Magic Coal Co. v. Fox

19 S.W.3d 88, 2000 Ky. LEXIS 60, 2000 WL 652098
CourtKentucky Supreme Court
DecidedMay 18, 2000
Docket1999-SC-0163-WC, 1999-SC-0509-WC
StatusPublished
Cited by82 cases

This text of 19 S.W.3d 88 (Magic Coal Co. v. Fox) 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
Magic Coal Co. v. Fox, 19 S.W.3d 88, 2000 Ky. LEXIS 60, 2000 WL 652098 (Ky. 2000).

Opinions

OPINION OF THE COURT

These workers’ compensation appeals concern the portion of KRS 342.315(2) which became effective December 12,1996, and which states that the findings and opinions of designated university medical evaluators “shall be afforded presumptive weight.” At issue is whether the amendment governs claims which arose before its effective date.

The 1996 version of KRS 342.315 provides, in pertinent part, as follows:

(1) The commissioner shall contract with the University of Kentucky and the University of Louisville medical schools to evaluate workers who have had injuries or become affected by occupational diseases covered by this chapter. Referral for evaluation may be made to one (1) of the medical schools whenever a medical question is at issue.
(2) The physicians and institutions performing evaluations pursuant to this section shall render reports encompassing their findings and opinions in the form prescribed by the commissioner. The clinical findings and opinions of the designated evaluator shall be afforded presumptive weight by arbitrators and administrative law judges and the burden to overcome such findings and opinions shall fall on the opponent of that evidence. When arbitrators or administrative law judges reject the clinical findings and opinions of the designated evaluator, they shall specifically state in the order the reasons for rejecting that evidence.

Two other amendments which became effective on December 12, 1996, also are relevant to a consideration of the question at issue. KRS 342.0015 provides, in pertinent part, that the “procedural provisions” of the 1996 Act “shall apply to all claims irrespective of the date of injury or last exposure, including, but not exclusively, the mechanisms by which claims are decided and workers are referred for medical evaluations.” KRS 342.316(3)(b)4.b. provides that the arbitrator to whom an occupational disease claim is assigned “shall” refer the worker to a university evaluator for examination. There is no comparable requirement concerning injury claims, leaving it to the discretion of the fact-finder whether to order an evaluation in a given case. These appeals both involve retraining incentive benefit (RIB) claims.

Magic Coal Co. v. Fox:

The claimant was employed in the coal mining industry for over 19 years and last worked in March, 1992. In February, 1997, he filed a claim for a RIB. Among the contested issues was whether he suffered from coal workers’ pneumoconiosis and whether the university medical ex[92]*92pert’s report was entitled to presumptive weight pursuant to KRS 342.315. Evidence of the presence of the disease was conflicting, and the report of the university evaluator was negative. In a decision rendered on September 9, 1997, the Administrative Law Judge (ALJ) determined that, to the extent that it afforded presumptive weight to the findings and opinions of university evaluators, the 1996 amendment to KRS 342.315 was substantive and should not be applied to a claim which arose before the amendment’s effective date. The ALJ indicated that the credentials of all of the expert witnesses were worthy of respect but chose to rely upon the claimant’s witnesses and awarded a RIB.

This appeal was considered by the Workers’ Compensation Board (Board) together with several others, including Peabody Coal Co. v. Hawes and Peabody Coal Co. v. Bealmear. The Board rejected the argument that KRS 342.314(2) simply shifts the burden of going forward with proof to the party who opposes the evaluator’s report, indicating that such a construction would render the amendment ineffectual. The Board determined, instead, that the amendment creates a rebuttable presumption which favors the university evaluator’s opinion, which represents an alteration in the overall burden of proof placed upon the parties, and which is substantive in nature. For that reason, the Board concluded that the findings and opinions of university evaluators should not be given “presumptive weight” in those claims which arose before December 12, 1996. The Court of Appeals affirmed the Board.

