Consol Pennsylvania Coal Co v. Randall McMillin

Court of Appeals for the Third Circuit·Decided January 6, 2025·No. 23-3069·Unpublished

Opinion

NOT PRECEDENTIAL

UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT

No. 23-3069

CONSOL PENNSYLVANIA COAL COMPANY, Petitioner

v.

RANDALL F. MCMILLIN; DIRECTOR OFFICE OF WORKERS COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR

On Petition for Review of an Order of the Benefits Review Board

(BRB No. 22-0148 BLA)

Submitted Under Third Circuit L.A.R. 34.1(a)

December 2, 2024

Before: SHWARTZ, MATEY, and McKEE, Circuit Judges.

(Filed: January 6, 2025)

OPINION*

SHWARTZ, Circuit Judge.

*

This disposition is not an opinion of the full Court and, pursuant to I.O.P. 5.7, does not constitute binding precedent.

Consol Pennsylvania Coal Company petitions for review of a decision of the Benefits Review Board granting former coal miner Randall McMillin benefits under the Black Lung Benefits Act, 30 U.S.C. §§ 901-944 (the “BLBA”). For the following reasons, we will deny Consol’s petition.

I

A

To understand the dispute between the parties, we first review the BLBA’s statutory and regulatory scheme. The BLBA is a liberally construed remedial statute administered by the Department of Labor (“DOL”) that provides benefits to coal miners whose exposure to coal dust has resulted in pneumoconiosis,1 commonly known as black lung disease. Helen Mining Co. v. Elliott, 859 F.3d 226, 229 (3d Cir. 2017); Eighty Four Mining Co. v. Dir., Off. of Workers’ Comp. Programs, 812 F.3d 308, 312 (3d Cir. 2016) (“Morris”); see also 30 U.S.C. §§ 901-944; 20 C.F.R. §§ 718.202-204.

To obtain benefits, a miner must show that (1) he has “clinical” or “legal”

pneumoconiosis,2 (2) the pneumoconiosis arose out of coal mine employment, (3) he has

a totally disabling respiratory or pulmonary impairment that prevents him from performing coal mining or comparable work, and (4) the pneumoconiosis is a substantially contributing cause of the total disability. Elliott, 859 F.3d at 229; see 20 C.F.R. §§ 718.202-04 (establishing requirements for BLBA eligibility), 725.202(d) (listing requirements for obtaining BLBA benefits). BLBA claimants employed at a coal mine for fifteen years or more and who present evidence demonstrating “the existence of a totally disabling respiratory or pulmonary impairment” are entitled to a presumption that they are “totally disabled due to pneumoconiosis.” 30 U.S.C. § 921(c)(4); see 20 C.F.R. § 718.305(b)(1) (explaining how to invoke the presumption). The employer may rebut this presumption if it establishes that (1) the miner does not have pneumoconiosis, or (2) no part of the miner’s respiratory or pulmonary disability was caused by pneumoconiosis. 20 C.F.R. § 718.305(d)(1)(i)-(ii).

B

McMillin worked as a coal miner for at least thirty-five years. In December 2012, he consulted his physician, Dr. Attila Lenkey, because of breathing problems, and the doctor concluded that McMillin had chronic obstructive pulmonary disease (“COPD”), due in part to his exposure to coal mine dust, and that he should cease coal mining immediately (“December 2012 Diagnosis”). McMillin quit mining that month.

In February 2013, McMillin filed a claim for BLBA benefits (“February 2013 Claim”). A DOL physician conducted a medical examination, following which the DOL District Director issued a proposed order in October 2013, set to become final thirty days

thereafter, denying the February 2013 Claim in part because McMillin did not show that he had pneumoconiosis (“October 2013 Decision”).3 McMillin thereafter withdrew his February 2013 Claim.

In September 2014, Dr. Lenkey again evaluated McMillin and concluded that black lung disease had “100% impaired and disabled” him (“September 2014 Diagnosis”). AR 68.

In May 2017, McMillin filed another BLBA claim (“May 2017 Claim”), and underwent several medical examinations. Dr. Charles Feicht, who examined McMillin at DOL’s request, diagnosed McMillin with severe COPD and determined that he was 100% disabled from a pulmonary perspective, with 60% of the disability from coal dust exposure and 40% from his smoking history.4 Dr. Feicht also acknowledged that because coal dust exposure and smoking both cause lung damage, it is difficult to discern causation when both factors are at play.

Dr. Leonard Go, who examined McMillin at McMillin’s request, diagnosed McMillin with legal pneumoconiosis, specifically COPD, emphysema, and chronic bronchitis, attributing the diagnosis to McMillin’s thirty-five years of coal mine

employment and smoking history. He concluded that the pneumoconiosis contributed to McMillin’s total pulmonary disability, with smoking and obesity as contributing factors.5 Dr. George Zalvidar, who examined McMillin at Consol’s request, observed that McMillin’s prolonged exposure to coal dust could cause pneumoconiosis, but concluded that McMillin had asthma and emphysema caused by obesity and smoking, not pneumoconiosis, because: (1) McMillin began smoking at sixteen, which increased his likelihood of developing lung problems; (2) smoking is the leading cause of emphysema worldwide; (3) silica and coal are non-allergenic and would not cause McMillin’s asthmatic symptoms and wheezing; and (4) obesity causes asthma.

The Director issued a proposed decision granting the May 2017 Claim, and Consol sought review by an Administrative Law Judge (“ALJ”), asserting that McMillin’s claim was untimely and without merit. The ALJ awarded benefits, concluding that McMillin timely filed the May 2017 Claim because (1) under the misdiagnosis rule, a previous diagnosis that has been repudiated does not trigger the statute of limitations; (2) the October 2013 Decision repudiated the December 2012 Diagnosis; and thus (3) the December 2012 Diagnosis did not trigger the statute of limitations. The ALJ then determined that McMillin was entitled to benefits because Consol failed to (1) rebut the

BLBA presumption6 that McMillin had totally disabling pneumoconiosis, and (2) show that no part of his disability was due to his history of coal mine dust exposure.

The Board affirmed, determining that (1) the December 2012 Diagnosis did not trigger the statute of limitations for the May 2017 Claim because it was repudiated by the October 2013 Decision and hence was a misdiagnosis, and (2) Consol failed to rebut the presumption that McMillin had totally disabling pneumoconiosis.

Consol petitions for review.

II7

A

We first examine whether McMillin’s claim was timely. A miner must file a BLBA claim within three years of receiving a medical determination of total disability due to pneumoconiosis. 30 U.S.C. § 932(f).8 Consol incorrectly asserts that the December 2012 Diagnosis is the relevant “medical determination,” and thus, the three-

year statute of limitations bars the May 2017 Claim. The District Director issued the October 2013 Decision, finding that McMillin did not have pneumoconiosis. Because the denial of a claim due to a claimant’s failure to establish he had pneumoconiosis renders an earlier pneumoconiosis diagnsosis a “misdiagnosis,” the December 2012 Diagnosis was not a “medical determination” that triggered the statute of limitations. Morris, 812 F.3d at 311, 314 (applying the misdiagnosis rule where the claim was “denied on the basis that [the applicant] did not have pneumoconiosis”); Helen Mining Co. v. Dir., Off. of Workers’ Comp. Programs, 650 F.3d 248, 253-54 (3d Cir. 2011) (“Obush”) (same).

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