David Stanley Consultants v. Director Office of Workers Com ( 2020 )


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  •                                                                   NOT PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    _____________
    No. 18-3406
    _____________
    DAVID STANLEY CONSULTANTS,
    Petitioner
    v.
    DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS, UNITED
    STATES DEPARTMENT OF LABOR; THOMAS H. PETERS
    Respondents
    _____________
    ON PETITION FOR REVIEW OF AN ORDER OF THE BENEFITS REVIEW
    BOARD, UNITED STATES DEPARTMENT OF LABOR
    (BRB-1: 17-0553 BLA)
    ______________
    Submitted Under Third Circuit L.A.R. 34.1(a)
    October 24, 2019
    ______________
    Before: GREENAWAY, JR., PORTER and GREENBERG, Circuit Judges.
    (Opinion Filed: January 31, 2020)
    ______________
    OPINION*
    ______________
    GREENAWAY, JR., Circuit Judge.
    This is a petition for review of an award of benefits under the Black Lung Benefits
    *
    This disposition is not an opinion of the full Court and, pursuant to I.O.P. 5.7, does not
    constitute binding precedent.
    Act, 30 U.S.C. § 901 et seq. Claimant Thomas H. Peters was a miner in Pennsylvania for
    more than thirty-three years. He applied for disability benefits on the ground that he is
    totally disabled due to pneumoconiosis. The Administrative Law Judge ultimately
    awarded benefits, and the Benefits Review Board affirmed. Employer David Stanley
    Consultants, as insured by Chartis Casualty Co., filed this petition for review.
    For the foregoing reasons, we will deny the petition.
    I. BACKGROUND
    Claimant Thomas H. Peters (“Peters”) worked as a coal miner in Pennsylvania for
    more than 33 years. On January 31, 2012, Peters applied for disability benefits under the
    Black Lung Benefits Act (the “BLBA”) on the ground that he suffered from totally
    disabling pneumoconiosis that resulted from his coal mine employment. David Stanley
    Consultants (“DSC”) was named as a potentially liable operator1 on January 7, 2013.
    When the district director issued a proposed decision denying benefits, Peters requested a
    formal hearing before an ALJ.
    The Administrative Law Judge issued a pre-hearing order that scheduled a formal
    hearing for June 26, 2015. The ALJ also required the parties to exchange a pre-hearing
    report summarizing the documentary evidence fifty days before the hearing and to share
    the actual documentary evidence at least twenty days before the hearing in accordance
    1
    An “operator” includes “[a]ny owner, lessee, or other person who operates,
    controls, or supervises a coal mine, or any independent contractor performing services or
    construction at such mine” or any other person who employs an individual in connection
    with transportation or construction around a coal mine “to the extent such individual was
    exposed to coal mine dust as a result of such employment” or who paid an individual “in
    exchange for work as a miner.” 20 C.F.R. § 725.491.
    2
    with 20 C.F.R. § 725.456(a)(2). Fifty-six days before the hearing, Peters informed DSC
    that he would submit a medical report from Dr. Robert Cohen, who performed a
    pulmonary evaluation on Peters. He mailed Dr. Cohen’s report to DSC on May 28, 2015.
    DSC received it on June 2, 2015. DSC then filed a request for an extension to conduct
    two pulmonary evaluations of Peters by its own medical experts, Dr. Rosenberg and Dr.
    Broudy. The ALJ denied this motion at the hearing on June 26, 2015, but allowed Drs.
    Rosenberg and Broudy to submit supplemental rebuttal reports addressing Dr. Cohen’s
    report.
    The ALJ awarded Peters benefits on December 1, 2015. DSC then appealed to the
    Department of Labor Benefits Review Board. Among its grounds for appeal was the
    ALJ’s decision to deny the motion for extension. The Board affirmed in part and
    remanded in part. The Board affirmed the ALJ’s decision to deny the motion for an
    extension. It also ordered the ALJ to reassess the opinion of Dr. Rosenberg, who had
    concluded that Peters was not totally disabled, and to make specific findings about the
    exertional requirements of Peters’s employment and determine whether the doctors had
    sufficient understanding of those requirements. The Board also ordered the ALJ to
    determine whether DSC rebutted the presumption of clinical and legal pneumoconiosis
    and whether DSC rebutted the presumption of causation of total disability.
    The ALJ issued a second order awarding benefits on June 8, 2017. DSC again
    appealed to the Benefits Review Board. On July 9, 2018 (after the parties filed their
    briefs before the Board, but before the Board issued its decision) DSC filed a motion for
    remand on the ground that Department of Labor ALJs are officers subject to the
    3
    Appointments Clause, and that the ALJ was not properly appointed.2 The Board affirmed
    the award on August 30, 2018. It denied DSC’s motion to remand because DSC did not
    raise the claim in its opening brief.
