Big Branch Resources, Inc. v. John Ogle

737 F.3d 1063, 2013 WL 6608019, 2013 U.S. App. LEXIS 24932
CourtCourt of Appeals for the Sixth Circuit
DecidedDecember 17, 2013
Docket13-3251
StatusPublished
Cited by77 cases

This text of 737 F.3d 1063 (Big Branch Resources, Inc. v. John Ogle) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Big Branch Resources, Inc. v. John Ogle, 737 F.3d 1063, 2013 WL 6608019, 2013 U.S. App. LEXIS 24932 (6th Cir. 2013).

Opinion

OPINION

KAREN NELSON MOORE, Circuit Judge.

In this case, the Benefits Review Board (“the Board”) affirmed the decision of the administrative law judge (“ALJ”) granting John A. Ogle’s claim for federal black lung benefits. The West Virginia Coal Workers’ Pneumoconiosis Fund (“the Fund”) as insurer of the defunct Big Branch Resources, Inc. petitions for review of that decision, claiming that the ALJ erred on several grounds. In particular, the Fund argues that the ALJ improperly restricted the Fund’s ability to rebut the fifteen-year presumption and that the ALJ applied the wrong standard for rebutting the causation presumption. The Fund further alleges that the ALJ’s conclusion that the Fund did not rebut the fifteen-year presumption was erroneous. Finally, the Fund posits that the ALJ wrongly discredited the medical opinions of two experts. Because there is no evidence that the ALJ improperly restricted the Fund’s ability to rebut the fifteen-year presumption or that the ALJ applied the wrong standard, and because the ALJ’s other decisions are supported by substantial evidence, we DENY the petition for review.

I. BACKGROUND

Ogle, born in 1954, worked in various jobs in underground coal mines for twenty-one years. Jt. App’x at 269-70 (ALJ Dec. at 5-6). His last coal mine employment was in 1996 in Kentucky. Jt. App’x at 269 (ALJ Dec. at 5). Ogle has been a long-term smoker, beginning at the age of twelve. Jt. App’x at 270 (ALJ Dec. at 6). He submitted this claim for benefits on November 5, 2007. Jt. App’x at 266 (ALJ Dec. at 2). On May 5, 2009, an ALJ 1 conducted a formal hearing at which the parties also submitted exhibits. Jt. App’x at 266, 267-68 (ALJ Dec. at 2, 3-4).

After the record closed but before the ALJ issued a decision, Congress enacted legislation reviving a rebuttable statutory presumption that a coal miner who worked in an underground coal mine for at least fifteen years and suffers from a total respiratory or pulmonary disability is presumed to be totally disabled due to pneumoconio-sis. See Patient Protection and Affordable Care Act (“PPACA”), Pub.L. No. 111-148, § 1556, 124 Stat. 119 (2010); see also 30 U.S.C. § 921(c)(4). The presumption applied retroactively to claims filed after January 1, 2005, and pending at the time *1067 the PPACA was enacted. PPACA, Pub.L. No. 111-148, § 1556(c).

Because Ogle’s claim fit the timing criteria for the statutory presumption, the ALJ solicited additional evidence related to the new law and position statements regarding the applicability of the rebuttable presumption to this claim. Jt. App’x at 267 (ALJ Dec. at 3). The Ftmd submitted supplemental medical reports and a position statement. Id.

