RECOMMENDED FOR FULL-TEXT PUBLICATION

Pursuant to Sixth Circuit I.O.P. 32.1(b)

File Name: 19a0234p.06

UNITED STATES COURT OF APPEALS

FOR THE SIXTH CIRCUIT

18-3680 & 18-3909

ISLAND CREEK COAL COMPANY,

Petitioner,

v.

MELYNDIA BRYAN, Survivor of Bert F. Bryan; 

DIRECTOR, OFFICE OF WORKERS’ COMPENSATION 

PROGRAMS, UNITED STATES DEPARTMENT OF LABOR,

Respondents.

18-4022

DORRIS E. CUNNINGHAM,

Petitioner,

v.

ISLAND CREEK COAL COMPANY; DIRECTOR, OFFICE OF 

WORKERS’ COMPENSATION PROGRAMS, UNITED 

STATES DEPARTMENT OF LABOR,

Respondents.

┐

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

│

┘

Nos. 18-3680/3909/4022

On Petitions for Review of Orders 

of the Benefits Review Board, United States Department of Labor;

Nos. 17-0277 BLA; 17-0457 BLA.

Argued: June 18, 2019

Decided and Filed: September 11, 2019

Before: McKEAGUE, THAPAR, and MURPHY, Circuit Judges.

>
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 2

_________________

COUNSEL

18-3680 & 18-3909

ARGUED: Jeffrey R. Soukup, JACKSON KELLY, PLLC, Lexington, Kentucky, for Petitioner. 

Brent Yonts, LAW OFFICE OF YONTS, SHERMAN & DRISKILL, PSC, Greenville, 

Kentucky, for Respondent Bryan. Edward Waldman, UNITED STATES DEPARTMENT OF 

LABOR, Washington, D.C., for Federal Respondent. ON BRIEF: Jeffrey R. Soukup, William 

S. Mattingly, JACKSON KELLY, PLLC, Lexington, Kentucky, for Petitioner. Brent Yonts, 

LAW OFFICE OF YONTS, SHERMAN & DRISKILL, PSC, Greenville, Kentucky, for 

Respondent Bryan. Edward Waldman, Rita A. Roppolo, UNITED STATES DEPARTMENT 

OF LABOR, Washington, D.C., for Federal Respondent. 

18-4022

ARGUED: Austin P. Vowels, VOWELS LAW PLC, Henderson, Kentucky, for Petitioner. 

Joseph D. Halbert, SHELTON, BRANHAM & HALBERT, PLLC, Lexington, Kentucky for 

Respondent Island Creek. Edward Waldman, UNITED STATES DEPARTMENT OF LABOR, 

Washington, D.C., for Federal Respondent. ON BRIEF: Austin P. Vowels, VOWELS LAW 

PLC, Henderson, Kentucky, for Petitioner. Joseph D. Halbert, SHELTON, BRANHAM & 

HALBERT, PLLC, Lexington, Kentucky for Respondent Island Creek. Edward Waldman, Sean 

G. Bajkowski, Sarah M. Hurley, UNITED STATES DEPARTMENT OF LABOR, Washington, 

D.C., for Federal Respondent.

_________________

OPINION

_________________

MURPHY, Circuit Judge. It has long been said that the doctrine of administrative 

exhaustion “is as old as federal administrative law.” Raoul Berger, Exhaustion of Administrative 

Remedies, 48 Yale L.J. 981, 981 (1939). But what is the doctrine’s source? A federal statute? 

Federal common law? A brooding omnipresence in the bureaucratic sky? This question 

confronts us in these petitions for review, which assert claims based on Lucia v. SEC, 138 S. Ct. 

2044 (2018). There, the Court held that the SEC’s appointment of an administrative law judge 

violated the Constitution’s Appointments Clause. Id. at 2049. Here, the petitioners argue that 

Lucia renders unconstitutional the appointments of the administrative law judges who 

adjudicated their black-lung-benefits disputes. But there is a catch: The petitioners raised this 

issue for the first time in motions for reconsideration with the Benefits Review Board, the body 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 3

within the Department of Labor that hears appeals from decisions of administrative law judges. 

The Board held that their constitutional claims came too late, so the Department of Labor asserts 

that they forfeited this issue in court by failing to properly exhaust it with the agency. We must 

consider, among other questions, whether the Black Lung Benefits Act contains a requirement to 

exhaust issues with the Board and, if so, whether that requirement bars the petitioners’ 

constitutional claims. 

I.

The Black Lung Benefits Act, 30 U.S.C. §§ 901–44, “provides federal funds to those who 

have been totally disabled by pneumoconiosis, a respiratory disease commonly caused by coal 

mine employment, and to their eligible survivors.” U.S. Dep’t of Labor v. Triplett, 494 U.S. 715, 

717 (1990). The Act grants broad authority to the Secretary of Labor to implement its 

provisions. E.g., 30 U.S.C. § 902(f)(1); id. § 932(h). Regulations authorize benefits if miners 

prove that they have “pneumoconiosis”; that the disease “arose out of coal mine employment”; 

that they are “totally disabled”; and that their “pneumoconiosis contributes to the total 

disability.” 20 C.F.R. § 725.202(d)(2). Regulations also establish a framework for identifying 

the coal-mine “operator” who should be on the hook for paying the benefits. Id. §§ 725.494–.95; 

see 30 U.S.C. § 932(b). 

To resolve benefits disputes between miners and operators, the Act incorporates many 

claims-processing rules from the Longshore and Harbor Workers’ Compensation Act, 33 U.S.C. 

§§ 901–50. 30 U.S.C. § 932(a). When a miner applies for benefits, a “district director” in the 

Department of Labor investigates the claim and issues a proposed order granting or denying 

benefits. 20 C.F.R. § 725.418(a). From that order, a miner or operator may request a hearing 

before an administrative law judge. 33 U.S.C. § 919(d); 20 C.F.R. § 725.419(a). The judge 

typically holds a hearing under the Administrative Procedure Act’s adjudication rules, 5 U.S.C. 

§ 554, and issues a benefits decision with accompanying findings of fact and conclusions of law. 

20 C.F.R. §§ 725.450–.79. Following that decision, the miner or operator may appeal a 

“substantial question of law or fact” to the Benefits Review Board. 33 U.S.C. § 921(b)(3); 

20 C.F.R. § 725.481. After exhausting these internal agency steps, the miner or operator may 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 4

lastly obtain judicial review of “a final order of the Board” from a court of appeals. 33 U.S.C. 

§ 921(c); 20 C.F.R. § 725.482(a).

Department of Labor staff (not the Secretary of Labor) had been appointing the 

administrative law judges who adjudicate benefits disputes within the agency. Yet the 

Constitution’s Appointments Clause dictates the method for appointing “Officers of the United 

States,” allowing Congress to place the appointment power for “inferior Officers” only “in the 

President,” the “Courts of Law,” or the “Heads of Departments.” U.S. Const. art. II, § 2, cl. 2. 

Thus, if administrative law judges qualify as “inferior Officers” rather than employees, their staff 

appointments violated the Constitution. In December 2017, anticipating that the Supreme Court 

might review this question, the Secretary of Labor ratified the appointments of the existing 

administrative law judges. Several months later, on June 21, 2018, the Court held that an SEC 

administrative law judge was an inferior officer who had been unconstitutionally appointed. 

