United States Court of
Appeals
FOR
THE DISTRICT OF COLUMBIA CIRCUIT
Argued April 9, 2002
Decided June 14, 2002
No. 01-5278
National Mining Association, et
al.,
Appellants
v.
Department of Labor, et al.,
Appellees
Appeal from the United States District Court
for the District of Columbia
(No.
00cv03086)
Mark E.
Solomons argued the cause for appellants.
With
him on the briefs was Laura Metcoff Klaus.
Sushma Soni, Attorney, United States
Department of Jus-
tice, argued the cause for federal appellees. With her on the
brief were Roscoe C.
Howard, Jr., United States Attorney,
and Mark B. Stern, Attorney, United
States Department of
Justice.
Thomas E. Johnson argued the cause
for appellees United
Mine Workers of America. With him on the brief were
Grant Crandall and Judith
Rivlin.
Before: Edwards and Tatel, Circuit Judges, and
Silberman, Senior Circuit Judge.
Opinion for the Court filed Per Curiam.
Per Curiam: This lawsuit challenges regulations issued by
the Secretary
of Labor pursuant to the Black Lung Benefits
Act, as amended, 30 U.S.C.
ss 901-945 (1994) ("BLBA" or
"Act"). The District Court upheld the regulations
against all
challenges. This
appeal followed. For the reasons stated
herein, we affirm in part and reverse in part. The case will
be remanded to the District Court with
instructions to re-
mand the case to the Department of Labor for further
proceedings consistent with this opinion.
I. Background
The BLBA is a federally administered law
providing bene-
fits to coal miners who are totally disabled due to
pneumoco-
niosis, also known as black lung disease, and to the surviving
dependents of miners who died of the disease. Under the
Act, coal mine operators are responsible for
paying benefits
to miners whose death or total disability due to black
lung
disease arose out of employment in the mines. 30 U.S.C.
s 932. Black lung disease encompasses a cruel set
of condi-
tions that afflict a significant percentage of the nation's coal
miners with "severe, and frequently crippling, chronic respi-
ratory
impairment." Usery v. Turner
Elkhorn Mining Co.,
428 U.S. 1, 6 (1976) (citing, inter alia, S. Rep. No.
91-411, at 6
(1969)). It is
caused by the "long-term inhalation of coal
dust." Id.
A rare and serious form of the disease, known as
"complicated
pneumoconiosis," results in pulmonary impair-
ment and respiratory
disability. Id. at 7. It can lead to
cardiac failure and can
contribute to other causes of death.
Id. The purpose of the
BLBA "is to satisfy a specific need
created by the dangerous
conditions under which [coal miners
have] labored--to allocate to the
mine operator[s] an actual,
measurable cost of [their]
business." Id. at 19.
A miner or his survivor may seek
benefits under the Act by
filing a claim with the District Director in
the Department of
Labor's Office of Workers' Compensation Programs
("OWCP"). After investigating the claim, the District
Di-
rector determines whether the claimant is eligible for benefits
and
which employer will be held responsible.
See 20 C.F.R.
ss 725.301-725.423 (2001) (all citations to the Code
of Federal
Regulations will be to the 2001 edition unless otherwise
noted). If the employer cannot be
identified, the claim is paid
out of the Black Lung Disability Trust Fund
("the Fund"),
which is financed by a tax on coal. See 30 U.S.C. ss 932, 934;
26 U.S.C. ss 4121, 9501(d)(1). Either party may appeal the
District
Director's determination and request a hearing be-
fore an Administrative
Law Judge ("ALJ"). 20 C.F.R.
ss 725.450-725.480. The ALJ's
decision may be appealed to
the Department of Labor's Benefits Review
Board, id.
s 725.481, and then to the Court of Appeals for the circuit in
which the impairment occurred, 33 U.S.C. s 921(c); 20 C.F.R.
s 725.482.
In 1997, the Secretary of Labor
("the Secretary," "the
Department," or "the
government") issued a notice of pro-
posed revisions to the rules
governing the adjudication of
miners' claims under the BLBA. See Regulations Imple-
menting the
Federal Coal Mine Health and Safety Act of
1969, as Amended, 62 Fed. Reg.
3338-435 (proposed Jan. 22,
1997).
The Secretary received approximately 200 comments
and held two
public hearings on the proposed rules.
The
Secretary also consulted the National Institute for
Occupa-
tional Safety and Health ("NIOSH"), the federal agency
charged with researching occupational health. See 29 U.S.C.
s 671.
Congress directed the Secretary to consult with
NIOSH to establish
criteria for medical tests to determine
whether coal miners are totally
disabled. 30 U.S.C. s 902(f).
In 1999, the Secretary issued another
notice, announcing
revisions to certain proposed regulations. See Regulations
Implementing the
Federal Coal Mine Health and Safety Act
of 1969, as Amended, 64 Fed. Reg.
54,966-55,072 (proposed
Oct. 8, 1999).
After receiving more comments and testimony
and consulting NIOSH
and other experts, the Secretary
promulgated the final rule, which would go into effect on
January 19,
2001. See Regulations Implementing the
Federal
Coal Mine Health and Safety Act of 1969, as Amended, 65
Fed.
Reg. 79,920-80,107 (Dec. 20, 2000).
The appellants in this case include mine operators, insur-
ance
companies, and the National Mining Association (collec-
tively
"NMA"). The BLBA requires
coal mine operators to
purchase insurance to cover their liabilities
under the Act.
See 30 U.S.C. s
933 (governing employers' insurance ar-
rangements); 20 C.F.R. Part 726 (entitled "Black
Lung Bene-
fits; Requirements for
Coal Mine Operator's Insurance").
The Secretary of Labor anticipates that the new rules will
impose
costs on mine operators in the form of higher insur-
ance premiums. See 65 Fed. Reg. at 80,030. The Secretary's
initial analysis
indicated that, in the long term, the new rules
would cause operators'
insurance premiums to go up by about
39.3%, resulting in total annual
costs to the industry of
approximately $57.56 million. Id.
The Secretary's analysis
also suggested that the overall approval
rate for claims
against responsible coal mine operators would increase
from
7.33% to no more than 12.18%.
Id. at 80,036. It is not clear
how much of this anticipated increase is attributable to an
anticipated
increase in approval of claims that are already
pending, and how much is
attributable to claims that have not
yet been filed.
Almost immediately after the final
regulations were an-
nounced, appellants sought declaratory and injunctive
relief
in the United States District Court for the District of
Colum-
bia. See Am. Compl. p 1,
reprinted in Joint Appendix
("J.A.") 1. They challenged many of the rules as
impermissi-
bly retroactive. See
id. pp 19-23. They alleged that many of
the rules violated the BLBA or applicable provisions of the
Longshore
and Harbor Workers Compensation Act
("LHWCA" or "Longshore
Act"), 33 U.S.C. ss 901-950, many
provisions of which are
incorporated by reference into the
BLBA by 30 U.S.C. s 932(a). See Am. Compl. pp 24-26.
They alleged that some of the rules
impermissibly shifted the
burden of proof. See id .pp 27-32. They
alleged that certain
rules ran afoul of the right to a full and fair
hearing, treated
parties unequally, or were arbitrary, capricious, and an abuse
of
discretion in contravention of the Administrative Procedure
Act
("APA"). See id. pp
33-43. Finally, they alleged that the
rulemaking procedure was inadequate and that the rules
violated the
due process guarantee of the Constitution.
Id.
pp 44-52. The United
Mine Workers of America and other
black lung advocates, including miners,
intervened on behalf
of the Secretary.
The District Court granted the NMA
limited injunctive
relief, but ultimately granted the Secretary's motion
for sum-
mary judgment, upholding the regulations in every respect.
Nat'l Mining Ass'n v. Chao, 160 F.
Supp. 2d 47 (D.D.C. 2001)
(Mem. Op.) [hereinafter "NMA"]. Rejecting the Secretary's
argument
that the District Court lacked jurisdiction, the
court first found that
it had jurisdiction pursuant to 28 U.S.C.
s 1331, because NMA challenged
a rulemaking, rather than
an "order," of DOL. Id. at 54-56. Black lung benefits
determinations ("orders") may
be challenged only in the
Court of Appeals. 33 U.S.C. s 921(c), (e).
The District Court next addressed NMA's claim that many
of
the rules were impermissibly retroactive, in part because
they applied to
pending claims as well as claims filed after the
effective date of the regulations. See NMA, 160 F. Supp. 2d
at 65. The court agreed with all parties that the
Secretary
was not authorized to promulgate retroactive regulations, but
found that the challenged regulations were not retroactive,
because
some apply only to newly filed claims, while the
remainder "simply
clarify legal principles that were already
in effect and [did] not change
the substantive standards of
entitlement." Id. Finally, the District
Court upheld the
regulations against the various substantive challenges. Id. at
69-90. Appellants now seek review of the District
Court's
determinations.
II. Discussion
A. Jurisdiction
The government challenged the District
Court's jurisdiction
to hear appellants' broad-scale attack on the
Department's
regulations and reiterates that argument before us. It is the
government's contention that the mining companies
may only
challenge the regulations piecemeal, insofar as particular
provisions are brought into question, by an appeal directly to
the
Court of Appeals from a compensation order of the
Benefits Review
Board. That is so, according to the
govern-
ment, because the BLBA provides that a person "adversely
affected or aggrieved by a final order of the Board may
obtain
review of that order in the United States court of
appeals for the
circuit in which the injury occurred ..."
33
U.S.C. s 921(c) (emphasis added).
The obvious difficulty with the
government's position is
that this provision putting exclusive review
jurisdiction in the
Court of Appeals speaks of orders, but Congress in
passing
the APA drew a distinction between orders, which typically
follow
adjudications, and regulations. See
National Treasury
Employees Union v. Weise, 100 F.3d 157, 160 (D.C. Cir.
