Source: https://law.justia.com/cases/federal/appellate-courts/F2/852/197/451214/
Timestamp: 2019-10-17 12:32:10
Document Index: 334775519

Matched Legal Cases: ['§ 921', '§ 932', '§ 901', 'art 410', '§ 902', '§ 902', '§ 902']

Estill Riley, Petitioner, v. National Mines Corporation; Old Republic Insurance Company;director, Office of Workers' Compensationprograms; United States Department Oflabor, Respondents, 852 F.2d 197 (6th Cir. 1988) :: Justia
Justia › US Law › Case Law › Federal Courts › Courts of Appeals › Sixth Circuit › 1988 › Estill Riley, Petitioner, v. National Mines Corporation; Old Republic Insurance Company;director, Of...
Estill Riley, Petitioner, v. National Mines Corporation; Old Republic Insurance Company;director, Office of Workers' Compensationprograms; United States Department Oflabor, Respondents, 852 F.2d 197 (6th Cir. 1988)
US Court of Appeals for the Sixth Circuit - 852 F.2d 197 (6th Cir. 1988) Submitted June 17, 1988. Decided July 27, 1988
Petitioner, Estill Riley, appeals from the denial of black lung benefits by the Benefits Review Board (Board), United States Department of Labor. 33 U.S.C. § 921(c) as incorporated by 30 U.S.C. § 932(a). On appeal, Riley claims that the administrative law judge (ALJ) whose decision was upheld by the Board, erred in his application of the interim presumptions found in 20 C.F.R. Sec. 727.203. Riley also claims that the ALJ erred in denying benefits in contravention of the presumption found in 20 C.F.R. Sec. 410.490.
On February 12, 1976, Riley filed for benefits under Part C of Title IV of the Federal Coal Mine Health and Safety Act of 1969, as amended, 30 U.S.C. § 901, et seq. (Act). He had retired from his last coal mining job three weeks earlier at 48 years of age because of a "lung condition and heart trouble." Upon being informed of the claim, the respondent employer, National Mines, contested liability and requested a hearing. The hearing took place on June 14, 1983, at which time the ALJ determined that Riley had established thirteen years of coal mine employment and was thus eligible for the presumption of total disability due to pneumoconiosis set forth at 20 C.F.R. Sec. 727.203. However, the ALJ further found the evidence produced by Riley to be inadequate to invoke the presumption.
20 C.F.R. Sec. 727.203(a) provides that a miner with ten years of coal mine employment must also meet one of four listed medical requirements to be entitled to the presumption of disability from pneumoconiosis. The presumption may be invoked based upon x-ray evidence establishing pneumoconiosis, section 727.203(a) (1), or pulmonary function studies establishing the presence of a chronic respiratory and pulmonary disease as demonstrated by values equal to certain listings in the regulations, section 727.203(a) (2) or blood gas studies which demonstrate the presence of an impairment in the transfer of oxygen from the lungs to the blood as demonstrated by listed values, section 727.203(a) (3), or " [o]ther medical evidence, including the medical judgment" which establishes the presence of a totally disabling respiratory impairment, section 727.203(a) (4).
On December 14, 1987, the Supreme Court handed down its decision in Mullins Coal Co. v. Director, Office of Workers Compensation Programs, --- U.S. ----, 108 S. Ct. 427, 98 L. Ed. 2d 450 (1987), which reversed the Fourth Circuit's interpretation of the regulations which is the exact interpretation contended for by petitioner here. Mullins makes it crystal clear that the ALJ is to consider all relevant medical evidence and that he need not wait until the rebuttal phase of the case to weigh the evidence. Thus, petitioner is completely foreclosed on his principal argument.
Arguably, we still have left the question of whether the ALJ reached the right conclusion after weighing the evidence, but our scope of review on that issue is exceedingly narrow. Absent an error of law, findings of facts and conclusions flowing therefrom must be affirmed if supported by substantial evidence. Engle v. Director, Office of Workers Compensation Programs, 792 F.2d 63 (6th Cir. 1986). Also, it is the ALJ who makes credibility determinations and resolves inconsistencies in the testimony and evidence. Moseley v. Peabody Coal Co., 769 F.2d 357, 360 (6th Cir. 1985). Having made a full review of the record, we conclude that substantial evidence supports the ALJ's findings and conclusions.
Riley also argues that the ALJ erred in denying benefits pursuant to Part 410 of the Regulations. This argument is predicated upon the fact that Congress provided in 30 U.S.C. § 902(f) (2) that with regard to claims for black lung benefits filed on or before March 30, 1980, those claims shall be decided based upon Regulations no more restrictive than the criteria applicable to a claim filed on June 30, 1973.
The interim presumption at issue in this case [Sec. 727.203(a) ], promulgated as a result of congressional dissatisfaction with Labor's low claims approval rate, is substantially similar to the SSA interim presumption [Sec. 410.490(b) (1) ]. It satisfies Congress' demand that Labor's criteria "shall not be more restrictive than the criteria applicable to a claim filed on June 30, 1973," 30 U.S.C. § 902(f) (2), i.e., no more restrictive than the SSA's interim presumption.
Mullins, 108 S. Ct. at 437-38 (footnotes omitted).
It is interesting to note that in one of the footnotes omitted from the above quote, the Supreme Court points out that the Sixth Circuit stands alone with a contrary view. Mullins, 108 S. Ct. at 437 n. 27. After Mullins, this is a position that obviously we can no longer maintain.
In sum, it is now clear that an ALJ may weigh conflicting and competing evidence in deciding whether a claimant has carried his presumption invocation burden and that such consideration of all relevant evidence need not wait until the rebuttal phase of the proceedings. Similarly, it is clear now that this procedure of evidence weighing does not run afoul of the " [No more] restrictive than the criteria applicable to a claim filed on June 30, 1973" mandate found in 30 U.S.C. § 902(f) (2).
Couch v. Secretary of Health and Human Services, 774 F.2d 163, 168 (6th Cir. 1985); see also Hatfield v. Secretary of Health and Human Services, 743 F.2d 1150 (6th Cir. 1984); Haywood v. Secretary of Health and Human Services, 699 F.2d 277 (6th Cir. 1983); Lawson v. Secretary of Health and Human Services, 688 F.2d 436 (6th Cir. 1982); Miniard v. Califano, 618 F.2d 405 (6th Cir. 1980); Dickson v. Califano, 590 F.2d 616 (6th Cir. 1978)