The Black Lung Benefits Reform Act of 1977 (BLBRA), in 30 U.S.C.
§ 902(f)(2), provided that, pending the issuance of permanent
regulations by the Secretary of Labor, cases filed or pending, as
well as certain claims required to be reopened or readjudicated,
were to be assessed under "[c]riteria . . . not . . . more
restrictive than the criteria applicable to a claim filed on June
30, 1973." As of that date, under interim regulations established
by the Secretary of Health, Education, and Welfare (HEW), a miner
could establish presumptive entitlement to benefits if he submitted
X-ray, biopsy, or autopsy evidence of pneumoconiosis, and showed
either 10 years of mining service
or that his
impairment arose out of coal mine employment. In response to the
BLBRA, the Secretary of Labor promulgated an interim regulation
that accorded a presumptive claim of entitlement only to miners who
had 10 years of experience and could satisfy one of several
"medical requirements," including X-ray, biopsy, or autopsy
evidence of pneumoconiosis identical to that required by the
interim HEW regulation. In No. 87-1095, since neither claimant had
worked 10 years in the mines, neither qualified for the presumptive
entitlement under the interim Labor regulation, and their claims
were adjudicated under more stringent
permanent
regulations originally promulgated by the Secretary of HEW. Their
claims were administratively denied, but the Court of Appeals
reversed, holding that the unavailability of the interim Labor
presumption to short-term miners violated § 902(f)(2). In Nos.
87-821 and 87-827, the Court of Appeals, having similarly found the
interim Labor regulation invalid under § 902(f)(2), reversed
the District Court's refusal to issue a writ of mandamus compelling
the Secretary of Labor to readjudicate a class of claims previously
considered under the interim Labor regulation, notwithstanding that
the Secretary's decision in those cases had become final.
Page 488 U. S. 106
Held:
1. The interim Labor regulation violates § 902(f)(2). Pp.
488 U. S.
113-120.
(a) The Labor criteria are more restrictive than the interim HEW
criteria, in that the latter permitted a miner to obtain a
presumption of entitlement by establishing pneumoconiosis and
either 10 years' coal mining experience or proof that the
pneumoconiosis was caused by mining employment, whereas, under the
interim Labor regulation, 10 years' experience is the exclusive
element of the second factor. By making the criteria for proving
causation "more restrictive" for miners who seek a presumptive
entitlement and can establish pneumoconiosis, the interim Labor
regulation necessarily applies "more restrictive" total disability
criteria than those in the interim HEW regulation. Pp.
488 U. S.
113-115.
(b) Even if the "criteria" in § 902(f)(2) consist solely of
"medical criteria," as the Secretary asserts, the interim Labor
regulation violates the statute. Under the interim Labor
regulation, unlike the interim HEW regulation, claimants who submit
X-ray, biopsy, or autopsy evidence of pneumoconiosis and can prove
causation, but have worked fewer than 10 years in a coal mine, must
in addition submit affirmative proof of total disability, which
would principally involve submission of underlying medical proof of
disability. Pp.
488 U. S.
115-117.
2. The Court of Appeals in No. 87-1095 properly remanded the
case to the Benefits Review Board for further proceedings. But the
Court of Appeals' order in Nos. 87-821 and 87-827 was not proper,
since mandamus does not lie to compel the readjudication of claims
decided under erroneous standards where the cases had already
become final by reason of the claimants' failure to pursue
administrative remedies or to appeal directly to the courts within
the prescribed time. Pp.
488 U. S.
121-123.
Nos. 87-821 and 87-827, 815 F.2d 475, reversed and remanded; No.
871095, 824 F.2d 327, affirmed.
SCALIA, J., delivered the opinion of the Court, in which
BRENNAN, MARSHALL, BLACKMUN, and KENNEDY, JJ., joined. STEVENS, J.,
filed a dissenting opinion, in which REHNQUIST, C.J., and WHITE and
O'CONNOR, JJ., joined,
post, p.
488 U. S.
123.
Page 488 U. S. 107
JUSTICE SCALIA delivered the opinion of the Court.
These consolidated cases call into question the Secretary of
Labor's interpretation of 30 U.S.C. § 902(f)(2), which, for
specified categories of black lung benefit claimants, provides
that
"[c]riteria applied by the Secretary of Labor in the case of . .
. any claim . . . shall not be more restrictive than the criteria
applicable to a claim filed on June 30, 1973."
Respondents contend that interim regulations applied by the
Secretary in adjudicating their claims,
see 20 CFR pt. 727
(1988), did not comply with this provision. In
Broyles v.
Director, OWCP, 824 F.2d 327 (CA4 1987) (No. 87-1095), the
Court of Appeals for the Fourth Circuit agreed, and directed the
Secretary to adjudicate the claims pursued by respondents Broyles
and Colley under the less restrictive standards in force on June
30, 1973.
See 20 CFR § 410.490 (1973). In
In re
Sebben, 815 F.2d 475 (CA8 1987) (Nos. 87-821 and 87-827), the
Court of Appeals for the Eighth Circuit similarly found the interim
Labor regulation invalid under § 902(f)(2), and reversed the
District Court's refusal to issue a writ of mandamus compelling the
Secretary to readjudicate a class of claims previously considered
under the interim regulation, notwithstanding that the Secretary's
decision in those cases had become final. We granted certiorari,
484 U.S. 1058 (1988), to decide the statutory issue, which is the
subject of
Page 488 U. S. 108
a Circuit conflict, [
Footnote
1] and further to decide, in the event we find the Secretary's
interpretation of the statute unlawful, whether mandamus will lie
to compel the readjudication of claims decided under erroneous
standards but not directly appealed to the courts within the time
prescribed.
I
The black lung benefits program provides benefits to those who
have become totally disabled because of pneumoconiosis, a chronic
respiratory and pulmonary disease arising from coal mine
employment.
See Mullins Coal Co. v. Director, OWCP,
484 U. S. 135,
484 U. S. 141
(1987). Originally enacted as Title IV of the Federal Coal Mine
Health and Safety Act of 1969 (FCMHSA), Pub.L. 91-173, 83 Stat.
792-798, the program has consisted of two separate parts. Under the
original legislation, part B constituted a temporary program of
federally financed benefits to be administered by the Secretary of
Health, Education, and Welfare (HEW), and part C envisioned a more
permanent program operating under the auspices of the Secretary of
Labor and relying on state workers' compensation programs where
possible.
For part B claims, the FCMHSA provided that the Secretary of HEW
"shall by regulation prescribe standards for determining . . .
whether a miner is totally disabled due to pneumoconiosis." FCMHSA
§ 411(b). The regulations relevant here consisted of
"permanent" and "interim" components. The permanent HEW regulations
generally prescribed methods and standards for establishing
elements of statutory entitlement.
See 20 CFR §§
410.401-410.476 (1973). In addition, following (and in response to)
the Black Lung Benefits Act of 1972, Pub.L. 92-303, 86 Stat. 150,
the
Page 488 U. S. 109
Secretary of HEW adopted an interim regulation designed to
"permit prompt and vigorous processing of the large backlog of
claims" that had developed during the early phases of administering
part B.
See 20 CFR § 410.490(a) (1973). To deal with
a perceived inadequacy in facilities and medical tests, this
interim HEW regulation established two classes of presumptions.
First, under the presumption at issue here, a claimant could
establish presumptive entitlement by showing that "[a] chest
roentgenogram (X-ray), biopsy, or autopsy establishes the existence
of pneumoconiosis" and that "[t]he impairment . . . arose out of
coal mine employment." §§ 410.490(b)(1)(i), (b)(2). The
proof of causality required for this first presumption was to be
established under §§ 410.416 or 410.456, both of which
accorded a rebuttable presumption of causality to claimants with 10
years of mining service
and also permitted claimants to prove
causality by direct evidence. See §
410.490(b)(2). The second presumption (drafted in a most confusing
manner) enables a claimant to obtain presumptive entitlement by
establishing specified scores on ventilatory tests if the miner had
"at least 10 years of the requisite coal mine employment."
§§ 410.490(b)(1)(ii), (b)(3). Both presumptions were
rebuttable by a showing that the miner was working or could work at
his former mine employment or the equivalent. § 410.490(c).
Miners unable to obtain either presumption had to proceed under the
permanent HEW regulations. § 410.490(e). The term of the
interim regulation coincided with the term of the part B program,
and expired after June 30, 1973, for claims filed by living miners
and after December 31, 1973, for survivors' claims. §
410.490(b).
The FCMHSA provided that, after part B ceased, part C would
shift black lung benefits claims into state workers' compensation
programs approved by the Secretary of Labor as "adequate" under
statutory standards. FCMHSA § 421. If no statutorily approved
program existed in a given State, the Secretary of Labor was to
handle the benefits claims arising
Page 488 U. S. 110
in that State directly, and was to prescribe regulations for
assigning liability to responsible mine owners.
See FCMHSA
§ 422(a). Events did not unfold as expected, however. The
Secretary of Labor approved no state workers' compensation program
during the relevant period,
see Lopatto, The Federal Black
Lung Program: A 1983 Primer, 85 W.Va.L.Rev. 677, 688 (1983), and
part C became exclusively a federally run workers' compensation
program administered by the Secretary of Labor. Significantly, the
FCMHSA provided that
"[t]he regulations of the Secretary of Health, Education, and
Welfare under section 411(a) of this title shall also be applicable
to claims [processed by the Secretary of Labor] under [part
C]."
FCMHSA § 422(h). Thus, because the interim HEW regulation
expired as part C began, the Secretary of Labor adjudicated part C
claims exclusively under the permanent HEW regulations.
This state of affairs persisted until Congress passed the Black
Lung Benefits Reform Act of 1977 (BLBRA), Pub.L. 95-239, 92 Stat.
95. The BLBRA amended 30 U.S.C. § 902(f) to give the Secretary
of Labor authority to establish total disability regulations for
part C cases. § 902(f)(1). Pending issuance of the new Labor
Department regulations, the BLBRA provided for an interim
administrative regime applying standards different from (and more
generous than) those of the permanent HEW regulations. Moreover,
the BLBRA provided not only that these interim standards would be
applied to cases filed or pending during the interim period, but
also that claims previously denied would, upon the claimant's
request, be reopened and readjudicated under the interim standards.
30 U.S.C. § 945. The nature of the interim standards was to be
such that the
"[c]riteria applied by the Secretary of Labor in the case of . .
. any claim . . . shall not be more restrictive than the criteria
applicable to a claim filed on June 30, 1973."
30 U.S.C. § 902(f)(2). That is the language giving rise to
the dispute in these cases.
Page 488 U. S. 111
In response to the BLBRA, the Secretary of Labor promulgated the
interim regulation at issue here for claims within the scope of
§ 902(f)(2). This regulation accords a presumptive claim of
entitlement to miners having 10 years' experience in coal mines and
satisfying one of several "medical requirements," including X-ray,
biopsy, or autopsy evidence of pneumoconiosis or ventilatory study
evidence identical to that required by the HEW interim regulation.