1996)
(explaining that courts and Congress use the terms
"regula-
tion" and "rule" interchangeably); compare 5 U.S.C. s 551(4)
(defining
"rule") with id. s 551(6) (defining "order"). Indeed,
the BLBA itself indicates that
Congress was using order in
the same sense it used the term in the
APA. The other
provision the
government points to, 33 U.S.C. s 921(e), states
that "proceedings
for suspending, setting aside, or enforcing a
compensation order, whether
rejecting a claim or making an
award, shall not be instituted otherwise
than as provided
above" (referring to s 921(c) (emphasis
added)). That lan-
guage makes
rather clear that in s 921(c) Congress used the
term "order" to
refer to an adjudicatory compensation order,
not the promulgation of a
regulation, and therefore the
preclusion of review other than by s 921(c)
would seem not to
apply to review of a regulation. Since Congress was silent on
how
review of regulations was to be accomplished, it would
appear accordingly
that persons seeking such review would
be directed by the APA to go to
district court. See Work-
place
Health & Safety Council v. Reich, 56 F.3d 1465, 1467
(D.C. Cir.
1995).
In that regard,
the Supreme Court's decision in McNary v.
Haitian Refugee Center, Inc.,
498 U.S. 479 (1991), instructs
us to read very carefully legislative restrictions on district
court
review of generic challenges to agency action.
In the
Immigration Reform and Control Act of 1986, Congress
pro-
vided that there would be "no administrative or judicial
review
of a determination respecting an application for ad-
justment of
status" except in accordance with that subsection,
which eventually
provided for judicial review in the Court of
Appeals. 8 U.S.C. s 1160(e). The Court held that s 210(e)
of the
Reform Act did not deprive a district court of subject
matter
jurisdiction of "general collateral challenges to uncon-
stitutional
practices and policies used by the agency in pro-
cessing
applications." McNary, 498 U.S. at
492.
The Court read the
phrase "determination respecting an
application for adjustment of
status" to refer only to an
individual adjudication - not a
determination made in a
regulation.
In our case, the word order is more obviously
confined to an adjudication
than the word determination, so
therefore this case, linguistically,
appears a fortiori to
McNary.1 To
be sure, the Court also observed that plaintiffs'
challenge to the
procedures would not easily be remedied by
individual appeals to the Court
of Appeals, a notion we return
to below.
Id. at 496.
The
government points to another Supreme Court case,
Thunder Basin Coal
Company v. Reich, 510 U.S. 200 (1994),
holding that the Federal Mine
Safety and Health Act preclud-
ed district court jurisdiction over a
pre-enforcement challenge
to several Department of Labor
regulations. In that case, a
__________
1 The Second Circuit has also recognized
that the term "order"
carries a limited meaning. In Merritt v. Shuttle, Inc., 187 F.3d 263
(2d Cir. 1999) (Merritt I), that court held that Merritt could not
bring
a Bivens claim challenging an FAA order suspending his
pilot's
certificate because 49 U.S.C. s 46110(a) vested review of an
FAA
"order" in the Court of Appeals and his Bivens claim chal-
lenged
the merits of the administrative adjudication.
By contrast,
in Merritt v. Shuttle, Inc., 245 F.3d 182, 188 (2d
Cir. 2001) (Merritt
II), the Second Circuit clarified that s 46110(a),
which referred only
to an FAA order, did not preclude district court
jurisdiction over
Merritt's FTCA claim, which did not claim that he was
either
injured or aggrieved by the order suspending his license.
mine operator refused to post the names of two United Mine
Workers of
America employees - not employees of the mine
operator - who had been
chosen by its employees as their
representatives to "walk
around" with federal inspectors.
The Mine Safety statute authorized the Secretary of Labor to
seek enforcement of the posting in proceedings before the
Federal
Mine Safety and Health Review Commission.
Be-
fore the Secretary could do so, the mine operator, claiming
rights under both the National Labor Relations Act and the
Constitution,
sought an injunction against the Labor Depart-
ment's position that the
mine operator was obliged to post the
names. The Court held that the District Court lacked juris-
diction
over "such" a pre-enforcement challenge in light of the
comprehensive
administrative and judicial review procedures
culminating in the Court of
Appeals. Id. at 208. Although
the statute was silent on
pre-enforcement review, this sort of
case was thought to be implicitly
precluded. The company
had simply
jumped the gun by suing before the Secretary
issued a citation, and the
company's argument that both the
Constitution and the National Labor
Relations Act allowed it
to exclude non-employee representatives could be
meaningful-
ly reviewed in the Court of Appeals. It is important to note
that the case did not involve a
regulation, which is typically
treated differently from an
adjudication. United States v.
Florida
East Coast Ry. Co., 410 U.S. 810, 820-21 (1973).
Indeed, under the Mine Safety Act safety standards are
issued as regulations and are explicitly reviewable in the
Court of
Appeals. 30 U.S.C. s 811(d).2
The government also relies on two circuit court cases,
Compensation
Dep't of Dist. Five v. Marshall, 667 F.2d 336,
340-44 (3d Cir. 1981), and
Louisville & Nashville R.R. v.
Donovan, 713 F.2d 1243, 1245-47 (6th
Cir. 1983), denying pre-
enforcement review under this very statute. The first of
these, upon which the
second relies, involved a request for an
injunction brought by the United
Mine Workers against the
__________
2 The Court did not indicate how it would treat the review of
a
regulation that was not a safety standard. Compare Chamber of
Commerce of the United States v. Dep't
of Labor, 174 F.3d 206
(D.C. Cir. 1999), with id. at 213 (Silberman, J.,
dissenting).
Labor Department to prevent the Secretary from indepen-
dently examining
x-rays presented by those seeking eligibility
for black lung
benefits. The statute obliged the
Secretary to
accept a radiologist's interpretation of an x-ray if certain
requirements were met. The
Secretary's position was that
although his Office of Workers'
Compensation was bound,
neither an ALJ nor the independent Benefits
Review Board
was so bound, and therefore nothing prevented the Secretary
from turning over a competing interpretation to the mine
operator
to be used as rebuttal evidence.
The Third Circuit held that the District Court lacked
jurisdiction
because the "scheme of review" established by
Congress
"for determination of black lung benefits" was
exclusive; it provided administrative review and then
review
in the Court of Appeals.
There was no reason why the
United Mine Workers could not
challenge the Secretary's
enforcement policy in an individual
adjudication before the
Benefits Review Board and, if necessary, in the
Court of
Appeals. The case
therefore bears a strong resemblance to
Thunder Basin; a plaintiff sought to short-circuit the
admin-
istrative process by challenging a Department enforcement
position
in a district court. Compare
Compensation Depart-
ment, 667 F.2d at 340, with Thunder Basin, 510 U.S.
at 216.
The Sixth
Circuit's Louisville & Nashville R.R. case is
somewhat more
problematic. There, fifteen railroads
sought
and gained an injunction in district court preventing the
Secretary
from extending coverage of the BLBA to railroad
employees. The Department of Labor had issued
guidelines
defining the statutory term "transportation of coal"
to include
railroad employees if they were transporting coal between the
extraction site and the tipple and if their work was necessary
to
the extraction process. The Sixth
Circuit reversed, follow-
ing the Third Circuit's analysis in Compensation
Department,
pointing out that any railroad could contest the Secretary's
position before the Benefits Review Board, and if necessary
challenge
an order awarding benefits in the Court of Appeals.
Although the guidelines involved seem a bit more generic
than the enforcement policies implicated in either Thunder
Basin or
Compensation Department, the Secretary had not
issued a formal regulation, as is true in our case, and again as
in
Compensation Department, 667 F.2d at 334, there was no
reason to believe
that a railroad's legal position, if correct,
could not be fully remedied
through review in the Court of
Appeals.
Louisville & Nashville RR, 713 F.2d at 1246-47.3
In the case at bar the Secretary of Labor
has chosen, as
was not true in any of the cases upon which the government
relies, to gain all of the law-declaring attributes of an APA
notice-and-comment
rulemaking. Trans-Pacific Freight
Con-
ference of Japan/Korea v. Federal Maritime Comm'n, 650
F.2d
1235, 1244-45 (D.C. Cir. 1980) (distinguishing notice-
and-comment
rulemaking, which is "prospective in operation
and general in
scope," from adjudications).
Accordingly, the
cases upon which she relies do not really support
her position.
Moreover, the
regulations before us are challenged primarily
on the ground that they
are impermissibly retroactive. To
determine whether that is true it is necessary to analyze
carefully
all of the regulations together as well as the entire
rulemaking process,
which would not be feasible in individual
adjudications dealing with
particular regulatory provisions.
Cf. Kreschollek v. Southern Stevedoring Co., 78 F.3d 868 (3d
Cir. 1996) (holding that 33 U.S.C. s 921 did not deprive a
district
court of jurisdiction over plaintiff's constitutional
claim as to the
lack of a pre-deprivation hearing because the
statutory review process
would be insufficient to provide him
with the full relief to which he
might be entitled). In that
respect,
this case is closer to McNary than Thunder Basin.
As such, the District Court did have jurisdiction over
appel-
lants' challenges, to which we now turn.
B. Retroactivity
Appellants argue that some of the
provisions in the new
regulations are impermissibly retroactive. In particular, ap-
__________
3 The Seventh Circuit, by contrast, has
explained that even "an
order denying or revoking a certificate of
exemption, not being a
compensation order, would not be subject to the
special review
procedure established by 33 U.S.C. s 921." Maxon Marine, Inc. v.