Lucia, 138 S. Ct. at 2055. 

This administrative backdrop sets the stage for these two benefits disputes. (We highlight 

their general facts now and save the details for our later substantial-evidence review.) 

Dorris Cunningham (No. 18-4022). Petitioner Dorris Cunningham worked at a Kentucky 

coal mine from 1952 until his 1993 retirement. Respondent Island Creek Coal eventually came 

to operate the mine. After his retirement, Cunningham applied for black-lung benefits, but his 

claims were denied because he was not “totally disabled.” In February 2014, Cunningham filed 

his current application. After a district director proposed awarding benefits, Island Creek 

requested a hearing with an administrative law judge. The judge found that Cunningham again 

failed to show that he was totally disabled. On June 27, 2018, a few days after Lucia, the 

Benefits Review Board affirmed. In a motion for reconsideration, Cunningham argued for the 

first time that the Secretary of Labor had not properly appointed the administrative law judge 

who rejected his claim. The Board denied the motion. It found that Cunningham had “waived” 

this constitutional issue because he raised it “only after the Board issued its decision on the 

merits.”
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 5

Melyndia Bryan (Nos. 18-3680, 18-3909). Bert Bryan worked in underground coal 

mines for at least 16 years between 1972 and 1989. He applied for black-lung benefits in July 

2010, but died two years later. His wife, Respondent Melyndia Bryan, assumed his claim and 

filed a separate survivor’s claim. A district director awarded benefits on both claims and found 

Island Creek (the Petitioner in Bryan’s cases) to be the responsible operator. Island Creek 

requested a hearing with an administrative law judge. The judge found that Bert Bryan had a 

total disability due to pneumoconiosis, that he had been entitled to benefits from the date of his 

application to the date of his death, and that Melyndia was entitled to survivor’s benefits. Island 

Creek appealed both claims to the Benefits Review Board. In February 2018, the Board affirmed 

the judge’s decision on the original claim, but suggested that Island Creek had not appealed the 

survivor’s claim. After Island Creek filed a motion for reconsideration, the Board recognized 

that Island Creek had in fact appealed. Yet, on June 15, 2018, the Board affirmed the decision 

on the survivor’s claim too. In another motion for reconsideration after Lucia, Island Creek for 

the first time challenged the appointment of the administrative law judge who awarded benefits. 

The Board found that Island Creek (like Cunningham) had “waived” this issue by failing to raise 

it sooner.

From these final orders of the Benefits Review Board, Cunningham and Island Creek 

sought this court’s review, requesting a new hearing before a properly appointed administrative 

law judge (and raising fact-specific substantial-evidence challenges). We consolidated their 

petitions for review. In this court, the Director of the Office of Workers’ Compensation 

Programs in the Department of Labor (the “Department of Labor”) concedes that the 

administrative law judges who oversaw these disputes were not constitutionally appointed. But 

the Department of Labor argues that Island Creek and Cunningham forfeited their constitutional 

claims by not exhausting them with the agency.

II.

We start with the exhaustion question. At the outset, we note what this question is not 

about. To begin with, it does not implicate our subject-matter jurisdiction. EPA v. EME Homer 

City Generation, L.P., 572 U.S. 489, 512 (2014); Herr v. U.S. Forest Serv., 803 F.3d 809, 822 

(6th Cir. 2015). The law grants the courts of appeals adjudicative authority over “a final order of 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 6

the Board,” 33 U.S.C. § 921(c), and Island Creek and Cunningham timely petitioned from final 

orders. Cf. Weinberger v. Salfi, 422 U.S. 749, 763–67 (1975). This question also does not 

implicate what some cases have called the “exhaustion of remedies”: a requirement that a party 

complete the agency’s internal remedial steps (including administrative appeals) before turning 

to the judiciary. Sims v. Apfel, 530 U.S. 103, 107 (2000). Island Creek and Cunningham 

litigated these disputes before an administrative law judge, 33 U.S.C. § 919(d), and appealed the 

judge’s decision to the Benefits Review Board, id. § 921(b)(3). The statute required them to 

invoke no more agency processes before heading to court. Cf. Thunder Basin Coal Co. v. Reich, 

510 U.S. 200, 207–09 (1994); Myers v. Bethlehem Shipbuilding Corp., 303 U.S. 41, 48–51 

(1938).

This case instead implicates what cases have called “issue exhaustion.” Sims, 530 U.S. at 

107; 2 Kristin E. Hickman & Richard J. Pierce, Jr., Administrative Law Treatise § 17.8 (6th ed. 

2019). The Department of Labor argues that Island Creek and Cunningham should have raised a 

specific issue (their Appointments Clause challenge) with the Benefits Review Board in order to 

preserve that issue for judicial review. We addressed a similar issue-exhaustion claim in Jones 

Brothers, Inc. v. Secretary of Labor, 898 F.3d 669 (6th Cir. 2018), which asked “three 

interrelated questions” to resolve an agency’s argument that a party failed to exhaust a postLucia constitutional challenge. Id. at 673. We ask three similar questions here: (1) Must parties 

who seek judicial review of the Benefits Review Board’s orders exhaust issues with the Board? 

(2) If so, did Island Creek and Cunningham exhaust their constitutional claims by raising them in 

motions for reconsideration? (3) If not, do these constitutional claims nevertheless fall within an 

exception to the exhaustion requirement? We conclude: Yes, No, and No. Our reasons follow. 

1. Does this administrative scheme contain an issue-exhaustion requirement?

This question, the Department of Labor assures us, has an obvious answer: “Under 

longstanding principles of administrative law, a party may not raise before the court an argument 

it failed to preserve before the agency.” The Department’s categorical claim suggests that courts 

have the power to impose a universal exhaustion requirement across all federal statutes in 

common-law fashion. Admittedly, language in the caselaw could be read to support that notion. 

Courts have described an implied requirement to raise issues with an agency as a “judge-made,” 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 7

“prudential,” or “common law” duty to exhaust. Ross v. Blake, 136 S. Ct. 1850, 1857 (2016); 

Hettinga v. United States, 560 F.3d 498, 503 (D.C. Cir. 2009); Hickman & Pierce, supra, § 17.2, 

at 1457. And the Supreme Court has noted that this implied exhaustion requirement can arise 

from “judicial discretion.” McCarthy v. Madigan, 503 U.S. 140, 144 (1992). 

On closer inspection, though, the Department of Labor’s generic framing—unconnected, 

as it is, to any specific statute—overstates things. Just as the “common law is not a brooding 

omnipresence in the sky,” S. Pac. Co. v. Jensen, 244 U.S. 205, 222 (1917) (Holmes, J., 

dissenting), so too administrative law is not a hazy body of policy choices that courts are free to 

“discover.” See Patsy v. Bd. of Regents, 457 U.S. 496, 501–02 (1982); John F. Duffy, 

Administrative Common Law in Judicial Review, 77 Tex. L. Rev. 113, 120 (1998). Instead, 

exhaustion primarily raises a question of statutory interpretation about “the particular 

administrative scheme at issue.” Salfi, 422 U.S. at 765; Darby v. Cisneros, 509 U.S. 137, 144–

45 (1993); Patsy, 457 U.S. at 501–02 & n.4. And, as with any interpretive question, courts must 

adopt exhaustion rules that comport “with congressional intent and any applicable statutory 

scheme.” McCarthy, 503 U.S. at 144. In that respect, the Supreme Court has identified three 

categories of statutory schemes when deciding if a specific statute contains an issue-exhaustion 

mandate. Sims, 530 U.S. at 107–10. 

