Padavich v. Mathews

416 F. Supp. 1229, 1976 U.S. Dist. LEXIS 13678
CourtDistrict Court, S.D. Iowa
DecidedAugust 11, 1976
DocketCiv. 75-74-2
StatusPublished
Cited by6 cases

This text of 416 F. Supp. 1229 (Padavich v. Mathews) is published on Counsel Stack Legal Research, covering District Court, S.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Padavich v. Mathews, 416 F. Supp. 1229, 1976 U.S. Dist. LEXIS 13678 (S.D. Iowa 1976).

Opinion

ORDER

HANSON, Chief Judge.

This matter is before the Court on cross motions for summary judgment filed by defendant December 23, 1975 and by plaintiff on February 18, 1976.

This case is brought under 30 U.S.C. §§ 921(a) and 922(a)(1) of Part B, Title IV of the Federal Coal Mine Health and Safety Act of 1969, as amended, seeking review of the Secretary’s final decision denying plaintiff’s claim for black lung benefits. Title 30 U.S.C. § 923(b) incorporates 42 U.S.C. § 405(g) and (h) by reference into the statu *1230 tory provisions on black lung benefits. Title 42 U.S.C. § 405(g), concerning judicial review provides that “The findings of the Secretary as to any fact, if supported by substantial evidence, shall be conclusive, . ” That standard has been clarified in the following manner:

Substantial evidence, it has been held, is evidence which a reasoning mind would accept as sufficient to support a particular conclusion. It consists of more than a mere scintilla of evidence but may be somewhat less than a preponderance.

Laws v. Celebrezze, 368 F.2d 640, 642 (4th Cir. 1966) citing Woolridge v. Celebrezze, 214 F.Supp. 686, 687 (S.D.W.Va.1968). See also, Richardson v. Perales, 402 U.S. 389, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971); Brinker v. Weinberger, 522 F.2d 13 (8th Cir. 1975); Klug v. Weinberger, 514 F.2d 423 (8th Cir. 1975).

The Court, after examination of motion papers, the administrative record and pertinent law, is of the opinion that substantial evidence exists to support the decision of the Secretary denying Mr. Padavich’s claim for black lung benefits. The defendant’s motion for summary judgment must therefore be granted.

Regulations No. 10 of the Social Security Administration, 20 C.F.R. §§ 410.101 et seq. contain the regulations promulgated pursuant to § 921(a) of the Federal Coal Mine Health and Safety Act of 1969, supra. Section 410.410(b) states, in part, that:

(b) To establish entitlement to benefits on the basis of a coal miner’s total disability due to pneumoconiosis, a claimant must submit the evidence necessary to establish: (1) That he is a coal miner, that he is totally disabled due to pneumoconiosis, and that his pneumoconiosis arose out of employment in the Nation’s coal mines; .

The provisions for determining entitlement are contained in §§ 410.410-410.462 of the regulations. In this case, the interim adjudicatory rules of § 410.490 also apply because Mr. Padavich filed his original claim prior to July 1, 1973.

In this case, the decision of the Administrative Law Judge became the decision of the Secretary when the Appeals Council adopted the decision of the Administrative Law Judge after review of that decision pursuant to plaintiff’s request. (Administrative record at 4).

The bulk of the evidence in this case concerns medical tests conducted with Mr. Padavich’s cooperation. The medical standards necessary to prove entitlement to benefits under the § 410.490 interim adjudicatory rules are less stringent than those required under §§ 410.410-410.462. (Compare table in 410.490(b)(l)(ii) to table in 410.426). It is also important to note that § 410.490(e) allows a miner who has been unable to prove entitlement under the medical tests in § 410.490 to prove his entitlement by the various other means provided in §§ 410.412-410.462. It is clear from the administrative record that the application of all pertinent sections of the regulations to the facts of this case have been carefully considered by the Secretary. The consideration given the medical evidence of record as it applies to the § 410.490 interim adjudicatory rules suffices to illustrate:

In the present case, the evidence does not establish that any significant stage of pneumoconiosis has been established by x-ray or by biopsy. Chest x-ray at the Ottumwa Hospital, Ottumwa, Iowa, on December 26, 1972, was interpreted by Dr. Meyer W. Jacobson, a specialist in internal medicine and pulmonary diseases, to demonstrate essentially negative findings insofar as pneumoconiosis was concerned. This x-ray was also examined by Dr. Jay S. Gordonson, a Board certified radiologist. He also returned a finding that said x-ray was negative insofar as the establishment of pneumoconiosis was concerned. (See exhibits 22 and 24.) Ventilatory studies were also performed on December 19, 1972, and resulted in essentially negative findings insofar as the establishment of a significant ventilatory problem was concerned. As a result of that study, it was said that the claim *1231 ant’s FEVi was 2.7 and his MBC was 75L/min. The claimant is 71 inches in height and must demonstrate an FEVi value equal to or less than 2.6 and MBC or MW of 104 or less. In order to establish entitlement under the interim criteria, both the MBC and the FEVi must be equal to the values provided by the table. It is therefore concluded that the claimant fails to meet the severity of requirements of the interim criteria as set forth in section 410.490(d)(l)(ii) [sic].

Administrative record at 16.

While the medical evidence in this case is conflicting, it is important to recall that “such conflicts are for the Secretary to resolve.” Downing v. Weinberger, 390 F.Supp. 1384, 1387 (S.D.Ind.1975); see also 20 C.F.R. § 410.471. In cases like this, it is not the function of this Court to reevaluate all evidentiary conflicts. The Secretary found that the claimant had not established entitlement under § 410.490. Substantial evidence exists to support that decision.

Section 410.490(e) also applies to this case. Thus, the claimant may attempt to establish the § 921(c)(4) rebuttable presumption of entitlement. Under 30 U.S.C. § 921

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Related

Penix v. Califano
474 F. Supp. 31 (N.D. Indiana, 1978)
Superak v. Califano
450 F. Supp. 70 (S.D. New York, 1978)
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435 F. Supp. 200 (N.D. Indiana, 1977)
Large v. Mathews
416 F. Supp. 1232 (S.D. Iowa, 1976)

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Bluebook (online)
416 F. Supp. 1229, 1976 U.S. Dist. LEXIS 13678, Counsel Stack Legal Research, https://law.counselstack.com/opinion/padavich-v-mathews-iasd-1976.