Reif v. U.S. Department of Labor

District Court, District of Columbia·Decided March 29, 2026·No. Civil Action No. 2023-3689·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

HARVEY REIF, Plaintiff,

v. No. 23-cv-3689 (TSC)

DEPARTMENT OF LABOR, et al., Defendants.

MEMORANDUM OPINION

Plaintiff Harvey Reif was exposed to various sources of radiation during his work as a contractor employee at nuclear facilities operated by the Department of Energy (“DOE”). J.A. 665–66. Reif was subsequently diagnosed with 36 cancers, which he and his doctors claim were caused by his work at DOE. See, e.g., J.A. 638. He now challenges the Department of Labor’s (“DOL”) decision denying him compensation under the Energy Employees Occupational Illness Compensation Program Act (“CPA”). Because several legal errors infected the agency decision under review, the court will GRANT in part and DENY in part Reif’s Motion for Summary Judgment, ECF No. 25; DENY Defendants’ Cross Motion for Summary Judgment, ECF No. 27; VACATE the denial of Reif’s most recent claims; and REMAND to the agency for reconsideration of Reif’s claims in accordance with this Opinion.

I. BACKGROUND

A. Legal Background Congress enacted the CPA in 2000 to compensate covered individuals who suffer from

illnesses related to their exposure to toxic substances during their work at DOE nuclear facilities.

42 U.S.C. § 7384(a)(8). In enacting this legislation, Congress recognized that “recurring exposures to radioactive substances and beryllium [], even in small amounts, can cause medical harm.” Id. § 7384(a)(1). Under Part B of the Act, covered employees can receive $150,000 and medical benefits for cancers sustained in the performance of their duties at covered facilities. See Id. §§ 7384n(b), 7384(a)(1), (b); see also 20 C.F.R. § 30.210. Under Part E, certain DOE contractor employees can receive up to $250,000 based on impairment or wage loss due to covered illnesses related to toxic exposure at a DOE facility. See 42 U.S.C. §§ 7385s, 7385s–2.

An individual seeking compensation under either Part must file a claim with DOL’s Office of Workers’ Compensation Programs (“OWCP”).1 See 20 C.F.R. §§ 30.100, 30.101. The claimant bears the burden of establishing eligibility for compensation, which includes producing evidence of covered employment and diagnosed illnesses. See id. §§ 30.111, 30.112, 30.114. But OWCP is obligated to provide a claimant with “assistance . . . to develop facts pertinent to the claim.” 42 U.S.C. § 7384v(a)(2). Notably, OWCP has several tools at its disposal to help a claimant do so, including the power to subpoena documents and witnesses. Id. § 7384w.

a. Part B

There are two pathways for establishing eligibility for Part B benefits related to radiogenic cancer. Under the first, an employee must show that (1) he has been diagnosed with certain cancers, (2) he qualifies as a member of the Special Exposure Cohort, and (3) he contracted the specified cancer after working at certain facilities. 20 C.F.R. § 30.210(a)(1). If the employee is a

1 The Secretary of Labor has “primary responsibility for administering” the Compensation Program, which the Secretary has delegated to the OWCP. Exec. Order 13,179, 65 Fed. Reg. 77,487, 77,488 (Dec. 7, 2000). The Secretary of Health and Human Services, through the National Institute of Occupational Safety and Health, has responsibility for developing guidelines and methods for assessing the probability that an individual with cancer sustained the cancer working at a DOE facility. See 65 Fed. Reg. at 77,488; see also 42 U.S.C. § 7384p.

member of the Cohort, his exposure to substances at DOE facilities is presumed to be the cause of his cancer; no further factual development is necessary. See 42 U.S.C. § 7384l(9)(A).2 Under the second pathway, an employee can establish eligibility by showing that (1) he has been diagnosed with cancer, (2) he contracted that cancer after beginning work at certain facilities, (3) the “cancer was at least as likely as not related to the employment” at the facility, and (4) the employee “has been diagnosed with an injury, illness, impairment, or disease that arose as a consequence of the accepted cancer.” 20 C.F.R. § 30.210(a)(2); see also 42 U.S.C. § 7384n(b).

To determine whether a cancer is “at least as likely as not related to the employment” at a DOE facility, the OWCP transfers its findings regarding the claimant’s employment history and diagnoses to the National Institute for Occupational Safety and Health (“Institute”) at the Department of Health and Human Services. 20 C.F.R. § 30.115. The Institute performs a “dose reconstruction”—that is, a “reasonable estimate[] of the radiation doses received by” the claimant. 42 U.S.C. § 7384n(d); see also 42 C.F.R. § 82.14. Once completed, the Institute provides the claimant with a draft dose reconstruction report and gives them an opportunity to provide additional information. See 42 C.F.R. § 82.10(l). After the claimant signs a form indicating that he has no further information to provide, the Institute forwards the dose reconstruction report to the OWCP. See id. § 82.10(n).

2 Reif fleetingly argues that the OWCP “should have given [him] the benefit of the doubt . . . that he was eligible for inclusion in the Special Exposure Cohort.” Pl.’s MSJ at 22. But he neither cites any authority that there is a benefit of the doubt rule in this particular context, nor develops any argument that he qualifies for the Cohort. See id. He has accordingly forfeited that claim. See Gov’t of Manitoba v. Bernhardt, 923 F.3d 173, 179 (D.C. Cir. 2019) (“A party forfeits an argument by mentioning it only in the most skeletal way, leaving the court to do counsel’s work, create the ossature for the argument, and put flesh on its bones.” (cleaned up)). The court will instead analyze whether he is eligible under the pathway for non-Cohort employees.

The OWCP then uses the dose reconstruction report, together with the diagnoses and other information provided by the claimant, “to calculate . . . the probability that the cancer of the covered employee was caused by radiation exposure at a covered [DOE] facility.” 42 C.F.R. § 82.4. Specifically, the OWCP inputs this information into a software program created by the Institute called the Interactive Radio Epidemiological Program (“IREP”). See J.A. 189; see also 42 C.F.R. § 81.20(b). The IREP then produces an estimated probability of causation (“PoC”). See 42 C.F.R. § 81.20. The OWCP is required by statute and regulation to use the Institute’s dose reconstruction and the IREP to calculate PoC. See 42 U.S.C. § 7384n (requiring the OWCP to follow the guidelines and use the dose reconstruction established by the Institute); see also 42 C.F.R. §§ 81.6, 81.20; 20 C.F.R. § 30.213. A person is deemed “at least as likely as not” to have sustained cancer through their DOE work if his PoC “is 50% or greater.” 20 C.F.R. § 30.213(b).

b. Part E

If a claimant is determined eligible under Part B or the former Part D, that claimant is also deemed, for the purposes of Part E, to have contracted a covered illness through exposure at a DOE facility. See 42 U.S.C. § 7385s-4. “In any other case, a Department of Energy contractor employee shall be determined . . . to have contracted a covered illness through exposure at a [DOE] facility if it is at least as likely as not” that work-related exposure to toxic substances at a DOE facility “was a significant factor in aggravating, contributing to, or causing the illness.” Id. § 7385s-4. A toxic substance is any substance “that has the potential to cause illness or death because of its radioactive, chemical, or biological nature.” 20 C.F.R. § 30.5(kk).

c. The Adjudication Process Once claims are factually developed and PoC has been calculated, the relevant OWCP district office issues recommended findings of fact and conclusions of law. 20 C.F.R. § 30.300.

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