Director, Office
of Workers' Compensation Programs, 39 F.3d 144,
146 (7th Cir.
1994).
pellants cite the following rules: ss
718.104(d), 718.201(a)(2),
718.201(c), 718.204(a), 725.101(a)(6),
725.101(a)(31), 725.204,
725.212(b), 725.213(c), 725.214(d), 725.219(c),
725.219(d),
725.309(d), and 725.701.
We will address each rule in turn.
1. Legal Principles
Governing Retroactivity
The general legal
principles governing retroactivity are
relatively easy to state, although
not as easy to apply. An
agency
may not promulgate retroactive rules absent express
congressional authority. Bowen v. Georgetown Univ. Hosp.,
488
U.S. 204, 208 (1988). A provision
operates retroactively
when it "impair[s] rights a party possessed
when he acted,
increase[s] a party's liability for past conduct, or
impose[s]
new duties with respect to transactions already
completed."
Landgraf v. USI
Film Prods., 511 U.S. 244, 280 (1994).
In
the administrative context, a rule is retroactive if it "
'takes
away or impairs vested rights acquired under existing law, or
creates a new obligation, imposes a new duty, or attaches a
new
disability in respect to transactions or considerations
already past.'
" Nat'l Mining Ass'n v. United
States Dep't of
Interior, 177 F.3d 1, 8 (D.C. Cir. 1999) (quoting Ass'n
of
Accredited Cosmetology Sch. v. Alexander, 979 F.2d 859, 864
(D.C.
Cir. 1992)). The critical question is
whether a chal-
lenged rule establishes an interpretation that
"changes the
legal landscape."
Id. (quoting Health Ins. Ass'n of Am., Inc.
v. Shalala, 23 F.3d
412, 423 (D.C. Cir. 1994)). It is
undisput-
ed here that the Secretary was not authorized to promulgate
retroactive rules governing BLBA benefits determinations.
Hence, the parties dispute only
whether the challenged regu-
lations are retroactive.
The Secretary argues that none of the
rules is retroactive,
even as applied to pending claims, because all are
merely
procedural and do not confer new substantive rights or
liabilities. See Landgraf, 511 U.S. at 275 ("Changes
in proce-
dural rules may often be applied in suits arising before their
enactment without raising concerns about retroactivity."). It
is true that purely procedural
rules often do not operate
retroactively even when applied to
transactions predating
their institution. This is because such rules often regulate
only "secondary rather than primary conduct." Id.
Where a
"procedural" rule changes the legal landscape in
a way that
affects substantive liability determinations, however, it may
operate retroactively. See Martin
v. Hadix, 527 U.S. 343,
359 (1999) (noting that, in Landgraf, the Court
"took pains to
dispel the 'suggest[ion] that concerns about
retroactivity have
no application to procedural rules' ") (quoting
Landgraf, 511
U.S. at 275 n.29).
Rather than rely on "procedural" and "substantive"
labels,
a court must "ask whether the [regulation] operates
retroac-
tively." Id. This inquiry involves a "commonsense,
function-
al judgment about 'whether the new provision attaches new
legal
consequences to events completed before its enact-
ment.' " Id. at 357-58 (quoting Landgraf, 511 U.S. at
270).
Thus, where a rule
"changes the law in a way that adversely
affects [a party's]
prospects for success on the merits of the
claim," it may operate
retroactively even if designated "proce-
dural" by the
Secretary. Ibrahim v. District of
Columbia,
208 F.3d 1032, 1036 (D.C. Cir. 2000).
The Secretary argues, and the District
Court agreed, that
none of the challenged rules changes the landscape,
because
the rules merely clarify the Secretary's position or conform to
cases decided by the Courts of Appeals.
In analyzing each
new regulation, we first look to see whether it
effects a
substantive change from the agency's prior regulation or
practice. If a new regulation is substantively consistent
with
prior regulations or prior agency practices, and has been
accepted
by all Courts of Appeals to consider the issue, then
its application to
pending cases has no retroactive effect.
If a
new regulation is substantively inconsistent with a prior
regulation, prior agency practice, or any Court of Appeals
decision
rejecting a prior regulation or agency practice, it is
retroactive as
applied to pending claims.
Some of the challenged rules here codify the results of a
case in
one circuit while effectively reversing a case in
another circuit in
which the court rejected the Secretary's
practice or policy. Such rules change the legal landscape as
applied to cases that were pending when the regulations were
promulgated. See National Mining, 177
F.3d at 8 (explain-
ing that "[w]here before there was 'a range of
possible
interpretations,' " of the relevant statutes, a rule may
estab-
lish " 'a precise interpretation' " that changes the
legal land-
scape) (citing Health Ins. Ass'n, 23 F.3d at 423-24). It goes
without saying that such rules
change the law for cases
pending in the circuit that previously rejected
the Secretary's
approach. In
those cases, the operators insured against the
filed claims based on the
law in effect at the time the claims
were filed. Less obviously, the regulations preclude the
courts in other circuits from adopting the view of their sister
court
rejecting the Secretary's position, a possibility that was
still
available when the cases were initially filed.
Thus, to the
extent that a new rule reflects a substantive change
from the
position taken by any of the Courts of Appeals and is likely to
increase liability, that rule is impermissibly retroactive as
applied
to pending claims.
2. Application of Legal
Principles to Challenged Rules
We find some of the
challenged rules to be impermissibly
retroactive as applied to claims
that were pending on the
regulations' effective date. None of the new regulations is
retroactive
as to claims filed on or after the effective date.
The distinction between pending and newly filed claims is
one
on which appellants rely in their briefs. See Br. for Appel-
lants at 15 n.6 (stating that the
relevant date for purposes of
retroactivity is the date the claim is
filed, as that is the last
date on which the operators' and insurers'
transactions are
closed and expectations are settled); Reply Br. for Appellants
at 4 (arguing
that the Secretary "fails to explain why key
provisions are expressly
made retroactively applicable to
pending and previously filed
claims," while saying nothing
about claims filed after the effective
date). Moreover, NMA
never
affirmatively argues that the rules should be considered
retroactive as
applied to claims first filed after the effective
date. Nor would the record support such an
argument.
Appellants do
argue that the regulations are retroactive as
applied to newly filed
claims when those claims are "subse-
quent claims." We reject this argument. Under both the
new and old regulations, a miner whose claim is initially
denied may
later file a new claim if he subsequently develops
black lung disease or
can show that another condition of
entitlement has changed. See 20 C.F.R. s 725.309(d). As we
explain in more detail below, a
claimant bringing such a claim
still bears the burden of demonstrating
that he meets all of
the relevant conditions. For this reason, we agree with the
Secretary that such
claims are new claims to which the
application of the new regulations is
permissible.
20 C.F.R. s
718.104(d): The "treating
physician rule" in-
structs the officer adjudicating a miner's claim
to consider the
relationship between the miner and any treating physician
whose report is submitted when determining whether the
miner
suffers from black lung disease and whether he was
totally disabled or
died because of the disease. The
disputed
rule instructs the officer to consider the nature of the
rela-
tionship (a doctor's opinion is entitled to more weight if he
has
treated the miner for pulmonary, as opposed to non-
pulmonary,
conditions), its duration, the frequency of treat-
ment, and the extent of
treatment in weighing the doctor's
opinion along with the other
evidence. 20 C.F.R.
s
718.104(d)(1)-(4). The regulation
provides that in "appro-
priate cases," the doctor-patient
relationship "may constitute
substantial evidence in support of the
adjudication officer's
decision to give that physician's opinion
controlling weight,"
but only when the weight given is based on the
credibility of
that physician's opinion "in light of its reasoning
and docu-
mentation, other relevant evidence and the record as a
whole." Id. s 718.104(d)(5) (emphasis added). It applies
both to pending claims and
claims filed after the regulations'
effective date. See id. ss 718.2, 725.4(a) (setting forth
the
applicability of the regulations in Part 718). The old rule said
nothing about the
relationship between the miner and the
evaluating doctor. See 20 C.F.R. s 718.104 (2000).
We hold that treating physician rule is
not retroactive,
because it codifies judicial precedent and does not work
a
substantive change in the law.
NMA argues that the rule
contravenes a number of court decisions. This argument is
unfounded. The consensus among courts has been that an
agency adjudicator may give weight to the treating physi-
cian's opinion
when doing so makes sense in light of the
evidence and the record, but
may not mechanistically credit
the treating physician solely because of
his relationship with
the claimant.
For example, in Peabody Coal Co. v. McCand-
less, 255 F.3d 465, 469
(7th Cir. 2001), relied upon by NMA,
the Seventh Circuit restated its
disapproval of "any mechani-
cal rule that the views of a treating
physician prevail" (citing
Consolidation Coal Co. v. OWCP, 54 F.3d
434, 438 (7th Cir.
1995)).
Instead, the Seventh Circuit has repeatedly demand-
ed that the
adjudicator explain his or her decision to credit
the treating physician
in terms of "a medical reason," id., or
explain why the opinion
of the treating physician was viewed
to be "better reasoned"
than the opinions of non-treating
physicians, Consolidation Coal Co., 54
F.3d at 438; see also
Amax Coal
Co. v. Beasley, 957 F.2d 324, 327 (7th Cir. 1992)
(holding, in a case
where both doctors agreed that coal
exposure probably had not caused the
miner's death, that an
ALJ may not disregard uncontradicted medical
evidence nor
give more weight to the examining physician "solely
because
that doctor personally treated the claimant") (emphasis in
original). These holdings are
codified in the new
s 718.104(d), which by its terms allows an
adjudicator to give
weight to the treating physician's opinion only when
that
decision is supported by the opinion's "reasoning and
docu-
mentation" in light of the other evidence in the record. 20
C.F.R. s 718.104(d)(5).