Category One: Many issue-exhaustion requirements are pure “creatures of statute.” Id. at 

107. Consider the Mine Act addressed in Jones Brothers. 898 F.3d at 672–73. That statute tells 

courts: “No objection that has not been urged before the [Federal Mine Safety and Health 

Review] Commission shall be considered by the court, unless the failure or neglect to urge such 

objection shall be excused because of extraordinary circumstances.” 30 U.S.C. § 816(a)(1). An 

issue-exhaustion mandate (with a built-in exception) could not be stated in plainer terms. Many 

statutes fit the same mold. E.g., 15 U.S.C. § 77i(a); 29 U.S.C. § 160(e); 47 U.S.C. § 405(a); 

United States v. L.A. Tucker Truck Lines, Inc., 344 U.S. 33, 36 n.6 (1952). Others are written in 

more general terms, requiring “administrative remedies” to be “exhausted.” 42 U.S.C. 

§ 1997e(a). The Supreme Court has read this text to command “proper” exhaustion, which may 

include issue exhaustion if an agency’s rules so require. Woodford v. Ngo, 548 U.S. 81, 90–91 

(2006); cf. Unemployment Comp. Comm’n v. Aragon, 329 U.S. 143, 155 n.15 (1946).
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 8

Category Two: Some statutes say nothing about exhaustion, but permit agencies to adopt 

regulations detailing their internal claims-processing rules. In these regimes, “it is common for 

an agency’s regulations to require issue exhaustion in administrative appeals.” Sims, 530 U.S. at 

108. This type of regulation must comport with the statute under which it arose. See Sebelius v. 

Auburn Reg’l Med. Ctr., 568 U.S. 145, 156–57 (2013); Inova Alexandria Hosp. v. Shalala, 

244 F.3d 342, 349 (4th Cir. 2001). And the agency must not misinterpret the regulation or apply 

it in an arbitrary manner (by, for example, enforcing it against some parties but not others). See 

Crockett Colleries, Inc. v. Barrett, 478 F.3d 350, 353–55 (6th Cir. 2007); compare Hooper v. 

Nat’l Transp. Safety Bd., 841 F.2d 1150, 1151 (D.C. Cir. 1988) (per curiam), with Brown v. Nat’l 

Transp. Safety Bd., 795 F.2d 576, 578–79 (6th Cir. 1986) (per curiam). But when an issueexhaustion regulation is valid, “courts reviewing agency action regularly ensure against the 

bypassing of that requirement by refusing to consider unexhausted issues.” Sims, 530 U.S. at 

108; Palladian Partners, Inc. v. United States, 783 F.3d 1243, 1255 (Fed. Cir. 2015); Vt. Dep’t 

of Pub. Serv. v. United States, 684 F.3d 149, 156–58 (D.C. Cir. 2012). That is because courts 

usually must enforce claims-processing rules when a party properly invokes them. Union Pac. 

R.R. Co. v. Locomotive Eng’rs, 558 U.S. 67, 81 (2009).

Category Three: When neither statute nor regulation says anything about exhaustion, the 

Supreme Court has held that a court may still impose an implied exhaustion rule as long as the 

rule comports with the statutory scheme. Sims, 530 U.S. at 108–10 (discussing L.A. Tucker 

Truck Lines, 344 U.S. at 36–37). The Court, however, has yet to identify the source of the 

judiciary’s authority to impose this “prudential” exhaustion mandate on top of a statutory scheme 

that does not expressly contain one. See In re Univ. of Mich., __ F.3d __, No. 19-1636, 2019 

WL 3979607, at *2 (6th Cir. Aug. 23, 2019). We see two potential views of this prudentialexhaustion category—one that places it on firmer ground, the other that leaves it with shaky 

foundations. 

Under the first view, prudential exhaustion may have roots in general constitutional or 

statutory text. To begin with, perhaps as a “rule of judicial administration,” Myers, 303 U.S. at 

50, it has a constitutional source. Article III’s “judicial Power” gives courts “certain ‘inherent 

powers,’ not conferred by rule or statute, ‘to manage their own affairs so as to achieve the 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 9

orderly and expeditious disposition of cases.’” Goodyear Tire & Rubber Co. v. Haeger, 137 S. 

Ct. 1178, 1186 (2017) (citation omitted). And the Supreme Court has compared prudential 

exhaustion to the longstanding rule that an appellate court will not consider issues that were not 

raised in district court. Sims, 530 U.S. at 108–09 (citing Hormel v. Helvering, 312 U.S. 552, 556 

(1941)). The courts’ inherent authority likely allows them to adopt that “long unquestioned” 

forfeiture rule, see Carlisle v. United States, 517 U.S. 416, 426 (1996) (citation omitted), which 

dates to the writs of error from English common law. See Robert J. Martineau, Considering New 

Issues on Appeal, 40 Vand. L. Rev. 1023, 1026–28 (1987); Roscoe Pound, Appellate Procedure 

in Civil Cases 107–10, 133 (1941). Here, then, the key question would ask whether any inherent 

authority to adopt forfeiture rules within the courts is broad enough to cover a rule requiring 

parties to exhaust issues in an agency before reaching the courts. Cf. Degen v. United States, 

517 U.S. 820, 823–29 (1996). 

If prudential exhaustion has these constitutional origins, it would raise other questions. Is 

this judicial authority to adopt forfeiture rules “indefeasible” such that Congress may not intrude 

on it? Chambers v. NASCO, Inc., 501 U.S. 32, 58 (1991) (Scalia, J., dissenting). Or may it “be 

controlled or overridden by statute or rule”? Degen, 517 U.S. at 823; see Carlisle, 517 U.S. at 

426–28. Congress has long acted on the latter view, as evidenced by the many statutes dictating 

when courts may consider issues not raised with an agency. Hickman & Pierce, supra, § 17.8, at 

1534. If Congress is correct, prudential exhaustion might be thought of as a “background 

principle” against which Congress legislates, like federalism or equitable tolling. Bond v. United 

States, 572 U.S. 844, 857–58 (2014); Young v. United States, 535 U.S. 43, 49–50 (2002). Courts 

would retain an inherent authority to adopt exhaustion rules so long as a statute does not clearly 

say otherwise. Cf. Link v. Wabash R.R. Co., 370 U.S. 626, 631–32 (1962).

Aside from the Constitution, maybe prudential exhaustion has a general statutory source, 

one tied to the remedy sought—vacatur of an agency order. If that relief can be characterized as 

“equitable,” a statute might be read to give courts discretion over whether to grant it (just as 

courts have discretion over whether to grant injunctions). Cf. Fed. Power Comm’n v. Transcon. 

