Cain v. Lodestar Energy, Inc.

302 S.W.3d 39, 2009 Ky. LEXIS 71, 2009 WL 735837
CourtKentucky Supreme Court
DecidedMarch 19, 2009
Docket2008-SC-000178-WC
StatusPublished
Cited by20 cases

This text of 302 S.W.3d 39 (Cain v. Lodestar Energy, Inc.) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cain v. Lodestar Energy, Inc., 302 S.W.3d 39, 2009 Ky. LEXIS 71, 2009 WL 735837 (Ky. 2009).

Opinion

OPINION OF THE COURT

Although both parties’ experts reported the existence of at least category 1 coal workers’ pneumoconiosis, an Administrative Law Judge (ALJ) dismissed this retraining incentive benefit (RIB) claim because the claimant failed to rebut the consensus of a panel of three “B” readers that the best quality x-ray in evidence showed only category 0/0 disease. 1 The Workers’ Compensation Board affirmed and deferred to the courts the claimant’s argument that the consensus process denies equal protection to workers who suffer from coal workers’ pneumoconiosis in violation of the 14th Amendment of the United States Constitution and Sections 1, 2, and 3 of the Kentucky Constitution. The Court of Appeals found the statute to be constitutional and affirmed.

We affirm insofar as the claimant fails to show that the consensus process denies equal protection to all coal workers who raise pneumoconiosis claims. 2 Convinced that he preserved sufficiently a narrow argument that the consensus process denies him equal protection, we conclude that KRS 342.316(3)(b)4.e. is unconstitutional as applied to his claim. It discriminates against workers like him, whose employers *41 submit evidence of category 1 disease in a RIB claim, and does so solely because the parties’ evidence is not in consensus. 3 We reverse in part and remand for additional findings under KRS 342.732(l)(a) because we discern no rational or reasonable basis for such discrimination.

The claimant was born in 1941. He testified that he worked for over 40 years in the coal mining industry and inhaled coal dust daily until June 25, 2002, when he “developed a disease that would not let [him] do his job.” His application for benefits alleged that he suffered from coal workers’ pneumoconiosis but did not allege a respiratory impairment. Following the procedure set forth in KRS 342.316(3) and discussed in Hunter Excavating v. Bart-rum, 168 S.W.3d 381 (Ky.2005), the parties each filed a chest x-ray and a “B” reader’s interpretation of the x-ray. The reports may be summarized as follows:

Party “B reader X-ray Date >: O ⅜
Claimant Vuskovich June 2002 K>'
Employer Westerfield March 2003 >

As required by KRS 342.316(3)(b)4.d., the Office of Workers’ Claims compared the parties’ reports and determined that they were not in consensus. In such instances, KRS 342.316(3)(b)4.e. requires the Office to mask certain information to preserve the anonymity of the party who submits each x-ray 4 and to hire three “B” readers to choose and interpret the best quality x-ray. A summary of the reports in the present case is as follows:

“B” reader Best X-ray Quality Category
Dineen Employer’s 1 0/0
Jarboe Claimant’s 1 0/0
Narra Claimant’s 1 0/1

The Office certified that the panel reached a consensus of category 0.

In rebuttal the claimant filed another interpretation of the x-ray that he submitted initially. The employer also filed another “B” reader’s interpretation of the x-ray. That evidence may be summarized as follows:

“B” reader X-ray Quality Category
Pope Claimant’s 2 1/0
Broudy Claimant’s 1 0/1

The claimant also submitted depositions of Thomas Lewis, Deputy Commissioner of the Office of Workers’ Claims, and Ms. Diana Smith, a medical scheduler at the Office of Workers’ Claims. Lewis provided various statistics regarding the first six months in which the consensus procedure was implemented. Smith explained the manner in which consensus panels operate.

The ALJ acknowledged that the employer’s initial x-ray report classified the claimant’s disease as category 1/1 but pointed out that the parties’ reports were not in consensus. Thus, KRS 342.316(3)(b)4.e. required the x-rays to be submitted to a panel for additional interpretation and KRS 342.316(13) required clear and convincing evidence to overcome the panel’s consensus. Convinced that the evidence offered in rebuttal did not overcome the consensus, the ALJ dismissed the claim.

The claimant argued to the Court of Appeals that the consensus procedure denies coal workers who file pneumoconiosis claims equal protection by treating them differently in two significant ways from *42 those who sustain a traumatic injury. First, the statute requires coal workers who suffer from pneumoconiosis to submit clear and convincing evidence to rebut the panel’s consensus, while workers may prove an injury with only a preponderance of the evidence. Second, it limits coal workers to proving the existence of the disease with x-ray evidence, which deprives an ALJ of the discretion to consider a worker’s credible testimony regarding breathing difficulties and the length and nature of the exposure to coal dust. He also argued, more specifically, that the consensus process thwarted the purpose of Chapter 342 with respect to his claim, stating that “this discriminatory legislation has effectively stripped an injured miner’s right to black lung benefits.... [although] both the Plaintiffs and Defendant’s evidence proved the existence of compensable coal workers’ pneumoconiosis.” The Court of Appeals affirmed, noting that the claimant’s arguments failed to address the fact that KRS 342.316(3) treats miners who are positive for pneumoconiosis differently based on the amount of disparity between the parties’ x-ray interpretations.

Appealing, the claimant continues to assert that KRS 342.316(3) and (13) deny equal protection to workers who suffer from coal workers’ pneumoconiosis as opposed to those who suffer from an injury. He also continues to complain that the statutes operate to strip him of an award to which his employer’s evidence showed he was entitled. He argues that the state has no legitimate interest in doing so and that to apply the consensus process to his claim defeats the social welfare purpose of the Workers’ Compensation Act.

In Durham

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Cite This Page — Counsel Stack

Bluebook (online)
302 S.W.3d 39, 2009 Ky. LEXIS 71, 2009 WL 735837, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cain-v-lodestar-energy-inc-ky-2009.