20 CFR § 727.203(a) (1988). It is central to the present case
that, under this interim regulation, unlike the interim HEW
regulation (§§ 410.490(b)(1)(i), (b)(2)), a miner cannot
obtain the first presumption of entitlement without 10 years of
coal mine service. Moreover, the rebuttal provisions of the interim
Labor regulation mandate that "all relevant medical evidence shall
be considered," § 727.203(b), permitting rebuttal not only on
the grounds available in the interim HEW regulation (§
410.490(c)), but also on the basis that "the total disability or
death of the miner did not arise in whole or in part out of coal
mine employment" or that "the miner does not, or did not, have
pneumoconiosis."
See §§ 727.203(b)(1)-(4). A
§ 902(f)(2) claimant unable to obtain the interim Labor
presumption can prove entitlement under either the permanent HEW
regulations or the (subsequently issued) permanent Labor
regulations, depending on when the claim was filed and adjudicated.
20 CFR § 727.4(b) (1988). The permanent Labor regulations took
effect on April 1, 1980.
See 20 CFR § 718.2
(1988).
II
One of the three consolidated cases before us,
Director,
OWCP v. Broyles, No. 87-1095, is itself a consolidation by the
Fourth Circuit of two separate cases brought by, respectively, Lisa
Kay Colley and Charlie Broyles. Respondent Colley's father, Bill
Colley, and respondent Broyles filed claims for black lung benefits
in 1974 and 1976, respectively. Under 30 U.S.C. § 945(b), both
claimants were entitled to
Page 488 U. S. 112
have their claims adjudicated pursuant to the BLBRA amendments.
Thus, the interim Labor regulation applied. Since, however, neither
claimant had worked 10 years in the mines, neither qualified for
the presumption of entitlement under § 727.203, so that both
cases were adjudicated under the permanent HEW regulations. In both
cases, the Administrative Law Judge found against the claimants,
and the Benefits Review Board (BRB) affirmed. The Court of Appeals
for the Fourth Circuit reversed the BRB as to both claimants,
holding that the unavailability of the interim Labor presumption to
short-term miners violated § 902(f)(2) by forcing the
application of the "more restrictive" "criteria" found in the
permanent HEW regulations.
See 824 F.2d at 329-330.
The other two consolidated cases before us,
Pittston Coal
Group v. Sebben, No. 87-821, and
McLaughlin v.
Sebben, No. 87-827, both involve a potential class of
claimants consisting of those who
"(1) have filed claims for benefits under the BLBA between
December 30, 1969, and April 1, 1980; (2) have claimed a disability
due to pneumoconiosis caused by employment in the coal mining
industry; (3) have submitted a positive X-ray as proof of the
presence of pneumoconiosis; (4) have been denied the benefit of the
presumption of pneumoconiosis contained in 20 CFR §
727.203(a)(1) because they did not prove that they had worked ten
years in the coal mines; (5) were not afforded the opportunity to
submit a claim under 20 CFR § 410.490; and (6) do not have
claims under 20 CFR § 410.490 or 20 CFR § 727.203(a)(1)
currently pending before the Department of Labor."
815 F.2d at 484-485. These claimants differ from those in No.
87-1095 in that the latter have timely appealed the Labor
Department's adverse decisions to the courts, while these claimants
have permitted the time for direct appeal to expire.
See
815 F.2d at 478, 485. The Eighth Circuit ordered the certification
of this
Page 488 U. S. 113
class and decided that mandamus would appropriately lie to
compel the Secretary of Labor to readjudicate the class members'
claims under § 410.490. The panel's opinion relied on the
Eighth Circuit's earlier decision in
Coughlan v. Director,
OWCP, 757 F.2d 966 (CA8 1985), which, like
Broyles,
had determined that 30 U.S.C. § 902(f)(2) required the
application of § 410.490 standards to claims filed before
April 1, 1980. It further held that the claimants' failure to
perfect direct appeals from the Secretary's adverse decisions was
no obstacle to the present suit.
III
The statutory text at issue here provides that "[c]riteria
applied by the Secretary of Labor . . . shall not be more
restrictive than the criteria applicable" under the interim HEW
regulation. The respect in which it is claimed here that the Labor
criteria are more restrictive is this: whereas, under the first
presumption of the interim HEW regulation (
see supra, at
109), a miner would obtain a presumption of entitlement by
establishing (1) pneumoconiosis and (2)
either 10 years of
coal mining experience
or proof that the pneumoconiosis
was caused by mining employment, under the interim Labor
regulation, 10 years' experience is the exclusive element of the
second factor. In defending the interim Labor regulation, the
Secretary maintains that the term "criteria" is ambiguous, and that
her resolution of that ambiguity is reasonable, and therefore must
be sustained.
See Chevron U.S.A. Inc. v.
Natural Resources Defense Council, Inc.,
467 U. S. 837,
467 U. S.
842-843, and n. 9 (1984). We disagree. In our view, the
statute simply will not bear the meaning the Secretary has
adopted.
"Criteria" are "standard[s] on which a judgment or decision may
be based." Webster's Ninth New Collegiate Dictionary 307 (1983). It
is undisputed that, in the current context, the standards referred
to include the standards for obtaining the presumption of
entitlement. The distinctive feature of the
Page 488 U. S. 114
interim HEW regulation was precisely its establishment of
presumptions, and to fix it as a benchmark without reference to its
presumptions would be meaningless.
The Secretary contends, however, that the criteria referred to
in § 902(f)(2) do not include the criteria for all the
elements necessary to a successful claim. Those elements are
essentially three: (1) pneumoconiosis; (2) causation by coal mine
employment; and (3) total disability (defined as the inability of
the claimant to do his former mine work or the equivalent because
of pneumoconiosis).
See Mullins Coal Co. v. Director,
OWCP, 484 U. S. 135
(1987). The Secretary argues that, since § 902(f)(2) is part
of the statutory definition section dealing with "total
disability," the "criteria" to which it refers must be limited to
those bearing upon that element. Total disability criteria would,
in her view, consist of essentially medical (and to some extent
vocational) factors, but in no circumstances could include the
10-year employment requirement at issue here, which obviously goes
to causation, rather than disability.
The premise of the Secretary's argument -- that "criteria" means
total disability criteria -- has considerable merit, though it is
by no means free from doubt. Assuming it is correct, however, we
find it unavailing to sustain the Secretary's interim regulation,
which, in our view, does impose more restrictive total disability
criteria. For although the categorical 10-year employment
requirement bears
proximately upon causation, it bears
ultimately upon total disability as well. The interim HEW
regulation had provided, in effect, that, if certain evidence of
the first two elements of entitlement (pneumoconiosis and
causation) was established, the third element (total disability)
would automatically be presumed. Thus, to increase the
requirements for the presumption of causality is necessarily to
increase the requirements for the presumption of total disability.
No other view of the matter accords with the reality. By making the
criteria for proving causation "more restrictive" for miners
who
Page 488 U. S. 115
seek a presumption of entitlement and can establish
pneumoconiosis, the interim Labor regulation necessarily applies
"more restrictive" total disability criteria than those in the
interim HEW regulation.
The Secretary goes further still, however, and argues that the
legislative history leading up to the enactment of the BLBRA
actually discloses a congressional intention to preserve only
"
medical criteria" in the adoption of § 902(f)(2). We
need not canvass in detail that legislative history, which shows at
most that medical criteria were the focus of the House and Senate
debates. It is not the law that a statute can have no effects which
are not explicitly mentioned in its legislative history, and the
text of the present statute plainly embraces criteria of more
general application. We refer not merely to use of the unqualified
term "criteria" in § 902(f)(2) itself, but also to the text of
related provisions. Immediately preceding § 902(f)(2) in the
text of the BLBRA and of the United States Code is §
902(f)(1)(D), which provides that the
"Secretary of Labor . . . shall establish
criteria for all
appropriate medical tests under this subsection which accurately
reflect total disability."
(Emphasis added.) If, as the Secretary contends, Congress
intended the word "criteria" to cover only medical criteria (such
as ventilatory scores) in both of these simultaneously adopted
subsections, it is most implausible that it would have qualified
the word in the one, but not in the other. [
Footnote 2]
Page 488 U. S. 116
Moreover, the Secretary has suggested no reason why Congress
should insist that only the
medical criteria under the
interim Labor regulation be no more restrictive, while being
utterly indifferent as to the addition of other conditions for
recovery. There was assuredly no belief that the interim HEW
medical criteria were particularly precise or accurate. Quite to
the contrary, the prologue of the regulation that adopted them made
very clear that they were rough guesses adopted for the time being
"in the light of limited medical resources and techniques." 20 CFR
§ 410.490 (1988). Petitioners Pittston Coal Group
et
al. cite persuasive evidence for the proposition that the
X-ray evidence required in § 410.490 does not conclusively
establish pneumoconiosis, and that the ventilatory scores employed
in that provision "are basically normal values for retired coal
miners." Brief for Petitioners in No. 87-821, pp. 31-33. It seems
likely that Congress had no particular motive in preserving the HEW
interim medical criteria other than to assure the continued
liberality of black lung awards. Since that motive applies to
nonmedical criteria with equal force, there is no apparent
reason for giving the unqualified word "criteria" the unnaturally
limited meaning the Secretary suggests.
Even if we agreed with the Secretary's assertion that the
"criteria" in § 902(f)(2) consist solely of "medical
criteria," we
Page 488 U. S. 117
would still conclude that the interim Labor regulation is in
violation of the statute. The various criteria that go into
determining a claim of entitlement under the interim HEW regulation
are closely -- indeed, inextricably -- intertwined. The
configuration of a claimant's nonmedical characteristics
effectively determines which "medical criteria" the claimant must
establish in order to obtain presumptive entitlement. Thus, in
order to make out a
prima facie claim of entitlement by
submitting X-ray, biopsy, or autopsy evidence establishing
pneumoconiosis, a miner proceeding under the interim HEW regulation
must fall within either the class of claimants having 10 years of
coal mine experience or the class of claimants able to prove that
respiratory impairment arose out of coal mine employment. Under the
interim Labor regulation, however, this medical evidence no longer
suffices for the latter class of claimants; they must in addition
submit affirmative proof of total disability (regardless of whether
they then proceed under the permanent HEW or the permanent Labor
regulations), which would principally involve submission of
medical proof of disability.
See 20 CFR
§§ 410.422-410.426 (1988) (permanent HEW regulations);
id. § 718.204 (permanent Labor regulations). Thus,
for claims brought by miners in that class, the medical criteria
are necessarily more restrictive -- violating the statutory
requirement of "no more restrictive" criteria "in the case of . . .
any claim."