The other cases cited by appellants
similarly express the
principles embodied in the new rule. In Sterling Smokeless
Coal Co. v.
Akers, 131 F.3d 438, 441 (4th Cir. 1997), the
Fourth Circuit vacated an
award of benefits where the ALJ
had "mechanistically credited, to
the exclusion of all other
testimony," the opinions of two examining
physicians who had
only treated the miner for a month, despite
allegations that
the two doctors had not independently evaluated the
miner
themselves. The court
acknowledged that the opinions of
treating physicians can be
"deserv[ing of] especial consider-
ation," but rejected any
requirement or presumption that
their opinions automatically be given
greater weight. Id.
(quoting Grizzle v. Pickands Mather & Co., 994 F.2d 1093,
1097 (4th
Cir. 1993)).
Likewise,
the Sixth Circuit recently summarized its law in
Peabody Coal Co. v.
Groves, 277 F.3d 829 (6th Cir. 2002).
Reviewing past cases, the court explained that opinions of
treating
physicians are entitled to greater weight, but should
not
"automatically be presumed to be correct"; rather, "their
opinions should be 'properly credited
and weighed.' " Id. at
834
(quoting Tussey v. Island Creek Coal Co., 982 F.2d 1036,
1042 (6th Cir.
1993)). Adjudicators must "examine
the medi-
cal opinions of treating physicians on their merits and ...
make a reasoned judgment about their credibility." Id.;
accord Griffith v. Director, OWCP, 49 F.3d 184, 186-87 (6th
Cir.
1995) (holding that an ALJ was not required to give
greater weight to the
opinion of the treating physician where
the physician was equivocal as to
the cause of the miner's
disease).
In short, appellants do not cite a single case from any
circuit
in which a Court of Appeals espoused principles at
odds with the new rule
embodied in s 718.104(d). As the
cases
demonstrate, the courts to consider the issue have
adopted the balanced
policy reflected in the new rule. Thus,
the rule does not upset settled expectations, and it is not
retroactive
as applied to pending claims for benefits.
20 C.F.R. s 718.201(a)(2): NMA argues that the new rule
in s
718.201(a), which defines pneumoconiosis, is impermissi-
bly
retroactive. Section 718.201(a) parrots
the statutory defi-
nition of pneumoconiosis, i.e., "a chronic dust
disease of the
lung and its sequelae, including respiratory and pulmonary
impairments, arising out of coal mine employment." See 30
U.S.C. s 902(b). The regulation goes on to define
pneumoco-
niosis as including both medical or "clinical"
pneumoconiosis
and statutory or "legal" pneumoconiosis. 20 C.F.R.
s 718.201(a). Legal pneumoconiosis is defined to include
"any chronic lung disease or impairment ... arising out of
coal
mine employment," including "any chronic restrictive or
obstructive
pulmonary disease arising out of coal mine em-
ployment." Id. s 718.201(a)(2).
NMA challenges as retroactive the
inclusion of restrictive
or obstructive pulmonary disease in the
definition of pneumo-
coniosis. It
argues that most courts require individual min-
ers to prove the causal
relationship between mining and their
obstructive lung disease, and that
the new rule will change
this.
This argument is misplaced. NMA
concedes that the
record supports the premise that obstructive lung
disease
may be caused by mining exposure and can contribute to a
miner's
disability. Br. for Appellants at 17
n.8. The new
rule does no more
than reflect this reality. It does not,
as
appellants suggest, create a presumption that all or even
most
obstructive disease is caused by exposure to coal dust.
The District Court correctly found
that, under both the old
and new regulations, "each miner bear[s]
the burden of
proving that his obstructive lung disease did in fact arise
out
of his coal mine employment."
NMA, 160 F. Supp. 2d at 79
(quoting 65 Fed. Reg. at 79,938)
(emphasis added).
NMA
also alleges that the preamble to the regulations
impermissibly suggests
that an adjudicator may ignore a
medical report if the reporting doctor
concludes that a min-
er's obstructive lung disease was caused by smoking,
rather
than mining. This
objection is entirely meritless. The
regu-
lation's plain text in no way indicates that medical reports will
be excluded if they conclude that a particular miner's obstruc-
tive
disease was caused by smoking, rather than mining.
Indeed, the preamble itself states that the revised
definition
does not alter the requirement that individual miners must
demonstrate that their obstructive lung disease arose out of
their
work in the mines. See 65 Fed. Reg. at
79,938. And
appellants
acknowledge that this regulatory statement is ac-
ceptable. Br. for Appellants at 17 n.8. To the extent that
appellants'
objection is based on anticipated misapplications
of the rule by agency
adjudicators, it is unripe for review.
Appellants may object to applications of the rule only in the
context of concrete cases.
20 C.F.R. s 718.201(c), 725.309(d): Section 718.201(c) states
that pneumoconiosis is
"recognized as a latent and progres-
sive disease which may first
become detectable only after the
cessation of coal mine dust
exposure." Appellants argue that
this regulatory statement is impermissibly retroactive, be-
cause the
question whether pneumoconiosis is latent and
progressive is
unsettled. This contention is based on
a false
reading of the rule.
Appellants acknowledge that at least one rare type of
pneumoconiosis
is both latent and progressive, but argue that
the more common
"simple pneumoconiosis" is not.
Br. for
Appellants at 17.
During oral argument, the Secretary con-
ceded that the most common
forms of pneumoconiosis are not
latent.
Moreover, the Secretary acknowledged that latent
and progressive
pneumoconiosis is rare, occurring in a small
percentage of cases by all
accounts. Tr. of Oral Arg. at
52-55.
Nothing in the disputed
rule says otherwise. The rule simply
prevents operators from claiming that pneumoconiosis is nev-
er
latent and progressive. The medical
literature makes it
clear that pneumoconiosis may be latent and
progressive, and
appellants do not dispute this point.
NMA's concern about the definition of
pneumoconiosis as
latent and progressive is tied to the fact that, under
20 C.F.R.
s 725.309(d), a claimant whose claim was previously denied
may file a subsequent claim. The
subsequent claim will be
denied unless the claimant demonstrates that one
of the
applicable conditions of entitlement has changed since the
claim
was denied. Id. The "applicable condition" must be
one of the conditions on which the claim was denied in the
first
place. Id. s 725.309(d)(2). Thus, a miner who was
originally found
not to suffer from black lung disease may file
again if he develops the
disease subsequently. Any such
claimant,
however, must still prove that he now has pneumo-
coniosis and that his
disease arose out of employment in coal
mines.
On its own, s 725.309(d) is not
retroactive. First, it applies
only
to claims filed after the regulations' effective date and
has no
application to pending subsequent claims.
See id.
s 725.2(c). In any
event, the new regulation, in relevant part,
mirrors the prior s
725.309(d), which provided that a subse-
quent claim will be denied unless
the deputy commissioner
determines that "there has been a material
change in condi-
tions." 20 C.F.R. s 725.309(d)
(2000). Counsel acknowl-
edged at
oral argument that, under the old regulatory regime,
a claimant who had
been denied benefits could reapply when
relevant conditions changed. Tr. of Oral Arg. at 39. The
new rule does not allow anything
more. Because it is not
substantively
new, it does not change the legal landscape.
Nor is s 725.309(d) retroactive in
combination with the rule
recognizing that pneumoconiosis can be latent
and progres-
sive. While
appellants express concern that the regulations
allow claimants to
relitigate old claims under an irrebuttable
presumption that the miners'
pneumoconiosis is progressive,
the rules afford no such presumption. The fundamental
requirement that the
claimant must prove a change in a
relevant condition (such as whether he
developed pneumoco-
niosis after his claim was denied) has not
changed. A miner
will only be
successful in his subsequent claim if he has
actually developed
pneumoconiosis or another relevant condi-
tion of entitlement in the interim.
20 C.F.R. s 718.204(a): The "total disability rule"
provides
that nonpulmonary diseases that "cause[ ] an independent
disability unrelated to the miner's pulmonary or respiratory
disability,
shall not be considered in determining whether a
miner is totally
disabled due to pneumoconiosis."
The con-
tested language does not appear in the prior version of
the
regulation. We find that the
rule is retroactive as applied to
pending cases, because it changes the
legal landscape in a
way that is likely to affect liability
determinations.
NMA
contends that the rule's purpose and effect is to
overrule a Seventh
Circuit decision in Peabody Coal Co. v.
Vigna, 22 F.3d 1388 (7th Cir.
1994). The record supports this
suggestion. See 62 Fed. Reg. at 3344-45 (stating that
the
new regulation "makes clear the Department's disagreement
with
the holding in [Vigna]" and was "designed to ensure that
the
Seventh Circuit's view will not be applied outside that
circuit to cases
arising under part 718"). The
District Court
held that the regulation codified existing law and the
Secre-
tary's prior interpretation.
NMA, 160 F. Supp. 2d at 67-68
(citing many cases and adding a
"But see" citation to Vigna).
In Vigna, a miner who had mined for
forty years suffered a
stroke and became totally disabled. 22 F.3d at 1390. The
miner was also a longtime smoker. Id.
The Seventh Circuit
held, contrary to the ALJ's finding, that the
coal company
successfully rebutted the presumption that the miner's
dis-
ability arose from his coal mine employment. Id. at 1394.
The court found that the evidence left no doubt that the
miner's employment did not contribute to his stroke, which
was the
cause of his total disability. Id. At the time of the
stroke, there was
no evidence that the miner had pneumoco-
niosis. Id.
