Filed: Mar. 23, 2015
Latest Update: Mar. 02, 2020
Summary: NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT _ No. 14-3340 _ BUD DAVIS TRUCKING; AMERICAN MINING INSURANCE CO., Petitioners v. DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR; MARGARET PHIPPS, on behalf of John Phipps, Respondents On Petition for Review of a Decision and Order of the Benefits Review Board, United States Department of Labor BRB No. 1: 13-0361 _ Submitted Pursuant to Third Circuit LAR 34.1(a) March 20, 2015 Before: SMI
Summary: NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT _ No. 14-3340 _ BUD DAVIS TRUCKING; AMERICAN MINING INSURANCE CO., Petitioners v. DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR; MARGARET PHIPPS, on behalf of John Phipps, Respondents On Petition for Review of a Decision and Order of the Benefits Review Board, United States Department of Labor BRB No. 1: 13-0361 _ Submitted Pursuant to Third Circuit LAR 34.1(a) March 20, 2015 Before: SMIT..
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NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
_______________
No. 14-3340
________________
BUD DAVIS TRUCKING;
AMERICAN MINING INSURANCE CO.,
Petitioners
v.
DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS,
UNITED STATES DEPARTMENT OF LABOR;
MARGARET PHIPPS, on behalf of John Phipps,
Respondents
On Petition for Review of a Decision and Order
of the Benefits Review Board, United States Department of Labor
BRB No. 1: 13-0361
_____________
Submitted Pursuant to Third Circuit LAR 34.1(a)
March 20, 2015
Before: SMITH, JORDAN, SLOVITER, Circuit Judges.
(Opinion filed: March 23, 2015)
___________________
OPINION
___________________
This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7 does not
constitute binding precedent.
SLOVITER, Circuit Judge.
Bud Davis Trucking (“Bud Davis”) and its insurance carrier, American Mining
Insurance Company (collectively “Petitioners”) petition this court to review the decision
of the United States Department of Labor Benefits Review Board (“the BRB”), which
affirmed an award of disability benefits under the Black Lung Benefits Act (“the Act”),
30 U.S.C. §§ 901–944, to the wife of deceased coal miner John Phipps (“Phipps”). For
the reasons that follow, we will deny the petition for review. 1
I.
On May 1, 2009, Phipps filed his second application for benefits under the Act
claiming that, as a result of coal dust inhalation during his thirty-six-year career as a coal
miner and a coal-hauling truck driver, he suffered a total disability caused by coal
workers’ pneumoconiosis—commonly known as black lung disease. Phipps, who
smoked cigarettes for several years and pipe tobacco for more than half of his life, died a
year after he filed his benefits claim. His wife, Margaret Phipps (“claimant”), continued
the action on her husband’s behalf. On February 14, 2011, the U.S. Department of Labor
issued a proposed decision awarding benefits. Phipps’ former employer, Bud Davis,
requested a hearing to challenge the proposed order. The hearing took place on June 13,
2012.
1
The parties agree that this court has jurisdiction to review a final order of the
BRB pursuant to 33 U.S.C. § 921(c), as incorporated by 30 U.S.C. § 932(a). See Helen
Mining Co. v. Dir., Office of Workers’ Comp. Programs,
650 F.3d 248, 251 n.4 (3d Cir.
2011).
2
On April 8, 2013, the Administrative Law Judge (“ALJ”) found, in a thorough,
well-reasoned opinion, that claimant was entitled to benefits under the Act. On May 21,
2014, the BRB affirmed the ALJ’s Decision and Order Granting Benefits. On July 18,
2014, Petitioners filed a timely petition for review of the BRB’s decision affirming
claimant’s award of benefits.
II.
We “review the entire record to determine if the ALJ’s factual findings are
rational, consistent with applicable law, and supported by substantial evidence on the
record considered as a whole.” Soubik v. Dir., Office of Workers’ Comp. Programs,
366
F.3d 226, 233 (3d Cir. 2004). Substantial evidence is “such relevant evidence as a
reasonable mind might accept as adequate to support a conclusion.”
Id. “If substantial
evidence exists, we must affirm the ALJ’s interpretation of the evidence even if we
‘might have interpreted the evidence differently in the first instance.’” Balsavage v. Dir.,
Office of Workers’ Comp. Programs,
295 F.3d 390, 395 (3d Cir. 2002) (quoting Old Ben
Coal Co. v. Battram,
7 F.3d 1273, 1278 (7th Cir. 1993)); see also Westmoreland Coal
Co. v. Cochran,
718 F.3d 319, 322 (4th Cir. 2013) (observing that circuit courts “are not
at liberty to substitute [their] judgment[s] for that of the ALJ but rather must defer to the
ALJ’s evaluation of the proper weight to accord the evidence, including conflicting
medical opinions” (internal quotation marks and citation omitted)). While we defer to
the ALJ’s factual determinations, “[w]e exercise plenary review over the ALJ’s legal
conclusions adopted by the BRB.”
Soubik, 366 F.3d at 233.
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III.
The ALJ concluded, after a systematic examination of the medical evidence and
after weighing the credibility and credentials of the various physicians who opined on
and interpreted Phipps’ medical records, that claimant was entitled to black lung benefits.