    This timely petition for review followed.
    II. JURISDICTION AND STANDARD OF REVIEW
    We have jurisdiction under 33 U.S.C. § 921(c), as incorporated by § 422(a) of the
    Black Lung Benefits Act, 30 U.S.C. § 932(a).
    “We review the decisions of the Board for errors of law and to assure that it has
    adhered to its own standard of review. . . . Our review of the Board’s legal determinations
    is plenary.” BethEnergy Mines Inc. v. Dir., Office of Workers’ Comp. Programs, U.S.
    Dep’t of Labor, 
    39 F.3d 458
    , 462–63 (3d Cir. 1994). “[W]e independently review the
    record and decide whether the ALJ’s findings are supported by substantial evidence.
    Substantial evidence has been defined as more than a mere scintilla. It means such
    relevant evidence as a reasonable mind might accept as adequate to support a
    conclusion.” Kowalchick v. Dir., Office of Workers’ Comp. Programs, U.S. Dep’t of
    Labor, 
    893 F.2d 615
    , 619–20 (3d Cir. 1990) (internal citations and quotation marks
    omitted). We review the Board’s evidentiary rulings for abuse of discretion. Shamokin
    Filler Co., Inc. v. Fed. Mine Safety & Health Review Comm’n, 
    772 F.3d 330
    , 332 n.2 (3d
    Cir. 2014). We review the Board’s determination that an employer has abandoned a
    2
    It based this argument on the Supreme Court’s decision in Lucia v. S.E.C., 138 S.
    Ct. 2044 (2018).
    4
    claim for abuse of discretion. Kephart v. Dir., Office of Workers’ Comp. Programs, U.S.
    Dep’t of Labor, 
    701 F.2d 22
    , 26 (3d Cir. 1983).
    III. DISCUSSION
    A.      DSC’s Appointments Clause Challenge
    DSC first argues that the award should be vacated and the claim should be
    remanded because the ALJ was not properly appointed under the Appointments Clause.
    The Appointments Clause provides that “officers of the United States” must be appointed
    in certain ways. U.S. Const. art. II, § 2, cl. 2. In Lucia v. S.E.C., 
    138 S. Ct. 2044
    (2018),
    the Supreme Court held that SEC ALJs are “officers” who must be appointed in
    accordance with the Appointments Clause. The Department of Labor agrees that the
    ALJs must be appointed in accordance with the Appointments Clause, but argues that
    DSC forfeited this claim by failing to properly raise it before the Benefits Review Board.
    We agree.
    At issue is whether DSC preserved its Appointments Clause claim before the
    Board. DSC first raised its claim in a motion to remand before the Board. The Board
    decided that the claim was forfeited because DSC did not raise the claim in its opening
    brief: “Because employer first raised its Appointments Clause argument eleven months
    after filing its opening brief in support of its petition for review, employer forfeited the
    issue.” SA 130 (citing, inter alia, Williams v. Humphreys Enters., Inc., 19 BLR 1-111, 1-
    114 (1995) (holding that “the Board generally will not consider new issues raised by the
    petitioner after it has filed its brief identifying the issues to be considered on appeal”)).
    5
    This rule derives from 20 C.F.R. § 802.211(b), which requires that petitions for
    review include a supporting brief that “[s]pecifically states the issues to be considered by
    the Board.” The Board’s decision on DSC’s motion accords with its regular treatment of
    employers’ failure to raise Appointments Clause challenges in their opening briefs,
    including in post-Lucia cases. See, e.g., Tackett v. ICG Knott Cty., LLC & Am. Int’l
    South/Chartis, BRB No. 18-033 BLA, 
    2019 WL 1075364
    , at *1 n.2 (Ben. Rev. Bd.
    2019); Motton v. Huntington Ingalls Indus., 52 Ben. Rev. Bd. Serv. (MB) 69, 69 at n.1,
    
    2018 WL 6303734
    , at *1 n.1 (Ben Rev. Bd. 2018).