That the Secretary has increased medical criteria can be more
readily understood by transposing the substance of what has
occurred here to a more commonplace, analogous context. Just as the
black lung program considers both medical and nonmedical criteria
for entitlement, college admissions programs typically consider
both academic and extracurricular criteria for admission. Assume a
hypothetical college that has traditionally tendered offers of
admission to all applicants with a B+ average, and to all high
school student body presidents and football team captains with a
B
Page 488 U. S. 118
average. The Board of Trustees, concerned about increasing
intellectualism at the institution, issues a directive providing
that
"the academic criteria applied by the admissions committee in
considering any application for admission shall be no more
restrictive than those employed in the past."
Surely one would not say that this directive permits the
admissions committee to terminate the practice of admitting
football team captains with a B average. To be sure, the admissions
committee could assert that it was merely applying stricter
extracurricular activity requirements for those who had B averages,
just as the Secretary here claims that she is merely applying
stricter causality requirements for those miners who have the
requisite evidence of pneumoconiosis. But the admissions committee
would at the same time be raising the academic criteria for all
football team captains -- just as the Secretary is raising the
medical criteria for miners who can establish causality only by
direct evidence.
The Secretary's remaining arguments require little discussion.
She points out that Congress could very easily have adopted the
entire interim HEW regulation if it had meant to preserve all
aspects of the HEW presumptions. But that course (which is, in any
event, no more simple than § 902(f)(2)) would have produced a
different result, because it would not have permitted the Secretary
to adopt
less restrictive criteria. The Secretary also
observes that, in enacting the BLBRA, Congress had before it
evidence suggesting that disabling pneumoconiosis rarely manifests
itself in miners with fewer than 10 years of coal mine experience.
Though that is quite true, we do not sit to determine what Congress
ought to have done, given the evidence before it, but to apply what
Congress enacted -- and, as we have discussed, the exclusion of
short-term miners from the benefits of the presumption finds no
support in the statute. The Secretary and private petitioners cite
favorable post-enactment statements by key sponsors of the BLBRA.
Since such statements cannot possibly have informed the vote of the
legislators who
Page 488 U. S. 119
earlier enacted the law, there is no more basis for considering
them than there is to conduct post-enactment polls of the original
legislators. Finally, the Secretary focuses on the interim Labor
regulation's additional rebuttal provisions, which permit the
introduction of evidence disputing both the presence of
pneumoconiosis and the connection between total disability and coal
mine employment. Respondents have conceded the validity of these
provisions, even though they permit rebuttal of more elements of
statutory entitlement than did the interim HEW regulation. The
Secretary argues that there is no basis for drawing a line that
permits alteration of the rebuttal provisions, but not the
affirmative factors addressed by the Secretary. That may or may not
be so, but it does not affect our determination regarding the
affirmative factors, for which it seems to us the statutory
requirements are clear. Respondents' concession on the rebuttal
provisions means that we are not required to decide the question of
their validity, not that we must reconcile their putative validity
with our decision today. (The concession also means that we have no
occasion to consider the due process arguments of petitioners,
which are predicated upon the proposition that the rebuttal
provisions must be more expansive than those in the HEW interim
regulation.)
Finally, we address an argument not made by the Secretary --
neither before us nor, as far as appears, before any other court in
connection with this extensive litigation -- but relied upon by the
dissent. The dissent believes that the Secretary of HEW made a
typographical error in drafting § 410.490, and that the
reference in paragraph (b)(3) to subparagraph (b)(1)(ii) should be
a reference to subparagraph (b)(1)(i). Even if this revision of
what the Secretary wrote (and defended here) made total sense, we
would hesitate to impose it uninvited. But, in fact, it does not
bring order to the regulation. It does not, as the dissent
contends, eliminate redundancy in § 410.490, but merely shifts
redundancy from one paragraph to another. Under the dissent's
revision
Page 488 U. S. 120
of the regulation, a claimant submitting X-ray, biopsy, or
autopsy evidence of pneumoconiosis under subparagraph (b)(1)(i)
would also have to establish disease causation under paragraph
(b)(2) and total disability causation under paragraph (b)(3). The
last of these requires 10 years of coal mine employment. But if
that can be established, the second requirement, contained in
paragraph (b)(2), is entirely superfluous, since that provides (by
cross-references to §§ 410.416 and 410.456) that a
presumption of disease causation is established by 10 years of coal
mine employment. (To be sure, §§ 410.416 and 410.456
permit rebuttal of the presumption, but it is plainly not the
intended purpose of paragraph (b)(2) to serve as a rebuttal
provision, rather than a substantive requirement.) Nor would
paragraph (b)(2) have any operative effect for a claimant
proceeding under subparagraph (b)(1)(ii), since that, itself
(without reference to paragraph (b) (3)), requires a minimum of 15
years of coal mine employment.
Moreover, even if the Secretary of HEW had made a typographical
error, the dissent offers no evidence whatever to establish that,
in enacting the BLBRA, Congress, unlike past and present
Secretaries, was aware of that error, and meant to refer to the
regulation as the dissent would amend it. To support congressional
agreement with its understanding of the regulation, the dissent
produces, from the voluminous legislative history of hearings,
debates, and committee reports dealing with this subject, nothing
more than stray remarks made by a United Mine Workers official and
a single Representative at hearings occurring four years and two
Congresses before the BLBRA was enacted,
see post at
147-148 -- remarks that the dissent concedes could be attributable
to a simple "misread[ing] [of] the regulation,"
post at
488 U. S. 148,
n. 12. We do not think this suffices to justify rewriting §
410.490 as the dissent believes (perhaps quite reasonably) it
should have been written.
Page 488 U. S. 121
IV
Having agreed with the conclusion of both courts below that the
interim Labor regulation violates § 902(f)(2), there remains
for us to consider the propriety of the orders which that
conclusion produced. In
Broyles (No. 87-1095), the Fourth
Circuit remanded the case to the Benefits Review Board for further
proceedings in accordance with its opinion. That action was correct
-- with the clarification, however, that its opinion requires
application of criteria no more restrictive than § 410.490
only as to the affirmative factors for invoking the presumption of
entitlement, and not as to the rebuttal factors, the validity of
which respondents have conceded.
The order of the Eighth Circuit in
Sebben (Nos. 87-821
and 87-827) is more problematic. There, as we described earlier,
the finding that the interim Labor regulation violated §
902(f)(2) was the basis for mandamus instructing the Secretary to
readjudicate, under the correct standard, cases that had already
become final by reason of the claimants' failure to pursue
administrative remedies or petition for judicial review in a timely
manner. The Eighth Circuit's rationale for this order is
deceptively simple: with respect to both the claims reopened and
readjudicated pursuant to 30 U.S.C. § 945 and the claims
initially adjudicated under the interim Labor regulation, the Court
of Appeals reasoned that the Secretary had never fulfilled her
statutory duty, because she had failed to adjudicate the claims
"under the proper standard." 815 F.2d at 482. This rationale does
not suffice.
The extraordinary remedy of mandamus under 28 U.S.C. § 1361
will issue only to compel the performance of "a clear
nondiscretionary duty."
Heckler v. Ringer, 466 U.
S. 602,
466 U. S. 616
(1984). Under the provisions of the Longshore and Harbor Workers'
Compensation Act made applicable to the adjudication of black lung
benefits claims by 30 U.S.C. 932(a), initial administrative
determinations become final after 30
Page 488 U. S. 122
days if not appealed to the Benefits Review Board,
see
33 U.S.C. § 921(a), and persons aggrieved by a final order of
the Board may have such an order set aside only by petitioning for
review in a Court of Appeals within 60 days of the final order,
see 33 U.S.C. § 921(c). Determinations of all of the
Sebben claims became final at one of these two stages.
Thus, to succeed in the present case, the
Sebben
respondents had to establish not only a duty to apply less
restrictive criteria than those found in 20 CFR § 727.203
(1988), but also a duty to reopen the final determinations. The
latter was not established.
With respect to claims filed between the effective date of the
BLBRA and that of the permanent Labor regulations, and with respect
to claims filed before the effective date of the BLBRA but not yet
adjudicated at that time, there is not even a colorable basis for
the contention that Congress has imposed a duty to reconsider
finally determined claims. And with respect to the
already-adjudicated pre-BLBRA claims that 30 U.S.C. § 945
required the Secretary to readjudicate under the new, interim Labor
regulation, a basis for reopening can be found only if one
interprets § 945 to override the principle of
res
judicata not just once, but perpetually, requiring
readjudication and re-readjudication (despite the normal rules of
finality) until the Secretary finally gets it right. But there is
no more reason to interpret a command to readjudicate pursuant to a
certain standard as permitting perpetual reopening, until the
Secretary gets it right, than there is to interpret a command to
adjudicate in this fashion. That is to say, one could as
plausibly contend that
every statutory requirement that
adjudication be conducted pursuant to a particular standard permits
reopening until that requirement is complied with. This is not the
way the law works. The pre-BLBRA claimants received what § 945
required: a readjudication of their cases governed by the new
statutorily prescribed standards. Assuming they are correct that
these new standards would have entitled them to benefits, they
Page 488 U. S. 123
would have been vindicated if they had sought judicial review;
they chose instead to accept incorrect adjudication. They are in no
different position from any claimant who seeks to avoid the bar of
res judicata on the ground that the decision was
wrong.
We do not believe that
Bowen v. City of New York,
476 U. S. 467
(1986), upon which the
Sebben respondents place principal
reliance, has any bearing upon the present case. There we held that
the application of a secret, internal policy by the Secretary of
Health and Human Services in adjudicating Social Security Act
claims equitably tolled the limitations periods for seeking
administrative or judicial review.
Id. at
476 U. S.
478-482. Even assuming that equitable tolling is
available under the relevant provisions of the Longshore and Harbor
Workers' Compensation Act, the conditions for applying it do not
exist. The agency action here was not taken pursuant to a secret,
internal policy, but under a regulation that was published for all
to see. If respondents wished to challenge it, they should have
done so when their cases were decided.
Accordingly, we affirm the decision of the Fourth Circuit, and
reverse the decision of the Eighth Circuit and remand with
instructions to direct the District Court to dismiss the petition
for mandamus.
@It is so ordered.
* Together with No. 87-827,
McLaughlin, Secretary of Labor,
et al. v. Sebben et al., also on certiorari to the same court,
and No. 87-1095,
Director, Office of Workers ' Compensation
Programs v. Broyles et al., on certiorari to the United States
Court of Appeals for the Fourth Circuit.
[
Footnote 1]
Besides the Fourth and Eighth Circuits, two other federal
appeals courts have found the interim Labor regulations
impermissibly "restrictive" under § 902(f)(2).
See Kyle v.
Director, OWCP, 819 F.2d 139 (CA6 1987);
Halon v.
Director, OWCP, 713 F.2d 21 (CA3 1983). The Seventh Circuit
has held to the contrary.
