Peter Kowalchick v. Director, Office of Workers' Compensation Programs, United States Department of Labor

893 F.2d 615, 1990 U.S. App. LEXIS 360, 1990 WL 1230
CourtCourt of Appeals for the Third Circuit
DecidedJanuary 12, 1990
Docket89-3504
StatusPublished
Cited by54 cases

This text of 893 F.2d 615 (Peter Kowalchick v. Director, Office of Workers' Compensation Programs, United States Department of Labor) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Peter Kowalchick v. Director, Office of Workers' Compensation Programs, United States Department of Labor, 893 F.2d 615, 1990 U.S. App. LEXIS 360, 1990 WL 1230 (3d Cir. 1990).

Opinion

OPINION OF THE COURT

GIBBONS, Chief Judge:

Peter Kowalchick petitions for review of a final decision of the Benefits Review Board of the United States Department of Labor, denying him benefits under the Black Lung Benefits Act, 30 U.S.C.A. § 932(a) (West 1986). We will reverse the decision of the Benefits Review Board and direct that benefits be awarded.

I.

This case has a lengthy procedural history. Kowalchick filed for disability benefits pursuant to the Black Lung Benefits Act, 30 U.S.C.A. §§ 901-945 (West 1986) (“the Act”) on May 30,1973. The Social Security Administration (“SSA”) denied his claim in January 1974, and again upon re-examination in February 21, 1974. Kowalchick requested review of his claim by filing an election card pursuant to 30 U.S.C.A. § 945(a)(1)(A), but was again denied benefits. The claim was then referred to the Department of Labor (“DOL”) pursuant to 30 U.S.C.A. 945(a)(2)(B)(i).

Kowalchick filed a second application for benefits in December 1981, which merged with his prior application pursuant to 20 C.F.R. § 725.309(d). The DOL denied the claim in November 1982, and Kowalchick subsequently requested a preliminary conference and formal hearing in December 1982. The preliminary conference was held in February 1983; benefits were again denied. A formal hearing was held in October 1986. In February 1987, the Administrative Law Judge (“ALJ”) who heard the case issued a Decision and Order denying benefits once again.

Kowalchick filed a timely appeal to the Benefits Review Board (“the Board”). The respondent, the Director of the Office of Workers’ Compensation Programs, United States Department of Labor (“the Director”; in case citations, “Director, OWCP”) conceded that the AU erred in considering certain x-ray evidence and moved before the Board for a remand so that the AU could reconsider the evidence minus the inadmissible x-rays. The Board denied that motion and affirmed the AU’s decision in May 1989. Kowalchick petitioned this court for review, pursuant to 30 U.S.C.A. § 931(a), arguing that he should be awarded benefits.

The Director concedes that the Board erred in affirming the AU’s denial of benefits “in light of clear AU error”, (Brief for Respondent at 11), but argues that the case should be remanded for the AU to make further factual findings.

II.

It is not disputed that Kowalchick’s claim should be considered under the interim presumption of disability set forth in 20 C.F.R. § 727.203 (“section 727.203”), which provides that a miner who engaged in at least ten years of coal mine employment is presumed to be totally disabled due to pneu-moconiosis if he can demonstrate that he meets one of four medical requirements. 20 C.F.R. § 727.203(a) (1989). It is also undisputed that Kowalchick did have at least ten years of coal mine employment.

The three medical requirements relevant to this case are:

*617 (1) A chest roentgenogram (X-ray), biopsy, or autopsy [which] establishes that existence of pneumoconiosis (see § 410.428 of this title);
(2) Ventilatory studies [which] establish the presence of a chronic respiratory or pulmonary disease (which meets the requirements for duration in § 410.412(a)(2) of this title) as demonstrated by values which are equal to or less than_[for an individual of Kowal-ehick’s height, 69 inches, an FEV1 (forced expiratory volume in one second) value of 2.4 or less, and an MW (maximum voluntary ventilation) value of 96 or less];
(4) Other medical evidence, including the documented opinion of a physician exercising reasoned medical judgment, [which] establishes the presence of a totally disabling respiratory or pulmonary impairment.

20 C.F.R. § 727.203(a) (1989). 1

Section 410.428 specifies various classifications of x-rays which qualify to show the existence of pneumoconiosis. Section 410.-412(a)(2) provides that a miner will be considered totally disabled by pneumoconiosis if “[h]is impairment can be expected to result in death, or has lasted or can be expected to last for a continuous period of not less than 12 months.” 20 C.F.R. § 410.412(a)(2) (1989).

The presumption of disability may be rebutted if it can be shown that the individual is, or is capable of, performing his usual coal mine work, that the individual’s disability is not in any way related to coal mine employment, or that the individual does not have pneumoconiosis. 2

The medical tests introduced into evidence have varied results. Two x-rays in 1982 were read by Dr. J.E. Conrad, a board certified radiologist, to reveal lung opacities indicative of pneumoconiosis, with a profusion level of 1/0, the third highest of four possible classifications: one in August 1986 was read by Dr. K.N. Mathur, a “B-reader” 3 , to reveal opacities with a level of 2/1, the second highest of the four classifications. It seems undisputed that these three positive x-rays meet the requirements of section 410.128 and so qualify to invoke the presumption of disability under section 707.203(a)(1). One x-ray in 1973, one in 1979 which was read by two doctors of whom one was a “B-reader”, and one in April 1986 which was also read by two doctors one of whom was also a “B-reader”, were all read to reveal no opacities. 4

*618 The pulmonary function tests performed on Kowalchick also produced varied results. One test in 1973, which was later validated, did not reveal results indicative of pneumoconiosis according to the regulations. Two test performed in March 1979 and April 1982, the first by Dr. Norman Wall and the second unattributed, produced FEV1 and MW values which met the requirements of section 727.203(a)(2), but these tests were not credited by the AU, apparently because they did not show conclusively that Kowalchick had used sufficient effort in taking the tests. An August 1982 test administered by Dr. Soli Tavaria showed an FEV1 value of 2.09, which was low enough to qualify under section 727.-203(a)(2), but the test did not indicate an MW value. A test performed in April of 1986 by Dr. Edward Cubler showed a qualifying FEV1 value of 2.4, but produced an MW value of 96.7, seven-tenths of a point too high to qualify. A final test performed in August 1986 by Dr. Raymond Kraynak revealed an FEV1 value of 1.46,' and an MW value of 40, both qualifying values. These last three tests were apparently all validated. 5

The record also includes the reports of a number of doctors. Dr.

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Bluebook (online)
893 F.2d 615, 1990 U.S. App. LEXIS 360, 1990 WL 1230, Counsel Stack Legal Research, https://law.counselstack.com/opinion/peter-kowalchick-v-director-office-of-workers-compensation-programs-ca3-1990.