Under
the new rule, the adjudicator would not be able to
consider a
nonpulmonary condition (such as a stroke) at all in
determining whether
the miner was totally disabled due to
pneumoconiosis. Instead, the adjudicator would have to
de-
termine whether the miner was totally disabled due to pneu-
moconiosis
without considering his unrelated, nonpulmonary
disability. The new regulation thus changes the legal
land-
scape by precluding adjudicators from considering unrelated
medical
disabilities, reversing the rule in the Seventh Circuit,
and precluding
any other circuit from adopting the Seventh
Circuit's
interpretation. It cannot be said to be
merely
"procedural," because it has a direct effect on the
determina-
tion of liability.
In finding the rule to be impermissibly retroactive as
applied
to pending cases, we do not, of course, intend to affect
the law in
circuits that have adopted or might adopt positions
that conform with the
Secretary's interpretation. See, e.g.,
Cross Mountain Coal, Inc. v. Ward, 93 F.3d 211, 217 (6th Cir.
1996)
(holding that "the fact that claimant may, or may not,
also be
disabled by a back injury is not grounds for denying
his claim for
benefits"). Instead, the effect of
our ruling is to
leave the state of the law on this question exactly as
it was
prior to the regulations' promulgation for cases that had
already
been filed when the regulations were promulgated.
20 C.F.R. s 725.701: The rule embodied in s 725.701 cre-
ates
a rebuttable presumption that when a miner who is
eligible for black lung
benefits receives medical treatment for
a pulmonary disorder, the disorder is "caused or aggravated
by the
miner's pneumoconiosis." 20 C.F.R.
s 725.701(e).
The employer may
rebut the presumption with "credible
evidence that the medical
service or supply provided was for
a pulmonary disorder apart from those
previously associated
with the miner's disability" or was beyond the
treatment
necessary to treat the covered disorder, or "was not for a
pulmonary disorder at all."
Id. The regulation codifies the
so-called Doris Coal presumption, named for a Fourth Circuit
case
that adopted the presumption before it was included in
the new
regulations. See Doris Coal Co. v.
Director, OWCP,
938 F.2d 492, 496-97 (4th Cir. 1991) ("Since most
pulmonary
disorders are going to be related or at least aggravated by
the presence of pneumoconiosis, when a miner receives treat-
ment
for a pulmonary disorder, a presumption arises that the
disorder was
caused or at least aggravated by the miner's
pneumoconiosis, making the
employer liable for the medical
costs."). The Fourth Circuit later reaffirmed and clarified
the
presumption, using language that was mirrored in the
new regulation. See Gulf & W. Indus. v. Ling, 176 F.3d
226,
233 (4th Cir. 1999) (holding that the employer can rebut the
presumption
by producing "credible evidence that the treat-
ment rendered is for
a pulmonary disorder apart from those
previously associated with the
miner's disability, or is beyond
that necessary to effectively treat a
covered disorder, or is
not for a pulmonary disorder at all").
NMA argues that the regulation codifying
the judicial
presumption is retroactive as applied to pending cases, and
we agree. The rule is not
reflected in the prior regulation,
even though it may reflect the
Secretary's longstanding poli-
cy.
See Doris Coal, 938 F.2d at 496-97.
Moreover, the rule
contradicts the Sixth Circuit's holding in Glen
Coal Co. v.
Seals, 147 F.3d 502 (6th Cir. 1998). In that case, the court
held that the
Doris Coal presumption is permissible under
the APA, because it only
reallocates the burden of production,
not the burden of proof. Id. at 512-13. Nonetheless, the
court struck down the presumption as
inconsistent with Sixth
Circuit law, in part because it found that the
creation of such
judicial presumptions ran afoul of the BLBA's statutory
goal
of uniformity. Id. at 513-14 (citing
Director, OWCP v. Green-
wich Collieries, 512 U.S. 267 (1994)). The regulation changes
the outcome for
cases that have already been filed in the
Sixth Circuit and any other
circuit that would have rejected
Doris Coal. Our holding is, of course, not intended to affect
the law
in the Fourth Circuit or any other circuit that would
have embraced the
Doris Coal presumption. That judicial
presumption remains the law in the circuits that adopt it.
Our holding simply prevents the
Secretary from imposing the
presumption, in the form of a new regulation,
on all of the
other circuits for cases that were filed before the
regulations
were promulgated.
20 C.F.R. s 725.101(a)(6):
The rule propounded in
s 725.101(a)(6) defines
"benefits" to include any expenses
related to the medical
examination and testing authorized
pursuant to s 725.406, which requires
the Department of
Labor to provide each applicant for benefits with a
pulmonary
evaluation at no expense to the miner. The new
s 725.101(a)(6) conforms the
regulatory definition of "bene-
fits" to s 725.406, both the old
and new versions. The prior
version
of s 725.406(c) already provided that the cost of the
medical examination
would be paid by the Fund and that the
Fund would be reimbursed "by
an operator, if any, found
liable for the payment of benefits to the
claimant." 20 C.F.R.
s
725.406(c) (2000). Likewise, the new s
725.406(e) provides
that the cost of the medical examination will be paid
by the
Fund and that the Fund will be reimbursed "by an operator,
if any, found liable for the payment of benefits to the claim-
ant."
NMA argues that s 725.101(a)(6)
retroactively shifts to the
employer the cost of the medical examination
provided under
s 725.406. NMA
recognizes that the cost always has been
shifted under s 725.406 when an
operator is found liable for
the payment of benefits. Its challenge is based on the
misperception
that the new rule shifts the cost of the medical
examination even when
the miner does not prevail. This is
incorrect. The cost shifts to the
employer only when "bene-
fits" are awarded. When no benefits are awarded, the cost of
the examination presumably will continue to be paid by the
Fund, as set forth in s 725.406.
Appellants have not pointed
to anything in the new definition that
departs from the
system already in place under the old s 725.406(c). Thus, the
new definition changes
nothing and is not impermissibly
retroactive.
20 C.F.R. s 725.101(a)(31): The rule in s 725.101(a)(31)
provides
that "[a] payment funded wholly out of general
revenues shall not be
considered a payment under a workers'
compensation law." This provision is significant because the
benefits payable under the BLBA must be offset by any
amount the
miner receives for his black lung disability under
a state or federal
workers' compensation law. See 30
U.S.C.
s 932(g). NMA agrees that
the new rule reflects prior
agency practice, but argues that it is
nonetheless retroactive
as applied to pending cases because at least one
Court of
Appeals has rejected the agency's practice. We agree.
In Director, OWCP v. Eastern Associated
Coal Corp., 54
F.3d 141 (3d Cir. 1995), the Third Circuit declined to
defer to
the Director of the OWCP's policy of not reducing a miner's
BLBA benefits by the amount that he received from general
revenues
under a state occupational disease compensation act.
The court agreed that the statutory reference to
"workers'
compensation law" was ambiguous. However, the old regula-
tion said
nothing about payments funded out of general
revenues, so the court
declined to exclude workers' compensa-
tion payments funded out of general
revenues. Id. at 147-49;
20 C.F.R. s 725.101(a)(4) (2000). The court suggested that
the Secretary
rewrite the regulations to achieve the agency's
regulatory goal. Id. at 149.
This is exactly what the Secre-
tary did in promulgating 20 C.F.R.
s 725.101(a)(31). It would
be
impermissibly retroactive, however, to apply the new
regulation to claims
that were already pending when the new
regulation took effect. It would also be retroactive to apply
the
regulation to adjust the payments being made on settled
or resolved
claims. Of course, other circuits
remain free to
apply the Secretary's longstanding interpretation of the
prior
regulation to pending claims.
The regulation is not imper-
missibly retroactive as applied to
claims filed after the regula-
tions' effective date.
20 C.F.R. ss 725.204, 725.212(b),
725.213(c), 725.214(d),
725.219(c), (d):
These regulations, as applied to claims other
than those filed
after the regulations' effective date, are
impermissibly retroactive,
because they expand the scope of
coverage by making more dependents and
survivors eligible
for benefits.
For example, the new s 725.204 describes
criteria for determining
whether a claimant qualifies for
augmented benefits as a miner's
spouse. The new version of
the
regulation eliminates a provision in the prior version that
essentially
prevented a miner from having more than one
qualifying spouse for
purposes of augmented benefits.
Com-
pare 20 C.F.R. s 725.204(a)(4) with 20 C.F.R. s 725.204(d)(1)
(2000). Similarly, under the new
20 C.F.R. s 725.212(b) and
s 725.214(d), a miner could have more than one
surviving
spouse if he divorced and remarried during the pertinent
period. Sections 725.209 and 725.219 address the
determina-
tion of the miner's dependent children. Section 725.213(c)
provides that a
surviving spouse or surviving divorced spouse
whose entitlement to
benefits is terminated because she
remarries may thereafter again become
entitled to benefits,
either by divorcing or through the death of her
successor
spouse.
The Secretary recognizes that the new definitions expand
the scope
of liability, but defends the expansion as necessary
to conform to the
1990 amendments to the Social Security
Act, portions of which are
incorporated into the BLBA. See
30
U.S.C. s 902(a)(2), (e) (incorporating various Social Securi-
ty Act
definitions found at 42 U.S.C. s 416).
The District
Court agreed, holding that the revisions "bring
the regula-
tions into conformity with changes made by Congress in 1990
to the" Social Security Act's definitions of "dependent
wife"
and other key terms.
NMA, 160 F. Supp. 2d at 69.
The Secretary's position as to the new provisions'
applica-
tion remains unclear. In
its brief, the Secretary suggests
that the expanded definitions apply to
all BLBA claims filed
after the 1990 amendments to the Social Security
Act. Pre-
sumably, this could even
affect payments made on claims that
were finally adjudicated before the
new regulations were
promulgated.