Magic Coal Co. (Magic) emphasizes that this is a RIB claim which, unlike a claim for income benefits, is controlled by the law on the date of filing rather than the law on the date of last exposure. Breeding v. Colonial Coal Co., Ky., 975 S.W.2d 914 (1998). This claim was filed after December 12, 1996; therefore, Magic asserts, the December 12, 1996, amendments to Chapter 342 controlled the claim. Second, Magic argues that KRS 342.315(2) does not alter the burden of proof but is a procedural mechanism to ensure the ALJ’s reliance upon impartial expert testimony “when alternative medical testimony is not particularly convincing.” Emphasizing that the presumption is rebuttable, not conclusive, it argues that the presumption is procedural in nature. See Boggs v. Blue Diamond Coal Co., 497 F.Supp. 1105 (1980); General Refractories Co., Inc. v. Henderson, Ky., 232 S.W.2d 846 (1950).

Claimant responds that in the absence of specific language to the contrary, the meaning of “presumptive weight” should be dictated by KRE 301. In the alternative, he argues that if the Board’s construction of the term is correct, the amendment is substantive and should not be applied in instances where the injury or last exposure occurred before the amendment’s effective date. Finally, claimant raises four arguments against the constitutionality of the provision in the event that it is construed as restricting the authority of the ALJ to weigh conflicting medical evidence.

Peabody Coal Co. v. Hawes, et. al.:

This appeal involves two different RIB claims. They were filed against Peabody Coal Co. (Peabody) by Billy Gene Hawes and by Eddie Bealmear. In each instance, the last exposure occurred before December 12, 1996, and a RIB claim had been filed and was pending before the ALJ on December 12, 1996. It is undisputed that the pre-December 12, 1996, version of the Act was the controlling substantive law. In each instance, the ALJ determined that the “presumptive weight” provision was procedural in nature and did apply to the claim. The ALJ also determined, in each instance, that the worker had introduced favorable evidence from two well respected pulmonary specialists, one of whom was the only expert who had actually examined the worker as well as read an x-ray. In each instance, the ALJ was persuaded that the evidence offered by the worker overcame the testimony of the university evalu[93]*93ator.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

The Job Center v. Amy Griffiths
Court of Appeals of Kentucky, 2025
Tennco Energy, Inc. v. Richard Lane
Court of Appeals of Kentucky, 2025
General Motors v. Thomas Payne
Kentucky Supreme Court, 2025
Belinda Tygrett v. Norton Healthcare
Court of Appeals of Kentucky, 2024
Tony Glasper v. Kentucky Parole Board
Kentucky Supreme Court, 2023
Kellogg's v. Leslie Lawrence
Kentucky Supreme Court, 2023
University of Kentucky v. Lachin Hatemi, M.D.
Court of Appeals of Kentucky, 2021
Lewis Door Service Co. v. John J. Reker
Court of Appeals of Kentucky, 2021
Reynolds Consumer Products v. William Bell, III
Court of Appeals of Kentucky, 2020
Xenia R. Myers v. Merit Electronic, LLC
Court of Appeals of Kentucky, 2020
Commercial Contracting Corporation v. Billy Clark
Court of Appeals of Kentucky, 2020
Barbara Smith v. Bledsoe Coal Co.
Kentucky Supreme Court, 2020
Jennifer Creager v. Ford Motor Company
Kentucky Supreme Court, 2020
Arthur Monks v. Jack Cooper Transport
Kentucky Supreme Court, 2019
Samuel Wetherby v. amazon.com
Kentucky Supreme Court, 2019
Joseph Thornsberry v. Ford Motor Co.
Kentucky Supreme Court, 2019

Cite This Page — Counsel Stack

Bluebook (online)
19 S.W.3d 88, 2000 Ky. LEXIS 60, 2000 WL 652098, Counsel Stack Legal Research, https://law.counselstack.com/opinion/magic-coal-co-v-fox-ky-2000.