See Strike v. Director, OWCP,
8I7 F.2d 395, 404-405 (1987).
[
Footnote 2]
The dissent asserts that "criteria" in § 902(f)(2) was
merely "shorthand" for the earlier phrase "criteria for all
appropriate medical tests," proving the point to its satisfaction
by recasting the two statutory provisions into a single sentence
where such shorthand reference would be obvious.
See post
at
488 U. S.
133-134. It is difficult to argue with the proposition
that a statute can be rephrased to say something different. The
point here is that the two provisions
do not occur within
the same sentence, or indeed even within parallel sentences (one
being a subparagraph, and the next the beginning of a new
paragraph), and that they do not naturally suggest any ellipsis.
Moreover, not only is the unqualified term "criteria" used in the
separate paragraph immediately
following the lengthier
phrase "criteria for all appropriate medical tests," but it is also
used in the separate subparagraph immediately
preceding
use of the lengthier phrase -- namely, in § 902(f)(1)(C),
which provides that the Secretary's regulations "shall not provide
more restrictive criteria than those applicable under section
223(d) of the Social Security Act." Surely this preceding provision
cannot be interpreted as a "shorthand" for a longer provision that
has not yet appeared, which means that, if the dissent's
construction is correct, the word "criteria" in the statute is used
twice, one paragraph apart, with two different meanings. It is true
that § 902(f)(1)(C) was a preexisting provision, whereas
§§ 902(f)(1)(D) and 902(f)(2) were simultaneously added
by the BLBRA; even so, one should not attribute to the draftsmen of
the BLBRA the use of a shorthand that produces such a peculiarity
in the United States Code.
JUSTICE STEVENS, with whom THE CHIEF JUSTICE, JUSTICE WHITE, and
JUSTICE O'CONNOR join, dissenting.
Pneumoconiosis is a serious respiratory disease that has
afflicted hundreds of thousands of coal miners who have spent their
entire working lives inhaling coal dust.
See Mullins Coal Co.
v. Director, OWCP, 484 U. S. 135
(1987). The severity of the disease is directly related to the
duration of the miner's underground employment. Although
pneumoconiosis may be present in its early stages in short-term
miners (
i.e., miners with fewer than 10 years of coal mine
experience), it is seldom, if ever, disabling unless the employee
has
Page 488 U. S. 124
worked in the mines for well over 10 years. Not surprisingly,
there is no evidence that any participant in the lawmaking process
ever suggested that it would be reasonable to presume that
short-term miners -- even if afflicted by pneumoconiosis in its
early stages -- should be presumed to be totally disabled. In fact,
the original draft of the Department of Health, Education, and
Welfare (HEW) regulation, 20 CFR § 410.490(b) (1973), 37
Fed.Reg. 18013 (1972), like the final draft of the Department of
Labor (Labor) regulation under review in this case, 20 CFR §
727.203 (1988), plainly and unambiguously provided that the
presumption of total disability for miners who satisfy the relevant
medical criteria would not arise unless the miner had at least 10
years of coal mine employment. The only basis for reaching a
conclusion that the law now extends this presumption to short-term
miners is an unexplained change in the original draft of the HEW
regulation, which was either a scrivener's error or a strikingly
unique product of incompetent draftsmanship. Nonetheless, the Court
today holds that Congress intended such short-term miners to
receive the benefit of such an unreasonable presumption.
The specific statutory debate in this case is over the meaning
of the word "criteria" as used in § 2(c) of the Black Lung
Benefits Reform Act of 1977 (BLBRA).
See 92 Stat. 96; 30
U.S.C. § 902(f)(2). More narrowly, the question is whether the
Secretary of Labor (Secretary) could reasonably conclude that
Congress chose that word to describe medical criteria, but not
evidentiary rules or adjudicatory standards. Because my reading of
the statute is the same as the Secretary's, I readily conclude that
her reading is reasonable.
But even if my reading of this complex legislation revealed mere
ambiguity -- that is, if I concluded that there were reasonable
grounds for construing "criteria" broadly and reasonable grounds
for construing it more narrowly -- I would nevertheless conclude
that this is an especially appropriate case for deferring to the
Secretary's interpretation of the statute
Page 488 U. S. 125
she must administer.
See, e.g., K mart Corp. v. Cartier,
Inc., 486 U. S. 281
(1988);
id. at
486 U. S. 293,
n. 4 (KENNEDY, J.) ("[T]he threshold question in ascertaining the
correct interpretation of a statute is whether the language of the
statute is clear or
arguably ambiguous") (emphasis added);
Chevron U.S.A. Inc. v.
Natural Resources Defense Council, Inc.,
467 U. S. 837
(1984). In explaining why I am convinced that the Court's rather
superficial treatment of these cases is profoundly wrong, I shall
first discuss the HEW regulation, 20 CFR § 410.490(b) (1988),
that serves as the point of reference for the statutory provision
at issue today, § 902(f)(2). Next, I shall explain why the
statute's face yields no easy answer, and then show how the context
of the statute's enactment reveals that Congress was concerned
solely with
medical criteria. After reviewing statistical
studies revealing low incidence of pneumoconiosis in short-term
miners (
i.e., miners with fewer than 10 years' coal mine
experience), I shall conclude with a discussion of why the Court's
analysis today is inconsistent with standard principles of
deference. [
Footnote 2/1]
I
This litigation exists because of the following problem: as
promulgated in 1972, the HEW regulation, § 410.490(b),
permitted a miner or his survivor who proved pneumoconiosis through
X-ray, biopsy, or autopsy evidence, and who also proved coal mine
causation of the disease, to be presumed totally disabled as a
result of such coal mine caused pneumoconiosis, regardless of the
number of years he worked in the mines. The Labor regulation
promulgated in 1978 to adjudicate earlier filed or once-denied part
C claims, 20 CFR § 727.203 (1988), requires such miners to
prove, in addition, at least 10 years of coal mine employment.
Thus, for such miners, the Labor regulation is more restrictive
than the
Page 488 U. S. 126
HEW regulation. Since § 902(f)(2) requires that the
"[c]riteria applied by the Secretary of Labor . . . shall not be
more restrictive than the criteria [applied by HEW]," the legal
question presented is whether the Labor regulation is more
restrictive in a way prohibited by § 902(f)(2).
See
Parts II-V,
infra.
Unfortunately, no one has seen fit to examine the mechanics of
the HEW regulation itself; rather, both sides seem to assume that
the gap created by that regulation is a given, a firm starting
point from which Congress and Labor operated. A close inspection of
the HEW regulation and its genesis reveals, however, that the gap
was a mistake caused by a scrivener's error, and that no one -- not
HEW, not Labor, not Congress -- has ever intended that short-term
miners receive the benefit of a scheme that presumes them totally
disabled from coal-mine-caused pneumoconiosis.
The "interim regulation" promulgated by HEW in 1972 was a
response to serious congressional concern about the large backlog
of claims that could not await the development of more accurate
tests to evaluate disability due to coal mine caused
pneumoconiosis. [
Footnote 2/2]
Paragraphs defining the interim presumption of entitlement to
benefits appear to have been intended to answer three questions:
(1) did the miner have pneumoconiosis? and if so, (2) was the
disease caused by coal mine employment? and (3) was the miner
totally disabled as a result of the disease? Instead of requiring a
claimant to prove all three elements of entitlement -- disease,
disease causation, and disability causation -- the regulation
apparently was intended to create a presumption of entitlement
through proof of disease plus proof of a certain minimum number of
years of coal mine employment. Let me explain:
The answer to the first question was to be provided by reference
to the "medical requirements" described in paragraph
Page 488 U. S. 127
(b)(1) of the regulation. [
Footnote
2/3] The medical requirements were of two kinds: subparagraph
(i) authorized the use of an X-ray or biopsy (or an autopsy in the
case of a deceased miner) establishing the existence of
pneumoconiosis, while subparagraph
Page 488 U. S. 128
(ii) provided that ventilatory studies establishing the presence
of a chronic pulmonary or respiratory ailment would be acceptable
"[i]n the case of a miner employed for at least 15 years in
underground or comparable coal mine employment." Thus, paragraph
(b)(1), in essence, allowed an applicant to establish the presence
of pneumoconiosis either by direct proof based on an X-ray, biopsy,
or autopsy, or by inference based on ventilatory studies coupled
with a history of 15 years of underground work.
The 15-year requirement is especially noteworthy for two
reasons. First, it reminds us of the important fact that
pneumoconiosis is a progressive disease. Although miners with only
a few years of underground employment sometimes contract simple
pneumoconiosis, they seldom, if ever, develop disabling cases of
the disease unless they have worked in the mines for at least 10
years.
See 488 U. S.
infra. Second, the 15-year requirement for those
applicants who must rely on ventilatory study evidence is the
source of the confusion in the critical third paragraph of the
regulation.
Paragraph (b)(2) of the regulation required an applicant who had
satisfied the medical requirements to prove further that his
impairment arose out of coal mine employment, in other words, to
prove disease causation. Disease causation could be established
either by direct evidence or by proof of 10 years of underground
employment. [
Footnote 2/4]
The regulatory answer to the third question -- whether the
disease had caused total disability -- has a peculiar history. As
originally drafted, paragraph (b)(3) of the regulation provided
that every miner who met any of the medical requirements in
paragraph (b)(1) would be "presumed to be totally disabled due to
pneumoconiosis arising out of coal mine employment" if he had "at
least 10 years of the requisite coal mine employment." 37 Fed.Reg.
18013 (1972). Thus, as
Page 488 U. S. 129
originally written, the presumption of disability causation was
triggered by a 10-year minimum requirement. But since one group of
miners -- those who had relied upon ventilatory studies to satisfy
the medical criteria -- already had to show 15 years of underground
employment for their medical evidence to be considered probative,
it must have been clear to the drafters that they should alter
paragraph (b)(3) to apply only to those miners who did not
otherwise have to prove a minimum number of years in the mines,
namely, those miners who proved disease under subparagraph (b)
(1)(i).
Ironically, however, the revision -- unexplained in the final
promulgation and referred to merely as one of a number of "[m]inor
editorial and clarifying changes,"
id. at 20634 -- made
the 10-year requirement applicable to miners who met "the medical
requirements in subparagraph (1)(ii) of this paragraph," instead of
those who met the medical requirements in subparagraph (b)(1)(i).
Id. at 20646. Thus, as the promulgated regulation reads,
paragraph (b)(3) is totally superfluous, because the miners who had
to prove 10 years of underground employment are precisely those
miners who had to prove 15 years of underground employment by the
terms of subparagraph (b)(1)(ii). The drafters, who had initially
provided a 10-year minimum requirement for all miners to trigger
disability causation, had either (1) dropped such a requirement for
the only group of miners to whom it was relevant (the subparagraph
(b)(1)(i) claimants) and created a wholly irrelevant disability
causation requirement for another group of miners (the subparagraph
(b)(1)(ii) claimants), or (2) promulgated a scrivener's error.