Gas Pipe Line Corp., 423 U.S. 326, 332–33 (1976) (per curiam); Ford Motor Co. v. NLRB, 305 

U.S. 364, 373 (1939). Indeed, the exhaustion “doctrine had its origin in a discretionary rule 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 10

adopted by courts of equity to the effect that a petitioner will be denied equitable relief when he 

has failed to pursue an available administrative remedy by which he might obtain the same 

relief.” Smith v. United States, 199 F.2d 377, 381 (1st Cir. 1952). That said, the Supreme Court 

long ago suggested that prudential exhaustion applies outside equity cases. See Myers, 303 U.S. 

at 51 n.9. 

The second view of prudential exhaustion, by contrast, places it in a far different light. 

As one scholar has suggested, Duffy, 77 Tex. L. Rev. at 152–54, it may be a relic of the “ancien 

regime” of statutory interpretation in which federal courts, acting like common-law courts, 

imposed judicial glosses on legislative texts to make statutes work “better.” See Alexander v. 

Sandoval, 532 U.S. 275, 287 (2001). Two doctrines exemplified this old regime. Under the 

doctrine of implied rights of action, the Supreme Court once added private causes of action to 

statutes whenever it decided that private suits would better promote statutory goals. J.I. Case 

Co. v. Borak, 377 U.S. 426, 433 (1964). Likewise, under the doctrine of prudential standing, the 

Court once applied judicial “limits” on legislative causes of action whenever it found that a party 

should not be able to assert the right to sue. See Allen v. Wright, 468 U.S. 737, 751 (1984). In 

recent years, however, the Court has rejected these atextual approaches. Nowadays, when a 

statute’s text and structure do not establish a private cause of action, courts “may not create one, 

no matter how desirable that might be as a policy matter.” Alexander, 532 U.S. at 286–87. And 

when a statute’s text and structure do not restrict a private cause of action, courts “cannot limit 

[the] cause of action that Congress has created merely because ‘prudence’ dictates.” Lexmark 

Int’l, Inc. v. Static Control Components, Inc., 572 U.S. 118, 128 (2014). 

Prudential exhaustion bears some resemblance to these now-disfavored doctrines. It rests 

less on a statute’s text and structure, and more on policy grounds unmoored from those sources. 

The Supreme Court has justified it on such objectives as avoiding “interruption” of agency 

autonomy, McKart v. United States, 395 U.S. 185, 194–95 (1969), and promoting “judicial 

efficiency,” McCarthy, 503 U.S. at 145. Perhaps these are good policies, but what gives courts 

the authority to impose them? Not only that, the many statutes that contain exhaustion rules 

prove that Congress knows how to write them. Some might read this disparate inclusion and 

exclusion as an intentional legislative choice. See W. Va. Univ. Hosps., Inc. v. Casey, 499 U.S. 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 11

83, 88–92 (1991), superseded by statute as recognized by L & W Supply Corp. v. Acuity, 

475 F.3d 737, 740 (6th Cir. 2007); Russello v. United States, 464 U.S. 16, 23 (1983). Prudential 

exhaustion also sits uncomfortably next to the traditional rule that courts have “no more right to 

decline the exercise of jurisdiction which is given, than to usurp that which is not given.” 

Cohens v. Virginia, 19 U.S. 264, 404 (1821). Chief Justice Marshall did not add the disclaimer: 

except courts may refuse to hear an issue if they think it makes sense to demur under a balancing 

test that juggles the interests of the plaintiff, the agency, and the court. But see McCarthy, 

503 U.S. at 146. If this view of prudential exhaustion prevails, it may (and perhaps should) go 

the way of other atextual doctrines. See Duffy, 77 Tex. L. Rev. at 152; cf. Philip Hamburger, 

Is Administrative Law Unlawful? 304 n.d (2014). 

In short, the Supreme Court may someday have a choice to make—either align prudential 

exhaustion with the Court’s modern textualist approach or distance itself from that exhaustion 

category. 

Thankfully for us, this is not the case to make the choice. We need not rely on our 

“prudence” to conclude that the Black Lung Benefits Act requires exhaustion. Lexmark, 572 

U.S. at 128. To be sure, the case for exhaustion here is harder than it was in Jones Brothers. 

Unlike the Mine Act, the Black Lung Benefits Act contains no statutory text directing parties to 

raise issues with the Benefits Review Board. 33 U.S.C. § 921(c). But a regulation (not our 

discretion) bridges this gap by requiring parties to file petitions for review identifying “specific 

issues to be considered” by the Board. 20 C.F.R. § 802.211(a). This case thus falls into the 

second exhaustion category. Indeed, the Supreme Court highlighted this specific regulation 

when noting that agencies may impose exhaustion mandates through their rulemaking. Sims, 

530 U.S. at 108. 

Nor do Island Creek or Cunningham argue that this regulation conflicts with the Black 

Lung Benefits Act or the Longshore and Harbor Workers’ Compensation Act (whose claimsprocessing rules it incorporates). As a general matter, both laws give the Department of Labor 

the authority to issue regulations to carry out their provisions. 30 U.S.C. § 936(a); 33 U.S.C. 

§ 939(a). As a specific matter, our court has recognized a reason—one rooted in the statutory 

text—to require parties to identify specific issues with the Board. See Cox v. Benefits Review 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 12

Bd., 791 F.2d 445, 446–47 (6th Cir. 1986) (per curiam). The statute does not give parties the 

right to a “do over” with the Board; it instead circumscribes the Board’s review. The Board may 

decide only “substantial question[s] of law or fact”; it must limit its review to the “hearing 

record”; and it must defer to the administrative law judge’s fact-findings if supported by 

“substantial evidence.” 33 U.S.C. § 921(b)(3); 20 C.F.R. § 802.301(a)–(b). By requiring parties 

to highlight specific errors, the regulation implements these statutory limits on the Board’s 

review. Cox, 791 F.2d at 446–47. And courts of appeals have jurisdiction to review only orders 

of the Board, not of administrative law judges. 33 U.S.C. § 921(c). If a party flouts the 

regulation by failing to raise with the Board an issue that the party asserts in court, the court 

generally has no basis for “setting aside” the Board’s order (even assuming the administrative 

law judge erred). Id.

Unsurprisingly, then, our decades-long precedent has refused to consider issues that 

parties failed to present to the Board. See Island Fork Constr. v. Bowling, 872 F.3d 754, 758 

(6th Cir. 2017); Premium Coal Co. v. Dir., Office of Workers’ Comp. Programs, 619 F. App’x 

447, 450 (6th Cir. 2015); Brandywine Explosives & Supply v. Dir., Office of Workers’ Comp. 

Programs, 790 F.3d 657, 663–64 (6th Cir. 2015); Arch on the Green, Inc. v. Groves, 761 F.3d 

594, 602 (6th Cir. 2014); Ramey v. Ky. Carbon Corp., No. 95-3204, 1996 WL 221415, at *5 (6th 

Cir. May 1, 1996) (per curiam); Hix v. Dir., Office of Workers’ Comp. Programs, 824 F.2d 526, 

527–28 (6th Cir. 1987); Buckner v. Benefits Review Bd., No. 86-3461, 1987 WL 37753, at *2 

(6th Cir. June 19, 1987) (per curiam); Honaker v. Benefits Review Bd., No. 85-3960, 1986 WL 

18101, at *1–2 (6th Cir. Oct. 20, 1986) (per curiam); Cox, 791 F.2d at 447; Blevins v. Dir., 

Office of Workers’ Comp. Programs, 683 F.2d 139, 142–43 (6th Cir. 1982); cf. Gibas v. Saginaw 

Mining Co., 748 F.2d 1112, 1119 (6th Cir. 1984). We reaffirm this issue-exhaustion requirement 

in this case. 