On December 8, 2011, the ALJ issued his Decision and Order Awarding Benefits (“ALJ Dec.”). Jt. App’x at 265-99. In the decision, the ALJ first determined that Ogle filed the claim after January 1, 2005, and the claim was pending at the time the rebuttable presumption provision was enacted. Jt. App’x at 267 (ALJ Dec. at 8). The ALJ then found that Ogle suffered from a totally disabling respiratory impairment, a finding with which all medical opinions submitted agreed. Jt. App’x at 289 (ALJ Dec. at 25). Based on this finding of total disability, the filing of the claim after January 1, 2005, and the agreement that the miner had over fifteen years of underground coal mine employment, the ALJ found that the fifteen-year, rebuttable presumption under 30 U.S.C. § 921(c)(4) and 20 C.F.R. § 718.305 applied. Jt. App’x at 289 (ALJ Dec. at 25) ’

Next, the ALJ noted that the rebuttable presumption shifts the' burden to the Fund “to demonstrate by a preponderance of the evidence either: (1) the miner’s disability does not, or did not, arise out of coal mine employment; or (2) the miner does not, or did not, suffer from pneumoconiosis.” Jt. App’x at 290 (ALJ Dec. at 26). After reviewing medical opinions regarding x-ray evidence, the ALJ concluded that the Fund did demonstrate by a preponderance of the evidence that Ogle did not suffer from clinical pneumoconiosis. Jt. App’x at 291-93 (ALJ Dec. at 27-29). However, the Fund failed to rebut the presumption that Ogle suffers from legal pneumoconio-sis. Jt. App’x at 296 (ALJ Dec. at 32).

The ALJ noted that the medical opinions of Dr. Forehand, Dr. Baker, and Dr. Agarwal all concluded that Ogle’s impairment is due to heavy smoking as well as exposure to coal dust, while the opinions of Dr. Jarboe and Dr. Castle attribute the impairment to smoking alone. Jt. App’x at 293 (ALJ Dec. at 29). The ALJ discredited the opinions of Dr. Jarboe and Dr. Castle because they failed to “adequately address the qualifying FEVX values on the miner’s pre- and post-bronchodilator testing documenting the presence of obstructive lung disease.” 2 Jt. App’x at 295 (ALJ Dec. at 31). Apart from their failure to “adequately explain the cause of the irreversible and totally disabling component of the miner’s lung disease,” id., these two physicians’ opinions “lose probative value” because they “rely on negative chest x-ray findings to preclude a finding of legal pneumoconiosis,” id., which contradicts 'Department of Labor determinations. The other three doctors diagnosed legal pneumoconiosis. Jt. App’x at 296 (ALJ Dec. at 32). Their opinions were not based on views “inconsistent” with the Department of Labor’s position. Id. Therefore, the ALJ found that the Fund had not rebutted the presumption of legal pneumo-coniosis. Id.

In determining whether the Fund had rebutted the causation presumption, the *1068 ALJ, after stating the rule-out standard, 3 discussed why he credited some medical opinions and discredited others. Jt. App’x at 296-97 (ALJ Dec. at 32-33). He gave less weight to the disability causation opinions of Dr. Jarboe and Dr. Castle because they had not diagnosed legal pneumoconio-sis. Jt. App’x at 297 (ALJ Dec. at 33). Based on the opinions of Dr. Baker, Dr. Forehand, and Dr. Agarwal, whose opinions the ALJ found to be “sufficiently reasoned and documented,” Jt. App’x at 297 (ALJ Dec. at 33), the ALJ concluded that Ogle’s ■ total disability stems from both smoking and coal dust exposure. Id. Having determined that the Fund failed to rebut the causation presumption as well, the ALJ awarded benefits. Id.

The Fund appealed the award of benefits to the Board which affirmed the ALJ’s decision as legally sound and based on substantial evidence. Jt. App’x at 307 (Benefits Review Board Decision and Order (“Bd. Dec.”) at 8). In its opinion, the Board first reviewed the ALJ’s findings and the assertions of error made by the Fund. See Jt. App’x at 301-05 (Bd. Dec. at 2-6). The Board analyzed the ALJ’s findings under the same substantial evidence standard that we use. Jt. App’x at 302 (Bd. Dec.

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737 F.3d 1063, 2013 WL 6608019, 2013 U.S. App. LEXIS 24932, Counsel Stack Legal Research, https://law.counselstack.com/opinion/big-branch-resources-inc-v-john-ogle-ca6-2013.