.
Unseaworthiness Under Sieracki
The Second Circuit held that the district court erred in finding that Dyckman was ineligible
to pursue a claim against the Fire District as the vessel owner for unseaworthiness as a
Sieracki seaman. The court rejected the district court’s three reasons for rejecting the
claim. First, it held that Dyckman was not rendered ineligible to claim status
as Sieracki seaman by reason of the fact that he was employed by the vessel owner, rather
than being an independent contractor or employed by one.
Second, Dyckman’s being a land-based worker did not preclude this claim. Dyckman is
not covered by the LHWCA because he is a governmental employee. 33 U.S.C. § 903(b).
As such, the fact that he is neither an independent contractor nor employed by one is of no
significance as to whether he is or is not covered under the LHWCA. As detailed below, the
LHWCA’s abrogation of the Sieracki unseaworthiness remedy did not apply to him.
Third, the district court erred in concluding that Sieracki seaman status is reserved to
those whose work is primarily to aid in navigation. The Supreme Court has abandoned
reliance on whether seaman status was restricted to those who aided in navigation.
Next, the Second Circuit concluded that the 1972 Amendments to the LHWCA abolished
the unseaworthiness remedy against vessels only for workers covered by the
Amendments. After acknowledging “[a]mbiguous [p]recedents” on this issue, the court
examined the purpose and history of the LHWCA and the 1972 Amendments. The LHWCA
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has limited the liability of employers whose workers are covered under the Act by providing
that its statutory, no-fault compensation payments are the employer’s exclusive liability.
However, the LHWCA authorizes an employee to sue negligent third parties, including the
vessel. See 33 U.S.C. § 933(a). After the Sieracki decision, a land-based non-seaman
working on a vessel could recover from the vessel or its owner for injuries resulting from
the vessel’s unseaworthiness, if the injury was incurred while the worker was “doing a
seaman’s work and incurring a seaman’s hazards.” This ruling indirectly undermined the
exclusivity of employers’ liability under the LHWCA by extending a vessel’s obligation of
seaworthiness to Sieracki seamen. Thereafter, the Supreme Court held that a shipowner
could seek reimbursement from its stevedoring contractor for damages it had paid to the
contractor’s employee for injuries incurred due to the unseaworthiness of the
vessel. These decisions enabled an injured stevedoring employee, indirectly, to get tort
damages from his employer. In 1972, Congress altered the Sieracki remedy by amending
the LHWCA. Section 5(b) was added, which provides that the vessel can be liable to a
covered person for negligence, but not for unseaworthiness. The 1972 Amendments
represented a bargain: covered workers received increased benefits but gave up their right
to recover from the vessel (or its owner) for unseaworthiness. This in turn eliminated the
vessel owner’s indemnity action against the stevedoring firm. The subsection’s scope is
limited to “the event of injury to a person covered under this Act.” Thus, the Sieracki
seaman’s remedy survived the 1972 Amendments for workers who, under Sections 2 and
3(b) of the Act, were excluded from the benefits provided by the Act. This list includes
seamen, see 33 U.S.C. § 902(3)(G) (who are covered under the Jones Act), and government
workers, see id. § 903(b). In so holding, the Second Circuit agreed with the Fifth Circuit and
D.C. Circuit, and disagreed with the Ninth Circuit. In this case, a remand was warranted
for further development of the factual record on the issue of whether Dyckman satisfied
requirements for Sieracki seaman status.
Negligence Under General Maritime Law
As a matter of first impression, the court held that the exclusive workers’ compensation
remedy provision of the New York Volunteer Firefighters’ Benefit Law (“VFBL”) did not bar
Dyckman’s general maritime negligence claim.
The issue of federalism in admiralty has been described by the Supreme Court as one of
the most perplexing in the law. The Constitution grants federal courts the authority over all
cases of admiralty and maritime jurisdiction. U.S. Const. art. 3, § 2, cl. 1. The Supremacy
Clause of the Constitution provides: “This Constitution, and the Laws of the United States
which shall be made in Pursuance thereof . . . shall be the supreme Law of the Land . . .
.” U.S. Const. art. VI, cl. 2. Furthermore, since the Judiciary Act of 1789, the federal courts
have had jurisdiction of civil cases seeking maritime remedies. See 28 U.S.C. § 1333. A
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need for uniformity is one of the principles of maritime law. In Southern Pacific Co. v.
Jensen, 244 U.S. 205, 37 S.Ct. 524, 61 L.Ed. 1086 (1917), the Court held that the state
compensation statute was an unconstitutional trespass on exclusively federal
territory. More recently, the Court has adopted two principles: (i) a preference for a
balancing test, exemplified in Kossick v. United Fruit Co. 365 U.S. 731, 81 S.Ct. 886, 6
L.Ed.2d 56 (1961), in which the court weighs how deeply the underlying state and federal
interests engage with the particular facts coupled with (ii) a reluctance (short of a
categorical supremacy-based rule of denial) to allow state law rules to defeat a worker's
entitlement to a maritime remedy unless the application of state law would not interfere
with the essential uniformity as to maritime matters.
Other circuits that have considered whether a state statute’s exclusive remedy provision
bars a general maritime claim have not been uniform. The Third and Fifth Circuits have
adopted a categorical rule that the Supremacy Clause requires that a federal remedy take
precedence over a conflicting state law. The Eleventh Circuit adopted a balancing test,
according to the dictates of comity. In a matter of first impression, the Second Circuit
agreed and held that, under Kossick, a balancing of state and federal interests is required,
which inevitably depends on the particular facts of the case.
In this case, the court found that both sides had a significant interest in the application of
their respective laws. At the same time, federal law generally has stewardship over
maritime matters and has evinced a strong interest in providing adequate remedies for the
injuries suffered by workers in maritime commerce. Although only a small part of
Dyckman’s employment took place on the navigable waters, and he therefore was not a
seaman under the Jones Act, his firefighting mission aboard the vessel was distinctly
maritime. The court contrasted this case with cases involving injuries to land workers,
whose presence on a ship was only for transportation to their land-based jobs. In this
case, displacement of the federal remedy would impair uniformity of the federal maritime
law. On remand, the district court was instructed to determine whether the evidence
should be believed and whether Dyckman was doing seaman’s work and incurring a
seaman’s hazards.
[Coverage – 1972 Amendments, Exclusions From Coverage; Section 5(b)]
C. U.S. District Courts 2
1F
No decision to report.
2
Only decisions relevant to the adjudication of claims by OALJ are included in this newsletter.
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D. Benefits Review Board
Woolum v. Arma Aviation, __ BRBS __ (2026).
Agreeing with the Director, Office of Workers’ Compensation Programs (“Director”),
the Board affirmed the ALJ’s average weekly wage (“AWW”) calculation and rejected
employer’s argument that claimant’s disability ended with the withdrawal of the
United States from Afghanistan on August 30, 2021. This case arose in the Ninth
Circuit.
Claimant worked for Employer in Kabul, Afghanistan as an aircraft mechanic for
approximately eight months in 2020. Claimant alleged that he began having breathing,
sleeping, and psychological issues as a result of exposure to constant fumes from burn
pits. He reported having sleeping problems and panic attacks arising from his beathing
difficulties.
Claimant was initially treated at a clinic in Afghanistan by Drs. Eschebi and Akech. Dr.
Echebi made a provisional diagnosis of chronic sinusitis with sleep apnea and panic
attacks. Dr. Akech diagnosed vasomotor rhinitis triggered by environmental pollutants as
well as chronic sinusitis. Claimant left Kabul in October of 2020 on his physicians’
recommendation; thereafter, he experienced improvement, but continued to have
symptoms. After returning to the United States, Claimant was treated by several doctors,
including Drs. Vaughan and Tonkinson. He had several CT scans that showed sinusitis.
Both Drs. Tonkinson and Vaughan diagnosed hypertrophy of nasal turbinates and chronic
sinusitis. Dr. Vaughan also recommended the use of masks and air filters. In April of 2021,
claimant returned to work as an airplane mechanic in the U.S. He also applied for several
positions in Iraq, Kuwait, and Africa, but has not worked overseas.
Claimant was also examined by employer’s medical expert, Dr. Singer, who opined that
claimant’s symptoms were due solely to his pre-existing obstructive sleep apnea. Dr.
Singer opined that claimant did not have chronic sinusitis or any other medical conditions
caused or aggravated by his work for employer. He noted that claimant had pre-existing
nasal congestion, which can be aggravated by poor air quality, but stated that it was not
the “primary cause” for claimant’s reported sleep disturbances and panic attacks. He
also disagreed with other medical providers and opined that sinusitis is not caused by poor
air quality. At the same time, Dr. Singer conceded that pollution could have aggravated
claimant’s pre-existing nasal congestion.
The ALJ found that claimant invoked the Section 20(a) presumption linking his work to his
alleged nasal and sinus conditions, and that employer rebutted the presumption. After
weighing the evidence as a whole, the ALJ found that claimant established he had “mild
and intermittent” nasal and sinus conditions that became chronic and resistant to
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treatment while working for employer. The ALJ also determined that claimant invoked the
Section 20(a) presumption for his alleged psychological injuries, that employer rebutted
the presumption, and that claimant failed to establish he suffered a work-related
psychological injury. The latter finding was not challenged on appeal.
The ALJ next found that claimant established a prima facie case of total disability based on
his nasal and sinus conditions by showing that they precluded his return to his former work
with employer. Since employer presented no evidence of suitable alternate employment
(“SAE”), the ALJ awarded claimant compensation for temporary total disability (“TTD”),
followed by temporary partial disability (“TPD”) from the date claimant returned to work as
an aircraft mechanic in the U.S. The ALJ calculated claimant’s AWW under Section 10(a).
He declined to adjust claimant’s AWW based on the unavailability of claimant’s usual work
in Kabul after August 30, 2021, when the United States Armed Forces withdrew from
Afghanistan. The ALJ calculated claimant’s compensation rate and awarded medical
expenses related to his nasal and sinus conditions. Employer filed an appeal.
Causation – Weighing the Evidence as a Whole
Employer argued that the ALJ erred in finding that claimant sustained a work-related sinus
condition. It asserted that claimant’s current condition was solely the result of his preexisting sleep apnea. Employer also argued that the ALJ’s decision violated the
Administrative Procedure Act (“APA”), 5 U.S.C. § 557(c)(3)(A), because he failed to discuss
relevant evidence, rejected contradictory evidence when assessing claimant’s credibility,
and failed to adequately explain why he discredited Dr. Singer. The Board rejected these
contentions.
The Board reiterated the shifting burdens under Section 20(a). It stated that, as the
factfinder, the ALJ is entitled to evaluate the credibility of all witnesses, including
physicians, weigh the medical evidence, and draw his own inferences and conclusions
from the record. The Board may not reweigh the evidence, draw other inferences from the
record, or substitute its views for those of the ALJ.
In this case, the ALJ considered claimant’s treatment records, pre-deployment health
assessments, and testimony from various witnesses. Although the ALJ found “there are
moments where claimant’s history disagrees with his medical records,” he concluded that
claimant’s testimony was “generally credible.”
The ALJ next weighed the medical opinions. He found that Dr. Akech’s and Dr. Vaughan’s
opinions were supported by the extensive medical records, which demonstrated that
claimant’s pre-existing “mild and intermittent” sinus and nasal conditions were aggravated
by his exposure to burn pits in Kabul. He also found that Dr. Akech’s diagnosis of chronic
sinusitis was supported by the CT scans and that Dr. Singer’s disagreement with this
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evidence was poorly explained. Based on these findings, the ALJ properly determined that
Dr. Akech’s opinion outweighed Dr. Singer’s opinion. Accordingly, the ALJ properly
concluded that the weight of the medical evidence demonstrated that claimant had “mild
and intermittent” nasal and sinus conditions that became chronic and resistant to
treatment after his exposure to burn pits with employer.
The Board also rejected employer’s argument that the ALJ failed to weigh multiple pieces
of evidence. Contrary to employer’s contention, the ALJ reviewed the pre-employment
evidence. He also based his conclusion on the documented progression of claimant’s
symptoms and Dr. Singer’s own explanation that non-chronic sinusitis resolves within two
weeks with medication.
Employer also failed to establish error in the ALJ’s assessment of claimant’s credibility.
The ALJ acknowledged inconsistencies between claimant’s denial of prior diagnoses of
sleep apnea, chronic sinusitis, and rhinitis and his medical records documenting these
diagnoses, and found they were not discrediting because his recollection of his own
medical history was otherwise consistent and supported and any discrepancies could
have been due to miscommunication between claimant and his providers. The Board
noted that the ALJ did not err in determining that claimant experienced sleep disturbances
as opposed to making a specific finding about the existence of sleep apnea. The ALJ
properly found that clamant was “generally credible.”
Lastly, the ALJ did not err in rejecting Dr. Singer’s opinion that claimant’s current complaints
were due solely to pre-existing sleep apnea and unrelated to his exposure to burn pits. The
ALJ properly found that Dr. Singer’s opinion was not credible or supported by the medical
records, which demonstrated a history of “mild and intermittent” nasal and sinus conditions
that became chronic after claimant’s work for employer. Also, the ALJ properly found that
Dr. Singer’s disagreement with the treating physicians and CTS scans was poorly explained.
In sum, the ALJ properly weighed the evidence and complied with the APA in finding that
claimant sustained a compensable injury.
Extent of Disability
Employer argued that the ALJ erred in finding claimant is incapable of returning to his usual
employment with a respirator and failed to discuss critical evidence on the return-to-work
issue. The Board rejected these arguments.