2. Did a motion for reconsideration suffice to exhaust the constitutional issue?

We next consider whether Island Creek and Cunningham satisfied this exhaustion rule by 

raising their constitutional claims in motions for reconsideration with the Board. Cases applying 

prudential and statutory exhaustion alike identify a simple principle for determining what parties 

must do to exhaust an issue: follow the agency’s rules governing how to assert the issue with the 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 13

agency. The Supreme Court has said, for example, that prudential exhaustion requires a party to 

raise an issue with an agency “at the time appropriate under its practice” in order to preserve the 

issue for judicial review. L.A. Tucker Truck Lines, 344 U.S. at 37. And when interpreting a 

statute requiring exhaustion, the Court likewise held that a party need only “complete the 

administrative review process in accordance with the applicable [agency’s] procedural rules.” 

Jones v. Bock, 549 U.S. 199, 218 (2007) (quoting Woodford, 548 U.S. at 88).

Two regulations concerning the Benefits Review Board illustrate this principle. One 

regulation requires parties to file appeals with the Board within 30 days from an administrative 

law judge’s decision. 20 C.F.R. § 802.205(a). When the Board dismissed an untimely appeal, 

we held that the party failed to exhaust any merits issues for judicial review by disregarding the 

agency’s timelines. Blevins, 683 F.2d at 142–43. Another regulation, as noted, requires petitions 

for review to contain “the specific issues to be considered” by the Board. 20 C.F.R. 

§ 802.211(a). When the Board affirmed an administrative law judge’s decision because a 

generic petition for review did not list specific issues, we held that the party “failed to properly 

exhaust her administrative remedies and preserve the merits of this appeal for review.” Cox, 791 

F.2d at 447. In short, if the Board does not consider a merits issue because a party failed to 

follow the Board’s procedural rules, the party generally has not exhausted that issue for a court’s 

review. 

This reasoning points us to the right question here: Do the Department of Labor’s claimsprocessing rules permit a party to raise a new constitutional issue in a motion for reconsideration 

with the Benefits Review Board? They do not. A regulation does permit parties to file motions 

for reconsideration explaining the “supporting rationale for the request.” 20 C.F.R. § 802.408(a). 

Yet, as in this case, the Board has long interpreted this regulation to bar parties from raising new 

arguments “for the first time in a motion for reconsideration.” Parks v. Navy Personnel 

Command/MWR, No. 04-0179, 2006 WL 6869771, at *7 (Ben. Rev. Bd. Feb. 3, 2006); Ravalli v. 

Pasha Mar. Servs., No. 01-0572, 36 Ben. Rev. Bd. Serv. 91 (Sept. 12, 2002). 

Island Creek and Cunningham do not claim that the Board’s interpretation—barring 

parties from raising new issues on reconsideration—misreads the regulation or is otherwise 

arbitrary or capricious. Cf. Crockett Colleries, 478 F.3d at 353–55. Nor could they. After all, 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 14

they sought consideration (not reconsideration) of this constitutional issue. And appellate courts 

have long interpreted analogous rules as prohibiting parties from raising new issues at the 

rehearing stage. See Costo v. United States, 922 F.2d 302, 302–03 (6th Cir. 1990) (order); see 

also Easley v. Reuss, 532 F.3d 592, 593–94 (7th Cir. 2008) (per curiam) (citing cases); cf. SSA 

Terminals, LLC v. Bell, 653 F. App’x 528, 532 (9th Cir. 2016). Island Creek and Cunningham 

also do not challenge the Board’s application of this rule to their cases. They do not argue, for 

example, that the Board has applied its interpretation inconsistently. Cf. Hooper, 841 F.2d at 

1151. They thus give us no grounds for overlooking the Board’s procedural requirements, which 

means they failed to exhaust their constitutional claims before the Department of Labor. 

3. Does any exception to this exhaustion mandate apply?

We lastly ask whether any exception to the exhaustion mandate saves the constitutional 

claims. When it comes to exceptions, a sharp divide separates statutory from prudential 

exhaustion. For exhaustion rules that originate with a clear statutory command, courts have 

“refus[ed] to add unwritten” exceptions on top of those in the text itself. Ross, 136 S. Ct. at 

1857. For exhaustion rules that originate with judicial prudence, courts have felt free to adopt 

“judge-made exceptions” in the same prudential fashion. Id. In that setting, courts have 

developed several standard exceptions, including a “futility” exception for parties who assert 

claims that an agency cannot consider, see McCarthy, 503 U.S. at 147–49, and a “hardship” 

exception for parties who face undue harm from agency exhaustion, see McKart, 395 U.S. at 

197. 

In between a rigorous statutory mandate and a purely prudential one, other regulatory 

regimes establish nuanced rules that turn on the proper reading of a statutory or regulatory text. 

Ross, 136 S. Ct. at 1858 n.2. At times, exhaustion language “might be best read to give judges 

leeway to create exceptions or to itself incorporate standard administrative-law exceptions.” Id.;

Wash. Ass’n for Television & Children v. FCC, 712 F.2d 677, 681–83 (D.C. Cir. 1983). Our 

reading of the Mine Act in Jones Brothers proves this point. That act, as noted, bars courts from 

considering objections that were not raised before the Federal Mine Safety and Health Review 

Commission except in “extraordinary circumstances.” 30 U.S.C. § 816(a)(1). Yet Jones 

Brothers read the act as barring the Commission from reviewing “facial constitutional 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 15

challenges.” 898 F.3d at 674. Putting the act’s moving pieces together, we held, it should be 

interpreted to exclude these facial challenges (which the Commission could not consider) from 

its requirement to raise issues with the Commission. Id. at 673–74. But, we added, the Mine Act 

does require parties to exhaust as-applied or constitutional-avoidance claims because the 

Commission may address those narrower arguments. Id. at 674–77. 

Here, then, we must ask whether the regulation ordering parties to identify “specific 

issues” with the Benefits Review Board, 20 C.F.R. § 802.211(a), is best read to grant “courts 

some discretion to” overlook a failure to follow it. Wash. Ass’n for Television, 712 F.2d at 681. 

We have already suggested (implicitly) that it permits excuses by applying the “futility” 

exception in this context. See Consolidation Coal Co. v. McMahon, 77 F.3d 898, 904 (6th Cir. 

1996). But we need not decide what exceptions (if any) exist. Even if the regulation includes 

some, Island Creek and Cunningham have not shown that their claims would fall within one.

They both rely on Jones Brothers to identify exceptions, so we start with that decision. It 

held that a constitutional challenge to the appointment of an administrative law judge did not fall 

within its exception for facial constitutional claims. 898 F.3d at 676–77. That was so because 

the Mine Act allowed the Commission (the “Head of Department” under the Appointments 

Clause) to appoint administrative law judges “as it deems necessary.” 30 U.S.C. § 823(b)(2). 

