Charles H. Moore v. Patricia R. Harris, Secretary of Health & Human Services

623 F.2d 908, 1980 U.S. App. LEXIS 16708
CourtCourt of Appeals for the Fourth Circuit
DecidedJune 12, 1980
Docket78-1610
StatusPublished
Cited by24 cases

This text of 623 F.2d 908 (Charles H. Moore v. Patricia R. Harris, Secretary of Health & Human Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Charles H. Moore v. Patricia R. Harris, Secretary of Health & Human Services, 623 F.2d 908, 1980 U.S. App. LEXIS 16708 (4th Cir. 1980).

Opinions

MURNAGHAN, Circuit Judge:

In 1971 Charles H. Moore, appellant, sought black lung benefits under the Black Lung Benefits Title of the Federal Coal Mine Health and Safety Act of 19691 (“Black Lung Benefits Act”2). The claim was denied by the Secretary of Health, Education and Welfare, now the Secretary of Health and Human Services (“the Secretary”), whose action was sustained by the district court as supported by substantial evidence.

The problem which confronts us is whether nearly a decade of activity as a miner while Moore was self-employed in a family mine or employed by a close corporation of which he was a principal shareholder3 should be considered for purposes of certain favorable presumptions established by statute to determine eligibility. We hold that it should be so considered and reverse. Considering those years of self-employment gives Moore over fifteen years of coal mine employment, as against the less than ten years allowed by the Secretary for periods when Moore’s mining activities took place while he was the employee of mine operators other than himself and his close corporation.

I

The Statute.

The case is governed by the provisions of the act as they existed prior to amendment in 1978.4 Under those provisions, benefits [910]*910shall be paid with respect to the disability of a person if four requirements are satisfied:5

1. The person must be a miner, which the statute defines as “any individual who is or was employed in a coal mine.”6

2. The person must be totally disabled as determined by regulations prescribed by the Secretary.7

3. The total disability must be due to pneumoconiosis, “a chronic dust disease of the lung.”8

4. It must be shown that the disease is one “arising out of employment in a coal mine.”9

To facilitate the administration of the act and to ease the inherent difficulties of proving the existence and the causation of the disease, the statute makes available several presumptions to help establish requirements 2, 3, and 4 above. Thus, “if a miner is suffering . . from a chronic dust disease of the lung which [yields specified medical symptoms when diagnosed by X-ray, biopsy, or other means], then there shall be an irrebuttable presumption that he is totally disabled due to pneumoconiosis . ”10 (“the irrebuttable presumption”). That is, requirements 2, 3, and 4 are deemed satisfied.

Also, “if a miner was employed for fifteen years or more in one or more underground coal mines, and if [a chest X-ray fails to meet the standards of the irrebuttable presumption], 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 . ”11 (“the fifteen-year presumption”12). That is, re[?]*?quirements, 2, 3, and 4 may be deemed satisfied.

Finally, “if a miner who is suffering or suffered from pneumoconiosis was employed for ten years or more in one or more coal mines there shall be a rebuttable presumption that his pneumoconiosis arose out of such employment”13 (“the ten-year presumption”14). That is, requirement 4 may be deemed satisfied.15 The Regulation.

By regulation the Secretary has attempted to modify and restrict the statutory definition of “miner.” Where the statute speaks of an “individual who is or was employed in a coal mine,” the Secretary has substantially altered the phraseology to an “individual who is working or has worked as an employee.” 20 C.F.R. § 410.110(j) (1979) (emphasis added). Having introduced the word “employee,” which nowhere appears in the relevant portion of the statute, the Secretary has also prescribed that it refers to a “legal relationship under the usual common-law rules.” Id. § 410.110(m).16

The Facts.

The findings of the administrative law judge (“ALJ”) were adopted by the Secretary. The AU determined that claimant had years of work as a coal-mine employee, at least 7lk years of work in an unincorporated family coal mine of which he was part owner, and approximately 2 years of work in that mine after its incorporation.17 Thus, even if the work for the close corporation is treated as that of an employee under usual common law rules,18 of Moore’s conceded sixteen or more years of work in coal mines, less than ten years were as an employee as defined by the Secretary’s regulation. The ALJ, applying the definition contained in the regulation, refused Moore the benefit of any of the statutory presumptions.

The ALJ, considering a contention of Moore that, even without the benefit of the [912]*912presumptions he had established entitlement, found that, as of the relevant date for benefits, Moore had “a chronic respiratory or pulmonary impairment,” but that the preponderance of the medical information failed to meet Moore’s burden of proof regarding the existence of pneumoconio-sis.19 The ALJ further found that, even if Moore had shown the existence of pneumo-coniosis, he had not shown that that illness arose out of his activities as an employee. Because of the dusty conditions under which he worked in the family mine, “any pneumoconiosis which the claimant may establish could reasonably have arisen from his self-employed coal mining work . .

The district court, accepting without question the Secretary’s regulatory definition of a miner as an employee under usual common law rules, held that there was substantial evidence that claimant had less than ten years as an employee, and it ruled that the presumptions were unavailable to him. It further held that, because of his substantial exposure to coal dust in the family mine, he was unable to establish by other evidence that his respiratory condition, however severe it might be, arose out of activity as a coal mine employee. Accordingly, the court affirmed without reviewing the severity of Moore’s respiratory impairment.

Moore claims that for purposes of the ten- and fifteen-year presumptions, Congress did not authorize a distinction between self-employment in one’s own coal mine and wage labor in someone else’s coal mine, that “employment in a coal mine” or being “employed in a coal mine” were intended by Congress to refer simply to miners’ occupations and customary activities, not to who was the entrepreneur.

II

The regulation on its face accomplishes a change in the statutory language. As a simple matter of customary usage, one who is “employed” is not automatically or predominantly an employee.20 Since the regulation immediately generates a doubt as to whether it truly interprets the statute, our first task is to determine what Congress intended when it enacted the statute before us.21

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Bluebook (online)
623 F.2d 908, 1980 U.S. App. LEXIS 16708, Counsel Stack Legal Research, https://law.counselstack.com/opinion/charles-h-moore-v-patricia-r-harris-secretary-of-health-human-ca4-1980.