The Act defines disability as the “incapacity because of injury to earn the wages which the
employee was receiving at the time of injury in the same or any other employment.” 33
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U.S.C. § 902(10). To establish a prima facie case of total disability, claimant must
demonstrate an inability to perform his usual employment due to his work injury. The ALJ
must compare claimant’s medical restrictions with the specific physical requirements of
his usual employment. If claimant succeeds, the burden shifts to employer to establish
the availability of SAE.
In this case, both Drs. Akech and Vaughan recommended that claimant leave Kabul due to
the aggravation of his nasal and sinus conditions caused by exposure to environmental
pollution. The ALJ properly credited their unequivocal opinions on this issue. The ALJ also
properly credited claimant’s testimony that he had been fitted with a respirator in previous
employment, and that he could not return to his usual work with a respirator because it
would restrict his breathing.
On the other hand, Dr. Singer opined that claimant could continue his work in Kabul
without work restrictions or with a respirator. Employer argued that Dr. Singer’s opinion
was uncontradicted and that it was supported by Dr. Vaughan’s recommendation to use
masks and air filters. However, the ALJ correctly stated that although Dr. Vaughan initially
considered the use of a respirator or mask, after his second evaluation, he recommended
departure from Afghanistan. Also, the ALJ properly found that claimant’s experience using
a respirator in prior employment supported his testimony on this issue.
Based on these findings, the Board affirmed that ALJ’s conclusion that claimant
established a prima facie case of total disability, because it was rational and supported by
substantial evidence.
Disability Compensation
Employer argued that claimant’s disability ended with the withdrawal from Afghanistan
because the position was no longer available for him (or anyone) to secure; and therefore,
there was no loss of wage-earning capacity and claimant was not entitled to no benefits
after August 30, 2021. Because Section 2(10) of the Act defines disability as the
“incapacity because of injury to earn the wages,” employer asserted that claimant cannot
be disabled because his inability to return to his usual work was not related to his injury but
to the U.S. withdrawal. The Director filed a response urging the Board to reject employer’s
argument. The Board agreed with the Director.
Employer argued that in this situation, the ALJ should have used the two-tiered method of
computing earning capacity that was used in Kubin v. Pro-Football Inc., 29 BRBS 117
(1995). In Kubin, claimant was a former professional football player, and the ALJ awarded
him benefits based on a two-tiered system: the first award was higher and was only for the
presumed duration of claimant’s football career, which was cut short due to his work
injury, and the second award was lower because it was based on his post-football
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career. In its reply brief to the Board, employer stated that it was not trying to argue that
claimant’s AWW suddenly downgraded at the time of the U.S. withdrawal but rather was
asserting that claimant’s alleged disability ended.
The Board agreed with the Director and held that the dicta in Kubin does not apply (in that
case, neither party appealed the changes to the compensation rates at the end of the
projected football career). The Board held that its decision in Raymond v. Blackwater Sec.
Consulting, L.L.C., 45 BRBS 5 (2011), aff’d sub nom. Blackwater Sec. Consulting, L.L.C. v.
Director, OWCP, 503 F. App’x 498 (9th Cir. 2012), is the controlling precedent on this issue.
In Raymond, the ALJ converted claimant’s disability compensation to a nominal award
based on claimant’s testimony that he intended to cease overseas work on a specified
date. In that case, the Board held that the ALJ erred in changing claimant’s compensation
rate based on claimant’s testimony regarding his planned departure from Afghanistan
because there is no legal support in the Act or case law for limiting the duration of
claimant’s award of permanent partial disability benefits. The Board explained that the Act
provides set formulas for awarding disability compensation and contemplates wages at
the time of the injury as the baseline for comparison with actual post-injury earning
capacity. The Board also explained that it is well-settled that there is only one AWW per
injury on which disability benefits will be based, and post-injury events generally are not
relevant to determining AWW. Further, in an unpublished decision affirming Raymond, the
Ninth Circuit similarly stated that ALJs do not have any discretion to modify the formula
provided in the Act or re-calibrate AWW at the time of injury based on future events that
would have changed that wage regardless of the injury. The Board rejected employer’s
attempt to distinguish Raymond, stating that contrary to employer’s assertion, use of the
term “future” in this instance is relative to the date of injury, not the current date.
Consequently, although the withdrawal from Afghanistan is now an event in the past, it
was a future speculation at the time of claimant’s injuries.
Accordingly, the Board affirmed the ALJ’s AWW calculation and his award of disability
benefits.
Attorney’s Fee
The Board affirmed the ALJ’s award of attorney’s fees. The amount of an attorney’s fee
award is discretionary and will not be set aside unless shown by the challenging party to be
arbitrary, capricious, based on an abuse of discretion, or not in accordance with law. In
this case, the parties executed a joint stipulation agreeing on the amount of attorney’s fees
and litigation costs. The ALJ approved the stipulation. Employer appealed the order,
asking the Board to set it aside if the award of benefits were to be vacated. Since the Board
affirmed the award, it also affirmed the fee award.
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[Application of Section 20(a); Evaluating the Evidence; Average Weekly Wage in
General; SECTION 8 – DISABILITY]
II. Black Lung Benefits Act
A. U.S. Courts of Appeals
1. Published:
Fourth Circuit Court of Appeals
Rhino Energy, LLC v. Dir., OWCP, 174 F.4th 358 (4th Cir. Apr. 23, 2026)
On April 23, 2026, the Fourth Circuit Court of Appeals (“Fourth Circuit” or “Court”) issued a
published opinion granting a petition for review filed by Rhino Energy, LLC (“Rhino”) and
remanding the claim for the Black Lung Disability Trust Fund (“Trust Fund”) to pay benefits
to Robert Rule (“Claimant”).
From 2012 until December 2014, the Claimant worked for Rhino, which was a
subcontractor for Wildcat Energy, LLC (“Wildcat”). When Rhino ended its subcontract with
Wildcat at the end of 2014, the Claimant continued working for Wildcat until October 2015,
when he retired. The sole issue before the Fourth Circuit was whether Wildcat should have
been designated as the responsible operator.
The district director named Rhino as the responsible operator despite Rhino’s objections.
On appeal, the Administrative Law Judge (“ALJ”) agreed that Rhino was the responsible
operator. She found that because Wildcat employed the Claimant for ten months, it did
not employ him for a year. She found no merit to Rhino’s argument that Wildcat was a
successor operator. The Benefits Review Board affirmed the ALJ’s decision.
Before the Fourth Circuit, the parties did not dispute that the Claimant was entitled to
benefits. They only disputed who should pay his benefits. Rhino argued that the ALJ erred
in designating it as the responsible operator for three reasons: (1) Wildcat employed the
Claimant for a year under the plain text of 20 C.F.R. § 725.101(a)(32); (2) the ALJ did not
fully consider whether Wildcat was a successor operator; and (3) the ALJ failed to consider
whether Rhino was entitled to the presumption, at 20 C.F.R. § 725.495(d), that Wildcat
remained financially capable of paying benefits.
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In addressing Rhino’s first argument on appeal, the Court held the ALJ erred in finding that
Wildcat did not employ the Claimant for a year. Citing its decision in Baldwin v. Dir.,
OWCP., 170 F.4th 273 (4th Cir. 2026), the Court stated that 20 C.F.R. § 725.101(a)(32)
allows a miner to establish a year of employment by showing that he worked at least 125
working days in and around a coal mine during a one-year period. Because the ALJ found
that the Claimant worked for Wildcat for more than 125 days, the Court held that she erred
in concluding that Wildcat did not employ him for a year.
Regarding Rhino’s second argument on appeal, the Court explained that because the
Claimant established a year of employment with Wildcat, it did not need to resolve
whether Wildcat was Rhino’s successor.
Finally, regarding Rhino’s third argument on appeal, the Court first discussed the
applicable regulations. It explained that when the district director designates an employer
other than the miner’s most recent employer, the district director must: (1) provide
reasons for designating that operator; and (2) if the miner’s most recent employer fails to
qualify as a potentially liable operator because it lacks financial capacity to cover the
miner’s claim, the district director must certify that it searched OWCP’s records and found
no record of that operator’s insurance coverage or authorization to self-insure (“495(d)
Statement”). See 20 C.F.R. §§ 725.410(a)(3); 20 C.F.R. § 725.495(d). The regulations further
provide that the 495(d) Statement “shall be prima facie evidence that the most recent
employer is not financially capable of assuming liability for a claim.” 20 C.F.R. §
725.495(d). However, where the district director does not file a 495(d) Statement
concerning the miner’s most recent employer, “it shall be presumed that the most recent
employer is financially capable of assuming its liability for a claim.” Id.
The Court addressed whether: (1) the absence of a 495(d) Statement in the record properly
triggered the presumption under 20 C.F.R. § 725.495(d) that Wildcat was financially
capable of paying benefits; and (2) whether Rhino properly relied on that presumption to
meet its burden of establishing that Wildcat was financially capable of assuming liability.
The Court agreed with Rhino that because the district director did not provide a 495(d)
Statement, Wildcat was presumed to be financially capable of assuming liability under 20
C.F.R. § 725.495(d).
The Court first looked at the plain language of the regulation and found it “clearly”
establishes that where no 495(d) Statement is required and none is filed, “it shall be
presumed” that the most recent employer remains financially able to assume liability. It
added that its interpretation conformed with the regulatory burdens of proof, as the
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amended regulations place the burden on the district director to determine all potentially
liable operators and to then choose the one responsible for paying benefits. The Court
rejected as absurd the Director’s argument that the absence of a 495(d) statement only
triggered the presumption in cases that actually require a 495(d) Statement (those cases in
which the district director expressly concluded that the operator was financially incapable
of covering a miner’s claim).
In this case, because the district director relied on its erroneous view that the Claimant did
not work for Wildcat for a year, it did not discuss Wildcat’s financial capability in explaining
why it designated Rhino as the responsible operator. Because its decision did not rest on
Wildcat’s lack of financial capability, the district director did not issue a 495(d) Statement.
Since the record did not include a 495(d) Statement, the Fourth Circuit held that Rhino was
entitled to the presumption that Wildcat was financially capable of paying benefits.
Moreover, because no evidence existed to rebut the presumption, the Court held that
Rhino met its burden to establish that Wildcat was financially capable of assuming liability
to pay benefits. Since the parties did not dispute that Wildcat met the remaining
requirements of 20 C.F.R. § 725.494 to be a potentially liable operator, and because
Wildcat most recently employed the Claimant for a year, the Court concluded that, as a
matter of law, Wildcat was the most recent potentially liable operator to employ the
Claimant. Thus, it held that Wildcat should have been designated as the responsible
operator and remanded the claim for payment by the Trust Fund.
Judge Wilkinson authored a dissenting opinion arguing that Rhino bore the burden to show
that Wildcat possessed sufficient assets to secure the payment of benefits. Since the
record did not show Wildcat’s solvency, Judge Wilkinson argued that Rhino failed to carry
its burden of proof. He opined that the Trust Fund should only be liable in limited
circumstances not applicable here, and he cautioned that the Trust Fund was already
severely indebted.
Wolf Run Mining Co. v. Dir., OWCP, 172 F.4th 304 (4th Cir. Apr. 7, 2026)
On April 7, 2026, the Fourth Circuit Court of Appeals (“Fourth Circuit” or “Court”) issued a
published opinion affirming an award of benefits to Harold Baisden (“Claimant”), who
worked as a coal miner for twenty-seven years. The Administrative Law Judge (“ALJ”)
concluded that the Claimant was totally disabled due to legal pneumoconiosis and was
entitled to invoke the fifteen-year presumption. She further found that Wolf Run Mining
Company (“Employer”) failed to rebut the presumption. The Benefits Review Board
affirmed the ALJ’s decision.
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Before the Fourth Circuit, the Employer argued the ALJ erred in finding that it did not rebut
the presumption. The Court rejected all the Employer’s arguments and held that
substantial evidence supported the ALJ’s decision.
The Court first found that the ALJ properly considered the preamble to the regulations in
giving little probative weight to Drs. Jarboe and Ranavaya. The Court stated that the
preamble establishes that the risks of smoking and coal mine dust exposure are additive,
and it affirmed the ALJ’s decision to discredit the Drs. Jarboe and Ranavaya because they
did not consider the additive risks of smoking and coal dust or adequately explain why coal
dust did not cause the Claimant’s lung impairment. Furthermore, the Court disagreed with
the Employer’s argument that the ALJ misapplied the preamble. It noted that the Employer
relied upon a case in which the fifteen-year presumption did not apply, whereas in the
Claimant’s case, the Employer bore the burden to show why coal dust did not cause the
Claimant’s pulmonary impairment.
The Court next rejected the Employer’s argument that the ALJ did not fully consider the
opinions of Drs. Jarboe and Ranavaya. The Court stated that the studies Dr. Jarboe relied
upon and Dr. Jarboe’s opinion conflicted with the Department’s view, as expressed in the
preamble, that the FEV1/FVC ratio is not a reliable method of establishing disease
causation. Moreover, it upheld the ALJ’s decision to reject Dr. Ranavaya’s opinion because
he did not address the fact that the Claimant’s PFTs did not return to normal after taking
bronchodilators. Finally, in a footnote, the Court rejected the Employer’s argument that the
ALJ erred in crediting the Claimant’s experts, Drs. Werchowski and Green. It stated that
because their opinions were not relevant to whether the Employer rebutted the fifteen-year
presumption, it did not need to address the ALJ’s treatment of their opinions.
For all these reasons, the Fourth Circuit denied the Employer’s petition for review.