In a post-hearing chart submitted pursuant to
an order of this court, the Secretary stated that the provi-
sions would
apply to all claims pending on the new regula-
tions' effective date, as
well as to claims filed after that date,
and to all benefit payments made
after that date, including
still-open claims filed on or after, or
pending on, August 18,
1978. See
also 20 C.F.R. s 725.2 (setting forth the applicabil-
ity of the
provisions).
In either
case, we hold that it would be unlawfully retroac-
tive to apply the
definitions to any claims other than those
filed on or after the
regulations' effective date. Before the
effective date, mine operators had no notice of the new
definitions,
for they were never incorporated in the old regu-
lations. The Secretary and intervenors contend that
the
Secretary had changed the functional definitions as early as
1994
to conform with the 1990 Social Security Act amend-
ments, by changing the
Department of Labor's procedural
manual.
Tr. of Oral Arg. at 80-84. There
are two problems
with this argument.
The first is that counsels' citation to the
record does not bear
out the claim. Counsel cited 65 Fed.
Reg. 79,964 in support of the argument that the Secretary
had
already adopted these new definitions as far back as
1994. But the cited page states only that, since
1994, the
Secretary's procedure manual has provided that when a
sur-
viving spouse and a surviving divorced spouse both qualify,
each
is entitled to full benefits. This
citation does not
address the other challenged regulations, such as those
deal-
ing with surviving children and those addressing surviving
spouses
who become ineligible and then become eligible
again. The second problem is that the Secretary's
prior
practice was encapsulated only in a manual, not in a regula-
tion
promulgated pursuant to notice-and-comment rulemak-
ing. There is nothing to indicate that the cited
manual
purported to state substantive rules or that it was generally
known by and available to regulated parties. The Secretary
cannot bind parties to substantive rules of
which they had no
notice.
The Secretary argues that application of the revised defini-
tions
to all claims filed after the 1990 amendment date is
merely a correct
application of the law in effect since that
time. The Secretary relies on Regions
Hospital v. Shalala,
522 U.S. 448, 456 (1998), in which the Court held
that the
government's reaudit rule was not impermissibly retroactive
because it merely called for the correct "application of the
cost-reimbursement
principles in effect" when the costs were
incurred. By contrast, the instant regulations would
actually
change the scope of liability for claims that were filed at a
time when these rules were not in effect. The decision in
Regions Hospital does not support an
argument that the
Secretary may apply newly updated regulations
retroactively
to pending claims that were initiated before the
change.
Claims that have been
resolved or settled, and claims that
were filed after the effective date
of the new rules, are not
affected by this holding.
C. Substantive Challenges
In considering NMA's challenges to the
revised regulations,
we are guided by well-accepted principles of
administrative
law. To the extent
NMA argues that the regulations conflict
with the statute, we begin by
asking whether "Congress has
directly spoken to the precise question
at issue. If the intent
of
Congress is clear, that is the end of the matter; for the
court, as well as the agency, must give effect to
the unambig-
uously expressed intent of Congress." Chevron, U.S.A., Inc.
v. Natural Res.
Def. Council, 467 U.S. 837, 842 (1984).
If,
however, "the statute is silent or ambiguous with respect
to
the specific issue," we defer to the agency's reasonable
con-
struction of that statute.
Id. at 843. As for NMA's
arbitrary
and capricious challenges, we will uphold the regulations as
long as they "conform to certain minimal standards of ration-
ality." Small Refiner Lead Phase-Down Task Force v.
EPA,
705 F.2d 506, 521 (D.C. Cir. 1983) (citation and internal
quotation
marks omitted). Though agencies have a
duty of
reasoned decisionmaking, see Motor Vehicle Mfrs. Ass'n v.
State
Farm Mut. Auto. Ins. Co., 463 U.S. 29, 43 (1983), we
"presume the
validity of agency action," Kisser v. Cisneros,
14 F.3d 615, 618
(D.C. Cir. 1994), and may vacate only if the
regulation is unsupported by
substantial evidence, or if the
agency has made a clear error in
judgment, see Citizens to
Preserve Overton Park v. Volpe, 401 U.S. 402,
415-16 (1971).
We give particular deference to an agency's promulgation of
evidentiary
rules governing its own adjudications;
the agen-
cy's defense of those regulations need only be
"reasonable" so
long as they are not "inconsistent with a
federal statute,"
such as the APA. Chem. Mfrs. Ass'n v. Dep't of
Transp., 105
F.3d 702, 706 (D.C. Cir. 1997). Finally, to the extent NMA
argues that where, as here, we
consider a challenge to a
recently promulgated regulation, "[i]t is
not uncommon ...
that ... the meaning of the disputed provisions does not
appear clearly until the case is before the courts of appeals.
We typically accept the agency's
construction - which often
eliminates or narrows the dispute - because we
recognize the
agency is entitled to deference as to the meaning of its
own
regulation." Nat'l
Mining Ass'n v. Babbitt, 172 F.3d 906, 911
(D.C. Cir. 1999). And in such cases, that construction may be
expressed in the agency's brief or even at oral argument.
With these standards in mind, we consider
each section of
the revised regulations challenged by NMA.
Pneumoconiosis Definition
As revised, s 718.201(a) largely repeats
the pneumoconiosis
definition contained in the regulation's prior version
but
divides that definition into two groups, "clinical" pneumoconi-
osis
("those diseases recognized by the medical community as
pneumoconiosis")
and "legal" pneumoconiosis ("any chronic
lung disease or
impairment ... arising out of coal mine
employment"). Compare 20 C.F.R. s 718.201 (2000) with 20
C.F.R. s 718.201(a) (2001). This
revision merely adopts a
distinction embraced by all six circuits to have
considered the
issue, see, e.g., Ling, 176 F.3d at 231-32; see also 65 Fed.
Reg. at 79,938
(citing six circuit court cases), and, contrary to
NMA's repeated
assertions, neither "expand[s]" nor "rede-
fine[s]"
the meaning of pneumoconiosis beyond its statutory
definition, Br. for
Appellants at 38. Even if the
regulation
could be read to change the definition, the Black Lung
Benefits
Act broadly invests the Secretary with authority not
only to write
regulations defining "total disability," 30 U.S.C.
s 902(f)(1)
- which in turn depends on the definition of
pneumoconiosis - but also to supplement statutory terms "as
[s]he
deems necessary," id. s 932(a).
NMA also argues that another part of the pneumoconiosis
definition,
section 718.201(c), defining pneumoconiosis as a
"latent and
progressive disease which may first become de-
tectable only after the
cessation of coal mine dust exposure,"
lacks support in the
administrative record and is thus arbi-
trary and capricious. In support of this argument, NMA
points
to record evidence indicating that pneumoconiosis is
latent and
progressive in - at most - eight percent of cases.
See P.T. Donnan, et al., Progression of Simple
Pneumoconio-
sis in Ex-Coalminers After Cessation of Exposure to
Coal-
mine Dust iv (Inst. of Occupational Medicine, December
1997). We would thus sustain NMA's challenge to
section
718.201(c) if the regulation said that pneumoconiosis is
"al-
ways" or "typically" a latent and progressive
disease. Al-
though the regulation
could be so read - "pneumoconiosis is
recognized as a latent and
progressive disease" - the remain-
ing language provides that the
disease "may first become
detectable only after the cessation of
coal mine dust expo-
sure."
The Secretary resolved this ambiguity at oral argu-
ment. Asked whether her "position is [that
the] regulation
simply states [pneumoconiosis] can be a progressive and
latent disease," counsel answered "that's correct." Tr. of
Oral Arg. at 54. In light of this narrowing construction, we
conclude that the record evidence of the disease's latency and
progressivity
- which also includes a study (not explicitly
relied on by the government
in its brief) indicating that
pneumoconiosis is latent and progressive as
much as 24% of
the time, see 62 Fed. Reg. 3338, 3344 (Jan. 22, 1997)
(citing
studies) - is sufficient to support section 718.201(c).
Change in Condition Rule
Revised s 725.309(d) governs the circumstances under
which
miners may file a claim after denial of an earlier claim.
The prior regulation allowed such
claims only upon proof of
"a material change in conditions," 20
C.F.R. s 725.309(d)
(2000), while the revised regulation requires
"the claimant [to]
demonstrate[ ] that one of the applicable
conditions of entitle-
ment has changed," 20 C.F.R. s 725.309(d) (2001). NMA's
assertion that the revised rule
is arbitrary and capricious
because it "requires no exacting proof
of materially changed
conditions," Br. for Appellants at 40, and
creates an "irrebutt-
able presumption" that a claimant has
pneumoconiosis, id. at
46, finds no support in the regulation's
language. The re-
vised rule
actually places the burden of proof squarely on the
claimant to prove a
change in condition, stating that "the
claim shall be denied unless
the claimant demonstrates that
one of the applicable conditions of
entitlement ... has
changed."
20 C.F.R. s 725.309(d) (2001).
Nor do we find
convincing NMA's related argument that the revised
regula-
tion "waives res judicata or traditional notions of
finality," Br.
for Appellants at 45, as the Secretary has
interpreted the
regulation to permit new claims based only on the claimant's
current condition and to preclude the admission of any evi-
dence
that existed at the time the previous claim was denied,
see Br. for
Appellees at 31.
Treating Physician Rule
A new rule, s 718.104(d) establishes that in determining
whether a
successful claimant's subsequent treatment for a
pulmonary disorder is
"compensable, the opinion of the min-
er's treating physician may be
entitled to controlling weight."
The rule is not mandatory.
Instead, it permits ALJs to
accord controlling weight to a
treating physician's opinion if
that opinion is "based on the
credibility of the physician's
opinion in light of its reasoning and
documentation, other
relevant evidence and the record as a
whole." 20 C.F.R.
s
718.104(d)(5).