The latter assumption is far more plausible for three reasons.
First, the confusing and complex character of this regulation makes
such human error understandable, and not surprising. Second, a
substitution of subparagraph (b)(1)(i) for subparagraph (b)(1)(ii)
gives the regulation a meaning that comports with the abundant
evidence that coal miners
Page 488 U. S. 130
with fewer than 10 years of underground employment seldom, if
ever, contract disabling pneumoconiosis. In other words, the
regulatory presumption is entirely reasonable if it includes a
10-year requirement. But it is most unreasonable if it does not.
Third, if the correction is not made, the inconsistency between the
15-year requirement in subparagraph (b)(1)(ii) and the 10-year
requirement in paragraph (b)(3) is simply inexplicable.
The Court responds that understanding the HEW regulation in this
fashion would "merely shif[t] redundancy from one paragraph to
another," and then explains why, in its view, paragraph (b)(2)
would be rendered superfluous.
Ante at
488 U. S.
119-120. Three things ought be said about the Court's
response. First, reading the HEW regulation to correct for the
scrivener's error would not render the disease causation
requirement embodied in paragraph (b)(2) "redundant" or
"superfluous." That HEW intended to require proof of 10 years in
the mines to invoke a presumption of disability causation, and to
permit such proof to invoke a presumption of disease causation,
renders neither requirement superfluous; because they are separate
elements of the claim, it makes sense to state them separately,
and, given the vanishingly low incidence of totally disabling coal
mine caused pneumoconiosis in short-term miners, it also makes
sense to use a 10-year minimum to satisfy both causation
requirements. Second, the Court fails to note that this parallelism
of requirement between paragraphs (b)(2) and (b)(3) would exist, at
least for some miners, regardless of whether the scrivener's error
is corrected. For even as the regulation reads on its face,
subparagraph (b)(1)(ii) miners, required by paragraph (b)(3) to
prove 10 years in the mines to invoke a presumption of disability
causation (and by subparagraph (b)(1)(ii) to prove 15 years in the
mines to satisfy the medical requirement), in so doing, satisfy
paragraph (b)(2). Finally -- and this is a critical point that the
Court simply ignores -- the revision of paragraph
Page 488 U. S. 131
(b)(3) is totally inexplicable unless it was unintentional,
whereas the current confusion between paragraph (b)(3) and
subparagraph (b)(1)(ii) would be eliminated by correcting the
scrivener's error. (The Court also states that paragraph (b)(2)
would not have any "operative effect for a claimant proceeding
under subparagraph (b)(1)(ii),"
ante at 120, but this is
certainly true regardless of how one reads paragraph (b)(3).)
In sum, as originally drafted, paragraph (b)(3) of the proposed
regulation provided that the presumption of total disability was
conditioned on at least 10 years of coal mine employment. Had the
Secretary of HEW intended to eliminate the 10-year requirement, he
could have done so by simply eliminating paragraph (b)(3) in its
entirety. It is quite absurd to assume that he deliberately
accomplished this objective by means of an obscure "clarifying
change" that had the effect of making the 10-year requirement
applicable only to those applicants who had already established 15
years of coal mine employment. It is equally senseless to assume
that Congress perpetuated this typographical error by etching it
into stone in the BLBRA, to which I now turn.
II
The conclusion that the term "criteria" in § 902(f)(2) of
the BLBRA has reference to medical criteria, and not to evidentiary
or procedural standards, is well supported not only by the
foregoing discussion but also by the text of the statute and by its
legislative history. Let me begin with the text.
Respondents' case is based primarily on the argument that the
phrase "criteria" in § 902(f)(2) must mean all criteria,
medical and nonmedical, because otherwise Congress would have
written "medical criteria" instead. To this end, respondents point
out that, in § 902(f)(1)(D), Congress expressly instructed the
Secretary to establish "criteria for all appropriate medical tests"
for Labor's permanent regulations; by the principle
expressio
unius est exclusio alterius, respondents
Page 488 U. S. 132
contend that Congress knew how to narrow the field to "medical
criteria" when it so desired, and therefore that the unadorned
"criteria" of § 902(f)(2) must include nonmedical factors as
well as medical. [
Footnote 2/5]
Page 488 U. S. 133
This argument proves far too little. In order to understand the
meaning of a statutory text, one must at least understand the way
in which the drafters used and understood the words they chose.
[
Footnote 2/6] To see how this
process works, consider if the two statutory provisions referred to
in the preceding paragraph were combined into one sentence, and
rephrased as follows:
"The Secretary of Labor shall establish criteria for all
appropriate medical tests that accurately reflect total disability
in coal miners, but criteria applied by the Secretary of Labor to
earlier filed or once-denied claims shall not be more restrictive
than the criteria applicable to a claim filed on June 30,
1973."
It would be quite normal -- in fact, the mark of a good writer
-- to use the phrase "criteria for all appropriate medical tests"
the first time, and the shorthand "criteria" -- meaning, "criteria
for all appropriate medical tests" -- the second. In other words,
rather than assuming that the
expressio unius est exclusio
alterius principle applies, it is at least equally reasonable
(and, as I shall show below in Part III, far more reasonable in
this case) to assume
Page 488 U. S. 134
that the unmodified "criteria" was used as a synonym for the
bulkier "criteria for all appropriate medical tests." [
Footnote 2/7]
III
A careful reading of the legislative history of the BLBRA leaves
no doubt that Members of Congress were concerned with whether the
HEW
medical criteria -- not the system of presumptions
through which the medical criteria were utilized -- were too
lenient or too stringent. This is precisely the conclusion reached
by the two Circuit Court judges who conducted a thorough
investigation into the background of the BLBRA.
See Strike v.
Director, OWCP, 817 F.2d 395, 400-406 (CA7 1987) (Cummings,
J.);
Halon v. Director, OWCP, 713 F.2d 21, 25-30 (CA3
1983) (Weis, J., dissenting in part). To understand fully the
certainty of the proposition that Congress intended "criteria" to
mean "medical criteria," one must examine closely first the
background of the BLBRA and then the congressional debates and
Committee Reports that serve as evidence of the context of what
became § 902(f)(2).
In 1972, Congress amended the original black lung legislation in
several respects. The HEW part B interim regulation that serves as
the benchmark for this case was promulgated as a result of the 1972
amendments, and followed from concerns regarding HEW's
claims-approval rate, as explained in the Report of the Senate
Committee on Labor and Public Welfare:
"[T]he backlog of claims which have been filed under [part B]
cannot await the establishment of new facilities
Page 488 U. S. 135
or the development of new medical procedures. They must be
handled under present circumstances in the light of limited medical
resources and techniques."
"Accordingly, the Committee expects the Secretary to adopt
such interim evidentiary rules and disability evaluation
criteria as will permit prompt and vigorous processing of the
large backlog of claims consistent with the language and intent of
these amendments.
Such interim rules and criteria shall
give full consideration to the combined employment handicap of
disease and age and provide for the
adjudication of claim[s] on
the basis of medical evidence other than breathing tests when
it is not feasible or practicable to provide physical performance
tests of the type described [by HEW]."
S.Rep. No. 92-743, pp. 18-19 (1972) (emphasis added). The Report
clearly distinguishes between evidentiary rules and medical
disability evaluation criteria. The part B interim regulation (20
CFR § 410.490) followed this distinction by providing for
certain medical disability evaluation criteria to be adjudicated by
means of certain evidentiary rules. In fact, § 410.490(a)
explicitly describes the "interim adjudicatory rules" that follow
in § 410.490(b) in terms that match the Senate Report's
distinction between "evidentiary rules" and "disability evaluation
criteria":
"In enacting the Black Lung Act of 1972, the Congress noted that
adjudication of the large backlog of claims generated by the
earlier law could not await the establishment of facilities and
development of medical tests not presently available to evaluate
disability due to pneumoconiosis, and that such claims must be
handled under present circumstances in the light of limited medical
resources and techniques. Accordingly, the Congress stated its
expectancy that the Secretary would adopt such
interim
evidentiary rules and disability evaluation criteria as would
permit prompt and vigorous processing of the large backlog of
claims consistent with
Page 488 U. S. 136
the language and intent of the 1972 amendments and that such
rules and criteria would give full consideration to the
combined employment handicap of disease and age and provide for the
adjudication of claims on the basis of medical evidence other than
physical performance tests when it is not feasible to provide such
tests. The provisions of this section establish such
interim
evidentiary rules and criteria. They take full account of the
congressional expectation that in many instances it is not feasible
to require extensive pulmonary function testing to measure the
total extent of an individual's breathing impairment, and that an
impairment in the transfer of oxygen from the lung alveoli to
cellular level can exist in an individual even though his chest
roentgenogram (X-ray) or ventilatory function tests are
normal."
(Emphasis added.)
Although HEW's claims-approval rate rose under the part B
interim regulation, Labor was still adjudicating part C claims
under stricter permanent regulations. In a 1975 House Report that
served as a precursor to the BLBRA, the Committee on Education and
Labor explained Labor's bind, and offered assistance:
"For some inexplicable reason, [HEW], exercising authority
provided under the current law, has literally saddled [Labor] with
rigid and difficult medical standards for measuring
claimant eligibility under part C of the program. The so-called
'permanent' medical standards now in effect under part C
are much more demanding than the so-called
'interim'
standards applied by HEW under part B of the program. HEW
points to 'substantial legal and other reasons' for applying
restrictive medical standards to a claim filed on and
after July 1, 1973, and
less restrictive criteria to a
claim filed before July 1, 1973. That assertedly 'substantial'
support apparently arises out of language contained in the Senate
Report
Page 488 U. S. 137
accompanying the 1972 amendments. In actual fact, HEW has
completely misplaced the emphasis of the Senate Report. The Senate
directive with regard to the '
interim' standards clearly
spoke to
standards that would obtain until 'the
establishment of new facilities or the development of new
medical procedures.' (S.Rept. 92-743, at 18) That was the
clear and explicit condition underscoring the need for and the
duration of
'interim' medical standards. Under the HEW
interpretation, these developments somehow magically occurred at
the onset of part C of the program. The Congress
did not
intend, in adopting the Senate initiative, as HEW so unequivocally
asserts, that this 'interim' approach would suddenly conclude at
the termination date for new part B filings. And HEW could hardly
intimate that the
'new facilities' or 'new medical
procedures' referenced so specifically in the Senate Report
have, in fact, become reality."
"This provision of the bill would require that
standards no
more restrictive than the 'interim' medical standards shall be
equally applicable to part C claims. To the extent that
more
restrictive standards are justified by the presence of
'new facilities' or 'new medical procedures,' it is
apparent that the Congress must in the future make that
determination."