Baldwin v. Dir., OWCP, 170 F.4th 273 (4th Cir. Mar. 19, 2026)
On March 19, 2026, the Fourth Circuit Court of Appeals (“Fourth Circuit” or “Court”) issued
a published opinion holding that the regulation at 20 C.F.R. § 725.101(a)(32), which defines
a “year” for all purposes under the Act, unambiguously allows miners to receive credit for a
year of coal mine employment if they show that they have worked at least 125 working days
within a calendar year (or partial periods totaling one year) in or around a coal mine.
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The Administrative Law Judge (“ALJ”) denied benefits after finding that Eddie Baldwin
(“Miner”) was employed as a coal miner for fewer than fifteen years. In calculating the
Miner’s employment history, the ALJ only credited the Miner with percentages of full 365day periods of employment relative to the number of days that the Miner had been
employed per partial year of employment, instead of considering the number of working
days the Miner worked. Anita Baldwin (“Claimant”) appealed, urging the Benefits Review
Board (“Board”) to adopt the Sixth Circuit’s approach to calculating a year of coal mine
employment, as articulated in Shepherd v. Incoal, Inc., 915 F.3d 392 (6th Cir. 2019). The
majority of the Board affirmed the ALJ’s decision.
On appeal, the Fourth Circuit considered how a year of employment should be calculated
under 20 C.F.R. § 725.101(a)(32). Island Creek Kentucky Mining and the Director, OWCP
(“Respondents”) argued that the plain language of the regulation required proof of both: (1)
a year-long employment relationship with a coal mine operator; and (2) 125 days working in
the mines during that year of employment. In contrast, the Claimant argued that she only
needed to show that the Miner worked for 125 days during a one-year period to be credited
with a year of coal mine employment.
In considering and rejecting the Respondents’ argument, the Fourth Circuit first
considered the plain language of the regulation at 20 C.F.R. § 725.101(a)(32). It stated that
on its face, the definition of included two elements: (1) a calendar year, or partial periods
totaling one year; and (2) a minimum of 125 days spent working in or around coal mines
during that one-year period. However, the Court emphasized that the definition and its
related subsections did not contain any mention “whatsoever of any required employment
relationship, let alone one lasting 365 days.” Instead, it found that the regulation tied its
“only mention of employment to a showing of 125 days working ‘in or around a coal mine.’”
Thus, the Court concluded that the plain text lent itself “most naturally to a reading that a
miner must show that he worked 125 days in a coal mine within the proscribed period (a
calendar year or partial periods adding up to the same) – and nothing more – to establish a
year of employment” for purposes under the Act.
The Court next analyzed the subsections of 20 C.F.R. § 725.101(a)(32). It found that 20
C.F.R. § 725.101(a)(32)(i) “unambiguously” provided that a miner who has worked 125
working days within the span of a calendar year or partial periods totaling one year “has
worked one year in coal mine employment for all purposes under the Act.” Further, it
emphasized that subsection (i) did not reference a 365-day employment relationship.
Turning to subsection (ii), the Court explained that it established a rebuttable presumption
that any miner whose employment “lasted for a calendar year or partial periods totaling a
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365-day period amounting to one year… spent at least 125 working days in such
employment.” The Court explained that subsection (ii) afforded miners an additional path
to establishing 125 working days, and thus a year of employment under the Act, even
where evidence of actual days spent working in the mines was difficult or impossible to
procure. Finally, the Court stated that subsection (iii) proposed a formula for when the
evidence did not establish the beginning and ending dates of a miner’s coal mine
employment or when a miner’s employment lasted less than a calendar year, allowing an
ALJ to divide the miner’s yearly income from work as a miner by the coal mine industry’s
average daily earnings for that year, as reported by the Bureau of Labor Statistics. The
Court emphasized that subsection (iii) expressly predicated the application of its formula
on a situation in which a miner had less than a calendar year of employment, which
“directly” contravened the Respondents’ view that the regulation always required “a full
year of employment to establish eligibility and that a miner lacking such a full year of
employment remains categorically ineligible.”
Next, the Court considered the Respondents’ argument that the regulatory preamble
should be given controlling weight. The Court explained that when a conflict between the
preamble and the regulation exists, the regulation controls. It stated that the plain
language of 20 C.F.R. § 725.101(a)(32) required only a showing of 125 working days within a
one-year period, and the regulation never stated or implied that a miner must demonstrate
a 365-day employment relationship to establish a year of employment. Because the
preamble, by contrast, suggested a more onerous barrier to eligibility, it required more
than the regulation required. Thus, the Court adhered to the plain language of the
regulation.
The Fourth Circuit further found that the Act’s remedial intent and common sense
supported its holding. It explained that the Act’s presumptions favored granting benefits,
and its reading of a “year” served to reduce, rather than increase, the evidentiary burden
on coal miners seeking benefits, which comported with its longstanding recognition of
Congress’s intent to help coal miners and grant them the compensation they deserve for
years of strenuous and dangerous physical labor. The Court added that common sense
dictated that “the focus should be on the time period during which a miner” was “exposed
to coal dust,” as opposed to the length of time that he collected a paycheck. It emphasized
that black lung disease resulted “from the consistent ingestion of coal dust,” not from the
time period during which an employer listed a miner on its employment records.
Finally, the Court discussed the differences between the 1980 definition of 20 C.F. R. §
725.101(a)(32) and the current definition. It emphasized that the current definition does
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not define a “year of employment” or condition eligibility for the Act’s presumptions on
proof that a miner was “regularly employed” for a full calendar year. The current regulation
also does not require an employment relationship, in contrast to its predecessor
regulation, which required a miner to demonstrate “regular employment” by a coal mine
“operator or other employer.” The Court found this shift in language significant, noting that
by replacing the initial reference to a “year of employment” with merely a “year,” the
Department removed any express or implied suggestion that a showing of an employment
relationship of any particular duration was required. Instead, the current regulation
focuses the inquiry on whether a miner worked for 125 days, with the only caveat being
that those days must have fallen within the span of a one-year period.
The Court also addressed and rejected the Respondents’ arguments that the Fourth
Circuit’s prior opinions in Armco Inc. v Martin, 277 F.3d 468 (4th Cir. 2002), and Daniels v.
Mitchell, 479 F.3d 321 (4th Cir. 2007), required a year-long employment relationship. The
Court stated that because those cases dealt with the old definition of 20 C.F.R. §
725.101(a)(32), rather than the revised definition, they were not binding precedent.
Furthermore, it emphasized that neither opinion substantively analyzed the revised
regulation’s definition of a year for purposes of the Act’s fifteen-year presumption.
For all these reasons, the Fourth Circuit joined the Sixth Circuit in holding that the plain
language of 20 C.F.R. § 725.101(a)(32) and its subsections require a miner to show only
that he worked for 125 working days within a calendar year (or partial periods totaling one
year) to establish a year of employment. It stated that the Sixth Circuit’s opinion in
Shepherd v. Incoal, Inc., 915 F.3d 392 (6th Cir. 2019), comported with its own analysis of
the regulation, its context and history, and the Act’s purpose. Consequently, the Fourth
Circuit found that the ALJ erred in applying 20 C.F.R. § 725.101(a)(32) when calculating the
length of Miner’s coal mine employment, granted the Claimant’s petition for review,
vacated the Board’s decision, and remanded the case for further consideration.
Cedar Coal Co. v. Dir., OWCP, 168 F.4th 685 (4th Cir. Mar. 6, 2026)
On March 6, 2026, the Fourth Circuit Court of Appeals (“Fourth Circuit” or “Court”) issued
a published opinion affirming an Administrative Law Judge’s (“ALJ’s”) award of benefits to
Roger Mullins (“Claimant”), who she determined worked as a coal miner for approximately
twelve years and was totally disabled due to legal pneumoconiosis. The Benefits Review
Board affirmed the ALJ’s decision.
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Before the Fourth Circuit, Cedar Coal Company (“Employer”) argued that the ALJ erred in
considering Dr. Go’s medical report and erred in finding that the Claimant had, and was
totally disabled due to, legal pneumoconiosis. The Fourth Circuit rejected both arguments
and concluded that substantial evidence supported the ALJ’s decision.
Before the ALJ, the Claimant designated Dr. Go’s medical report. Dr. Go considered the
PFTs the parties designated as well as several PFTs that were submitted into evidence as
treatment records. The Employer argued that because Dr. Go interpreted numerous PFTs
in his medical report, the PFTs became affirmative evidence in excess of the evidence
limitations. In rejecting the Employer’s argument, the Court explained that 20 C.F.R. §
725.414(a)(2)(i) anticipates that a medical report might analyze more than the two
affirmative PFTs because it specifies that any PFT that appears in a medical report must be
admissible under 20 C.F.R. § 725.414(a)(2)(i) (which specifies the limits on affirmative
evidence) or 20 C.F.R. § 725.414(a)(4) (which allows for the admission of treatment records
notwithstanding the limitations in subsection (a)(2)). Thus, the Court concluded that PFTs
in treatment records are admissible, and a physician may consider them in offering a
medical report without “transforming” them into affirmative evidence.
The Employer next argued that the ALJ erred in crediting Dr. Go’s opinion on legal
pneumoconiosis and erred in finding that the Claimant’s total disability was due to legal
pneumoconiosis. The Court reviewed the ALJ’s reasons for crediting Dr. Go’s opinion and
discrediting the opinions of Dr. Rosenberg and Dr. Zaldivar, and it found that the ALJ
adequately considered the evidence and explained her reasoning when weighing the
medical reports. Furthermore, in finding that the Claimant’s disability arose from legal
pneumoconiosis, the ALJ discredited Drs. Ranavaya, Rosenberg, and Zaldivar because
they failed to diagnose legal pneumoconiosis. In affirming the ALJ’s decision, the Court
cited long-standing precedent establishing that a medical opinion premised on an
erroneous finding that a claimant did not suffer from pneumoconiosis was not worthy of
much, if any, weight, particularly regarding whether a claimant’s disability was caused by
pneumoconiosis.
For all these reasons, the Fourth Circuit concluded that substantial evidence supported
the ALJ’s decision. Therefore, it denied the Employer’s petition for review.
Clinchfield Coal Co. v. Dir., OWCP, 164 F.4th 342 (4th Cir. Jan. 15, 2026)
On January 15, 2026, the Fourth Circuit Court of Appeals (“Fourth Circuit” or “Court”)
issued a published opinion affirming an award of benefits to Vernon Vanderpool
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(“Claimant”). The Administrative Law Judge (“ALJ”) found that the Claimant was entitled to
invoke the fifteen-year presumption and Clinchfield Coal Company (“Employer”) failed to
rebut it. The Benefits Review Board affirmed the ALJ’s decision.
On appeal to the Fourth Circuit, the Employer argued that the ALJ erred in finding valid
pulmonary function tests (“PFTs”) from 2014 and 2018 and erred in weighing the medical
opinion evidence. Regarding validity of the PFTs, the Employer argued that the 2014 PFT,
administered during the Claimant’s evaluation sponsored by the Department of Labor
(“Department”), did not meet the “maximal effort” requirement in Appendix B to Part 718
(“Appendix B”) because the Claimant exhaled for slightly less than seven seconds.
Regarding the 2018 PFT, which was administered during Dr. Ajjarapu’s treatment of the
Claimant, the Employer argued that the ALJ erred in considering whether it was sufficiently
reliable rather than whether it was in substantial compliance with Appendix B.
In considering and rejecting the Employer’s arguments, the Court first noted that Appendix
B specifically provides that if a quality standard is not met, the ALJ “may consider such fact
in determining the evidentiary weight to be given to the results.” Second, it noted that the
ALJ has discretion to credit an expert whose reasoning accords with the medical and
scientific premises reflected in the preamble, including the preamble’s guidance that the
quality standards in Appendix B are not a rigid checklist. In the preamble, the Department
emphasized that the “substantial compliance” standard is “a rule of reason,” which
directs the ALJ to identify the deviation from the Appendix B quality standard and then
determine whether the PFT is reliable “despite its failure to comply with every criterion in
the standard.” 65 Fed. Reg. 79,920, 79,928 (Dec. 20, 2000). The Court further explained
that PFTs developed in connection with a claim must be evaluated for substantial
compliance with Part 718’s quality standards, while PFTs developed during treatment
must be evaluated for reliability.
With this framework in mind, the Court first found that substantial evidence supported the
ALJ’s finding that the 2014 PFT substantially complied with the applicable quality
standards. The ALJ considered Dr. Ajjarapu’s statement that the PFT was not performed for
the “requisite” seven seconds, but she explained that the Claimant came “very close,”
maintained effort beyond six seconds, and produced reproducible tracings with three valid
curves, and Dr. Mohammed Ranavaya, who reviewed the PFT for validity on behalf of the
Department, found it acceptable. Dr. Ajjarapu further explained that the Claimant exhaled
for as long as he could and the PFT satisfied other key indicators, such as being
reproducible and having multiple acceptable curves. Therefore, the Court found that
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substantial evidence supported the ALJ’s determination that the October 2014 PFT was
admissible and probative notwithstanding the marginal deviation in exhalation time.
The Court further held that substantial evidence supported the ALJ’s determination that
the 2018 PFT was sufficiently reliable to support a finding of total disability. The ALJ
considered the Employer’s doctors’ arguments that the PFT was invalid, yet he found that
they used a rigid “maximal effort” approach inconsistent with the reliability inquiry
applicable to a treatment record. He also considered Dr. Ajjarapu’s assessment that the
Claimant’s effort was “good” and “adequate,” and the results were “sufficiently reliable,”
and he noted that one of the Employer’s physicians acknowledged the Claimant’s
cooperative effort even though the results fell marginally short of the Appendix B
standards. Consequently, the Court found that the ALJ permissibly found the 2018 PFT
sufficiently reliable to support a finding of total disability.
