Westmoreland Coal Co. v. Cox

602 F.3d 276, 602 F. Supp. 3d 276, 2010 U.S. App. LEXIS 7257, 2010 WL 1409418
CourtCourt of Appeals for the Fourth Circuit
DecidedApril 8, 2010
Docket09-1240
StatusPublished
Cited by30 cases

This text of 602 F.3d 276 (Westmoreland Coal Co. v. Cox) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Westmoreland Coal Co. v. Cox, 602 F.3d 276, 602 F. Supp. 3d 276, 2010 U.S. App. LEXIS 7257, 2010 WL 1409418 (4th Cir. 2010).

Opinion

Affirmed in part, vacated in part, and remanded by published opinion. Judge DUNCAN wrote the opinion, in which Judge MICHAEL and Judge HARWELL joined.

OPINION

DUNCAN, Circuit Judge:

This is a petition for review from a decision of the Benefits Review Board (the “BRB”) affirming the Administrative Law Judge’s (the “ALJ”) award of benefits and attorney’s fees under the Black Lung Benefits Act (the “Act”), 30 U.S.C. §§ 901 et seq. Petitioner Westmoreland Coal Company (“Westmoreland”) argues that the ALJ’s decision awarding benefits was contrary to law and unsupported by substantial evidence. Westmoreland also argues that the ALJ’s award of attorney’s fees was improperly calculated. We find the award of benefits legally proper and supported by substantial evidence, and we therefore affirm that award. However, we find that the ALJ erred in granting an award of attorney’s fees without first determining a prevailing hourly rate for the attorney’s work. That award must therefore be reconsidered in light of this opinion.

I.

Respondent Lloyd A. Cox worked for Westmoreland as a coal miner for approximately thirty years. On April 16, 2002, Cox filed an application for benefits under the Act, which grants benefits to former miners afflicted with pneumoconiosis, also known as black lung disease. See 30 U.S.C. § 901(a). His claim was denied on November 10, 2004. Cox brought a second claim on December 19, 2005. The District Director of the Office of Workers’ Compensation Programs issued a Pro *279 posed Decision and Order denying benefits on August 11, 2006. Upon Cox’s request for a hearing, the case was transferred to the Office of Administrative Law Judges for a for mal hearing to determine whether he was eligible for benefits.

In order to prove eligibility under the Act, Cox had to show that he was totally disabled because of pneumoconiosis caused by his coal-mining employment. See 30 U.S.C. §§ 901, 921; 20 C.F.R. §§ 718.202-204, 725.202. Because more than one year had passed since the denial of Cox’s first claim, he also had to establish that “one of the applicable conditions of entitlement ... ha[d] changed since the date upon which the order denying the prior claim became final.” 20 C.F.R. § 725.309(d).

The Act provides a statutory presumption of total disability resulting from pneumoconiosis where the coal miner suffers from:

a chronic dust disease of the lung which (A) when diagnosed by chest [x-ray], yields one or more large opacities (greater than one centimeter in diameter) ..., (B) when diagnosed by biopsy or autopsy, yields massive lesions in the lung, or (C) when diagnosis is made by other means, would be a condition which could reasonably be expected to yield results described in clause (A) or (B) if diagnosis had been made in the manner prescribed in clause (A) or (B).

30 U.S.C. § 921(c)(3). The ALJ based her analysis largely on this statutory presumption under § 921(c)(3). We summarize the evidence relevant to Cox’s claim below. 1

A.

Cox began seeking medical help for lung problems in 1995. On January 24, 1995, Cox underwent a computerized tomography (“CT”) scan of his lungs. Upon reviewing the image, Dr. T.C. Lepsch observed an opacity in the upper part of Cox’s right lung and recommended that chest x-rays be per formed in the future to determine whether the opacity cleared. On March 17, 1998, Cox had a consultation with Dr. S.S. Tholpady, who concluded that Cox had coal worker’s pneumoconiosis. Dr. Larry Forster saw Cox on October 22, 1998, examined Cox’s most recent x-rays, and found that there were opacities that were likely caused by coal worker’s pneumoconiosis.

In 2002 Cox underwent a number of tests that revealed a pulmonary mass which several doctors interpreted as either pneumoconiosis or cancer. In April and May of 2002 Dr. Michael Baron reviewed Cox’s x-rays and performed a bronchoscopy. According to Dr. Baron, both tests indicated signs that could represent pneumoconiosis or cancer. He recommended that Cox undergo additional testing to rule out cancer. On October 1, 2002, Cox had a chest scan, which was interpreted by Dr. G. Thomas Haines. Dr. Haines noted a large mass, measuring 4.2 by 4.7 centimeters, in the upper lobe of Cox’s right lung. On October 24, 2002, Cox saw Dr. William Messerschmidt for a consultation on this pulmonary mass. Dr. Messerschmidt determined that the approximately 5-centim-eter mass was probably due to coal worker’s pneumoconiosis, but could also be due to cancer. 2 Dr. Messerschmidt had Cox tested for cancer through a needle biopsy *280 and bronchoscopy. Both tests were negative for cancer. Following the cancer tests, on December 11, 2002, Dr. John Hutchison conducted another CT scan which confirmed that Cox had a large mass, measuring approximately 4 by 3.5 centimeters, in the upper lobe of his right lung.

In 2003 Cox again underwent several tests that showed signs of pneumoconiosis. On January 13, 2003, he saw Dr. J. Randolph Forehand, who interpreted Cox’s x-rays as showing pneumoconiosis. On August 7, 2003, Cox had an x-ray, which was interpreted by Dr. Donald Rasmussen. Dr. Rasmussen saw large opacities attributable to pneumoconiosis, but noted that cancer was also a possibility.

In 2005 the possibility of cancer was raised once again. On January 6, 2005, Cox saw Dr. Roger McSharry. Dr. McSharry reviewed Cox’s most recent CT scan and saw a dominant right lung lesion and multiple left lung lesions. That same day, Dr. McSharry conducted a bronchos-copy. He found that the masses were likely due to pneumoconiosis, but decided to undertake testing to rule out cancer. 3 Dr. Jack Bechtel then conducted an examination of the cells of the tissue of Cox’s right upper lung. Dr. Bechtel concluded that the tissue showed no signs of cancer. He also noted that the examination results were consistent with pneumoconiosis.

In 2006 Cox again had several tests showing signs of pneumoconiosis. On January 30, 2006, Cox had a chest x-ray, which Dr. Forehand interpreted as showing pneumoconiosis. On February 23, 2006, Cox underwent a CT scan reviewed by Dr. Jandre Ward, who determined that the scan showed typical signs of pneumoconiosis. On March 16, 2006, Cox had an x-ray which was interpreted by Dr. Ward. Dr. Ward saw a mass in the center of Cox’s right lung measuring approximately three centimeters. He found that the mass was compatible with a diagnosis of pneumoconiosis.

Beginning in May 2006, several doctors retained by Westmoreland evaluated Cox and his medical records. On May 2, 2006, Dr.

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602 F.3d 276, 602 F. Supp. 3d 276, 2010 U.S. App. LEXIS 7257, 2010 WL 1409418, Counsel Stack Legal Research, https://law.counselstack.com/opinion/westmoreland-coal-co-v-cox-ca4-2010.