According
to NMA, the revised rule impermissibly shifts
the burden of proof from
claimant to employer. In support of
this argument, NMA relies on Greenwich Collieries, where
the
Supreme Court held that absent specific statutory autho-
rization, agencies
may not informally create rules that sup-
plant the APA's requirement that
"the proponent of a rule or
order has the burden of
proof." 512 U.S. at 269-71
(quoting 5
U.S.C. s 556(d)).
Greenwich Collieries, however, is inappli-
cable here, for neither the
revised regulation's plain language
nor the Secretary's interpretation, see Br. for Appellees at 38,
relieves
claimants of the burden of proving both pneumoconi-
osis and the
credibility of the doctor's opinion.
Indeed, the
Secretary points out that this regulation does not
even "ad-
dress which party bears the burden of proving the
proposition
to which the medical opinion evidence relates." Br. for
Appellees at 38 (citing 65
Fed. Reg. at 79,933-34). Equally
without
merit is NMA's related argument that the treating
physician rule is
invalid because it "treats proof differently"
by unfairly
advantaging claimants' evidence; NMA
even sug-
gests that the rule enables doctors to help claimants obtain
benefits fraudulently by "exaggerating" the extent of
claim-
ants' illnesses. Br. for
Appellants at 34. This argument
assumes
that ALJs will automatically give controlling weight
to treating
physicians' opinions, yet the regulation actually
places limits on their
capacity to do so. See 20 C.F.R.
s
718.104(d)(5) (permitting reliance on treating physician tes-
timony only
where physician's opinion is credible and consis-
tent with record
evidence). The requirement that a
treating
physician's opinion be credible, moreover, largely eliminates
any risk of fraud.
Arguing that the treating physician rule is also arbitrary
and
capricious, NMA claims that "[t]here is no scientific or
medical
reason to conclude that a treating physician has
clearer insight into any
medical question that might arise in a
black lung claim than a pulmonary
specialist or any other
doctor."
Br. for Appellants at 35. In
support of this argu-
ment, NMA cites record evidence suggesting that
"there is a
significant likelihood that a treating physician will
use decep-
tion to assist patients in obtaining third party paid
benefits."
Cmts. of the
Nat'l Mining Ass'n at 44 (1/6/2000), reprinted at
J.A. 2231. Yet the agency considered and rejected this
allegation, convincingly pointing out that the claim could "as
easily be directed toward any party-affiliated physician, or
group
of such physicians, who may benefit by tailoring conclu-
sions to fit the
interests of the party paying for the medical
opinion." 65 Fed. Reg. at 80,024; see also State Farm, 463
U.S. at 51-54
(holding that an agency's duty of reasoned
decisionmaking includes the requirement to explain away
contrary
evidence) and, e.g., id. at 52 ("Rescission of the
[safety
restraint] requirement would not be arbitrary and
capricious merely
because there was no evidence in direct
support of the agency's
conclusion.").
Hastening Death Rule
The Secretary revised s 718.205(c)(5) to state that "pneu-
moconiosis
is a substantially contributing cause of a miner's
death if it hastens
the miner's death." Calling the
rule
arbitrary and capricious, NMA says "there is no science to
support" a hastening death rule in the case of a death caused
by
a non-respiratory condition. Br. for
Appellants at 50.
The regulation,
however, nowhere mandates the conclusion
that pneumoconiosis be regarded
as a hastening cause of
death, but only describes circumstances under
which a has-
tening-cause conclusion may be made. Moreover, it expressly
requires
claimants to prove that pneumoconiosis is the has-
tening cause. The fact that pneumoconiosis may, as NMA
asserts, rarely or never hasten death primarily caused by
other
diseases does not undermine the regulation;
it merely
means that few or no claimants will succeed on the
theory
that black lung disease hastened death from other causes.
In any event, the record contains medical
testimony indi-
cating that "impairment of lung function from
pneumoconiosis
[can] weaken the body's defenses to infections and
increase
susceptibility to other disease processes." 65 Fed. Reg. at
79,950 (discussing
testimony of Dr. Robert Cohen, Chief of
the Division of Pulmonary
Medicine, Cook County (IL) Hospi-
tal).
Although NMA cites two medical studies suggesting
contrary
conclusions, see J.A. 1167, 2468, the Secretary con-
sidered this evidence
and gave plausible reasons for rejecting
it, noting that both studies
focused on the narrower medical
definition of pneumoconiosis rather than
the broader legal
one, and that one of the studies concluded only that hastening
death was rare but "did not rule it out as a medical
possibili-
ty," 65 Fed. Reg. at 79,951. In light of all this, we think it
obvious that the
Secretary has successfully discharged her
duty of reasoned
decisionmaking.
Operator Liability Rules
Section 725.408 establishes a deadline
for coal mine opera-
tors to submit evidence if they disagree with their
designation
as parties potentially liable for a miner's claim, while
s 725.495(c) provides that once an operator has been deter-
mined to
be responsible for a claim, that operator may be
relieved of liability
only if it proves both that it is financially
incapable of assuming
liability and that another operator that
more recently employed the miner
is financially capable of
doing so.
Again relying on Greenwich Collieries, NMA ar-
gues that the
revised rules "relieve the agency of its normal
burden to identify
the correct responsible party" and shift
that burden onto coal mine
operators in violation of the APA's
requirement that proponents of an
order sustain the burden
of proof.
Br. for Appellants at 62. NMA
misreads both
revised regulations.
Section 725.408 shifts the burden of
production, not the burden of
proof; it requires nothing more
than
that operators must submit evidence rebutting an asser-
tion of liability
within a given period of time.
Greenwich
Collieries carefully distinguishes agency regulations
that shift
the burden of proof (prohibited by the APA "except as
otherwise provided by statute," 5 U.S.C. s 556(d)) from regu-
lations
that shift the burden of production (which the APA
does not prohibit, see
512 U.S. at 270-80 (distinguishing
burden of proof from burden of
production)). NMA argues
that s
725.495(c) nevertheless violates Greenwich Collieries
because it
"reliev[es] the agency of its natural burden of
proving the identity
of the correct responsible party."
Br. for
Appellants at 64.
The regulation, however, shifts the burden
of proof only to the
"designated responsible operator," 20
C.F.R. s 725.495(c); i.e., it applies only to the extent that a
claimant has already carried his burden of proving that an
operator
is liable. "In seeking to be
excused from liability,"
the District Court explained, "the
operator becomes the 'pro-
ponent' of a remedial order of the ALJ and,
therefore, the
party to which [the APA] assigns the burden of
proof." Nat'l
Mining Ass'n
v. Sec'y of Labor, No. 00-3086, slip op. at 52
(D.D.C. Aug. 9,
2001); see also Greenwich Collieries,
512 U.S.
at 278.
NMA argues that s 725.495(c) is also arbitrary and capri-
cious
because it rests on the premise that "employers and
carriers are
better situated to identify and prove an alterna-
tive liable
party." Br. for Appellants at
64. As the Secretary
points out,
however, s 725.495(c) is not based on that pre-
sumption. See 65 Fed. Reg. at 80,008-09 (discussing
s 725.495(c) but nowhere mentioning the rationale that mine
operators
and insurance carriers have superior access to
information about miners'
subsequent employment). Al-
though
the Secretary offers little in the way of positive
support for the rule,
s 725.495(c) - an evidentiary rule - need
only be "reasonable"
and not "inconsistent with a federal
statute" to survive
review. Chem. Mfrs. Ass'n, 105 F.3d at
706. Where, as here, the
Secretary affords a mine operator
liable for a claimant's black lung
disease the opportunity to
shift liability to another party, it is hardly
irrational to
require the operator to bear the burden of proving that the
other party is in fact liable.
Medical Benefits Rule
The Secretary's revision of s 725.201(e) creates a
presump-
tion that any pulmonary disorder for which a miner receives
treatment after successfully filing a BLBA claim is caused by
that
miner's pneumoconiosis. The new
regulation allows the
operator to rebut this presumption with credible
evidence
that the disorder was not pulmonary, the disorder was
unre-
lated to the miner's pneumoconiosis, or the treatment the
miner
received was unnecessary.
Claiming that the medical benefits rule "shifts the burden
to
the employer to disprove medical coverage," Br. for Appel-
lants at
52, NMA argues it too runs afoul of Greenwich
Colleries. Although the regulation could be so read,
the
Secretary explains that it shifts only the burden of produc-
tion
to operators to produce evidence that the treated disease
was unrelated
to the miner's pneumoconiosis; the
ultimate
burden of proof remains on claimants at all times. See 65
Fed. Reg. at 80,022 (explaining
that "invocation" of the pre-
sumption "shifts only the
burden of production, not persua-
sion"); see also Ling, 176 F.3d at 233-34 (holding that an
identical "presumption merely reallocates the burden of pro-
duction,
and does not affect the burden of proof"); Seals, 147
F.3d at 512 (same).
NMA argues that the medical benefits rule
is also arbitrary
and capricious, pointing to a comment claiming that
"[w]hen a
miner receives a medical service or supply for a pulmonary
disorder, it is not reasonable to assume that the disorder is
caused
or aggravated by pneumoconiosis."
Cmts. of Gregory
J. Fino, M.D., and Barbara J. Bahl, Ph.D. at 11
(1/4/2000),
reprinted at J.A. 2439.
Carefully considering this comment,
however, the Secretary
rejected it because the comment
failed to distinguish between medical
pneumoconiosis and the
much broader legal definition of the disease. See 65 Fed.