The Court next considered and rejected the Employer’s argument that the ALJ erred in
weighing the medical opinions. It stated that the ALJ identified the relevant evidence,
resolved the material conflicts, and adequately explained why he credited some opinions
over others. Thus, it found that the ALJ’s decision satisfied the Administrative Procedure
Act.
Because the ALJ applied the correct legal standards and substantial evidence supported
his evaluation of the PFTs and medical opinions, the Fourth Circuit affirmed his award of
benefits and denied the Employer’s petition for review.
Dominion Coal Corp. v. Dir., OWCP, 164 F.4th 353 (4th Cir. Jan. 15, 2026)
On January 15, 2026, the Fourth Circuit Court of Appeals (“Fourth Circuit” or “Court”)
issued a published opinion affirming an award of benefits to Darrell Meade (“Claimant”). In
a decision and order on remand, the Administrative Law Judge (“ALJ”) credited Dr.
DePonte’s CT scan interpretations over Dr. Adcock’s because Dr. DePonte provided an
equivalency determination and specific measurements and locations of smaller nodules,
and she explained how they coalesced to form a large opacity that met the definition of
complicated pneumoconiosis. The Benefits Review Board (“Board”) affirmed the ALJ’s
decision.
On appeal to the Fourth Circuit, Dominion Coal Corporation (“Employer”) argued that the
ALJ erred in crediting Dr. DePonte’s CT scan interpretations over Dr. Adcock’s. Specifically,
the Employer argued that the ALJ erred when he stated that Dr. Adcock did not adequately
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explain why a coalescence of smaller opacities did not constitute a large opacity
consistent with complicated pneumoconiosis. The Fourth Circuit stated that neither the
regulations nor the ILO Guidelines for the International Classification of Radiographs of
Pneumoconioses supported the Employer’s position. Dr. Adcock stated that an overall
coalescence of opacities measured twenty millimeters in length. Thus, the Court
explained, one or more of its parts could have been about ten millimeters, and Dr. Adcock
did not show otherwise because he did not measure each opacity’s length. Therefore, the
Court affirmed the ALJ’s decision to give less weight to Dr. Adcock’s interpretations and
affirmed the ALJ’s finding that the CT scan evidence established complicated
pneumoconiosis based on Dr. DePonte’s interpretations. The Court further affirmed the
ALJ’s finding that the medical opinion evidence neither established nor refuted the
existence of complicated pneumoconiosis.
The Fourth Circuit next addressed the Employer’s argument that the ALJ’s dual-layer
tenure protections violated the separation of powers doctrine. The Court explained that it
had already rejected a similar argument in K & R Contractors, LLC v. Keene, 86 F.4th 135
(4th Cir. 2023). In Keene, the Court explained that a litigant could not have an underlying
agency action set aside absent reason to believe that the unconstitutional removal
provision itself inflicted harm. Examples of such harm included: 1) where a President
attempted to remove an ALJ, but the removal protections bared it; or 2) where a President
expressed the desire to remove such an ALJ but acknowledged he could not do so due to
the protections. Because the Employer did not allege such harm, and no evidence existed
to show that the President tried to, or expressed a desire to, remove the ALJ in this case,
the Fourth Circuit rejected the Employer’s argument.
For all these reasons, the Fourt Circuit denied the Employer’s petition for review.
Eleventh Circuit Court of Appeals
Hayes v. Dir., OWCP, 172 F.4th 1263 (11th Cir. Apr. 7, 2026)
On April 7, 2026, the Eleventh Circuit Court of Appeals (“Eleventh Circuit” or “Court”)
issued a published opinion holding that the plain text of the regulation at 20 C.F.R. §
725.101(a)(32) unambiguously provides that if a miner worked in coal mine employment
for 125 days during a calendar year, he worked for one year under the Act.
The Miner’s case has a long procedural history. The first Administrative Law Judge (“ALJ”)
who adjudicated the case twice found that Ermine Hayes (“Miner”) worked as a coal miner
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for over fifteen years and awarded benefits. Relying on 20 C.F.R. § 725.101(a)(32), the first
ALJ credited the Miner with a year of coal mine work when he worked around coal mines for
at least 125 working days, and he applied the formula in 20 C.F.R. § 725.101(a)(32)(iii)
where the record showed that the Miner’s coal mine employment lasted less than a
calendar year. The Benefits Review Board (“Board”) twice remanded the case after
concluding that the first ALJ’s method of calculation was not reasonable. The second ALJ
who adjudicated the case, after the Board’s second remand, denied benefits after
following the Board’s instructions to conduct a two-step inquiry, which first involved
determining whether the Miner engaged in coal mine employment for one calendar year
and then determining whether he worked for at least 125 working days within that one-year
period. The Board affirmed the second ALJ’s decision. The Miner’s son, Jeffrey Hayes
(“Claimant”) appealed.
The Eleventh Circuit rejected the position propounded by the Department and the
Employer that the text of the regulation requires a miner’s 125 working days to occur during
a calendar year or partial periods totaling one year within a 365 or 366-day employment
relationship. The Court analyzed the plain text of the regulation at 20 C.F.R. §
725.101(a)(32), which defines a year, and held that it only requires a miner to prove that he
worked for 125 days in coal mines during a calendar year to be credited with a year of coal
mine employment. Citing 20 C.F.R. § 725.101(a)(32)(i), the Court stated that where the
“evidence establishes that the miner worked in or around coal mines at least 125 working
days during a calendar year or partial periods totaling one year, then the miner has worked
one year in coal mine employment for all purposes under the Act.” The Court emphasized
that subsection (ii) confirmed its interpretation of subsection (i), as subsection (ii) provides
that when a miner proves he was employed in coal mine employment for a calendar year,
he is entitled to a rebuttable presumption that he worked 125 days in that year.
The Court also addressed, and rejected, the Director’s argument that it should interpret
the language in the preamble to the regulations. The Court stated that the plain meaning of
the regulation always trumps the language in the preamble. Furthermore, it identified
conflicting language in the preamble and concluded that the preamble did not clearly
support the Director’s argument. The Court also discussed prior versions of 20 C.F.R. §
725.101(a)(32) and found they were materially different from the current version. Finally,
because the Court found the plain text of the regulation to be unambiguous, it declined to
defer to the Director’s interpretation of the regulation.
For all these reasons, the Eleventh Circuit held that the ordinary meaning of 20 C.F.R. §
725.101(a)(32) unambiguously provides that if a coal miner worked in coal mine
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employment for 125 days during a one-year period, he worked for one year under the Act.
Consequently, it granted the Claimant’s petition for review, vacated the Board’s decision,
and remanded the case for further proceedings.
2. Unpublished:
Fourth Circuit Court of Appeals
Island Creek Coal Co. v. Dir., OWCP, No. 24-1056, 2026 LX 145916 (4th Cir. Mar. 26,
2026)
On March 26, 2026, the Fourth Circuit Court of Appeals (“Fourth Circuit” or “Court”) issued
an unpublished opinion affirming an award of benefits to Robert E. Frazier (“Claimant”),
who worked as a coal miner for thirty-six years. On appeal at the Fourth Circuit, Island
Creek Coal Company (“Employer”) argued that the Claimant’s 2017 claim was untimely
and that he was not totally disabled by pneumoconiosis. The Fourth Circuit concluded that
the Benefits Review Board correctly affirmed the Administrative Law Judge’s legally sound
and well-supported award of benefits. Therefore, it denied the Employer’s petition for
review.
Sixth Circuit Court of Appeals
Apogee Coal Co. v. Dir., OWCP, Nos. 23-3297, 23-3437, 23-3536, 23-3537, 23-3541, 233612, 23-3644, 23-3645, 23-3662, 2026 LX 264650 (6th Cir. Apr. 28, 2026)
On April 28, 2026, the Sixth Circuit Court of Appeals (“Sixth Circuit” or “Court”) issued an
unpublished opinion in seven consolidated cases involving miners who were awarded
benefits. The miners last worked for Apogee Coal Co., LLC (“Apogee”) while it was a
subsidiary of Arch Resources, Inc. (“Arch”). Arch self-insured Apogee. In 2005, Arch sold
Apogee to Magnum Coal, which was later acquired by Patriot Coal (“Patriot”). After Patriot
went bankrupt in 2015, the Department of Labor instructed its district directors to hold
Arch liable as the responsible insurer for black lung claims against Apogee that accrued
when Arch owned and self-insured Apogee. Arch appealed the awards of benefits and
argued that because it sold Apogee in 2005, it was no longer obligated to pay benefits.
Because Arch and Apogee conceded that they made the same arguments, based on
materially identical facts, that the Court considered and rejected in Apogee Coal Co., LLC
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v. Dir., OWCP, 112 F.4th 343 (6th Cir. 2024), the Sixth Circuit denied their petitions for
review.
Energy v. Mitchell, No. 25-3451, 2026 LX 227087 (6th Cir. Apr. 28, 2026)
On April 28, 2026, the Sixth Circuit Court of Appeals (“Sixth Circuit” or “Court”) issued an
unpublished opinion affirming an Administrative Law Judge’s award of benefits to Delbert
Mitchell (“Miner”) and his surviving spouse, Amy Mitchell (“Claimant”). The Benefits
Review Board (“Board”) affirmed the ALJ’s decision.
Before the Sixth Circuit, the Employer argued the ALJ erred in finding that the Sequioa
Energy, LLC (“Employer”) failed to rebut the fifteen-year presumption. The ALJ considered
the opinions of Drs. Abdul Dahhan and Bruce Broudy, who opined that the Miner did not
have pneumoconiosis. The doctors further opined that even if he had pneumoconiosis,
they would have expected to see substantial abnormalities on a chest x-ray. They
concluded that the Miner’s pulmonary disability was due to obesity and his use of
prescription medication. The ALJ rejected the Employer’s argument regarding the x-ray
evidence, explaining that legal pneumoconiosis could exist without clinical
pneumoconiosis or abnormalities on x-ray. She further rejected, as speculative and
unconvincing, their opinions that the Miner’s disability was due to obesity and prescription
medication use.
In addressing the first issue on appeal, the Sixth Circuit found that the ALJ correctly
concluded that the Act recognizes both clinical and legal pneumoconiosis, and that
negative x-rays did not preclude the Miner from having legal pneumoconiosis. Regarding
the second issue on appeal, the Court stated that because the Employer failed to raise the
issue before the Board, it forfeited the argument. As substantial evidence supported the
ALJ’s conclusion that the Employer did not rebut the fifteen-year presumption, the Court
denied the Employer’s petition for review.
Star Servs. Corp. v. OWCP, No. 25-3517, 2026 LX 148897 (6th Cir. Apr. 17, 2026)
On April 17, 2026, the Sixth Circuit Court of Appeals (“Sixth Circuit” or “Court”) issued an
unpublished opinion affirming an award of benefits to Linda Carol Christian (“Claimant”),
the surviving spouse of James Marshal Christian (“Miner”). The Administrative Law Judge
(“ALJ”) found that the Miner was totally disabled from a respiratory impairment for at least
two months before and at the time of his death, that the Claimant was entitled to invoke
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the fifteen-year presumption, and that Star Services Corporation (“Employer”) failed to
rebut the presumption. The Benefits Review Board affirmed the ALJ’s decision.
Before the Sixth Circuit, the Employer argued the ALJ erred in finding the Miner totally
disabled and in finding that the Employer did not rebut the presumption. The Sixth Circuit
rejected the Employer’s arguments.
The Employer first argued the ALJ erred concluding that Dr. Jarboe’s opinion weighed in
favor of finding the Miner totally disabled. The Court disagreed. Although Dr. Jarboe did not
specifically state whether the Miner was totally disabled, Dr. Jarboe opined that the Miner
“had severe hypoxemia and respiratory failure, which led to his final hospitalization” and
“was in respiratory failure at the time of his demise.” The Court found that the ALJ
reasonably inferred that given Dr. Jarboe’s statements regarding the Miner’s frequent
hospitalizations and intubation, the Miner could not perform the heavy labor required by
his usual coal mine work and was totally disabled by a respiratory impairment.
Additionally, the Court emphasized that a “medical opinion need not be phrased in terms
of ‘total disability’ before total disability can be established.” The Court added that the
treatment records, autopsy results, and death certificate verified Dr. Jarboe’s findings that
the Claimant was hospitalized frequently and intubated due to severe respiratory issues
before his death. Thus, it concluded that substantial evidence supported the ALJ’s
conclusion that the Miner was totally disabled from a respiratory or pulmonary
impairment.
Next, the Court rejected the Employer’s argument that because the Miner’s respiratory
condition was acute, the ALJ erred in finding him totally disabled. It stated that neither the
Act nor the regulations require a totally disabling respiratory condition to be chronic to
invoke the fifteen-year presumption.
Finally, the Court affirmed the ALJ’s finding that the Employer failed to rebut the
presumption. The Court found that the ALJ acted within his discretion in discrediting Dr.
Jarboe’s opinion on whether coal mine employment caused the Miner’s respiratory issues
and death. It added that because substantial evidence supported the ALJ’s finding that the
Employer did not rebut the presumption of legal pneumoconiosis, it did not need to
consider whether the Employer rebutted the presumption of clinical pneumoconiosis.
Moreover, the Court affirmed the ALJ’s finding that the Employer failed to show that no part
of the Miner’s death was caused by pneumoconiosis.
For all these reasons, the Sixth Circuit denied the Employer’s petition for review.
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Island Creek Ky. Mining v. Dir., OWCP, No. 25-3200, 2026 LX 30887 (6th Cir. Feb. 4,
2026)
On February 4, 2026, the Sixth Circuit Court of Appeals (“Sixth Circuit” or “Court”) issued
an unpublished opinion affirming an Administrative Law Judge’s (“ALJ”) award of benefits
to Eddie Stewart (“Claimant”), who worked as a coal miner for just under fifteen years and
was totally disabled due to legal and clinical pneumoconiosis. The Benefits Review Board
affirmed the ALJ’s decision.