The petitioner challenged only the way that the Commission had applied the statute (delegating 

appointments to staff); the petitioner did not challenge a statute that, say, ordered judges to be 

appointed in a manner that flouts the Constitution. Jones Bros., 898 F.3d at 676–77. The 

Commission thus had the power to fix this problem simply by reading the statute to require it to 

make appointments itself. Id. at 677. And because the petitioner’s constitutional claim asserted 

an as-applied challenge, it should have raised the claim with the Commission. Id. At the same 

time, we held that the petitioner qualified for the Mine Act’s statutory “extraordinary 

circumstances” exception. 30 U.S.C. § 816(a)(1). We did so because of “the absence of legal 

authority addressing whether the Commission could entertain” this type of as-applied claim. 

Jones Bros., 898 F.3d at 677. 

Island Creek relies on Jones Brothers’ exception for facial constitutional challenges, 

whereas Cunningham asserts its extraordinary-circumstances exception. Neither applies.
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 16

Facial Challenge. Distinguishing the as-applied claim in Jones Brothers, Island Creek 

argues that its constitutional claim raises a facial challenge. This argument has two problems. 

Problem One: Unlike the Commission in Jones Brothers, the Benefits Review Board may 

well be able to consider facial claims—a fact that would eliminate this exception’s raison d’être. 

The Board serves the same functions that district courts performed before its 1972 creation—

reviewing benefits decisions made by agency officials (deputy commissioners before 1972, 

administrative law judges thereafter). Gibas, 748 F.2d at 1116. Thus, “it appears that Congress 

intended to vest in the Board the same judicial power to rule on substantive legal questions as 

was possessed by the district courts.” Id. at 1118. District courts, of course, may consider facial 

claims, Marbury v. Madison, 5 U.S. 137, 177–78 (1803), so the Board has long asserted “that it 

possesses sufficient statutory authority to decide . . . the constitutional validity of statutes and 

regulations within its jurisdiction,” Duck v. Fluid Crane & Constr. Co., No. 02-0335, 2002 WL 

32069335, at *2 n.4 (Ben. Rev. Bd. Oct. 22, 2002). This should be unsurprising. The executive 

branch has just as much of an obligation to comply with the Constitution when enforcing the law 

as the judicial branch does when interpreting it (and, for that matter, the legislative branch does 

when enacting it). See Frank H. Easterbrook, Presidential Review, 40 Case W. Res. L. Rev. 905 

(1990); cf. Jonathan F. Mitchell, The Writ-of-Erasure Fallacy, 104 Va. L. Rev. 933 (2018). 

Problem Two: We need not resolve whether the Board may consider facial challenges 

because Island Creek does not, in fact, present one. There is something conspicuously missing 

from its facial challenge: a statute that would be rendered unconstitutional if the administrative 

law judges were unconstitutionally appointed. A critical ingredient of any facial constitutional 

challenge to a statute is a statute. Instead, the claim here concerns how the Department of Labor 

applied its statutory appointment power. See 33 U.S.C. § 919(d); 5 U.S.C. § 3105. Proving this 

point, the Secretary of Labor himself ratified the appointments of the existing administrative law 

judges in December 2017 (months before Lucia) without any evident statutory obstacle. This asapplied claim is thus like the as-applied claim in Jones Brothers. See 898 F.3d at 676–77. 

To be sure, Island Creek does identify a factual distinction between this case and Jones 

Brothers. The Commission that would have considered the constitutional claim there was also 

the “Head of Department” under the Appointments Clause, and so would be the entity to cure 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 17

any constitutional problem by making proper appointments. Here, by contrast, the Board (which 

would consider the constitutional claim) is not the Head of Department; the Secretary of Labor 

needed to cure the problem by making proper appointments. We fail to see why this distinction 

matters. The Board had the authority to address this constitutional issue and provide effective 

relief (a new hearing before a properly appointed judge), as evidenced by the many cases in 

which it has done just that for parties who preserved their claims. E.g., Miller v. Pine Branch 

Coal Sales, Inc., No. 18-0323 BLA, 2018 WL 8269864, at *2–3 (Ben. Rev. Bd. Oct. 22, 2018) 

(en banc). 

Extraordinary Circumstances. Cunningham relies on the “extraordinary circumstances” 

exception that succeeded in Jones Brothers. His argument contains two similar problems. 

Problem One: Jones Brothers’ “extraordinary circumstances” exception originates with 

the Mine Act’s statutory text. Neither the Black Lung Benefits Act nor its implementing 

regulations contain similar language. And Cunningham points to no caselaw identifying a wellestablished administrative exception for “extraordinary circumstances.” Cf. Woodford, 548 U.S. 

at 103 (Breyer, J., concurring in the judgment). So it is not clear that this exception exists either. 

Problem Two: Regardless, Cunningham identifies no extraordinary circumstances. A 

critical difference exists between the Mine Act in Jones Brothers and the Black Lung Benefits 

Act in this case. Jones Brothers recognized “the absence of legal authority” over whether the 

Commission could address this as-applied claim. 898 F.3d at 677. Here, abundant authority—

including decisions from our court and from the Board—showed that the Board could hear the 

claim. See Gibas, 748 F.2d at 1118; Duck, 2002 WL 32069335, at *2 n.4. Thus, the absence of 

authority that Jones Brothers found extraordinary is itself absent here. 

Cunningham next turns to Lucia, which issued after he filed his brief with the Board. He 

argues that this decision departed from preexisting law and so qualifies as an “exceptional 

circumstance” for his failure to raise the claim earlier. We have already rejected this argument 

when a party raised the same constitutional challenge for the first time in a reply brief in court. 

Island Creek Coal Co. v. Wilkerson, 910 F.3d 254, 257 (6th Cir. 2018). As we said there, many 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 18

litigants had been “press[ing] the issue before Lucia,” and “Lucia itself noted that existing case 

law ‘says everything necessary to decide this case.’” Id. (citation omitted). 

Cunningham lastly points to Freytag v. Commissioner, 501 U.S. 868 (1991). It 

considered an Appointments Clause challenge to the appointment of a special trial judge within 

the Internal Revenue Service even though the petitioners had not objected to the judge’s 

appointment with the agency (and, indeed, had consented to the judge’s adjudication of the trial). 

See id. at 871–73. Yet Freytag treated the exhaustion mandate in that tax context as arising on 

purely prudential grounds, which allowed it to adopt any purely prudential exception that it felt 

proper. Id. at 878–79; Hormel, 312 U.S. at 555–59. Courts also have not read Freytag’s 

exception broadly and have regularly declined to consider unexhausted Appointments Clause 

challenges like the challenges here. See Jones Bros., 898 F.3d at 678 (citing cases); cf. 

Wilkerson, 910 F.3d at 256. 

* * *

To recap: Our cases require parties to exhaust issues with the Benefits Review Board to 

preserve them in court. By asserting new constitutional claims in motions for reconsideration, 

Cunningham and Island Creek did not properly exhaust these claims because they did not follow 

the agency’s claims-processing rules governing how to raise them. And the claims fall within no 

exception to exhaustion. These three points add up to our bottom-line conclusion: Cunningham 

and Island Creek forfeited their constitutional claims in court by failing to exhaust them with the 

Board. Turner Bros., Inc. v. Conley, 757 F. App’x 697, 699–700 (10th Cir. 2018) (same).