Reg. at 80,023. As the Secretary points out, there is a
clear
rational relationship between the fact proved (that a miner
suffered
from totally disabling pneumoconiosis in the past)
and the fact presumed
(that the miner's treated pulmonary
disorder is related to that
pneumoconiosis); this suffices for
purposes of our review.
Total Disability Rule
An entirely new provision, s 718.204(a) states that "any
nonpulmonary
or nonrespiratory condition or disease, which
causes an independent
disability unrelated to the miner's
pulmonary or respiratory disability,
shall not be considered"
in determining a miner's total disability
under the BLBA.
According to NMA,
the rule runs counter to the proposition
that parties may submit all
relevant evidence in support of
their position. See 30 U.S.C. s 923(b).
This argument,
however, ignores the BLBA's clear grant of
authority to the
Secretary to establish the medical criteria for adequate
proof
of "total disability."
Id. s 902(f)(1)(D). And contrary
to
NMA's claim that "DOL's rule excludes relevant evidence for
no good reason," Br. for Appellants at 48, we see an obvious
rational
basis for the rule: the statute only
pertains to
whether a miner is disabled "due to
pneumoconiosis," and
evidence of nonpulmonary conditions has no
relevance to that
inquiry.
Indeed, three circuits have adopted just this reading
of the
Act. See 65 Fed. Reg. at 79,947 (citing
cases from
Sixth, Seventh, and Tenth Circuits).
But see Vigna, 22 F.3d
at 1394-95.
Challenging the total disability rule as
arbitrary and capri-
cious, NMA claims that the regulation "is
supported only by
an intent to reverse" the Seventh Circuit's
decision in Pea-
body Coal v. Vigna, which held that a miner totally
disabled
due to a nonpulmonary ailment could not be compensated
under
the Black Lung Benefits Act. See
id. NMA's asser-
tion regarding
intent is irrelevant: no authority
supports the
proposition that a rule is arbitrary and capricious merely
because it abrogates a circuit court decision. Quite to the
contrary, "regulations promulgated to
clarify disputed inter-
pretations of a regulation are to be
encouraged. Tidying-up a
conflict
in the circuits with a clarifying regulation permits a
nationally uniform
rule without the need for the Supreme
Court to essay the meaning of every
debatable regulation."
Pope
v. Shalala, 998 F.2d 473, 486 (7th Cir. 1999) (citation
and internal
quotation marks omitted).
NMA also claims that the total disability rule "is contrary
to
all of the medical testimony," Br. for Appellants at 49, but
points
only to record evidence generally indicating that evi-
dentiary
restrictions are "inconsistent with good medical
practice,"
Cmts. of Drs. Fino and Bahl at 4, reprinted in J.A.
2432, evidence far
too vague to supply any basis for conclud-
ing that the total disability
rule is arbitrary and capricious.
The revised regulation has a rational basis and is consistent
with the APA; that is
enough.
Evidence
Limitation Rules
NMA
next argues that nothing in the APA authorizes the
revised regulations
(ss 725.310(b), 725.414, 725.456,
725.457(d), and 725.458) setting limits
on the amount and
timing of evidence admissible in benefits
determinations, be-
cause that statute "authorizes each party to
submit whatever
evidence that party thinks is needed to prove its case or
defense." Br. for Appellants
at 56. NMA's theory - that the
APA
permits introduction of unlimited amounts of evidence -
is flatly
contradicted by the statute itself, which empowers
agencies to
"exclu[de] ... irrelevant, immaterial, or unduly
repetitious evidence" as "a matter of policy," 5 U.S.C.
s
556(d), as well as the Black Lung Benefits Act, which
authorizes the
Secretary to issue regulations "provid[ing] for
the nature and
extent of the proofs and evidence and the
method of taking and furnishing
the same in order to estab-
lish the rights to benefits," 30 U.S.C. s
923(b) (incorporating
42 U.S.C. s 405(a)). Nor do the revised rules set inflexible
limits, as NMA
claims. On the contrary, the rules give
ALJs
discretion to hear additional evidence for "good cause,"
20
C.F.R. s 725.456(b)(1).
NMA claims that the evidence-limiting rules are also
arbi-
trary and capricious because they are unsupported by medical
evidence. NMA bases this claim on a commenter's
argument
that "it is unreasonable to artificially limit" the
amount of
evidence heard in benefits determinations. Cmts. of Drs.
Fino and Bahl at 4,
reprinted in J.A. 2432. Other record
evidence, however, indicates that the new evidentiary limits
are
not at all "artificial[ ]," but - as the Secretary explained -
will
enable ALJs to focus their attention "on the quality of the
medical
evidence in the record before [them]."
64 Fed. Reg.
at 54,994.
The record also makes clear the need for evidence
limitations; in their absence, lawyers often waste ALJs'
time
and resources with excessive evidence - in one case, a mine
operator's
lawyer submitted eighty-nine separate X-ray re-
readings from fourteen
different experts. Cmts. of Robert
Cohen at 71 (6/19/1997), reprinted in J.A. 1381. At oral
argument, moreover, NMA
conceded that ALJs have always
had discretion to exclude evidence in
precisely the manner
outlined by the new evidence-limiting rules; it would be
strange indeed to conclude
that the Secretary acted arbitrari-
ly and capriciously by codifying
evidentiary limits that ALJs
have always had the discretion to
impose.
Dependency
Rules
The Black Lung
Benefits Act incorporates the Social Secu-
rity Act's definition of
"dependent." See 30 U.S.C. s
902(a)
(incorporating the Social Security Act's definition of
"depen-
dents"). These
regulations (ss 725.204, 725.213(c), 725.214,
725.219(d)) broaden the
definition of "dependent" to track
more closely recent revisions of the incorporated Social Secu-
rity Act
provisions. Like the District Court,
though, we
decline to consider this claim, because NMA failed to raise it
during the notice-and-comment period.
See, e.g., Nat'l Wild-
life Fed'n v. EPA, 286 F.3d 554, 562 (D.C.
Cir. 2002) ("It is
well established that issues not raised in
comments before the
agency are waived and this Court will not consider
them.").
NMA points out that
it argued before the agency that "Con-
gress did not intend to treat
the black lung program as a
social safety net," Br. for Appellants
at 69, but this general
claim falls well short of providing the agency
with the re-
quired "adequate notice" of NMA's specific
claim. Nat'l
Recycling Coalition,
Inc. v. Reilly, 884 F.2d 1431, 1437 (D.C.
Cir. 1989). Contrary to NMA's argument, moreover, this
notice requirement is not undermined by Darby v. Cisneros,
509 U.S.
137 (1993), and Sims v. Apfel, 530 U.S. 103 (2000).
As we recently noted, Darby "addresses exhaustion of
reme-
dies, not waiver of claims, and is thus wholly inapposite" to
the latter issue. Nat'l Wildlife
Fed'n, 286 F.3d at 562. Sims
is
equally inapplicable, for it addresses issue exhaustion, not
issue
waiver.
Attorney's Fee
Rule
Section 725.366(b)
provides that in calculating attorney's
fees that are shifted from
claimant to mine operator, the ALJ
"shall take into account" a
number of factors, including "the
quality of the representation, the
qualifications of the repre-
sentative, [and] the complexity of the legal
issues involved."
In
Burlington v. Dague, the Supreme Court held that shifted
attorney's fees
must be calculated according to the "lodestar
method," which
requires that such fees be determined by
multiplying reasonable time
spent by the attorney's hourly
fee.
See 505 U.S. 557, 562 (1992).
Although the revised
regulation requires consideration of no
factors not already
included in the lodestar analysis, NMA argues that
the rule
will require ALJs to consider some factors more than once,
resulting in prohibited "double counting." Br. for Appellants
at 67; see Pennsylvania v. Delaware Valley City
Council, 483
U.S. 711, 726 (1987).
Not only does nothing in the revised
regulation require such
double counting, but the Secretary
interprets the regulation to mean that "the factors identified
in s
725.366(b) do not supplant the 'lodestar' method of
calculating
reasonable fees, or enhance the lodestar fee once
it is
calculated." Br. for Appellees at
54.
Cost and Expense
Rules
Section
725.101(a)(6) (the cost rule) expands the definition
of BLBA
"benefits" to include "any expenses related to the
medical
authorization." As a result,
employers now bear the
costs of successful claimants' medical
examinations. Section
725.459
(the expense rule) empowers ALJs in their discretion
to shift costs
incurred by claimants' production of witnesses
to an employer, regardless
of which party prevails.
NMA rests its challenge to these regulations on the twin
premises
that parties presumptively bear the costs of their
own litigation
expenditures and that such costs may only be
shifted to the losing party
pursuant to "specific statutory
authorization." See W. Va. Univ. Hosp. v. Casey, 499 U.S.
83,
97-100 (1991). The cost rule,
however, finds just such "specif-
ic statutory authorization" in
the Black Lung Benefits Act's
express authorization to "[t]he
Secretary ... to charge the
cost of examination ... to the
employer." 33 U.S.C. s
907(e).
In support of
the expense rule, the Secretary first cites 33
U.S.C. s 928(d), which
permits her to shift attorney's fees.
But that section of the Act authorizes fee-shifting only when
the claimant prevails, while the expense rule authorizes such
shifting
for both successful and unsuccessful claimants. Nor
does 30 U.S.C. s 907(e) provide an adequate source of
author-
ity; that clause only
permits the Secretary to assign costs of
a single pulmonary examination -
not any cost associated with
claimants' witnesses - to the employer. The expense rule
thus lacks the
"specific statutory authorization" for fee-
shifting required by
Casey and is the one regulation that we
find invalid on its face.
III. Conclusion
For the foregoing reasons, we affirm in
part, reverse in
part, and remand to the District Court for further
proceed-
ings consistent with this opinion.