Before the Sixth Circuit, Island Creek Kentucky Mining (“Employer”) argued the ALJ erred
in: (1) excluding portions of Dr. Chavda’s deposition testimony; (2) referencing the
preamble to the regulations; and (3) finding that the Claimant had clinical
pneumoconiosis. The Sixth Circuit rejected all the Employer’s arguments.
First, the Court held that the ALJ did not violate the Employer’s due process rights in
excluding some of Dr. Chavda’s testimony. Dr. Chavda was the Claimant’s treating
physician. The record contained his treatment records and deposition testimony. The ALJ
declined to consider the portions of Dr. Chavda’s testimony that involved questions about
medical evidence that exceeded the four corners of his treatment notes. Thus, the ALJ
limited his consideration of Dr. Chavda’s testimony to information relating to his treatment
notes. The Sixth Circuit found that the Employer received adequate notice and a fair
opportunity to raise good cause arguments under 20 C.F.R. § 725.456(b)(1) before the ALJ,
but it failed to do so. Furthermore, the Court emphasized that the Employer knowingly
submitted three medical opinions, including Dr. Chavda’s deposition testimony, on its
Evidence Summary Form. Finally, the Court found that the ALJ adequately identified which
parts of Dr. Chavda’s deposition testimony he considered, so he did not violate the
Administrative Procedure Act.
Second, the Court rejected the Employer’s argument that the ALJ treated the preamble to
the regulations as binding. It stated that the ALJ discussed the preamble in his analysis of
legal pneumoconiosis to resolve how much weight to give to the opinions of Drs.
Majmudar, Sood, and Sheikh, and he permissibly relied on the preamble in accordance
with Sixth Circuit precedent. The Court further found that the ALJ permissibly assigned
more weight to medical opinions that were consistent with medical principles accepted by
the Department. Finally, the Court noted that the ALJ relied on the preamble when
evaluating Dr. Chavda’s treatment records, but he did not treat the preamble as a binding
presumption.
- 30 -
Next, the Court affirmed the ALJ’s finding that the Claimant had clinical pneumoconiosis
based on the x-rays, CT scans, and medical opinions. In finding the CT scan evidence
positive for clinical pneumoconiosis, the ALJ credited Dr. Clark, the treating radiologist,
and Dr. Crum, who interpreted the CT scan on behalf of the Claimant, over Dr. Meyer, who
interpreted the CT scan on behalf of the Employer. The ALJ primarily relied on Dr. Clark’s
findings since the CT scan was part of the Claimant’s ongoing medical treatment and the
findings were corroborated by Dr. Crum’s report. The ALJ gave less weight to Dr. Meyer
because he attributed changes in the Claimant’s lungs to etiologies that Dr. Clark did not
identify and because Dr. Meyer did not explain why coal mine dust could not have caused
the changes. The Court affirmed ALJ’s decision to credit Drs. Clark and Crum over Dr.
Meyer. In rejecting the Employer’s argument that the ALJ should have found Dr. Meyer
more experienced in interpreting CT scans, the Court compared 20 C.F.R. § 718.102(e)(2)
(x-rays) with 20 C.F.R. § 718.107 (other medical evidence) and concluded that unlike with
x-ray evidence, ALJs are not required by regulation to consider the certifications or
qualifications of physicians who interpret CT scans. Thus, it concluded that “the ALJ did
not need to review the credentials or expertise of the interpreting doctors” when he
weighed the credibility of their findings.
Finally, the Court affirmed the ALJ’s consideration of the Claimant’s smoking history. It
stated that the Sixth Circuit has never held that an ALJ must completely discredit a
doctor’s opinion because the doctor partially based it on inaccurate background
information. The Court found that the ALJ did not err in crediting Drs. Sood, Chavda,
Majmudar, and Sheikh, or the treatment records. Though these doctors did not know about
the Claimant’s smoking history, the Court found that the ALJ sufficiently explained how
other evidence in the record supported their findings of clinical pneumoconiosis. It further
affirmed the ALJ’s decision to discredit Drs. Selby and Goodman because their opinions
conflicted with the x-ray evidence. As the ALJ adequately weighed each medical opinion on
clinical pneumoconiosis, the Court concluded that substantial evidence supported his
opinion.
For all these reasons, the Sixth Circuit denied the Employer’s petition for review.
B. Benefits Review Board
1. Published:
The Board issued a published decision in Patricia Sparks (o/b/o Estate of Ricky Allen
Sparks) v. Locust Grove, Inc., BRB No. 24-0472 BLA (May 8, 2026) and Donald Ray Marcum
- 31 -
v. Excel Mining, LLC, BRB No. 25-0076 BLA (May 8, 2026) involving an appeal of an ALJ’s
Order Denying Attorney Fee Petitions relating to two medical benefits awards in two BTD
cases. The Director, OWCP initiated the two actions on behalf of the Black Lung Disability
Trust Fund (“Trust Fund”) to recover interim medical benefits that the Trust Fund paid for
the Miners’ medical treatment expenses, while the employers contested whether the
medical expenses were payable under the Act. Claimants retained counsel and
participated fully in the medical benefits proceedings before OALJ. In Marcum, the Director
sought reimbursement of $41,005.16 in Trust Fund-paid interim medical benefits, and in
Sparks, the Director sought reimbursement of $50,308.04 in Trust Fund-paid interim
medical benefits. In both cases, the Employers contested their liability for the disputed
medical expenses on the grounds that the treatments were not reasonable or necessary
for treatment of the Miner’s pneumoconiosis, and they requested hearings before the
OALJ. The ALJ issued Decisions and Orders awarding medical benefits in both cases,
finding each Employer liable for its respective payment and reimbursement of medical
benefits. Following the award in the two BTD cases, the Claimants’ counsel filed petitions
for attorney fees, which were denied by the ALJ, finding that no adversarial relationships
existed between the claimants and the employers, citing the BRB unpublished decision in
B.F. [Fuller] v. S. Hollow Coal Co., BRB No. 09-0710 BLA (July 20, 2010). The Claimants
argue that adversarial relationships existed between the claimants and employers in the
current cases because the employers contested the compensability of specific medical
treatment as not reasonable or necessary, subjecting Claimants to the risk of overpayment
proceedings and requiring their participation in the formal hearings before the ALJ. The
Board agreed with the Claimants’ arguments and reversed the ALJ’s denial of attorney
fees. The Board notes that the applicable regulation (20 C.F.R. § 725.367(a)) sets forth a
non-exclusive list of examples of adversarial relationships warranting the payment of
attorney fees including when “[t]he claimant submits a bill for medical treatment, and the
party liable for the payment of benefits declines to pay the bill on the grounds that the
treatment is unreasonable or is for a condition that is not compensable.” 20 C.F.R. §
725.367(a)(3). The Board distinguished the Fuller case cited by the ALJ as support for
denying the attorney fees, finding that the unique facts of that case established that no
adversarial relationship existed. However, in the current cases the claimants remained
exposed to the potential liability for the reimbursement of an overpayment of medical
benefits that the Trust Fund paid to the claimants arising from the reimbursement disputes
between the employers and the Trust Fund.
[Attorney fees in medical treatment dispute (BTD) cases]
- 32 -
2. Unpublished:
Arterial Blood Gas Studies (ABGs)
Exercise ABGs
In Hermis Johnson, Jr. v. Consol of Kentucky, BRB No. 25-0174 BLA (May 26, 2026), the ALJ
considered four ABGs dated February 25, 2020, November 12, 2020, February 15, 2022,
and April 19, 2022. The February 25, 2020, November 12, 2020, and April 19, 2022 studies
produced non-qualifying results at rest and during exercise. The February 15, 2022 study
produced non-qualifying results at rest and qualifying results during exercise. The ALJ gave
more weight to the exercise studies. He also gave more weight to the February 15, 2022
qualifying exercise study than the more recent April 19, 2022 non-qualifying exercise study
because the Claimant exercised for longer on the February 15, 2022 study, achieving a
greater level of exertion that better approximated his usual coal mine work. Thus, he gave
the February 15, 2022 exercise study controlling weight. The Board affirmed the ALJ’s
finding that the exercise blood gas studies are more probative than the resting blood gas
studies as they are more representative of the Claimant’s ability to perform the exertional
requirements of his usual coal mine employment. See Skrack v. Island Creek Coal Co., 6
BLR 1-710, 1-711 (1983). The Board also found that the ALJ permissibly concluded, based
on the higher heart rate and METS measurement on the February 15, 2022 study that the
Claimant reached a higher level of exertion than he did on the April 19, 2022 study.
Therefore, contrary to the Employer’s argument, the Board concluded that the ALJ
permissibly found the February 15, 2022 exercise study is more representative of
Claimant’s ability to perform his usual coal mine employment requiring medium labor. The
Board rejected Employer’s argument that the ALJ erred in not explaining “how the contrary
results of the pulmonary function studies were used to assess if [Claimant] had proven
total pulmonary or respiratory disability.” The Board stated, “Because arterial blood gas
studies and pulmonary function studies measure different types of impairment, the results
of arterial blood gas studies are not called into question by contemporaneous pulmonary
function testing.” See Sheranko v. Jones & Laughlin Steel Corp., 6 BLR 1-797, 1-798 (1984).
[ABGs; permissible to give more weight to exercise ABG where the Claimant exercised
longer]
In Michael L. Lee v. Redhawk Mining, LLC, BRB No. 25-0119 BLA (Mar. 23, 2026), the Board
affirmed the ALJ’s decision to give more probative weight to the qualifying exercise ABG
over the non-qualifying resting ABGs. Additionally, it found the ALJ permissibly determined
- 33 -
that the qualifying exercise ABG from 2019 was entitled to greater weight than the nonqualifying exercise ABG from 2020 because the Claimant exercised for a longer period in
2019, and the exertion it required of him more closely resembled the heavy labor required
of his usual coal mine work. Therefore, it affirmed the ALJ’s finding that the ABG evidence
supported finding the Claimant totally disabled.
[Total disability; exercise arterial blood gas studies]
Attorney Fees
In Charles E. McDaniel v. Mingo Logan Coal Co. BRB No. 25-0321 BLA (April 3, 2026), the
Board upheld the District Director’s Claim Examiner’s award of attorney fees to Attorney
Wolfe’s office. Although this involves a Claim Examiner’s award as opposed to an ALJ, the
decision cites some helpful general case law for issues often seen in attorney fee petitions.
- Under fee shifting statues, the lodestar method is the appropriate starting point for
calculating fee awards under the Act. The Fourth Circuit has recognized that “the
most reliable indicator of prevailing market rates in a black lung case will be
evidence of rates allowed in other black lung cases.” See E. Assoc. Coal Corp. v.
Director, OWCP [Gosnell], 724 F.3d 561, 573 (4th Cir. 2013).
- An adjudicator has discretion to award a fee based on quarter-hour minimum
increments. See Gosnell, 724 F.3d at 576; B & G Mining, Inc. v. Director, OWCP
[Bentley], 522 F.3d 657, 664 (6th Cir. 2008).
- Regarding whether work could have been delegated to paralegals, the Board stated:
“The question in determining a compensable fee is not whether it would have been
less costly for Counsel to delegate work to paralegals or legal assistants. See, e.g.,
Moreno v. City of Sacramento, 534 F.3d 1106, 1115 (9th Cir. 2008) (“The court may
permissibly look to the hourly rates charged by comparable attorneys for similar
work but may not attempt to impose its own judgment regarding the best way to
operate a law firm, nor to determine if different staffing decisions might have led to
different fee requests.”). Rather, it is whether the work and time that Counsel
requested were reasonable and necessary to establish Claimant’s entitlement to
benefits at the time Counsel performed the work.”
- The Board upheld Claims Examiner’s award of Claimant’s mileage for travel to and
from a medical evaluation with his own physician as authorized under 20 C.F.R. §
725.366(c) finding that Claims Examiner rationally applied 20 C.F.R. § 725.366(c) to
find Claimant’s travel costs supporting his claim for modification were reasonable,
unreimbursed expenses incurred in establishing his case.
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Complete Department-Sponsored Pulmonary Evaluation
In Raymond D. Bryant v. Cravat Coal Co., BRB No. 25-0125 BLA (Mar. 26, 2026), the Board
affirmed the ALJ’s decision to remand the case for a second Department-sponsored PFT
and a supplemental report from Dr. Forehand. Dr. Forehand oversaw the original PFT and
Dr. Gaziano opined the results were acceptable. However, when Dr. Forehand was asked
at deposition to review the PFT results, he testified that the volume loops and volume time
tracings were not within five percent of each other, as required by 20 C.F.R. App. B(2)(ii)(G).
In rejecting the Employer’s argument that the ALJ erred in remanding the case, the Board
stated that the plain language of the regulation allows the ALJ to raise and address, sua
sponte, issues regarding the regulatory compliance of the complete pulmonary evaluation
under 20 C.F.R. § 725.456(e).
