Anita Baldwin v. DOWCP

Court of Appeals for the Fourth Circuit·Decided March 19, 2026·No. 23-1947·Published

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 23-1947

ANITA BALDWIN, on behalf of Eddie D. Baldwin, Petitioner,

v.

DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR; ISLAND CREEK KENTUCKY MINING; ISLAND CREEK COAL COMPANY, c/o Smart Casualty Claims,

Respondents.

On Petition for Review of an Order of the Benefits Review Board. (BRB-2021-0547)

Argued: January 28, 2026 Decided: March 19, 2026

Before WILKINSON, Circuit Judge, FLOYD, Senior Circuit Judge, and David J. NOVAK, United States District Judge for the Eastern District of Virginia, sitting by designation.

Petition for review granted; order vacated and remanded by published opinion. Judge Novak wrote the opinion, in which Judge Wilkinson and Judge Floyd joined.

ARGUED: Barry Cameron Blair, WOLFE WILLIAMS & AUSTIN, Norton, Virginia, for Petitioner. John R. Sigmond, PENN, STUART & ESKRIDGE, Bristol, Tennessee; Michael P. Doyle, Office of the Solicitor, UNITED STATES DEPARTMENT OF LABOR, Washington, D.C., for Respondents. ON BRIEF: Seema Nanda, Solicitor of Labor, Barry H. Joyner, Associate Solicitor, Jennifer Feldman Jones, Deputy Associate

Solicitor, Ann Marie Scarpino, Office of the Solicitor, UNITED STATES DEPARTMENT OF LABOR, Washington, D.C., for Federal Respondent.

David J. NOVAK, United States District Judge for the Eastern District of Virginia, sitting by designation:

Coal miners seeking benefits under the Black Lung Benefits Act (the “BLBA” or “the Act”), 30 U.S.C. §§ 901–944, may rely on a rebuttable presumption that their diagnosis of pneumonoconiosis, known as black lung disease, resulted from their work in the coal mines by establishing that they were employed for fifteen years or more in underground coal mines. Anita Baldwin (“Petitioner”), the surviving beneficiary of the coal miner whose employment stands at issue in this case, 1 asks us to determine how a year of employment should be calculated under the applicable Department of Labor regulation, § 725.101(a)(32), which defines a “year” for all purposes under the BLBA. In resolving the issue, we agree with Petitioner and join our colleagues in the Sixth Circuit by concluding that a year of employment under the BLBA occurs when a coal miner works 125 days or more in and around a coal mine during a one-year period. We therefore grant the petition for review, vacate the decision of the Benefits Review Board and remand with directions to return Petitioner’s case to the Administrative Law Judge to reevaluate Petitioner’s claim in light of this opinion.

1

The miner who initially applied for BLBA benefits, Eddie Baldwin, died on January 29, 2021. His wife, Anita Baldwin, was substituted as Claimant in the action pending before the Administrative Law Judge on June 23, 2021.

I.

A.

We begin by briefly summarizing the complicated interplay of statutes and regulations that govern the issues in this appeal.

The BLBA exists to provide benefits to coal miners who are totally disabled by coal dust-related pulmonary diseases and their dependents through an adversarial administrative procedure. 30 U.S.C. § 901(a); Island Creek Coal Co. v. Blankenship, 123 F.4th 684, 688 (4th Cir. 2024). To obtain benefits under the BLBA, miners must prove by a preponderance of the evidence that (1) they suffer from pneumoconiosis, 2 either in clinical or legal form; (2) the pneumoconiosis arose out of coal mine employment; (3) they are totally disabled by a respiratory or pulmonary impairment; and (4) the pneumoconiosis contributes to the totally disabling impairment. 20 C.F.R. § 725.202(d); Island Creek Coal, 123 F.4th at 688.