    Our sister circuits have repeatedly held, including in post-Lucia cases, that a
    petitioner forfeits an Appointments Clause challenge if it fails to properly raise the
    challenge before the Board. See Island Creek Coal Co. v. Bryan, 
    937 F.3d 738
    , 751 (6th
    Cir. 2019) (holding, in a post-Lucia Black Lung Benefits Act case, that the employer
    failed to exhaust its Appointments Clause challenge where it raised the challenge in a
    motion for reconsideration before the Benefits Review Board and stating that “if the
    Board does not consider a merits issue because a party failed to follow the Board’s
    procedural rules, the party generally has not exhausted that issue for a court’s review”);
    Energy West Mining Co. v. Lyle, 
    929 F.3d 1202
    , 1206 (10th Cir. 2019) (holding, in a
    post-Lucia case, that Energy West forfeited its Appointments Clause challenge by failing
    to raise it before the Benefits Review Board).
    DSC’s arguments to the contrary are unavailing. DSC primarily relies on the
    Sixth Circuit’s opinion in Jones Brothers, Inc. v. Secretary of Labor, 
    898 F.3d 669
    (6th
    Cir. 2018). In Jones Brothers, the Sixth Circuit held that Jones Brothers forfeited its
    6
    Appointments Clause challenge by failing to raise it before the Mine Commission.
    However, the court excused the forfeiture because the absence of legal authority
    addressing whether the Mine Commission could entertain the challenge constituted
    “extraordinary circumstances.” 
    Id. at 677–78.
    There is no such absence of authority
    here. The Board is empowered to hear Appointments Clause challenges, and has done so
    in cases in which such a challenge was properly raised. See, e.g., Miller v. Pine Branch
    Coal Sales, Inc., No. 18-0323 BLA, 
    2018 WL 8269864
    , at *2–3 (Ben. Rev. Bd. Oct. 22,
    2018) (en banc). In keeping with this distinction, the Sixth Circuit has since held that, in
    a Black Lung Benefits Act case, an employer forfeits its Appointments Clause claim
    under 20 C.F.R. § 802.211(b) if it fails to properly raise the claim before the Board. See
    Island Creek 
    Coal, 937 F.3d at 754
    .
    There are no other “extraordinary circumstances” that justify review here. That
    the Supreme Court decided Lucia after DSC filed its opening brief does not constitute
    such a circumstance; the Court explicitly noted that it was not creating new law in Lucia,
    but rather was applying its prior decision in Freytag v. Commissioner, 
    501 U.S. 868
    (1991). See 
    Lucia, 138 S. Ct. at 2053
    (“Freytag says everything necessary to decide this
    case.). Likewise, its holding that “one who makes a timely challenge to the constitutional
    validity of the appointment of an officer who adjudicates his case is entitled to relief” is
    based on its decision in Ryder v. United States, 
    515 U.S. 177
    (1995). 
    Lucia, 138 S. Ct. at 2055
    (citing 
    Ryder, 515 U.S. at 182
    –83) (internal quotation marks omitted). Since DSC
    did not make a timely challenge, we find that DSC has forfeited its Appointments Clause
    claim.
    7
    B.     The ALJ’s Denial of DSC’s Request for an Extension
    DSC also argues that the ALJ abused his discretion in denying DSC’s request for
    an extension to perform additional pulmonary evaluations on Peters. In compliance with
    the ALJ’s scheduling order, fifty days before the hearing Peters notified DSC that he
    would be submitting a medical report by Dr. Cohen. Again in compliance with the
    scheduling order and the applicable regulations, Peters submitted that report twenty days
    before the hearing. See 20 C.F.R. § 725.456(b)(2). At that point, DSC realized that there
    was evidence that Peters was totally disabled and sought an extension so that its two
    medical experts could perform pulmonary evaluations on Peters. The ALJ denied the
    request. The Board affirmed.
    “The Black Lung Benefits Act, its regulations and administrative procedures must
    conform to the due process requirements of the fifth amendment.” N. Am. Coal Co. v.
    Miller, 
    870 F.2d 948
    , 950 (3d Cir. 1989); see also 20 C.F.R. § 725.455(c) (“The conduct
    of the hearing . . . shall afford the parties an opportunity for a fair hearing.”). The APA
    provides that each party “is entitled to present his case or defense by oral or documentary
    evidence, to submit rebuttal evidence, and to conduct such cross-examination as may be
    required for a full and true disclosure of the facts.” 5 U.S.C. § 556(d). Both parties in a
    Black Lung Benefits Act case are permitted to submit two chest x-ray interpretations, the
    results of two pulmonary function tests, the results of two arterial blood gas studies, one
    autopsy report, one report of each biopsy, and two medical reports under 20 C.F.R.
    § 725.414(a). Each party may also submit one physician’s interpretation of the other
    party’s testing. 20 C.F.R. § 725.414(a).