[Complete Department-sponsored pulmonary evaluation]
Complicated Pneumoconiosis
In Erwin v. Rockhouse Creek Development Corporation BRB No. 25-0110 BLA (April 21,
2026), the Board remanded the case for a reweighing of the evidence regarding
complicated pneumoconiosis. The Board found that the ALJ’s finding that a
preponderance of the x-ray readings were negative for complicated pneumoconiosis was
undermined by the ALJ’s observation that although the readings of a majority of the
radiologists were negative for simple and complicated pneumoconiosis, the readers noted
abnormalities which “do not appear to be wholly inconsistent with the broader definition of
pneumoconiosis.” The Board noted “[w]hile the ALJ stated there is no basis upon which to
favor the positive readings over the negative readings, she specifically found the x-rays,
which she determined are negative for simple and complicated pneumoconiosis, are
entitled to reduced weight because [the] readings may be consistent with
pneumoconiosis.” Thus, the Board determined the ALJ failed to adequately resolve the
conflict in the x-ray evidence or sufficiently explain her findings as the APA requires. The
Board also determined that the ALJ failed to adequately consider the treatment records
including CT scan readings in those records “documenting opacities both larger and
smaller than one centimeter in diameter, with notations in the treatment records bearing
on the nature of the opacities.” The Board noted that the ALJ summarily referred to the CT
scan readings as the “treatment record CT scans” and found that, while they “consistently
record the existence of subpleural nodules with some measuring over [one centimeter],”
they are not positive for complicated pneumoconiosis because none diagnosed
“progressive massive fibrosis or complicated pneumoconiosis.” The Board concluded the
- 35 -
ALJ failed to adequately consider the treatment CT scan readings and her determination
that the treatment records neither support nor undermine a finding of complicated
pneumoconiosis was not supported by substantial evidence and not sufficiently explained
in accordance with the APA. In its remand instructions the Board noted “[s]imply
acknowledging that certain types of evidence are positive while others are negative does
not satisfy the explanatory requirements of the APA.”
In John Adkins, Jr. vs. Fools Gold Energy Corporation, BRB No. 25-0161BLA (April 17, 2026),
the Board upheld the ALJ’s finding of complicated pneumoconiosis and confirmed that the
Sixth Circuit does not require an equivalency determination when assessing whether CT
scan evidence supports a finding of complicated pneumoconiosis. The Board also upheld
the ALJ’s finding regarding onset date. In this subsequent claim the ALJ found that the first
evidence of complicated pneumoconiosis that he credited was a June 22, 2016 CT scan.
However, as he found this “finding of total disability” predated the final decision denying
benefits in the prior claim, the ALJ properly found the date of commencement of benefits is
April 2017, the month after the denial in the prior claim became final (March 2017). See 20
C.F.R. §725.309 (c)(6).
Evidentiary Issues
In Richard W. Naylor v. Consol Pennsylvania Coal Co., BRB Nos. 25-0156 BLA and 25-0156
BLA-A (Apr. 17, 2026), the Board found the ALJ erred in failing to grant the Claimant an
extension of time to submit his post-hearing evidence. In this case the ALJ set the deadline
for receipt of post-hearing evidence as December 27, 2024. On January 25, 2025
(approximately one month after the record closed), the Claimant submitted
correspondence to the ALJ requesting additional time to submit outstanding evidence.
Claimant’s counsel indicated that she had submitted an x-ray to Dr. DePonte on October
2, 2024, but her reading had not been received. Counsel also noted that firm staffing
issues resulted in the firm’s calendar not properly noting the deadline, in addition to
counsel’s preoccupation with a family emergency. In response the ALJ issued an Order
denying the request for an extension because it was submitted after the evidentiary
deadline. The Claimant argued that the ALJ erred in denying its request for an extension of
time because even though it was submitted after the deadline for post hearing evidence,
good cause was shown. Employer responded that the ALJ was within his discretion to
exclude the late evidence and further noted it reserved the right to object to Claimant’s
proposed evidence at the hearing. The Board agreed with the Claimant, noting that the
OALJ regs provide that the ALJ may for “good cause extend the time [o]n motion made after
the time has expired if the party failed to act because of excusable neglect.” 29 C.F.R. §
- 36 -
18.32(b)(2). The Board found that the ALJ erred in not addressing whether Claimant’s
request for an extension of time should be granted due to excusable neglect. The Board
noted that the ALJ’s order summarily denied the request as it was submitted after the
deadline but provided no analysis on the excusable neglect issue. Accordingly, the Board
found that as the ALJ provided no analysis on the excusable neglect issue, he abused his
discretion in denying Claimant’s request for an extension of time. Accordingly, the Board
remanded for the ALJ to address the Claimant’s arguments.
Legal Pneumoconiosis
In Larry A. Sarvey v. Doverspike Brothers Coal Co., BRB No 25-0210 BLA (May 28, 2026), the
Board upheld the ALJ’s finding of entitlement in this case where the Claimant had eleven
years of coal mine employment and the fifteen year presumption did not apply. The ALJ
credited claimant’s offered medical opinions (Drs. Celko, Hua, and Krefft) who determined
that Claimant’s respiratory impairment was significantly due to both coal mine dust and
cigarettes, to establish the presence of legal pneumoconiosis. Employer argued (in this
case arising in the Third Circuit) that the recent Fourth Circuit case of Am. Energy, LLC v.
Dir., OWCP, United States DOL, 106 F.4th 319 (4th Cir. 2024), should be applied to this
case, and therefore based on the Court’s reasoning in that case, an ALJ “must not credit a
physician’s opinion merely because it identifies coal dust exposure and smoking as dual
causes of the miner’s respiratory impairment.” The Director argued, and the Board agreed,
that the Employer misinterpreted the Fourth Circuit’s holding in Goode. The Board noted
that in Goode, where the employer’s physicians attributed the claimant’s impairment to
smoking only, and the claimant’s experts attributed it to both smoking and coal mine dust
exposure, the ALJ had credited the claimant’s physicians and discredited the employer’s
physicians solely because the preamble to the revised 2001 regulations, 65 Fed. Reg.
79,940, 79,941, 79,943 (Dec. 20, 2000), states that coal mine dust inhalation and smoking
may have additive effects. In Goode, the Fourth Circuit court reversed the ALJ’s finding on
legal pneumoconiosis, holding that citing to the preamble cannot meet a claimant’s
burden of proving coal mine dust exposure significantly contributes to a miner’s
respiratory impairment without additional reasons for preferring the claimant’s experts.
In the current case the Board determined that in crediting the Claimant’s experts on legal
pneumoconiosis, the ALJ did not rely solely on the Preamble’s statement that the effects of
smoking and coal dust exposure may be additive but rather had given sufficient additional
reasons for crediting the opinions of the Claimant’s physicians. These reasons included
the credibility of the physicians, their reliance on Claimant’s work and smoking histories
and the fact that the physicians’ diagnoses were based “on the objective testing, CT scans
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demonstrating emphysema, and symptoms including chronic cough with sputum,” as well
as the physicians’ citing of medical literature and explaining how the evidence supported
the diagnosis. The Board also found no error in the ALJ’s discrediting of the Employer’s
experts, noting that “[u]nlike the ALJ in Goode, the ALJ here did not find their opinions
undermined solely because their opinions that Claimant’s COPD is due to smoking are
“inconsistent” with the preamble.” Among the factors cited by the ALJ were that the
opinions of the Employer’s experts, who found Claimant’s symptoms were of recent onset,
were inconsistent with the recognition that pneumoconiosis is a latent and progressive
disease.
[Legal pneumoconiosis; factors to consider in non-presumption case]
Length of Coal Mine Employment
Christine Maynard, obo and widow of, Lewis Maynard v. Buffalo Mining Company BRB Nos.
25-0090 BLA, 25-0090 BLA-A, 25-0180 BLA, and 25-0180 BLA-A (April 17, 2026) (arising in
the Fourth Circuit) and Donald G. Nelson v. Lowlands Coal Corp. BRB Nos. 25-0155 BLA
and 25-0155 BLA-A (April 27, 2026) (arising in the 11th Circuit).
These cases arising in the Fourth and Eleventh circuits were remanded, in part, for
reconsideration of length of coal mine employment in light of recent circuit court cases
addressing calculation of a “year” of coal mine employment. See Baldwin v. Director,
OWCP, 170 F.4th 273,282 (4th Cir. 2026), which held that that a miner need only show he
or she “worked 125 working days within a calendar year (or partial periods totaling one
year) to establish a year of employment” and Hayes v. Dir. OWCP, No. 24-11260, 2026 LX
159011 (11th Cir. Apr. 7, 2026) which held that “subsection (i) [of 20 C.F.R. §
725.101(a)(32)(i)] by its ‘ordinary, everyday meaning[ ],’ unambiguously provides that if a
coal miner worked in coal mine employment for 125 days during a 365/366-day period, he
worked one year under the Act.”
Onset Date
In Doris Cunningham v. Island Creek Coal Co., BRB No. 25-0165 BLA (May 20, 2026), the
Board affirmed the ALJ’s finding of onset date in the award of benefits in this modification
claim. In this case the ALJ relied on medical opinion evidence offered with the modification
petition to find a mistake of fact in the prior denial of benefits and an onset date of
December 2014, that predated the denial of benefits in the initial claim which was in May
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of 2017. The Employer argued that since the ALJ relied on newly submitted evidence the
award in the modification claim should be considered a change in conditions rather than a
mistake of fact and therefore the date of onset should be the date the modification petition
was filed which was May 2017. 20 C.F.R. § 725.503(d)(2) provides that if a claim is awarded
on modification based on a change in conditions, the Claimant is entitled to benefits as of
the month of onset of total disability due to pneumoconiosis, “provided that no benefits
shall be payable for any month prior to the effective date of the most recent denial of the
claim by a district director or [ALJ].” 20 C.F.R. §725.503(d)(2). If the date of onset of total
disability due to pneumoconiosis is not ascertainable, benefits are payable “from the
month in which the claimant requested modification.” Id.
The Board noted that if modification is based on the correction of a mistake in a
determination of fact, including the ultimate fact of entitlement, the Claimant is entitled to
benefits from the month he first became totally disabled due to pneumoconiosis or, if that
date is not ascertainable, from the month he filed his claim, unless credited evidence
establishes that he was not disabled at any subsequent time, citing 20 C.F.R. § 725.503(b),
(d)(1). However, in a subsequent claim, benefits may not be paid for any period before the
date on which the order denying the prior claim became final. 20 C.F.R. § 725.309(c).
The ALJ noted that all the pulmonary function and arterial blood gas studies performed
prior to the May 2017 denial of benefits, were non-qualifying and did not support a finding
of total disability. However, the medical opinion of Dr. Istanbouly to which the ALJ gave
controlling weight, supported that Claimant’s non-qualifying ABG performed on November
20, 2014 showed that the Claimant would have been hypoxic during the exercise portion of
that test had he continued to exercise, and therefore the Claimant’s exertional hypoxemia
would have prevented the Claimant from performing the exertional requirements of his
usual coal mine work. Therefore, the ALJ found the Claimant became totally disabled
sometime before November 20, 2014, but was not yet totally disabled in March 2014 based
on the non-qualifying pulmonary function study and blood gas study values obtained that
month. The ALJ determined that because the Claimant was totally disabled before the May
2017 denial of his claim, he concluded the Claimant demonstrated a mistake in a
determination of fact rather than a change in conditions. Regarding onset the ALJ stated,
“The record does not establish when the Claimant first became totally disabled, but his
PFTs do not support a finding of disability prior to November 21, 2014; they show he was
not disabled as of November 20, 2014. Hence, I find that the Claimant is entitled to
benefits commencing in December 2014, the first month and year after the Claimant filed
his claim and after he was not disabled.” The Board affirmed this finding.
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[Onset date for paying benefits; modification]
Procedural Issues
In Roy Lee Breedlove v. Canada Coal Corp., BRB No. 25-0169 BLA (May 7, 2026), the Board
remanded this case for the third time on the issue of whether the medical opinion evidence
established total disability. The ALJ had previously determined that two medical opinions
which disagreed on the question of total disability were in equipoise, finding that they were
both well reasoned and were both equally qualified. The Board had previously instructed
the ALJ to resolve the conflicts in the evidence or explain her reasons for finding the
medical opinion evidence in equipoise. The Board previously instructed the ALJ to:
“determine whether the opinions of Drs. Shah and Rosenberg are well reasoned and
documented, explaining the weight she accords each medical opinion based on her
consideration of the physicians’ comparative credentials, their understanding of the
exertional requirements of Claimant’s usual coal mine work, the explanations for their
medical findings, the documentation underlying their medical judgments, and the
sophistication of, and bases for, their conclusions.”
The Board noted that the ALJ’s only additional discussion of the medical opinion evidence
was a single sentence regarding whether the physicians considered the pulmonary
function testing. The Board again determined that the ALJ again failed to: “critically analyze
the physicians’ explanation for why they determined whether or not the Claimant has a
totally disabling pulmonary or respiratory impairment that would render him unable to
perform the exertional requirements of his usual coal mine employment. Contrary to the
Board’s instructions, the ALJ specifically failed to analyze the physicians’ understanding of
the exertional requirements of Claimant’s usual coal mine work, the explanations for their
medical findings, the documentation underlying their medical opinions, and the
sophistication of, and bases for, their conclusions.” Thus, the Board remanded the case
for a third time, finding that the ALJ did not properly resolve the conflict in the medical
opinions or adequately explain her findings.
[Adherence to the Board’s remand instructions]
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Pulmonary Function Tests (PFTs)
PFT Validity
In Edwin G. Taylor v. Wampler Brothers Coal Co., Inc., BRB No. 25-0138 BLA (Mar. 30,
2026), the Board affirmed the ALJ’s decision to find valid a PFT taken around the time the
Claimant had COVID-19. The ALJ declined to credit Dr. Fino’s opinion that the Claimant did
not put forth good effort when performing the PFT. Dr. Fino noted that the Claimant had
been diagnosed with COVID-19 around the time of the PFT, and he opined that it affected
the Claimant’s effort on the test. The ALJ found that the PFT did not include any notation of
inadequate effort and the Claimant had been hospitalized with COVID-19 months before
the PFT, so it did not occur soon after an acute respiratory illness. The Board found the
ALJ’s reasoning rational and affirmed his finding that the PFT was valid.