III.

Aside from their constitutional claims, Cunningham and Island Creek raise fact-specific 

challenges to the Board’s decisions affirming the denial of benefits (in Cunningham’s case) and 

affirming the grant of benefits (in Bryan’s case). We review the Board’s legal conclusions de 

novo, and, in doing so, we must ensure that the Board applied the deferential “substantial 

evidence” test to the administrative law judge’s fact findings. See Wilkerson, 910 F.3d at 257; 

33 U.S.C. § 921(b)(3). “‘Substantial evidence’ means ‘such relevant evidence as a reasonable 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 19

mind might accept as adequate to support a conclusion.’” Kolesar v. Youghiogheny & Ohio Coal 

Co., 760 F.2d 728, 729 (6th Cir. 1985) (per curiam) (citation omitted).

A. Dorris Cunningham 

To obtain benefits, Cunningham needed to prove that he was “totally disabled.” 

20 C.F.R. § 725.202(d)(2)(iii). A regulation defines “total disability” to require “a pulmonary or 

respiratory impairment which, standing alone, prevents” the miner from performing his usual 

coal-mine work or comparable work. Id. § 718.204(b)(1); 30 U.S.C. § 902(f)(1). It also lists 

ways to prove total disability. 20 C.F.R. § 718.204(b)(2). Cunningham sought to do so with 

pulmonary-function tests and medical opinions. Id. § 718.204(b)(2)(i), (iv). The administrative 

law judge rejected both arguments, and the Board affirmed. Cunningham now challenges both 

aspects of the judge’s decision. We reject his arguments. And because the Board correctly held 

that substantial evidence supported the judge’s total-disability conclusion, we do not address 

Cunningham’s other arguments about different elements for obtaining benefits.

1. Pulmonary-Function Tests. A miner must meet two requirements to prove total 

disability through pulmonary-function tests, which measure how well a person’s lungs work. Id.

§ 718.204(b)(2)(i). The miner must initially satisfy a metric (not so helpfully) named the “forced 

expiratory volume in one second” (FEV1) test. The miner’s FEV1 results must equal or fall 

below the relevant “qualifying value” identified in federal regulatory tables that catalogue a 

range of values for miners of different ages, heights, and sexes. Id.; 20 C.F.R. Pt. 718, App’x B. 

(The “qualifying value” represents 60% of the lung capacity that one would predict from a 

healthy individual of the miner’s age, height, and sex. See K.J.M. v. Clinchfield Coal Co., No. 

07-0655 BLA, 2008 WL 2758455, at *4 (Ben. Rev. Bd. June 30, 2008).) Next, the miner must 

meet one of three other metrics. A miner’s results under either the “forced vital capacity” (FVC) 

test or the “maximum voluntary ventilation” (MVV) test also must equal or fall below the 

relevant qualifying values in the regulatory tables. Or the miner’s tests must satisfy a math 

problem: the miner’s FEV1 result when divided by the miner’s FVC result must generate a 

percentage that is 55% or less. 20 C.F.R. § 718.204(b)(2)(i)(A)–(C).
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 20

Here, Cunningham took two pulmonary-function tests (at the ages of 84 and 85). The 

administrative law judge relied on the regulatory tables’ qualifying values for a 71-year-old male 

who is 66.5 inches tall. To pick the height, the judge averaged the different heights (66 and 67 

inches) listed on Cunningham’s different tests. To pick the age, the judge used the oldest one 

(71) listed in the regulatory tables. Cunningham’s FEV1 results were lower than the qualifying 

value for that test, so he met the first regulatory requirement. But he failed the second 

requirement because his other test results were not at or below the relevant numbers: 

Qualifying 

Values

Cunningham’s 

3/5/14 Test

Cunningham’s 

11/20/14 Test Qualifying?

Age 71 84 85 --

Height 66.5” 67” 66” --

FEV1 1.60 1.54 1.40

1.53 Yes

FVC 2.08 2.21 2.09

2.27 No

MVV 64 66 Missing No

FEV1/FVC 55% 69.68% 66.99%

66.96% No

See 20 C.F.R. Pt. 718, App’x B. Because Cunningham met only one of two requirements, the 

judge concluded that neither test proved total disability. 

Cunningham attacks the judge’s conclusion in three ways. First, he challenges the 

decision to use a height of 66.5 inches (the average of the two heights listed on his tests) when 

choosing the proper “qualifying values” from the regulatory tables. If the judge had used the 

qualifying values for someone who was 67.3 inches, Cunningham adds, his first test would have 

met both requirements to prove total disability. But a miner’s height is a quintessential fact 

question subject to substantial-evidence review. And a “reasonable mind” could conclude that 

Cunningham’s height was 66.5 inches given that his tests listed heights that were a little higher 

and a little lower than the chosen average. Kolesar, 760 F.2d at 729 (citation omitted); see 

K.J.M., 2008 WL 2758455, at *3.
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 21

Second, Cunningham asks us to “assume that [his] MVV value” for the second test—

which was not recorded—“would have been qualifying.” But he bears the burden of proving 

total disability. See Zurich Am. Ins. Grp. v. Duncan, 889 F.3d 293, 297 (6th Cir. 2018). 

A missing MVV result does not do the job.

Third, Cunningham says Island Creek stipulated that his tests showed total disability. He 

relies on a table in the “Stipulated Facts” section of the parties’ joint prehearing statement that 

said the tests had “Qualifying Values.” Read narrowly, this “stipulation” identifies a fact that 

nobody disputes: Both tests showed qualifying values for the FEV1 test. But Cunningham uses 

the stipulation broadly. He argues that the parties agreed that the tests were qualifying and 

proved total disability. To the extent the stipulation was ambiguous, the record clarifies that 

Island Creek did not stipulate to that broader proposition. The same prehearing statement listed 

the question whether “[t]he miner is totally disabled” in its “Disputed Facts” section. And the 

judge noted at the hearing that one issue she “still ha[d] to decide that the parties still disagree[d] 

on” was “whether he’s totally disabled.” Rather than tell her about this supposed stipulation, 

Cunningham’s counsel agreed that total disability remained disputed. Because the parties did not 

stipulate that the tests showed total disability, we need not address Island Creek’s argument that 

this stipulation would have been an impermissible “legal” one. See Navistar, Inc. v. Forester, 

767 F.3d 638, 643–44 (6th Cir. 2014).

2. Medical Opinions. If a miner cannot prove total disability in other ways, the miner 

may use medical opinions. 20 C.F.R. § 718.204(b)(2)(iv). In this case, Drs. Sanjay Chavda and 

Akshay Sood opined that Cunningham was totally disabled, but Dr. Jeffrey Selby opined that he 

was not. The administrative law judge discredited Chavda’s and Sood’s opinions, and the Board 

upheld her findings under substantial-evidence review.

We agree with the Board. A “reasonable mind” who reviewed Dr. Chavda’s opinion 

could discount it (as the judge did) for relying too much on the mistaken view that the 

pulmonary-function test proved Cunningham’s total disability. Kolesar, 760 F.2d at 729. 