H.R.Rep. No. 94770, pp. 13-14 (1975) (emphasis added). The terms
"medical standards" and "standards" are used interchangeably in
this Report; the unmodified term "standards" is used not to
distinguish "medical standards," but rather, as a matter of style,
to avoid repetition.
Testifying during 1977 hearings, President Arnold Miller of the
United Mine Workers of America explained his support for a
requirement that Labor adjudicate earlier filed or once-denied part
C claims under medical standards no less restrictive than HEW's
part B medical standards:
Page 488 U. S. 138
"The interim standards were by no means ideal. Nearly four of
every ten miners' claims were denied under these standards. We have
criticized their failure to include new blood gas standards and
their over-reliance on a single breathing test score. However,
these standards can provide a base point, and we urge enactment of
a guarantee that any new standards will be no more restrictive than
the interim standards. In developing new regulations, we urge that
[Labor] utilize the lung formation standards established by the
I.L.O."
Oversight of the Administration of The Black Lung Program,
Hearings before the Subcommittee on Labor of the Senate Committee
on Human Resources, 95th Cong., 1st Sess., pp. 49-50 (1977). That a
strong supporter of liberalized standards for black lung benefits
explained quite carefully that the criteria at issue in this case
are medical -- specifically, those medical criteria that relate to
proof of the disease ("blood gas standards"; "breathing test
score"; "lung formation standards") -- is certainly strong evidence
that the Secretary's position is correct (and,
a fortiori,
reasonable). [
Footnote 2/8] It is
also interesting
Page 488 U. S. 139
to note that the ensuing Labor regulation did provide
liberalized standards for proving disease by adding "[b]lood gas
studies" and "[o]ther medical evidence" to the methods of proof
available under the HEW regulation.
See 20 CFR
§§ 727.203(a)(3) and (4).
The House Education and Labor Committee returned its Report on
the proposed BLBRA on March 31, 1977. H.R.Rep. No. 95-151.
Throughout the discussion whether Labor could adopt HEW's more
lenient regulation, the Report uses the terms "medical standards"
and "screening criteria" to describe what Labor sought to borrow.
See id. at 15, 16, 28. The House bill required Labor to
adjudicate all part C claims -- whether earlier filed, once-denied,
or later filed -- pursuant to criteria not more restrictive than
HEW's part B criteria.
The Senate Human Resources Committee approved a bill that
authorized Labor to write new part C permanent regulations for all
claims adjudicated under its aegis, and in so doing "to establish
medical test criteria appropriate to disability in coal miners."
See S.Rep. No. 95-209, p. 2 (1977). The Committee
clarified the Senate's desire to give Labor leeway in establishing
"medical test standards."
See id. at 13-14. Even the
United Mine Workers, who thought HEW's part B interim standards too
stringent, wrote to the Committee about medical test
standards that measure pulmonary capacity; there is no mention of
evidentiary standards.
See id. at 13. Further, a
Congressional Budget Office survey, written when it was assumed
that HEW's part B interim standards would be maintained for all
part C claims, states that the new
Page 488 U. S. 140
measure of total disability "will be equivalent to the interim
medical standards."
See id. at 25. [
Footnote 2/9]
House and Senate conferees met to resolve the differences
between the two bills, and, not surprisingly, reached a compromise.
See H.R.Conf.Rep. No. 95-864 (1978). The Conference Report
explains that, pursuant to the Senate's desires, Labor would
promulgate for future claims "new medical standards," that is,
"criteria for medical tests," and that, in accord with the House's
wishes,
"the so-called 'interim' part B medical standards are to be
applied to all reviewed and pending claims filed before the date
the Secretary of Labor promulgates new medical standards for part C
cases."
Id. at 16. It could not be clearer that the conferees
intended to carry over HEW's part B
medical standards to
earlier-filed or once-denied part C claims, while new
medical standards would govern Labor's adjudication of
claims filed later. It is also important to note that, although the
resulting bill required that Labor "shall not provide more
restrictive criteria" to its adjudication of earlier-filed or
once-denied claims, the Conference Report adds that,
"in determining claims under such criteria, all relevant medical
evidence shall be considered in accordance with standards
prescribed by the Secretary of Labor."
Ibid. This indicates that Congress was concerned that
some
medical evidence was not being considered; this
concern, attached as a clause at the end of a sentence about "no
more restrictive criteria," implies that the referenced criteria
are medical ones.
The Senate and House debates on the Conference Report provide
the most dramatic evidence that Members of both Houses of Congress
understood the term "criteria" in
Page 488 U. S. 141
§ 902(f)(2) to refer to "medical criteria." Senator
Randolph of West Virginia, the Senate manager of the bill,
explained:
"Under the conference report, the Secretary of Labor is
authorized to promulgate medical standards for the evaluation of
part C claims at a time in the future. However, the review of all
part B and part C claims and of all claims filed prior to the
promulgation of the Labor Department's medical standards will be
accomplished with the use of the 'interim' medical standards which
were in use after the Black Lung Amendments of 1972."
124 Cong.Rec. 2331 (1978). Senator Javits of New York then
described his understanding of the legislation under
consideration:
"I was concerned throughout the consideration of this
legislation by the conference committee that the dual
responsibilities of HEW and [Labor] for reviewing previously denied
claims be exercised in a manner that is fair to all concerned.
These claims are to be reviewed by both agencies under
medical
criteria no more restrictive than the so-called interim medical
standards which were originally promulgated by HEW for the
determination of claims under part B of the act, for which HEW was
responsible through June 30, 1973. The bill also provides authority
for the Secretary of Labor to promulgate regulations establishing
revised medical criteria, based on the best medical
information available, to be applicable to all newly filed
claims."
"The
'interim' standards, as they were applied to
determine benefit claims under part B, have been highly
controversial and widely criticized. For example, the Secretary of
Labor, on September 30, 1977, stated:"
" The
part B standards are not medically sound for
providing benefits to all deserving individuals."
"I therefore requested that the statement of managers include
language to the effect that 'all relevant medical evidence' be
considered in applying the
'interim' standards to the
reviewed claims in order to more clearly explain
Page 488 U. S. 142
the intent of the new section [902(f)(2)] of the act created by
section 2(c) of the bill. I also suggested the language that"
"the conferees expect the Secretary of HEW to administer the
'interim' standards with a view to the just accomplishment
of the purpose of allowing for reviewed Part B claims to establish
disability within the meaning of the 1977 amendments as they apply
to all reviewed Part B claims."
"It is found in the statement of managers under the heading of
'Review.'"
Id. at 2333-2334 (emphasis added). Thus, the Senators
who spoke to the issue plainly understood § 902(f)(2) as
referring to
medical criteria.
The House debate reveals a similar clarity of understanding.
Representative Perkins of Kentucky, the bill's House manager,
explained:
". . . The House bill required that the so-called
interim
medical standards of part B of the program be applied under
part C as well. For the most part, the House provision prevailed in
conference on this issue, and all of the denied and pending claims
subject to review under the legislation will be evaluated according
to the
'interim' standards. These standards will
continue to apply into the future as well, until such time as the
Secretary of Labor promulgates new regulations consistent with the
authority given him by the bill. With respect to the review
responsibility of the Secretary of HEW under the legislation, the
'interim' standards remain solely applicable, as they have
in the past under the HEW part of the program. As for the Secretary
of Labor's review responsibility thereunder, the
'interim'
standards are exclusively and unalterably applicable with
respect to every area they now address, and may not be made or
applied more restrictively than they were in the past, but they may
be considered by the Labor Secretary within the context of all
relevant medical evidence according to the methodology prescribed
by the Secretary
Page 488 U. S. 143
and published in the Federal Register."
124 Cong.Rec. 3426 (1978) (emphasis added).
Representatives Perkins and Simon, of Illinois, then engaged in
the following revealing colloquy:
"Mr. SIMON. Mr. Speaker, I would also like to ask Chairman
PERKINS, who also served as chairman of the conference committee,
if in his opinion this legislation clearly requires that all denied
or pending claims subject to the review provisions of the new
section 435 will be subject to reconsideration under the so-called
interim medical criteria applicable under part B of the
black lung program?"
"Mr. PERKINS. That is the intent of the legislation, and I would
state to the gentleman that a reading of the conference report and
of the joint explanatory statement could lead only to that opinion.
The new law speaks clearly to this issue; and the relevant
legislative history and intent is equally clear. All claims filed
before the date that the Secretary of Labor promulgates
new
medical standards under part C are subject to evaluation under
standards that are no more restrictive than those in
effect as of June 30, 1973. And that means the so-called interim
standards. These are the standards HEW has applied under part B,
and they are the precise and only
standards HEW will apply
to these old claims it must review according to this legislation.
As for the Labor Department, it too must apply the
interim
standards to all of the claims filed under part C, at least
until such time as the Secretary of Labor promulgates new standards
consistent with the authority this legislation gives him. We do
recognize in the joint explanatory statement that the Secretary of
Labor may apply the
interim standards to its part C claims
within the context of all relevant medical evidence. But there is
no such directive or requirement imposed on HEW as it fulfills its
review duties. We expect that HEW will review these
Page 488 U. S. 144
old claims according to the same
interim criteria it
has applied in the past."
"I would also add here that this legislation gives no authority
to the Labor Secretary to alter, adjust, or otherwise change the
interim standards until such time as he actually
promulgates the
new standards, and those
new
standards will apply only to claims filed after the effective
date of their promulgation.
Insofar as the interim standards
address a medical criteria, they cannot be made more
restrictive."
"Mr. SIMON. Mr. Speaker, I thank the chairman for his response.
His views are in perfect accord with my own understanding of the
intent underlying these provisions."
"
* * * *"
"Mr. Speaker, I am pleased that the language in this bill is
crystal clear on the subject of the
medical standards that
must be used by the Secretary of HEW and the Secretary of Labor in
reviewing all pending and denied claims filed before the effective
date of
new medical standards promulgated by the Secretary
of Labor for part C cases.
Those standards can be no more
restrictive than the so-called
interim criteria, formally known
as the interim adjudicatory standards, applied by the [SSA]
after the 1972 Black Lung Amendments and before July 1, 1973."
"[He then quotes § 902(f)(2).]"
"It should not be possible to misconstrue the meaning of this
language. The Department of Labor is required to apply
medical
criteria no more restrictive than
criteria being used
by the [SSA] on June 30, 1973."
"The conference committee agreed that the Secretary of Labor, in
his review of denied and pending cases, is to consider all relevant
medical evidence and to promulgate regulations for the use of such
evidence. An example of this would be for the Secretary to consider
and promulgate
Page 488 U. S. 145
regulations on the International Labour Organization's
respiratory function tests in pneumoconiosis, which is not a form
of medical evidence included in the interim adjudicatory
standards."
"[He then quotes from the Conference Report.]"