Because the “existence and causes of pneumonoconiosis are difficult to determine,”

Congress established certain evidentiary presumptions “to assist miners in proving their claims.” Hobet Mining, LLC v. Epling, 783 F.3d 498, 501 (4th Cir. 2015) (quoting Broyles v. Dir., Office of Workers’ Comp. Programs, 824 F.2d 327, 328 (4th Cir. 1987)). One such presumption, 30 U.S.C. § 921(c)(4), “single[s] out” miners with fifteen years of coal mining experience with the goal of “making it easier for them to show their entitlement to benefits.” Id. (first quoting S. Rep. 92–743 (1972), reprinted in 1972 U.S.C.C.A.N. 2305,

2

Congress defines pneumoconiosis, or “black lung disease,” as a “chronic dust disease of the lung and its sequelae, including respiratory and pulmonary impairments, arising out of coal mine employment.” 30 U.S.C. § 902(b).

2306; and then quoting Regulations Implementing the Byrd Amendments to the Black Lung Benefits Act: Determining Coal Miners’ and Survivors’ Entitlement to Benefits, 78 Fed. Reg. 59102, 59105–07 (Sept. 25, 2013)). 3 This “fifteen-year presumption” specifies in relevant part:

[I]f a miner was employed for fifteen years or more in one or more underground coal mines . . . and if other evidence demonstrates the existence of a totally disabling respiratory or pulmonary impairment, then there shall be a rebuttable presumption that such miner is totally disabled due to pneumoconiosis, that his death was due to pneumoconiosis, or that at the time of his death he was totally disabled by pneumoconiosis.

30 U.S.C. § 921(c)(4). We have held this presumption to establish that “‘when a miner proves [fifteen] years of coal mine employment and . . . the total disability element, a rebuttable presumption arises that the miner is totally disabled due to pneumoconiosis,’ i.e., that he is entitled to benefits under the Act.” Island Creek Coal, 123 F.4th at 688 (quoting Mingo Logan Coal Co. v. Owens, 724 F.3d 550, 555 (4th Cir. 2013)). Once the claimant shows sufficient evidence to trigger the presumption, “the burden shifts to the employer to demonstrate that the miner is not in fact eligible for benefits.” W. Virginia CWP Fund v. Dir., Off. of Workers’ Comp. Programs, 880 F.3d 691, 695 (4th Cir. 2018). If an employer cannot rebut the fifteen-year presumption, the claimant must be granted benefits. Id.

3

Congress enacted the BLBA’s fifteen-year presumption in 1972, eliminated it in 1981 and then revived it in 2010, using “language identical to that employed in the original statute.” W. Virginia CWP Fund v. Bender, 782 F.3d 129, 134 (4th Cir. 2015).

Critically, Congress did not provide instructions within the BLBA for how a claimant should establish periods of employment, for purposes of the fifteen-year presumption or otherwise. Instead, it directed the Secretary of Labor to “prescribe standards, which may include appropriate presumptions, for determining whether pneumoconiosis arose out of employment in a particular coal mine or mines.” 30 U.S.C. § 932(h).

In 1980, the Department of Labor (“DOL”) first defined “a year of employment”

within two distinct regulations: 20 C.F.R. § 718.301(b) (2000), used to determine what evidence a miner must show to be entitled to certain presumptions, and 20 C.F.R. § 725.493(b) (2000), used to determine responsible operator liability. In 2001, after notice and comment rulemaking, DOL combined these definitions into one unified definition — the regulation at issue here. The regulation reads as follows:

Year means a period of one calendar year (365 days, or 366 days if one of the days is February 29), or partial periods totaling one year, during which the miner worked in or around a coal mine or mines for at least 125 “working days.” A “working day” means any day or part of a day for which a miner received pay for work as a miner, but shall not include any day for which the miner received pay while on an approved absence, such as vacation or sick leave. In determining whether a miner worked for one year, any day for which the miner received pay while on an approved absence, such as vacation or sick leave, may be counted as part of the calendar year and as partial periods totaling one year.

20 C.F.R. § 725.101(a)(32).

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