See 20 C.F.R. §§ 718.202–718.205 (articulating the eligibility requirements to receive
black lung benefits). One of the requirements for the receipt of benefits is that the miner
suffer from pneumoconiosis.2
Id. §§ 718.204–718.205. The ALJ determined that
claimant was entitled to a statutory presumption of pneumoconiosis-induced total
disability and that Bud Davis failed to rebut the presumption “by establishing that (A)
such miner does not, or did not, have pneumoconiosis, or that (B) his respiratory or
pulmonary impairment did not arise out of, or in connection with, employment in a coal
mine.” 30 U.S.C. § 921(c)(4). In reaching this conclusion the ALJ discussed in great
detail the plethora of medical evidence relating to Phipps’ claim. Because Bud Davis
failed to rebut the presumption of total disability, the ALJ awarded claimant the requested
benefits.
IV.
In seeking a petition for review, Petitioners recount the vast amount of the often
conflicting medical evidence that was presented to the ALJ. This includes many x-rays
and imaging studies of Phipps’ chest that were taken over the course of more than a
2
The regulations state that “‘Clinical pneumoconiosis’ consists of those diseases
recognized by the medical community as pneumoconioses, i.e., the conditions
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.” 20 C.F.R. § 718.201(a)(1).
4
decade, arterial blood gas studies, pulmonary function tests, and numerous treatment
records and medical opinion reports. Petitioners argue that the ALJ conducted an
incomplete review of the myriad medical evidence in finding that Phipps suffered from
clinical pneumoconiosis. They further contend that the ALJ’s erroneous finding of
clinical pneumoconiosis adversely affected the ALJ’s credibility findings regarding
certain medical opinions—in particular, the medical opinions provided by Dr. Gregory
Fino and Dr. George Goodman, both of whom opined Phipps did not have
pneumoconiosis. Petitioners, in essence, argue that because the interpretations of the
relevant medical imaging studies given by Dr. Fino and Dr. Goodman were not discussed
in the “Existence of Pneumoconiosis” portion of the ALJ’s opinion, the ALJ erred by
failing to consider them. Petitioners speculate that had the ALJ considered these
opinions, the ALJ would have ruled in their favor. Petitioners contend that the weight of
the medical evidence demonstrates that Phipps’ disabling respiratory impairment was
caused, not by pneumoconiosis, but rather by his extensive smoking history.
V.
After examining the Petitioners’ arguments in light of the well-reasoned decisions
of the ALJ and BRB, we are not persuaded. Petitioners’ contention that the ALJ did not
consider the opinions of Drs. Goodman and Fino is misplaced. The ALJ’s opinion
includes an overview of, and numerous references to, their reports. However, the ALJ, in
carrying out the role of fact finder, expressly discredited their opinions in the course of a
lengthy decision. See, e.g., App. at 42. Furthermore, ALJs, in making decisions
regarding disability benefit awards, are entitled to credit the opinions of non-treating
5
physicians—such as Drs. Goodman and Fino—less than opinions given by treating
physicians. See
Soubik, 366 F.3d at 235.
The BRB, on review, affirmed the ALJ’s ruling, observing that “the record fails to
support [Bud Davis’] argument that the [ALJ’s] failure to consider the negative readings
of Drs. Goodman and Fino would have altered the [ALJ’s] finding on the issue of clinical
pneumoconiosis.” App. at 17. We agree with the BRB’s reading of the record.
We can add little to the thorough discussions of the ALJ and BRB. We note that
Petitioners’ attempts to undermine the ALJ’s findings by pointing to the opinions of Drs.
Goodman and Fino ignore the ALJ’s role as fact finder and the responsibility of this court
to “defer to the ALJ’s evaluation of the proper weight to accord the evidence, including
conflicting medical opinions.” See Westmoreland Coal
Co., 718 F.3d at 322 (internal
quotation marks and citation omitted). Accordingly, we conclude that the ALJ’s finding
that Phipps had pneumoconiosis was “rational, consistent with applicable law, and
supported by substantial evidence on the record considered as a whole.”
Soubik, 366
F.3d at 233.
Once the ALJ, after weighing the competing medical evidence, determined that
the statutory presumption of pneumoconiosis had not been rebutted, the ALJ was entitled
to give little weight to the medical testimony that was inconsistent with that finding in
reaching the conclusion that Bud Davis did not rebut the presumption of total disability.
See App. at 42-43 (“The opinions of the physicians finding no pneumoconiosis must all
be discredited. . . . I accordingly give little to no weight to the disability causation
opinions of Drs. Goodman and Fino.”). Generally, “an ALJ may not credit a medical
6
opinion stating that a claimant did not suffer from pneumoconiosis causing respiratory
disability after the ALJ had already accepted the presence of pneumoconiosis unless the
ALJ stated ‘specific and persuasive reasons’ why he or she relied upon such an opinion.”
Soubik, 366 F.3d at 234 (quoting Scott v. Mason Coal Co.,
289 F.3d 263, 269 (4th Cir.
2002)). We have previously observed, “[c]ommon sense suggests that it is usually
exceedingly difficult for a doctor to properly assess the contribution, if any, of
pneumoconiosis to a miner’s death if he/she does not believe it was present.”
Id. Thus,
we conclude that the ALJ was permitted to further discount the causation opinions of Drs.
Fino and Goodman, which reached an inconsistent conclusion on the question of the
presence of pneumoconiosis. Furthermore, contrary to Petitioners’ suggestion, it is clear
that the ALJ was fully cognizant of Phipps’ smoking history and nonetheless concluded
that Bud Davis failed to rebut, by a preponderance of the evidence, the statutory
presumption of pneumoconiosis-induced total disability. We have no basis to disturb this
finding.
VI.
For these reasons, we will deny the petition for review.
7