"So the Secretary is
not confined to the medical evidence of
the interim criteria and yet may not prescribe criteria more
restrictive than the social security interim adjudicatory
standards."
Id. at 3431 (emphasis added). Although the Members
occasionally used the unmodified terms "standards" and "criteria,"
and although Representative Simon a few times referred to the
"interim adjudicatory standards," the comments read in full leave
no doubt that these terms were used interchangeably to refer to
what the Members viewed as
medical criteria.
I have quoted at length from the legislative history of the
BLBRA because this history reveals the supposedly "plain" language
of the statute to be not so plain after all. In other words,
although § 902(f)(2) uses the term "criteria," it is plain
that what Members of Congress were concerned about were
medical criteria. This concern found its way to both sides
of the compromise: the Senate prevailed in authorizing Labor to
promulgate new permanent part C regulations according to newly
developed medical criteria, while the House prevailed in ensuring
that Labor's adjudication of earlier filed or once-denied claims
would be undertaken pursuant to HEW's part B interim medical
criteria. That § 902(f)(2) uses the phrase "criteria" rather
than "medical criteria" can only be understood, in the context of
the intentions of the Members of Congress who enacted the BLBRA, as
the natural culmination of a discussion that used the two phrases
interchangeably throughout. [
Footnote
2/10] Although the Court today expresses
Page 488 U. S. 146
disbelief as to the proposition that Congress could use both
"criteria for all appropriate medical tests" and "criteria" to
refer to medical criteria, a contextual understanding of this
legislation reveals that attributing to Congress an intent to
distinguish between these two provisions is, in fact, the
unbelievable proposition. As the genesis and culmination of the
compromise reveal, the concerns of both the House and the Senate
throughout were with what
medical criteria should be
utilized by Labor in adjudication of part C claims.
IV
There is another body of evidence completely consistent with the
understanding that Congress intended "criteria" in § 902(f)(2)
to refer to "medical criteria" only: all available data plainly
demonstrate that pneumoconiosis is a progressive disease, and that,
although miners with fewer than 10 years of underground employment
sometimes contract simple
Page 488 U. S. 147
pneumoconiosis, they rarely, if ever, develop disabling cases of
the disease. Although the Court is quite correct in saying that "we
do not sit to determine what Congress
ought to have done
given the evidence before it,"
ante at
488 U. S. 118
(emphasis added), comprehending the evidence with which Congress
worked can help us determine what Congress
actually did.
[
Footnote 2/11]
During the 1974 hearings that gave rise to the BLBRA, even
supporters of liberalized standards agreed that short-term miners
should be subjected to more rigorous rules than long-term miners.
See, e.g., Hearings on H.R. 3476, H.R. 8834, H.R. 8835,
and H.R. 8838, before the General Subcommittee on Labor of the
House Committee on Education and Labor, 93d Cong., 1st and 2d
Sess., 367 (hereinafter 1974 Hearings) (Director of Appalachian
Research and Defense Fund argues for quite lenient standards for
miners with 20 years of experience, and suggests that "[a] miner
with 10 or 15 years might be required to meet the interim
standards, and a miner with less than 10 years, perhaps, a more
rigid standard"). During those same hearings, supporters of
liberalized standards from the United Mine Workers and the House
both mentioned that 20 CFR § 410.490, the HEW interim
Page 488 U. S. 148
part B regulation under consideration today, provided a
burden-shifting presumption only to miners with at least 15 years
of coal mining experience. 1974 Hearings 353 (statement of Bedford
W. Bird, Deputy Director, Department of Occupational Health, United
Mine Workers);
id. at 395 (question from Representative
Perkins of Kentucky). [
Footnote
2/12]
Study after study has revealed one stark, simple fact: miners
with fewer than 10 years in the mines rarely suffer from
pneumoconiosis
at all, and those who have the disease have
its earliest, nondisabling stage. The Appendix to the 1977 House
Report lists a number of studies that have been conducted
concerning black lung disease. H.R.Rep. No. 95151, at 30-38. The
evidence from these studies could not more plainly demonstrate that
short-term miners either do not have pneumoconiosis or have it only
at its earliest stages.
See, e.g., Lainhart, Prevalence of
Coal Miners' Pneumoconiosis
Page 488 U. S. 149
in Appalachian Bituminous Coal Miners, in Pneumoconiosis in
Appalachian Bituminous Coal Miners 31, 52, 56 (1969) (526 of 536
short-term miners either did not have the disease or were merely
suspect for it (98%); 10 short-term miners definitely had
pneumoconiosis. "[F]or work periods less than 15 years underground,
the occurrence of roentgenographic evidence of definite
pneumoconiosis appeared to be spotty among all working coal miners
. . . and showed no particular trend. For work periods greater than
15 years underground, there was a linear increase in the prevalence
of the disease with years spent underground"); Hyatt, Kistin, &
Mahan, Respiratory Disease in Southern West Virginia Coal Miners,
89 American Rev. Respiratory Disease 387, 389 (1964) (33 of 35
short-term miners had no pneumoconiosis (94.3%); 2 had simple
pneumoconiosis); Morgan, Burgess, Jacobson, O'Brien, Pendergrass,
Reger, & Shoub, The Prevalence of Coal Workers' Pneumoconiosis
in U.S. Coal Miners, 27 Archives of Environmental Health 225 (1973)
(3,064 of 3,450 short-term miners had no pneumoconiosis (88.8%);
385 had simple pneumoconiosis (11.2%); 1 had complex
pneumoconiosis). [
Footnote
2/13]
Given this overwhelming evidence, it was surely not unreasonable
for the Secretary to reject a reading of the BLBRA that would
mandate a presumption of total disability caused by pneumoconiosis
for every short-term miner who could establish that he had
contracted simple pneumoconiosis, which "is generally regarded by
physicians as seldom productive of significant respiratory
impairment."
Usery v. Turner Elkhorn Mining Co.,
428 U. S. 1,
428 U. S. 7
(1976).
Page 488 U. S. 150
V
Deference to Labor's construction is appropriate at two
different levels of analysis. First, to the extent that the debate
is over whether "criteria" means "all criteria" or only "medical
criteria," the foregoing sections on the legislative history of the
BLBRA and statistical studies of the connection between years in
the mines and incidence of pneumoconiosis reveal that reading
"criteria" to mean "medical criteria" is almost certainly correct,
and is certainly reasonable. Second, if one concedes that Congress
meant "medical criteria," but simultaneously insists that medical
criteria encompass proof of total disability from pneumoconiosis as
well as proof of black lung disease itself, the case for deference
could not be stronger. For as an interpretive question becomes more
technical, the expertise of the agency charged with a statute's
administration becomes greater and deferring to its construction,
rather than importing our own becomes more appropriate.
See,
e.g., Chevron U.S.A. Inc. v. Natural Resources Defense Council,
Inc., 467 U.S. at
467 U. S.
864-866;
Aluminum Co. of America v. Central Lincoln
Peoples' Utility District, 467 U. S. 380,
467 U. S. 390
(1984). One can define away the problem through hypotheticals about
football team captains and B averages, but in the end, such
hypotheticals cannot overcome the common-sense proposition that
"medical criteria" may well be limited to criteria that are clearly
medical -- ventilatory study values, how X-rays are to be read,
etc. -- and not extended to second level medical concerns --
e.g., at what point someone is likely to be totally
disabled from coal mine employment. That we have evidence of
congressional concern with the former, as well as evidence that
short-term miners simply do not suffer from pneumoconiosis in the
same way that longer term miners do, should be sufficient to
sustain the Secretary's reading as reasonable.
In order to sanction a departure from the views of an agency
charged with the administration of a complex regulatory
Page 488 U. S. 151
scheme, we must be convinced that Congress meant something other
than the agency thinks it meant. The regulation of the Secretary
that is at issue in this case was promulgated in 1978, and has been
consistently defended and enforced by four different Secretaries of
Labor. [
Footnote 2/14] Congress
delegated the task of implementing this complex and costly piece of
legislation to that office, and I find no reason to conclude that
the Secretary's interpretation exceeded the bounds of the powers
delegated to her. Accordingly, I respectfully dissent.
[
Footnote 2/1]
I fully agree with the Court's analysis in Part IV of its
opinion regarding the availability of mandamus relief in the Eighth
Circuit case.
[
Footnote 2/2]
The basis for the interim regulation is explained in 20 CFR
§ 410.490(a) (1988), which is set forth
infra at
488 U. S.
135-136.
[
Footnote 2/3]
The entire text of 20 CFR § 410.490(b) reads as
follows:
"(b)
Interim presumption. With respect to a miner who
files a claim for benefits before July 1, 1973, and with respect to
a survivor of a miner who dies before January 1, 1974, when such
survivor timely files a claim for benefits, such miner will be
presumed to be totally disabled due to pneumoconiosis, or to have
been totally disabled due to pneumoconiosis at the time of his
death, or his death will be presumed to be due to pneumoconiosis,
as the case may be, if:"
"(1) One of the following medical requirements is met:"
"(i) A chest roentgenogram (X-ray), biopsy, or autopsy
establishes the existence of pneumoconiosis (see § 410.428);
or"
"(ii) In the case of a miner employed for at least 15 years in
underground or comparable coal mine employment, ventilatory studies
establish the presence of a chronic respiratory or pulmonary
disease (which meets the requirements for duration in §
410.412(a)(2)) as demonstrated by values which are equal to or less
than the values specified in the following table:"
Equal to or less than --
------------------------
FEV 1 MVV
-----------------------------------------
67" or less 2.3 92
68" 2.4 96
69" 2.4 96
70" 2.5 100
71" 2.6 104
72" 2.6 104
73" or more 2.7 108
"(2) The impairment established in accordance with paragraph
(b)(1) of this section arose out of coal mine employment (see
§§ 410.416 and 410.456)."
"(3) With respect to a miner who meets the medical requirements
in paragraph (b)(1)(ii) of this section, he will be presumed to be
totally disabled due to pneumoconiosis arising out of coal mine
employment, or to have been totally disabled at the time of his
death due to pneumoconiosis arising out of such employment, or his
death will be presumed to be due to pneumoconiosis arising out of
such employment, as the case may be, if he has at least 10 years of
the requisite coal mine employment."
[
Footnote 2/4]
This alternative method of proof is not apparent from the text
of the regulation quoted at
488
U.S. 105fn2/3|>n. 3,
supra, but is explained in
§§ 410.416 and 410.456, which are cross-referenced in
paragraph (b)(2).
[
Footnote 2/5]
The full text of § 2 of the Act reads as follows:
"Sec.2. (a) Section 402(b) of the Federal Mine Safety and Health
Act of 1977 (hereinafter in this Act referred to as the 'Act') is
amended to read as follows:"
" (b) The term 'pneumoconiosis' means a chronic dust disease of
the lung and its sequelae, including respiratory and pulmonary
impairments, arising out of coal mine employment."