    8
    The ALJ has “discretion to guide the course of the hearing,” which “includes the
    power to make reasonable, nonarbitrary decisions regarding the admission or exclusion of
    evidence for procedural reasons.” Warner-Lambert Co. v. Heckler, 
    787 F.2d 147
    , 162
    (3d Cir. 1986). To obtain relief, DSC must “make a strong showing” that the ALJ abused
    his discretion in making this procedural ruling. 
    Id. (quoting Montgomery
    v. Comm’r of
    Internal Revenue, 
    367 F.2d 917
    , 920 (9th Cir. 1966)) (internal quotation marks omitted).
    Contrary to DSC’s claim, Dr. Cohen’s report did not constitute “trial by ambush.”
    Petitioner’s Br. 49. It is undisputed that Peters submitted his report in compliance with
    the twenty-day deadline. It is also undisputed that DSC had over two years to perform
    pulmonary studies on Peters in advance of the hearing; DSC contends only that it did not
    realize that additional pulmonary studies would be necessary. Critically, the ALJ
    permitted DSC to provide rebuttal evidence in the form of supplemental reports from Drs.
    Broudy and Rosenberg responding to Dr. Cohen’s report and methodology. See N. Am.
    Coal Co. v. 
    Miller, 870 F.2d at 953
    (holding that the ALJ erred when it did not permit the
    employer to submit rebuttal evidence in response to a medical report submitted by the
    claimant).
    We see no abuse of discretion in the ALJ’s decision to deny DSC’s request for an
    extension. DSC failed to timely develop the medical evidence. DSC’s right to due
    process does not mean that the ALJ was obligated to delay the proceedings once DSC
    realized that additional evidence would help its case.
    9
    C.     The ALJ’s Determination That Dr. Rosenberg’s Opinion Was Not Credible
    DSC also argues that the ALJ erroneously determined that Dr. Rosenberg’s
    opinion was not credible. Dr. Rosenberg testified that Peters was not totally disabled
    because, in his opinion, Peters could perform his work in a dust-free environment. The
    ALJ found:
    Doctor Rosenberg’s opinion is similarly entitled to less weight due to his
    apparent lack of understanding of the exertional requirements of Claimant’s
    usual coal mine employment. Doctor Rosenberg’s opinion is further entitled
    to less weight for the foregoing reasons. First, Dr. Rosenberg provided little
    analysis to support his diagnoses and conclusions. He did not discuss why
    the results reinforced his determination that Claimant was not disabled.
    Simply stating that Claimant is not disabled because his pulmonary function
    and blood gas studies are non-qualifying does not constitute a well-
    documented and well-reasoned medical opinion. Second, Dr. Rosenberg
    repeatedly stated that Claimant can perform his last coal mine employment—
    as an underground mine examiner—but only in a dust-free environment. The
    Board has held that, when determining disability, the question is whether the
    miner is able to perform his job, not whether he is able to perform his job
    after he takes medication. This logic would seemingly apply to other caveats
    imposed by reporting physicians, as well, such that a doctor opining that a
    miner can perform his last coal mine employment if he takes medication is
    equivalent to a physician stating that a miner can perform his last coal mine
    employment if he wears a respirator, or if he is in a dust free environment.
    Because Dr. Rosenberg’s opinion is poorly documented, poorly reasoned,
    and includes certain stipulations regarding the conditions under which
    Claimant is or is not disabled, the undersigned accordingly finds that Dr.
    Rosenberg’s opinion does not support the finding that Claimant is able to
    perform his usual coal mine employment and is not totally disabled.
    SA107 (emphasis in original). The Board upheld the ALJ’s evaluation of Dr.
    Rosenberg’s opinion. The Board stated that the ALJ permissibly found that Dr.
    Rosenberg’s opinion was not well-reasoned because: 1) he did not explain why the test
    results reinforced his determination that Peters was not totally disabled; and 2) he
    10
    required a stipulation that Peters work in a dust-free environment and without a respirator
    to do his usual work.