Cunningham cites portions of Chavda’s opinion allegedly offering reasons other than the test for 

a total-disability finding. But the portion of Chavda’s report specifically addressing total 

disability reasoned that Cunningham’s test results fell below the regulatory tables’ qualifying 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 22

values (using a different height) and “because of that reason” Cunningham had a total disability. 

That specific analysis provides substantial evidence for the judge’s credibility finding. 

Similarly, a “reasonable mind” could find (as the judge again did) that Dr. Sood’s opinion 

rested too much on generalities rather than the specifics of Cunningham’s case. Id. Sood 

conceded that he did not know Cunningham’s lung capacity or the lung capacity necessary for 

his coal-mine work and that he extrapolated numbers from general studies. While Cunningham 

provides arguments why Dr. Sood’s analysis tied back to his facts, these arguments were for the 

administrative law judge. Under the deferential standard of review, courts have repeatedly 

upheld decisions to discredit expert opinions that used generalities. Island Creek Coal Co. v. 

Marcum, 657 F. App’x 370, 379–80 (6th Cir. 2016); Consolidation Coal Co. v. Dir., Office of 

Workers’ Comp. Programs, 732 F.3d 723, 735 (7th Cir. 2013). Substantial evidence supported 

the judge’s finding that Dr. Sood’s opinion rested on those generalities here.

Cunningham lastly argues that the administrative law judge wrongly ignored his 

testimony when finding that he was not totally disabled. Not so. The judge’s opinion previously 

recounted Cunningham’s description of his breathing problems, and the opinion’s later totaldisability finding resulted from “weighing all of the evidence as a whole.” 

B. Melyndia Bryan 

The second case involves a role-reversal: Island Creek contests the decision that 

Melyndia Bryan’s late husband (Bert Bryan) was totally disabled due to pneumoconiosis. To 

reach that conclusion, the administrative law judge invoked the Affordable Care Act. Among its 

many provisions, that act reintroduced a statutory rebuttable presumption that a miner is totally 

disabled due to pneumoconiosis if the miner has 15 years of underground coal-mine experience 

and a totally disabling lung impairment. Patient Protection and Affordable Care Act, Pub. L. No. 

111-148, § 1556(a), 124 Stat. 119, 260 (2010) (amending 30 U.S.C. § 921(c)(4)). The judge 

applied this presumption to Bert, and Island Creek does not dispute this aspect of his decision. 

Instead, this case involves the way that a mine operator may rebut the presumption. An 

operator has two paths. 20 C.F.R. § 718.305(d)(1)(i)–(ii); 30 U.S.C. § 921(c)(4). Under the first 

path, the operator must show that the miner did not have pneumoconiosis. This path requires the 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 23

operator to prove that the miner had neither clinical pneumoconiosis (diseases that the medical 

community recognizes as pneumoconiosis, 20 C.F.R. § 718.201(a)(1)) nor legal pneumoconiosis 

(a broader category of lung impairments that are significantly related to, or substantively 

aggravated by, coal dust, id. § 718.201(a)(2), (b)). Sunny Ridge Mining Co. v. Keathley, 

773 F.3d 734, 738–39 (6th Cir. 2014). Under the second path, the operator must show that “no 

part of the miner’s respiratory or pulmonary total disability was caused by” pneumoconiosis. 

20 C.F.R. § 718.305(d)(1)(ii). 

Here, Island Creek disputes the administrative law judge’s finding that the company 

failed to rebut the presumption that Bert had legal pneumoconiosis. The parties submitted 

dueling medical opinions on this point. On Island Creek’s side, Drs. Peter Tuteur and Kirk 

Hippensteel opined that Bert did not have legal pneumoconiosis because his lung impairments 

were aggravated by his muscle disease and smoking rather than coal dust. On Melyndia Bryan’s 

side, Drs. William Houser and Glen Baker opined that Bert had legal pneumoconiosis. A fifth 

doctor, Dr. Chavda (the same Dr. Chavda from Cunningham’s case) diagnosed legal 

pneumoconiosis, but was more equivocal when asked to clarify his opinion. To rule against 

Island Creek, the judge discredited the opinions of Drs. Tuteur and Hippensteel. He decided that 

these experts failed to adequately explain why Bert’s lung impairments were caused by his 

muscle disease and smoking, not by his coal-dust exposure. And, apart from their opinions, the 

judge noted that the other experts confirmed (rather than rebutted) that Bert suffered from legal 

pneumoconiosis.

Before the Benefits Review Board, Island Creek argued that the judge gave invalid 

reasons to discredit the opinions of Drs. Tuteur and Hippensteel and overlooked that Dr. 

Chavda’s opinion helped rebut the presumption. The Board disagreed, concluding that 

substantial evidence supported the judge’s findings. 

We again agree with the Board. Island Creek starts with Dr. Chavda, who stated, when 

clarifying his opinion, that coal dust may have caused “some aggravation” of Bert’s impairment. 

That statement, Island Creek argues, suggests that coal dust did not substantially aggravate his 

lung impairment (as required by legal pneumoconiosis’s definition). Id. § 718.201(b). But Dr. 

Chavda diagnosed Bert as having legal pneumoconiosis. So even assuming his later statement 
Nos. 18-3680/3909/4022 Island Creek Coal Company et al. v. Bryan, et al. Page 24

conflicted with that diagnosis, this inconsistency itself provides “substantial evidence” for the 

judge’s finding that Chavda did not help Island Creek rebut the presumption. See Brandywine 

Explosives, 790 F.3d at 668.

Island Creek next disputes the judge’s finding that Dr. Tuteur failed to adequately explain 

why Bert’s muscle disease and smoking (rather than coal dust) caused his impairments. The 

judge reasoned that Tuteur differentiated coal-dust impairments from smoking-related 

impairments in a way that conflicted with federal regulations noting that the two sources cause 

similar impairments in similar ways. And the judge asserted that Tuteur’s claim that Bert’s 

impairments were “typical” for patients with his muscle disease conflicted with his own analysis 

that different patients suffer from this disease differently. In response, Island Creek 

distinguishes the regulations and seeks to reconcile Tuteur’s statements about the muscle disease. 

But these kinds of nitpicks fall well short of meeting Island Creek’s burden when attempting to 

overturn credibility findings in this court. See Big Branch Res., Inc. v. Ogle, 737 F.3d 1063, 

1073–74 (6th Cir. 2013).

Island Creek lastly challenges the judge’s finding that Dr. Hippensteel failed to explain

his conclusion that Bert’s impairments were not caused by coal dust. Island Creek ignores a 

separate reason why the judge discredited Dr. Hippensteel. Cf. Island Creek Ky. Mining v. 

Ramage, 737 F.3d 1050, 1061 (6th Cir. 2013). The doctor suggested that a miner’s symptoms 

from coal dust usually subside within a year of ending coal-mine work—an opinion conflicting 

with regulations recognizing pneumoconiosis as a latent disease that may develop after coal-dust 

exposure ends. 20 C.F.R. 718.201(c). We have repeatedly upheld credibility findings where, as 

here, an opinion conflicted with these regulations. Sunny Ridge, 773 F.3d at 738–39.

* * *

We deny the petitions for review.