[PFT validity; effect of COVID-19]
In Luke Halbert v. Consol of Kentucky, Inc., BRB No. 25-0120 BLA (April 14, 2026), the
Board vacated the ALJ’s finding that the pulmonary function study and medical opinion
evidence did not support a finding of total disability and remanded the case for further
consideration. The ALJ noted the record included a May 9, 2016 qualifying PFT, a January
23, 2017 PFT that was invalid and an October 28, 2020 non-qualifying PFT. He found the
May 2016 and October 2020 studies were in equipoise and that even if he gave “less weight
or adequate weight” to the January 2017 invalid test, there was an inconsistency in the test
results, and he could not “resolve the inconsistency because he is not a physician.” Thus,
he found the PFT evidence did not support a finding of total disability. The Board found that
“[t]he mere presence of a nonqualifying study does not render the pulmonary function
study evidence equivocal; rather it is the function of the ALJ to resolve conflicts and
inconsistencies in the evidence.” The Board determined that when considering PFT
evidence, the ALJ must determine whether the studies are in substantial compliance with
the quality standards citing 20 C.F.R. §§718.101(b), 718.103(c); 20 C.F.R. Part 718, App. B;
see Keener v. Peerless Eagle Coal Co., 23 BLR 1-229, 1-237 (2007) (en banc). The Board
stated:
A study need not precisely conform to the quality standards; if it is in substantial
compliance, it “constitute[s] evidence of the fact for which it is proffered.” 20 C.F.R.
§718.101(b). The ALJ, as the factfinder, must determine the probative weight to
assign the study. See Orek v. Director, OWCP, 10 BLR 1-51, 1-54-55 (1987). “In the
absence of evidence to the contrary, compliance with the [regulatory quality
- 41 -
standards] shall be presumed.” 20 C.F.R. §718.103(c). Thus, the party challenging
the validity of a study has the burden to establish the results are suspect or
unreliable. Vivian v. Director, OWCP, 7 BLR 1-360, 1-361 (1984).
The ALJ, in finding the January 23, 2017 PFT invalid, noted that Dr. Tuteur administered the
test and opined it is invalid, and Dr. Dahhan opined the study was invalid due to poor effort.
Further the ALJ found that there was no contrary evidence. The Board stated it could not
affirm the ALJ’s finding that the PFT was invalid, as there was in fact, contrary evidence.
The Board noted that the technician had indicated good and “maximal” effort throughout
the test and Dr. Ajjarapu did not comment on validity but found the study showed a
disabling impairment. Further, the Board noted that Dr. Tuteur did not state why the test
was invalid and Dr. Dahhan did not explain why it showed “poor effort.” The Board
determined the ALJ failed to adequately explain how their opinions invalidate the January
23, 2017 PFT, given that it is employer’s burden to establish the study is not in substantial
compliance with the regulatory quality standards. Also, as the ALJ failed to consider the
contrary evidence his conclusion regarding validity could not be affirmed.
[PFTs; substantial compliance with quality standards; validity presumed in absence of
contrary evidence; burden on party opposing validity]
Rebutting the Presumption of Pneumoconiosis
Seventh Circuit
In James E. Vancil v. Peabody Gateway Services, LLC, BRB No. 25-0035 BLA (Feb. 27,
2026), which arose in the Seventh Circuit, the Board affirmed the ALJ’s finding that the
Employer did not rebut the presumption of legal pneumoconiosis. In a footnote, the Board
explained that it did not need to address the Employer’s arguments regarding the ALJ’s
failure to consider whether the Employer rebutted the presumption of clinical
pneumoconiosis (citing Consolidation Coal Co. v. Director, OWCP [Ross], 911 F.3d 824,
844 (7th Cir. 2018) (“While the ALJ was required to review all medical evidence before
determining if a total disability existed, the [e]mployer does not cite any authority to
support the notion that the ALJ may not decide that the employer cannot rebut the
presumption because [it] cannot rebut one of the requisite elements.”).
[Rebutting the presumption of pneumoconiosis in the Seventh Circuit]
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Responsible Operator
Arch’s Liability in the Fourth Circuit
In Jerry Deskins v. Hobet Mining, BRB No. 24-0037 (May 20, 2026), the Board denied the
Director’s motion to hold this appeal in abeyance and granted the motion filed by Arch
Coal (Hobet’s parent company) to be dismissed as the responsible operator, citing the
Fourth Circuit’s ruling in Hobet Mining, Inc. v. Director, OWCP [Meredith], 156 F.4th 385
(4th Cir. 2025), reh’g denied (Mar. 16, 2026) (holding that Arch Coal Company, Inc., (Arch),
the parent company of Hobet Mining, could not be held liable as a self-insurer for the
payment of benefits arising out of a miner’s employment with Arch’s former subsidiaries,
including Hobet Mining, when Patriot Coal, the subsequent owner and self-insurer of
Hobet Mining at the time the claim was filed, went bankrupt).
[Responsible Operator; Fourth Circuit; Arch]
Calculating a Year of Coal Mine Employment in the Fourth Circuit
In Elswick v. CC & P Coal Co., BRB No. 25-0177 BLA (May 20, 2026), arising in the Fourth
Circuit, the Board remanded the case in part for the ALJ to consider specifically whether a
more recent coal mine operator had employed the Claimant for 125 days thus qualifying as
a year of coal mine employment, citing the Fourth Circuit’s recent decision in Baldwin v.
Director, OWCP, 170 F.4th 273, 282 (4th Cir. 2026) (applies to determining whether a coal
mine operator employed a miner for at least one year for purposes of identifying the
responsible operator); Rhino Energy, LLC v. Dir., OWCP, 174 F.4th 358 (4th Cir. Apr. 23,
2026). The Board upheld the ALJ’s finding that the named operator was a potentially liable
operator because Employer admitted that it employed the miner for 147 days and was the
only employer listed on S.S. records for the relevant year (1983). However, the Board
vacated the responsible operator finding and remanded because the ALJ had merely
determined that a more recent coal mine employer did not have a “calendar year” of
employment and had not considered whether the more recent coal mine employer had
employed the miner for at least 125 days.
[Responsible operator; Fourth Circuit]
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Admission of Liability Evidence under 20 C.F.R. § 725.414(c)
In Truong v. Nguyen v. Ambush Mining, Inc., BRB No. 25-0086 BLA (Feb. 6, 2026), the Board
held that because the Employer failed to timely designate the Claimant as a liability
witness before the district director, the Employer was precluded from relying on the
Claimant’s testimony as liability evidence under 20 C.F.R. § 725.414(c).
Employment Relationship under 20 C.F.R. § 725.493
In Louis Degol v. Cooney Brothers Coal Co., BRB No. 24-0185 BLA (Jan. 20, 2026), the
Board vacated the ALJ’s finding that the Claimant was not the Employer’s employee and
remanded the case for further consideration. The Claimant hauled coal for the Employer
from 1977 to 2003. The Employer paid him monthly based on the tonnage of coal he hauled
and the distance he drove. The Claimant used his own vehicle and was responsible for all
costs related to his truck, including gas, tolls, maintenance, and insurance. He had no
employees, his business was not incorporated, he did not carry workers’ compensation
insurance, and he sold his truck when he stopped working for the Employer. The Employer
directed when and where he worked. The ALJ found the Claimant was an independent
contractor and was not an employee under the Act. Therefore, he found the Employer was
not the responsible operator and transferred liability to the Black Lung Disability Trust
Fund. The ALJ denied the Director’s motion for reconsideration.
On appeal, the Director argued that the ALJ erred in finding the Claimant was not an
employee. The Board agreed, finding that the ALJ erred by focusing strictly on a common
law classification of the Claimant as an independent contractor. The Board explained that
before 2000, the terms “employ” and “employment” were not defined in the Act or
regulations, and courts turned to the former 20 C.F.R. §725.491(c)(2)(ii) (1983) to
determine whether an employer substantially controlled, supervised, or was “financially
responsible for the activities of the self-employed operator.” The Board added that ALJs
would consider the common law definition and employ a four-factor test to determine the
right of control. However, the Department discovered that coal mine companies used a
variety of financial arrangements to avoid liability under that framework, so it amended the
regulations to include definitions of the terms “employ” and “employment.” 64 Fed. Reg.
54,966, 54,999 (1999); 62 Fed. Reg. 3,338, 3,369 (1997). The Board explained that the
amended definitions were intended to “foreclose those efforts by recognizing a broad
range of employment relationships between coal mine companies and those individuals
who actually mine coal.” 64 Fed. Reg. at 54,999.
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The Board stated that the Act and amended regulations focus on whether an individual’s
work involves coal mine employment rather than on the common law label “independent
contractor.” It explained that the revised regulation at 20 C.F.R. § 725.493(a)(1) focuses on
the work performed rather than any formal employment classifications. Specifically, the
regulation provides that “the terms ‘employ’ and ‘employment’ shall be construed as
broadly as possible, and shall include any relationship under which an operator retains the
right to direct, control, or supervise the work performed by a miner, or any other
relationship under which an operator derives a benefit from the work performed by a
miner.” Because the ALJ focused on the common law classification of the Claimant as an
independent contractor rather than applying the current regulation, the Board vacated his
findings and remanded the case for reconsideration under 20 C.F.R. § 725.493(a)(1). The
Board also considered and vacated the ALJ’s findings related to the right to control the
Claimant’s work, the furnishing of equipment, and the right to fire the Claimant.
Subsequent Miners’ Claims
In Walter Griffin v. Consol Mining Co., BRB No. 25-0184 BLA (May 28, 2026), the Board
noted that in a subsequent claim “no findings made in connection with the prior claim,
except those based on a party’s failure to contest an issue […] will be binding on any party
in adjudication of the subsequent claim.” 20 C.F.R. § 725.309(c)(5). Thus, in this case
where the Claimant established total disability which had not previously been established,
any prior length of coal mine employment findings were not binding on the ALJ. The Board
rejected Employer’s argument regarding total disability that Claimant’s expert should not
be credited on the issue of total disability because he failed to reconcile the prior testing or
the later testing results. The Board noted that an opinion need not incorporate every piece
of evidence in the record to be credited, finding that “what matters is whether the
physician’s underlying documentation and reasoning support the physician’s
conclusions.”
[Subsequent miner’s claim; weighing medical opinions]
Subsequent Survivors’ Claims
In Gracie Kidd (survivor of Arnold Kidd) v. Ranger Fuel Corp., BRB No. 25-0001 BLA (Feb. 27,
2026), the Board reversed the ALJ’s finding that the Claimant failed to establish a change in
an applicable condition of entitlement in a subsequent survivor’s claim. The district
director denied the Claimant’s initial survivor’s claim because she abandoned it. Under 20
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C.F.R. § 725.409(c), a denial by reason of abandonment “shall be deemed a finding that the
claimant has not established any applicable condition of entitlement.”
The Claimant filed a subsequent survivor’s claim, which the district director denied after
finding that she failed to establish that the Miner had pneumoconiosis or that his death
was due to pneumoconiosis. On appeal, the ALJ dismissed the case after finding that the
prior denial was a final judgment on the merits and the Claimant did not establish a change
in an applicable condition of entitlement. The Board remanded the case for the ALJ to
consider whether the Claimant had established a change in a condition of entitlement
unrelated to the Miner’s physical condition and, if so, to consider the merits of her claim.
On remand, the ALJ again dismissed the case after finding that the Claimant failed to
establish a change in an applicable condition of entitlement. On appeal for the second
time, the Board agreed with the Claimant and the Director that the ALJ erred in finding that
the Claimant did not establish a change in an applicable condition of entitlement by
establishing she is unmarried (a condition she failed to establish in her initial claim), and,
therefore, erred in dismissing her subsequent claim.
The regulations provide that a subsequent survivor’s claim, filed more than one year after
the effective date of a final order denying survivor’s benefits, must be denied unless new
evidence establishes a change in an “applicable condition of entitlement” unrelated to the
miner’s physical condition at the time of his death. 20 C.F.R. § 725.309(c)(4). The
“applicable conditions of entitlement” are “those conditions upon which the prior denial
was based.” 20 C.F.R. § 725.309(c)(3). The Board stated that one condition of entitlement
the Claimant was required to establish in her prior claim was that she was unmarried, and
she failed to do so because the district director denied her prior claim as abandoned. In
her subsequent claim, the Claimant submitted her marriage certificate and an affidavit
stating that she married the Miner in 1951 and had not remarried since his death. The
Board held that because the ALJ found that the Claimant was unmarried, which was a
condition of entitlement that was previously adjudicated against her, she established a
change in an applicable condition of entitlement unrelated to the Miner’s physical
condition at the time of his death. Therefore, the Board reversed the ALJ’s finding and
remanded the case for the ALJ to consider it on the merits.
[Subsequent survivor’s claim]
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Status as a Miner
In Truong v. Nguyen v. Ambush Mining, Inc., BRB No. 25-0086 BLA (Feb. 6, 2026), the Board
affirmed the ALJ’s finding that the Claimant last worked in coal mine employment for the
Employer and that another subsequent employer, D.D.S. Leasing, Inc. (“DDS”), did not
employ the Claimant as a coal miner under 20 C.F.R. § 725.202. The ALJ evaluated a letter
from DDS stating that the Claimant was a sales consultant “in charge of selling the coal for
the contractors,” which consisted of negotiating prices and determining where to sell coal.
