Pauley v. BethEnergy Mines, Inc.

501 U.S. 680, 111 S. Ct. 2524, 115 L. Ed. 2d 604, 1991 U.S. LEXIS 3638
CourtSupreme Court of the United States
DecidedJune 24, 1991
Docket89-1714
StatusPublished
Cited by522 cases

This text of 501 U.S. 680 (Pauley v. BethEnergy Mines, Inc.) is published on Counsel Stack Legal Research, covering Supreme Court of the United States primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pauley v. BethEnergy Mines, Inc., 501 U.S. 680, 111 S. Ct. 2524, 115 L. Ed. 2d 604, 1991 U.S. LEXIS 3638 (1991).

Opinions

Justice Blackmun

delivered the opinion of the Court.

The black lung benefits program, created by Congress, was to be administered first by the Social Security Administration (SSA) under the auspices of the then-existent Department of Health, Education, and Welfare (HEW), and later by the Department of Labor (DOL). Congress authorized these Departments, during their respective tenures, to adopt interim regulations governing the adjudication of claims for black lung benefits, but constrained the Secretary of Labor by providing that the DOL regulations “shall not be more restrictive than” HEW’s. This litigation calls upon us to determine whether the Secretary of Labor has complied with that constraint.

I

A

The black lung benefits program was enacted originally as Title IV of the Federal Coal Mine Health and Safety Act of 1969 (FCMHSA), 83 Stat. 792, 30 U. S. C. § 901 et seq., to provide benefits for miners totally disabled due at least in [684]*684part to pneumoconiosis arising out of coal mine employment, and to the dependents and survivors of such miners. See Pittston Coal Group v. Sebben, 488 U. S. 105, 108 (1988); Mullins Coal Co. v. Director, Office of Workers’ Compensation Programs, Dept. of Labor, 484 U. S. 135, 138 (1987).

Through FCMHSA, Congress established a bifurcated system of compensating miners disabled by pneumoconiosis.1 Part B thereof created a temporary program administered by the SSA under the auspices of the Secretary of HEW. This program was intended for the processing of claims filed on or before December 31, 1972. Benefits awarded under part B were paid by the Federal Government. For claims filed after 1972, part C originally authorized a permanent program, administered by the Secretary of Labor, to be coordinated with federally approved state workers’ compensation programs. Benefits awarded under part C were to be paid by the claimants’ coal mining employers.

Under FCMHSA, the Secretary of HEW was authorized to promulgate permanent regulations regarding the determination and adjudication of part B claims. 30 U. S. C. § 921(b). The Secretary’s discretion was limited, however, by three statutory presumptions defining eligibility under the part B program. § 921(c). For a claimant suffering from pneumoconiosis who could establish 10 years of coal mine employment, there “shall be a rebuttable presumption that his pneumoconiosis arose out of such employment.” § 921(c)(1). Similarly, for a miner with at least 10 years of [685]*685coal mine employment who “died from a respirable disease there shall be a rebuttable presumption that his death was due to pneumoconiosis.” § 921(c)(2). Finally, there was an irrebuttable presumption that a miner presenting medical evidence demonstrating complicated pneumoconiosis was totally disabled as a result of that condition. § 921(c)(3). Consistent with these presumptions, HEW promulgated permanent regulations prescribing the methods and standards for establishing entitlement to black lung benefits under part B. See 20 CFR §§ 410.401 to 410.476 (1990).

B

Dissatisfied with the increasing backlog of unadjudicated claims and the relatively high rate of claim denials resulting from the application of the HEW permanent regulations, Congress in 1972 amended FCMHSA and redesignated Title IV of that Act as the Black Lung Benefits Act of 1972 (Benefits Act). 86 Stat. 150. See S. Rep. No. 92-743 (1972). See also Comptroller General of the United States, General Accounting Office, Report to the Congress: Achievements, Administrative Problems, and Costs in Paying Black Lung Benefits to Coal Miners and Their Widows 16-18 (September 5, 1972) (nationally, as of December 31, 1971, claims filed were 347,716, claims processed were 322,582, and rate of claim denial was 50.5 percent). In addition to extending the coverage of part B to those claims filed by living miners prior to July 1, 1973, and those filed by survivors before January 1, 1974, the 1972 amendments liberalized in several ways the criteria and procedures applicable to part B claims. First, the amendments added a fourth statutory presumption of total disability due to pneumoconiosis for claimants unable to produce X-ray evidence of the disease. This presumption applied to a claimant with 15 years of coal mine employment who presented evidence of a totally disabling respiratory or pulmonary impairment. Congress expressly limited rebuttal of the presumption to a showing that the miner did not [686]*686have pneumoconiosis or that his respiratory or pulmonary impairment did not arise out of employment in a coal mine. 30 U. S. C. § 921(c)(4). Second, the 1972 amendments redefined “total disability” to permit an award of benefits on a showing that a miner was unable to perform his coal mining duties or other comparable work — as opposed to the prior requirement that the miner demonstrate that he was unable to perform any job, see § 902(f) — and prohibited HEW from denying a claim for benefits solely on the basis of a negative X ray. § 923(b). Third, the 1972 amendments made it easier for survivors of a deceased miner who had been disabled due to pneumoconiosis but had died from a cause unrelated to the disease to demonstrate eligibility for benefits. See § 901. Finally, the amendments made clear that “[i]n determining the validity of claims under [part B], all relevant evidence shall be considered.” § 923(b).

In response to these amendments, the Secretary of HEW adopted interim regulations “designed to ‘permit prompt and vigorous processing of the large backlog of claims’ that had developed during the early phases of administering part B.” Sebben, 488 U. S., at 109, quoting 20 CFR § 410.490(a) (1973).2 These interim regulations established adjudicatory rules for processing part B claims that permit the invocation of a presumption of eligibility upon demonstration by the claimant of specified factors, and a subsequent opportunity for the SSA, in administering the program, to rebut the presumption.

Specifically, the HEW interim regulations permit claimants to invoke a rebuttable presumption that a miner is “to[687]*687tally disabled due to pneumoconiosis” in one of two ways. First, the claimant can introduce an X ray, a biopsy, or an autopsy indicating pneumoconiosis. 20 CFR § 410.490(b)(1) (i) (1990). Second, for a miner with at least 15 years of coal mine employment, a claimant may introduce ventilatory studies establishing the presence of a chronic respiratory or pulmonary disease. § 410.490(b)(1)(h).

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Bluebook (online)
501 U.S. 680, 111 S. Ct. 2524, 115 L. Ed. 2d 604, 1991 U.S. LEXIS 3638, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pauley-v-bethenergy-mines-inc-scotus-1991.