    We have held that “[t]he ALJ has broad discretion to determine the weight
    accorded to each doctor’s opinion” and that the ALJ “may weigh the medical evidence
    and draw its own inferences.” Balsavage v. Dir., Office of Workers’ Comp. Programs,
    U.S. Dep’t of Labor, 
    295 F.3d 390
    , 396 (3d Cir. 2002) (quoting Mancia v. Dir., Office of
    Workers’ Comp. Programs, U.S. Dep’t of Labor, 
    130 F.3d 579
    , 588 (3d Cir. 1997)
    (internal quotation marks omitted). Peters’ usual coal mine employment was as a mine
    examiner, which required him “to rock dust, clean the coal, change the rollers, scale the
    roof, and hang or rehang power lines,” as well as “shoveling coal” and “carrying and
    lifting 50 pound bags of rock dust.” SA102–03. Evidently, Peters’ usual work involved
    significant exposure to dust. DSC has not offered any support in the case law for its
    claim that a coal miner does not satisfy 20 C.F.R. § 718.204(b)(1) if he can perform his
    usual coal mining work in a dust-free environment. The regulation states that a miner is
    totally disabled if, in part, the impairment prevents him “[f]rom performing his or her
    usual coal mine work.” 20 C.F.R. § 718.204(b)(1) (emphasis added). There is no carve
    out for miners who can perform their usual work with medication or other changes in
    their usual work circumstances. Dr. Rosenberg evidently failed to understand the
    requirements of Peters’ usual employment. The ALJ’s decision to give Dr. Rosenberg’s
    opinion less weight is thus rational and supported by substantial evidence.
    11
    D. Whether DSC Rebutted the Presumed Presence of Clinical Pneumoconiosis
    Finally, DSC argues that, even if Peters did establish that he had clinical
    pneumoconiosis, DSC has sufficiently rebutted that presumption. A party opposing
    entitlement under the Black Lung Benefits Act “may rebut the presumption [of total
    disability due to pneumoconiosis] by—(i) Establishing both that the miner does not, or
    did not, have: (A) Legal pneumoconiosis . . . and (B) Clinical pneumoconiosis” or by
    “[e]stablishing that no part of the miner’s respiratory or pulmonary total disability was
    caused by pneumoconiosis.” 20 C.F.R. § 718.305(d)(1).3 Critically, this regulation
    explicitly requires that the employer rebut the presumption by establishing that the
    claimant does not have both legal and clinical pneumoconiosis; if it fails to do so for one
    type, the employer has not rebutted the presumption. A finding of pneumoconiosis may
    be based on chest x-rays, biopsies or autopsies, and medical opinions. 20 C.F.R.
    § 718.202(a).
    In its brief, DSC argues only that the ALJ erred in finding that DSC did not rebut
    the presumption of clinical pneumoconiosis. DSC does not challenge the ALJ’s
    3
    “Clinical pneumoconiosis” is defined as diseases “characterized by permanent
    deposition of substantial amounts of particulate matter in the lungs and the fibrotic
    reaction of the lung tissue to that deposition caused by dust exposure in coal mine
    employment. This definition includes, but is not limited to, coal workers’
    pneumoconiosis, anthracosilicosis, anthracosis, anthrosilicosis, massive pulmonary
    fibrosis, silicosis or silicotuberculosis, arising out of coal mine employment.” 20 C.F.R.
    § 718.201(a)(1). “Legal pneumoconiosis” is defined as “any chronic lung disease or
    impairment and its sequelae arising out of coal mine employment. This definition
    includes, but is not limited to, any chronic restrictive or obstructive pulmonary disease
    arising out of coal mine employment.” 20 C.F.R. § 718.201(a)(2).
    12
    determination that Peters had legal pneumoconiosis. Since both are required under the
    regulation, DSC has not shown that the ALJ erred in deciding that DSC failed to rebut the
    presumption.4
    IV. CONCLUSION
    For the reasons set forth above, we will deny the petition.
    4
    We also note that the ALJ’s determination that DSC failed to establish that Peters
    has clinical pneumoconiosis is supported by substantial evidence. In deciding whether
    DSC rebutted the presumption of clinical pneumoconiosis, the ALJ considered both x-ray
    evidence and medical opinions. The ALJ determined that the x-ray evidence supports
    rebuttal of the presence of pneumoconiosis, but that the medical opinions submitted by
    DSC did not support rebuttal because the opinions were not credible: “Considering all of
    the evidence of record, the undersigned finds that Employer has failed to establish that
    Claimant does not suffer from clinical pneumoconiosis. Even though the undersigned
    found that the radiographic evidence in this case is more persuasive. Therefore,
    Employer has not rebutted the presumption of disability due to pneumoconiosis.”
    SA110. DSC argues that this conclusion was incorrect because the ALJ found that the x-
    ray evidence rebutted the presumption of pneumoconiosis. However, we have held that
    ALJs should consider all of the evidence under 20 C.F.R. § 718.202(a) to determine
    whether the claimant has pneumoconiosis, not one piece of evidence in a vacuum. Penn
    Allegheny Coal Co. v. Williams, 
    114 F.3d 22
    , 24–25 (3d Cir. 1997). The ALJ correctly
    weighed all of the evidence in determining whether DSC established that Peters does not
    have clinical pneumoconiosis.
    13