The ALJ found the letter credible and indicative that the Claimant did not engage in coal
mine employment. Based on the Claimant’s statements that his memory was diminished,
the ALJ credited the letter over the Claimant’s testimony that he engaged in coal mining for
DDS. Although the Board held that because the Employer failed to timely designate the
Claimant as a liability witness before the district director, it was precluded from relying on
the Claimant’s testimony as liability evidence, it stated that even if the testimony was
admissible, the ALJ’s finding was supported by substantial evidence based on the
Claimant’s statement about his memory and difficulty “remembering stuff.”
Timeliness
In Martin D. Holstein v. Southern Appalachian Coal Co., BRB No. 24-03334 BLA (April 23,
2026), the Board considered multiple issues raised by the Employer in this case (where the
fifteen-year presumption was not invoked) and affirmed the ALJ’s decision on all issues.
The Board addressed the timeliness issue and Employer’s claim that the treatment records
contained finding of total disability and references to pneumoconiosis approximately nine
years prior to the filing of Claimant’s black lung claim. The Board upheld the ALJ’s finding
that the Claimant’s testimony was inconsistent on the issue (of whether he had been told
he was totally disabled due to pneumoconiosis) and the treatment records did not
establish a clear diagnosis of total disability due to pneumoconiosis that was
communicated to the miner. The Board cited the regulation at 20 C.F.R. § 725.308(a) which
states that a miner’s claim is presumed to be timely and the regulation at 20 C.F.R. §
725.308(b) which states that in order to rebut this presumption of timeliness, employer
must show by a preponderance of the evidence that the claim was filed more than three
years after a “medical determination of total disability due to pneumoconiosis” that was
communicated to the miner.
Regarding the issue of whether the Employer was the properly named responsible
operator, the Board found that the Employer failed to name the Claimant as a liability
witness while this case was before the District Director and as employer failed to make a
- 47 -
good cause argument before the ALJ regarding why it had not named the Claimant while
the case was pending before the District Director, Employer had waived its right to make
this argument before the Board.
Regarding whether legal pneumoconiosis was established, the Board rejected the
Employer’s argument that the ALJ’s use of the preamble to the 2001 revised regulations, in
assessing the medical opinion evidence, violated the Supreme Court’s holding in Loper
Bright Enterprises v. Raimondo, 603 U.S. 369 (2024), which invalidated the framework set
forth in Chevron U.S.A., Inc. v. Natural Resources Defense Council, Inc., 467 U.S. 837
(1984). The Board determined, contrary to the Employer’s position, that the preamble is
not a rule nor did the ALJ apply it as a rule; rather “[the ALJ] permissibly referenced it in
determining whether [the medical opinions] were credible on the issue of legal
pneumoconiosis,” which the Board found is permitted under Forth Circuit law (the Circuit
in which the case arises).
The Board also rejected Employer’s argument that the ALJ should have discounted the
opinion of Dr. Harris who was a staff physician at Stone Mountain Health Services, who
represented the Claimant in this matter, and who at times has advocated for miners’
rights. The Board noted that the ALJ has the discretion to consider whether any opinion is
biased. However, the Board found the ALJ correctly found that Dr. Harris’s advocacy on
behalf of miners does not automatically disqualify him from preparing an opinion in a
particular claim. The ALJ properly determined that Dr. Harris based his opinion on objective
findings, provided a detailed explanation for his reasoning, and that his opinion aligned
with the premises underlying the Act. Thus, the ALJ reasonably determined that his work
did not affect his objectivity in this particular claim.
[Timeliness; responsible operator; “Loper Bright” inapplicable; legal pneumoconiosis]
Total Disability
Cor Pulmonale with Right-Sided Congestive Heart Failure
In Judy Campbell v. Smith Brothers Excavating, BRB No. 25-0178 (May 27, 2026), the Board
remanded this case in part for the ALJ to make more specific findings on the issue of
whether total disability had been established based on a diagnosis of cor pulmonale with
right sided congestive heart failure. 20 C.F.R. § 718.204(b)(2)(iii). The Board noted that cor
pulmonale is “heart disease due to hypertension secondary to disease of the blood vessels
of the lungs” and that severe hypertension may cause right sided heart failure, citing
- 48 -
Newell v. Director, OWCP, 13 BLR 1-37, 1-39 (1989). See also 20 C.F.R. § 718.204(b)(2)(iii).
The Board noted several references relevant to cor pulmonale and congestive heart failure
in the record including that Dr. Forehand diagnosed restrictive lung disease, attributing it
to coal dust exposure, obesity, and congestive heart failure. Dr. Tuteur also opined the
Miner’s abnormalities were due to congestive heart failure but unrelated to coal mine dust
exposure and also indicated that the Miner had congestive heart failure “presumably due
to hypertension” which led to “right sided failure with pulmonary hypertension.” Dr.
Rosenberg opined the Miner had pulmonary hypertension secondary to left sided heart
failure and Dr. Hays listed “congestive heart failure with right heart failure” as one of the
discharge diagnoses in his May 8, 2017 discharge summary included in the Miner’s
treatment records. The Board also noted “[w]hile not specifying cor pulmonale, Dr. Meyer
similarly noted an “enlarged cardiac silhouette” with findings of pulmonary hypertension.
Dr. Forehand’s x-ray interpretation also noted an “enlarged cardiac silhouette” and the
Miner’s treatment x-rays also consistently noted cardiomegaly or an enlarged cardiac
silhouette. In her analysis of the issue the ALJ indicated that while the record contains
“extensive documentation” regarding the Miner’s lung and heart conditions, there are only
two references to cor pulmonale or a “right sided heart condition,” (Dr. Tarver’s x-ray
interpretation and Dr. Hays’ discharge summary report) and she found them insufficient to
establish the Miner had cor pulmonale with right-sided congestive heart failure. The Board
stated that while the ALJ was correct that only Dr. Tarver referred to cor pulmonale by
name the multiple other refences noted above were also relevant to the issue. Accordingly,
the Board remanded for the ALJ to consider all the relevant evidence when arriving at her
conclusion of whether the evidence is sufficient to establish that the Miner had cor
pulmonale with right-sided congestive heart failure and whether total disability was
established by this provision.
[Total disability; cor pulmonale with right-sided congestive heart failure]
Exertional Requirements
In Edward C. Tomasik v. Consol Energy, Inc., BRB No. 25-0148 BLA (April 29, 2026), the
Board determined the ALJ erred in discrediting a medical opinion because the opinion did
not address the exertional requirements of the Claimant’s usual coal mine employment.
The Board stated a medical opinion may support a finding of total disability if it provides
sufficient information from which the ALJ can reasonably infer a miner is unable to do his
usual coal mine employment. A physician is not required to physically list the exertional
requirements of the Claimant’s usual coal mine work. In this case where the physician
identified the Claimant’s job as an electrician, the ALJ did not adequately explain why this
- 49 -
was not sufficient to establish that the physician had an adequate understanding of the
exertional requirements. See Jericol Mining, Inc. v. Napier, 301 F.3d 703, 713 (6th Cir. 2002)
(if a physician lists a miner’s job title, ALJ may rationally conclude physician understands
the exertional requirements of common mining jobs, even absent explicitly identifying
them).
ALJ also erred in discrediting two medical opinions on the basis that more recent
pulmonary testing in the record, submitted on modification, was non-qualifying. The Board
pointed out that a physician may offer a reasoned medical opinion diagnosing total
disability even though the objective tests are non-qualifying. See Killman v. Director,
OWCP, 415 F.3d 716, 721-22 (7th Cir. 2005) (claimant can establish total disability despite
non-qualifying objective tests); Cornett, 227 F.3d at 587 (“even a ‘mild’ respiratory
impairment may preclude the performance of the miner’s usual duties”); see also Adkins v.
Director, OWCP, 958 F.2d 49, 51- 52 (4th Cir. 1992) (it is irrational to credit later evidence
solely on the basis of recency if that evidence shows a miner’s condition has improved);
Kincaid v. Island Creek Coal Co., 26 BLR 1-43, 1-50-51 (2023). Further, the Board found,
contrary to the ALJ’s opinion, an expert need not consider all the evidence of record for an
ALJ to find their opinion well-reasoned and documented. See Smith v. Kelly’s Creek Res.,
26 BLR 1-15, 1-28 (2023). Church v. E. Associated Coal Corp., 20 BLR 1-8, 1-13 (1996);
Stark v. Director, OWCP, 9 BLR 1-36, 1-37 (1986) (that a physician reviewed less data in
forming his opinion does not render his opinion insufficient to establish total disability).
Thus, the Board determined the ALJ failed to adequately explain why a more recent nonqualifying pulmonary function study necessarily rendered a medical opinion which did not
consider the more recent testing, entitled to no weight. The Board also vacated the ALJ’s
rejection of a medical opinion that was based solely on a qualifying FEV1 and not its
accompanying FVC or FEV1/FVC which rendered the study non-qualifying as a whole.
[Weighing medical opinions; exertional requirements; improper to reject medical opinion
on the basis that specific exertional requirements are not stated by physician or solely due
to physician’s failure to consider more recent non-qualifying PFT]
In Steven V. Bias v. Mingo Logan Coal Co., BRB No. 25-0101 BLA, (Mar. 30, 2026), the Board
affirmed the ALJ’s finding that the Claimant established a totally disabling pulmonary
impairment based on the ABGs, medical opinions, and the weight of the evidence as a
whole. The Board rejected the Employer’s argument that a remand was required because
the ALJ did not determine the level of exertion required by the Claimant’s usual coal mine
work in finding that the medical opinion evidence supported a finding of total disability. The
Board acknowledged that the ALJ did not make a specific determination regarding the
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exertional requirements of the Claimant’s usual coal mine work, but it emphasized that
she did not credit or discredit the medical opinions based on the physicians’
understanding of the exertional requirements of that work. Because the Employer did not
explain how the alleged error made a difference in the outcome of the case, it found that
any such error was harmless.
[Exertional requirements; when a specific finding is required]
Lay Testimony under 20 C.F.R. § 718.204(d)(5)
In Johnny R. Saylor v. Trinity Coal Corp. of Virginia, BRB No. 24-0232 BLA (Jan. 30, 2026),
the Board affirmed the ALJ’s findings that the evidence did not support finding the Claimant
totally disabled from a respiratory or pulmonary impairment. After considering the ABGs,
PFTs, and medical opinions, the ALJ considered the Claimant’s testimony concerning his
use of supplemental oxygen, as prescribed by his family physician, at night and in the
morning. He also noted that the Claimant reported using inhalers “every two or three
hours” to help with his breathing and only being able to “walk about five or six steps”
before he had to stop and catch his breath. Although the ALJ determined that the
Claimant’s testimony supported finding that he was not able to perform the heavy manual
labor required by his usual coal mine work, the Board stated that the ALJ accurately found
that in a living miner’s claim, “a finding of total disability due to pneumoconiosis shall not
be made solely on the miner’s statements or testimony.” 20 C.F.R. § 718.204(d)(5).
Therefore, it affirmed the ALJ’s finding on total disability and his denial of benefits.
[Total disability; use of lay testimony under 20 C.F.R. § 718.204(d)(5)]
Total Disability Based on Treatment Records
In Donna F. Hall (survivor of and obo the estate of David S. Hall) v. M & M B Coal Co., BRB
Nos. 25-0093 BLA and 25-0094 BLA (Feb. 6, 2026), the Board affirmed the ALJ’s finding that
the Miner was totally disabled based on the treatment records. The treatment records
documented the Miner’s pulmonary and respiratory conditions and complaints of
shortness of breath, dyspnea on exertion, productive cough, wheezing, and his use of
overnight oxygen in 2014 and 2015. From August 2015 until the Miner’s death, the Miner
continued to complain of shortness of breath, wheezing, and cough, and he had multiple
instances of pulmonary edema, acute respiratory failure, and hypoxia. The treatment
records further documented the Miner’s need for supplemental oxygen and a BiPAP
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machine due to decreases in his oxygen saturation. In determining that the Miner’s
treatment records supported finding the Miner totally disabled, the ALJ found it reasonable
to infer the Miner no longer had the respiratory or pulmonary capacity to perform his usual
coal mine work because he was on supplemental oxygen and in persistent respiratory
failure immediately preceding his death. Therefore, the ALJ concluded that the Miner had a
totally disabling respiratory impairment at the time of his death. The Board found the ALJ
reasonably inferred that the Miner’s need for continuous supplemental oxygen, which no
party disputed, would have precluded him from performing his usual coal mine
employment. Moreover, it rejected the Employer’s argument that the Claimant was
required to establish that the Miner’s impairment was chronic. The Board explained that
neither the Act nor the regulations required the Claimant to show that the Miner’s total
disability was chronic to invoke the fifteen-year presumption.
[Total disability based on treatment records; total disability need not be chronic]
Total Disability Causation
Disability Causation due to Legal Pneumoconiosis as a Matter of Law
In Thomas L. Jones v. Central Appalachian Coal Co., BRB No. 25-0020 BLA (Mar. 24, 2026),
the Board affirmed the ALJ’s finding that the Claimant, who worked as a coal miner for
fourteen years, established that his pneumoconiosis was a substantially contributing
cause of his totally disabling respiratory or pulmonary impairment. The Board stated that
because the physicians agreed the Claimant had a disabling obstructive impairment, the
ALJ’s determination that the Claimant’s disabling COPD constituted legal pneumoconiosis
necessarily encompassed a finding that he was totally disabled due to legal
pneumoconiosis. The Board also found that the ALJ permissibly discredited the opinions of
Drs. Basheda and Tuteur because they did not diagnose legal pneumoconiosis, contrary to
her finding that the Claimant had the disease. Thus, it affirmed the ALJ’s finding that the
Claimant was totally disabled due to legal pneumoconiosis and affirmed her award of
benefits.
[Total disability due to legal pneumoconiosis]
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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.