"(b) Section 402(d) of the Act is amended to read as
follows:"
" (d) The term 'miner' means any individual who works or has
worked in or around a coal mine or coal preparation facility in the
extraction or preparation of coal. Such term also includes an
individual who works or has worked in coal mine construction or
transportation in or around a coal mine, to the extent such
individual was exposed to coal dust as a result of such
employment."
"(c) Section 402(f) of the Act is amended to read as
follows:"
" (f)(1) The term 'total disability' has the meaning given it by
regulations of the Secretary of Health, Education, and Welfare for
claims under part B of this title, and by regulations of the
Secretary of Labor for claims under part C of this title, subject
to the relevant provisions of subsections (b) and (d) of section
413, except that -- "
" (A) in the case of a living miner, such regulations shall
provide that a miner shall be considered totally disabled when
pneumoconiosis prevents him or her from engaging in gainful
employment requiring the skills and abilities comparable to those
of any employment in a mine or mines in which he or she previously
engaged with some regularity and over a substantial period of
time;"
" (B) such regulations shall provide that (i) a deceased miner's
employment in a mine at the time of death shall not be used as
conclusive evidence that the miner was not totally disabled; and
(ii) in the case of a living miner, if there are changed
circumstances of employment indicative of reduced ability to
perform his or her usual coal mine work, such miner's employment in
a mine shall not be used as conclusive evidence that the miner is
not totally disabled;"
" (C) such regulations shall not provide more restrictive
criteria than those applicable under section 223(d) of the Social
Security Act; and"
" (D) the Secretary of Labor, in consultation with the Director
of the National Institute for Occupational Safety and Health, shall
establish criteria for all appropriate medical tests under this
subsection which accurately reflect total disability in coal miners
as defined in subparagraph (A)."
" (2) Criteria applied by the Secretary of Labor in the case of
-- "
" (A) any claim which is subject to review by the Secretary of
Health, Education, and Welfare, or subject to a determination by
the Secretary of Labor, under section 435(a);"
" (B) any claim which is subject to review by the Secretary of
Labor under section 435(b); and"
" (C) any claim filed on or before the effective date of
regulations promulgated under this subsection by the Secretary of
Labor;"
"shall not be more restrictive than the criteria applicable to a
claim filed on June 30, 1973, whether or not the final disposition
of any such claim occurs after the date of such promulgation of
regulations by the Secretary of Labor."
92 Stat. 95-96.
[
Footnote 2/6]
This process is quite similar to the rule of contract
interpretation that requires looking to the customary usage of the
contract terms at issue.
See, e.g., E. Farnsworth,
Contracts § 713, pp. 508-511, and n. 10 (1982) (giving as
example "usage that
minimum 50% protein' included 49.5 percent
protein").
[
Footnote 2/7]
It is also interesting to note that the definition of the word
"criterion" in Webster's Third New International Dictionary 538
(1966) is in three parts, the first two of which contain medical
references. Thus, the first definition uses as an example "a
special constitutional criterion of that person," drawn from the
Journal of the American Medical Association, and the second makes
reference to "the accepted criteria of adequate diet." None of the
definitions makes any reference to legal procedures, presumptions,
or burdens of proof.
[
Footnote 2/8]
Similarly, a Social Security Administration (SSA) medical staff
member explained that HEW's concern in constructing the part B
interim rules was with liberalizing medical test standards:
"The only practicable way to respond to [Congress' desire to
decrease the backlog of claims in a liberalized fashion],
considering the marked limitations in actually obtaining the
physical performance tests, was to establish
criteria which
would detect disease."
"It was acknowledged that
these criteria would not
necessarily describe a level of impairment which would impose a
functional limitation on the individual. Thus, the interim
adjudicatory rules provide for allowing the claim if (1) a chest
roentgenogram, biopsy, or autopsy establishes the existence of
pneumoconiosis or (2) the individual's ventilatory function values
met a liberalized table provided in the section."
"The liberalized ventilatory function table was established at a
sufficiently high level, at a point just below normal for the
younger individual, so as not to disadvantage those individuals who
might be allowed benefits if the physical performance test could be
obtained, and it was recognized it could not be obtained in a vast
majority of cases."
Oversight of the Administration of the Black Lung Program,
Hearings before the Subcommittee on Labor of the Senate Committee
on Human Resources, 95th Cong., 1st Sess., p.194 (1977) (statement
of Herbert Blumenfeld, M.D., Chief, Medical Consulting Staff,
Bureau of Disability Insurance, Social Security Administration)
(emphasis added).
[
Footnote 2/9]
During Senate debate, Senator Randolph of West Virginia, the
manager of the Senate bill, explained that the bill
"authorizes the Secretary of Labor to establish medical criteria
for determining total disability in coal mines under part C.
Currently, the [SSA] imposes on [Labor] its own standards, which
are considerably more restrictive than the standards it uses for
part B claimants."
123 Cong.Rec. 24239 (1977).
[
Footnote 2/10]
Alternatively, even if the use of the unmodified "criteria" in
§ 902(f)(2) is seen as the product of congressional
inadvertence, legislative oversight or inadvertence can at times
produce statutory language that does not cleanly reflect Congress'
intention.
See, e.g., Examining Board of Engineers, Architects
and Surveyors v. Flores de Otero, 426 U.
S. 572,
426 U. S.
582-586 (1976) (interpreting 28 U.S.C. § 1343(3) to
confer jurisdiction upon territorial courts);
Cass v. United
States, 417 U. S. 72,
417 U. S. 83
(1974) ("In resolving ambiguity, we must allow ourselves some
recognition of the existence of sheer inadvertence in the
legislative process");
U.S. Bulk Carriers, Inc. v.
Arguelles, 400 U. S. 351,
400 U. S. 354
(1971) ("We often must legislate interstitially to iron out
inconsistencies within a statute or to fill gaps resulting from
legislative oversight or to resolve ambiguities resulting from a
legislative compromise" (footnote omitted));
see also United
States v. Locke, 471 U. S. 84,
471 U. S. 123
(1985) (STEVENS, J., dissenting) ("[I]t is surely understandable
that the author of § 314 might inadvertently use the words
prior to December 31' when he meant to refer to the end of the
calendar year"); Maine v. Thiboutot, 448 U. S.
1, 448 U. S. 14
(1980) (Powell, J., dissenting) ("When the language does not
reflect what history reveals to have been the true legislative
intent, we have readily construed the Civil Rights Acts to include
words that Congress inadvertently omitted"l; cf. Posner,
Legal Formalism, Legal Realism, and the Interpretation of Statutes
and the Constitution, 37 Case W.Res.L.Rev. 179, 191 (1986)
("Interpretation is no less a valid method of acquiring knowledge
because it necessarily ranges beyond the text").
[
Footnote 2/11]
As we said just last Term in
Mullins Coal Co., Inc. v.
Director, OWCP, 484 U. S. 135,
484 U. S.
157-158, n. 30 (1987):
"Like all rules of evidence that permit the inference of an
ultimate fact from a predicate one, black lung benefits
presumptions rest on a judgment that the relationship between the
ultimate and the predicate facts has a basis in the logic of common
understanding."
" Inferences and presumptions are a staple of our adversary
system of factfinding. It is often necessary for the trier of fact
to determine the existence of an element of the crime -- that is,
an 'ultimate' or 'elemental' fact -- from the existence of one or
more 'evidentiary' or 'basic' facts. . . . The value of these
evidentiary devices, and their validity under the Due Process
Clause, vary from case to case, however, depending on the strength
of the connection between the particular basic and elemental facts
involved and on the degree to which the device curtails the
factfinder's freedom to assess the evidence independently."
"
County Court of Ulster County v. Allen, 442 U. S.
140,
442 U. S. 156 (1979)."
[
Footnote 2/12]
One may conclude that these gentlemen simply misread the
regulation; it does take a rather labyrinthian route through this
regulation to reach that class of miners who can receive the
presumption without at least 10 years in the mines. However,
another theory, which follows from the discussion in Part I,
supra, is available: HEW itself may have overlooked the
fact that its interim regulation, as promulgated, permitted one
class of miners -- those who can prove both pneumoconiosis (through
X-ray, biopsy, or autopsy) and coal mine causation (independently
of the 10-year minimum option) -- to receive the presumption
without proving at least 10 years in the mines. In other words: all
parties to this litigation have assumed that § 410.490 clearly
permits miners such as respondents to receive the benefit of the
presumption without showing at least 10 years in the mines.
Additionally, it has been assumed that Labor's interim presumption,
by requiring a 10-year minimum from all miners, is clearly more
restrictive for miners such as respondents. However, the evidence
from the hearings, Committee Reports, and floor debates reveals
that no one assumed that short-term miners would obtain the benefit
of the HEW presumption, and therefore lends strength to the theory,
set forth in
488 U. S.
supra, that the gap in the presumption was inadvertent,
i.e.,. a loophole. Accordingly, one could readily conclude
as well that the 1977 Congress, which required Labor's interim
presumption to utilize no less restrictive criteria than HEW's, was
also legislating under the assumption that only long-term miners
were affected.
[
Footnote 2/13]
As another example, two studies presented during 1981 hearings
classified 99.3% and 98.9% of miners with fewer than 10 years of
coal mine experience in radiographic category "0," revealing no
disease whatsoever. Problems Relating to the Insolvency of the
Black Lung Disability Trust Fund, Hearings before the Subcommittee
on Oversight of the House Committee on Ways and Means, 97th Cong.,
1st Sess., 32 (statement of Dr. J. Donald Millar, Director,
National Institute for Occupational Safety and Health, Centers for
Disease Control, Public Health Service).
[
Footnote 2/14]
That the Secretary's interpretation has survived a change in
Administration (and political party as well) provides yet another
reason to defer to the reasonable view of the Executive Branch on
the subject.
See, e.g., Atchison, T. & S. F. R. Co. v.
Wichita Board of Trade, 412 U. S. 800,
412 U. S. 807
(1973) (plurality opinion of MARSHALL, J.) ("A settled course of
behavior embodies the agency's informed judgment that, by pursuing
that course, it will carry out the policies committed to it by
Congress");
Motor Vehicle Manufacturers Association of the
United States, Inc. v. State Farm Mutual Automobile Insurance
Co., 463 U. S. 29,
463 U. S. 40-42
(1983);
cf. Garland, Deregulation and Judicial Review, 98
Harv.L.Rev. 505, 585 (1985) ("[A]brupt and profound alterations in
an agency's course [after change in Administration or Congress] may
signal a loss of fidelity to [Congress'] original intent"). It is
also relevant that the Secretary was involved in the drafting of
the BLBRA.
See, e.g., Miller v. Youakim, 440 U.
S. 125,
440 U. S. 144
(1979);
cf., e.g., Udall v. Tallman, 380 U. S.
1,
380 U. S. 16
(1965) (contemporaneous construction by agency due deference).