80_FR_23825 80 FR 23743 - Black Lung Benefits Act: Disclosure of Medical Information and Payment of Benefits

80 FR 23743 - Black Lung Benefits Act: Disclosure of Medical Information and Payment of Benefits

DEPARTMENT OF LABOR
Office of Workers' Compensation Programs

Federal Register Volume 80, Issue 82 (April 29, 2015)

Page Range23743-23754
FR Document2015-09573

The Department is proposing revisions to the Black Lung Benefits Act (BLBA) regulations to address several procedural issues that have arisen in claims processing and adjudications. To protect a miner's health and promote accurate benefit determinations, the proposed rule would require parties to disclose all medical information developed in connection with a claim for benefits. The proposed rule also would clarify that a liable coal mine operator is obligated to pay benefits during post-award modification proceedings and that a supplemental report from a physician is considered merely a continuation of the physician's earlier report for purposes of the evidence-limiting rules.

Federal Register, Volume 80 Issue 82 (Wednesday, April 29, 2015)
[Federal Register Volume 80, Number 82 (Wednesday, April 29, 2015)]
[Proposed Rules]
[Pages 23743-23754]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-09573]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs

20 CFR Part 725

RIN 1240-AA10


Black Lung Benefits Act: Disclosure of Medical Information and 
Payment of Benefits

AGENCY: Office of Workers' Compensation Programs, Labor.

ACTION: Notice of proposed rulemaking; request for comments.

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SUMMARY: The Department is proposing revisions to the Black Lung 
Benefits Act (BLBA) regulations to address several procedural issues 
that have arisen in claims processing and adjudications. To protect a 
miner's health and promote accurate benefit determinations, the 
proposed rule would require parties to disclose all medical information 
developed in connection with a claim for benefits. The proposed rule 
also would clarify that a liable coal mine operator is obligated to pay 
benefits during post-award modification proceedings and that a 
supplemental report from a physician is considered merely a 
continuation of the physician's earlier report for purposes of the 
evidence-limiting rules.

DATES: The Department invites written comments on the proposed 
regulations from interested parties. Written comments must be received 
by June 29, 2015.

ADDRESSES: You may submit written comments, identified by RIN number 
1240-AA10, by any of the following methods. To facilitate receipt and 
processing of comments, OWCP encourages interested parties to submit 
their comments electronically.
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions on the Web site for submitting comments.
     Facsimile: (202) 693-1395 (this is not a toll-free 
number). Only comments of ten or fewer pages, including a Fax cover 
sheet and attachments, if any, will be accepted by Fax.
     Regular Mail: Submit comments on paper, disk, or CD-ROM to 
the Division of Coal Mine Workers' Compensation Programs, Office of 
Workers' Compensation Programs, U.S. Department of Labor, Room C-3520, 
200 Constitution Avenue NW., Washington, DC 20210. The Department's 
receipt of U.S. mail may be significantly delayed due to security 
procedures. You must take this into consideration when preparing to 
meet the deadline for submitting comments.
     Hand Delivery/Courier: Submit comments on paper, disk, or 
CD-ROM to Division of Coal Mine Workers' Compensation Programs, Office 
of Workers' Compensation Programs, U.S. Department of Labor, Room C-
3520, 200 Constitution Avenue NW., Washington, DC 20210.
    Instructions: All submissions received must include the agency name 
and the Regulatory Information Number (RIN) for this rulemaking. All 
comments received will be posted without change to http://www.regulations.gov, including any personal information provided.
    Docket: For access to the docket to read background documents or 
comments received, go to http://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Michael Chance, Director, Division of 
Coal Mine Workers' Compensation, Office of Workers' Compensation 
Programs, U.S. Department of Labor, 200 Constitution Avenue NW., Suite 
N-3520, Washington, DC 20210. Telephone: 1-800-347-2502. This is a 
toll-free number. TTY/TDD callers may dial toll-free 1-800-877-8339 for 
further information.

SUPPLEMENTARY INFORMATION:

I. Background of This Rulemaking

    The BLBA, 30 U.S.C. 901-944, provides for the payment of benefits 
to coal miners and certain of their dependent survivors on account of 
total disability or death due to coal workers' pneumoconiosis. 30 
U.S.C. 901(a); Usery v. Turner Elkhorn Mining Co., 428 U.S. 1, 5 
(1976). Benefits are paid by either an individual coal mine operator 
that employed the coal miner (or its insurance carrier), or the Black 
Lung Disability Trust Fund. Director, OWCP v. Bivens, 757 F.2d 781, 783 
(6th Cir. 1985). The Department has undertaken this rulemaking 
primarily to resolve several procedural issues that have arisen in 
claims administration and adjudication. Each of these issues is fully 
explained in the Section-By-Section Explanation below.

II. Summary of the Proposed Rule

A. General Provisions

    The Department is proposing several general revisions to advance 
the goals

[[Page 23744]]

set forth in Executive Order 13563. 76 FR 3821 (Jan. 18, 2011). That 
Order states that regulations must be ``accessible, consistent, written 
in plain language, and easy to understand.'' Id.; see also E.O. 12866, 
58 FR 51735 (Sept. 30, 1993) (Agencies must draft regulations that are 
``simple and easy to understand, with the goal of minimizing the 
potential for uncertainty and litigation arising from such 
uncertainty.''). Accordingly, the Department proposes to remove the 
imprecise term ``shall'' throughout those sections it is amending and 
substitute ``must,'' ``must not,'' ``will,'' or other situation-
appropriate terms. These changes are designed to make the regulations 
clearer and more user-friendly. See generally Federal Plain Language 
Guidelines, http://www.plainlanguage.gov/howto/guidelines. In some 
instances, the Department has also made minor technical revisions to 
these sections to comply with the Office of the Federal Register's 
current formatting requirements. See, e.g., proposed Sec.  
725.414(a)(2)(ii) (inserting ``of this chapter'' after reference to 
Sec.  718.107). No change in meaning is intended.

B. Section-by-Section Explanation

20 CFR 725.310 Modification of awards and denials.
    Section 725.310 implements section 22 of the Longshore and Harbor 
Workers' Compensation Act (Longshore Act or LHWCA), 33 U.S.C. 922, as 
incorporated into the BLBA by section 422(a) of the Act, 30 U.S.C. 
932(a). Section 22 generally allows for the modification of claim 
decisions based on a mistake of fact or a change in conditions up to 
one year after the last payment of benefits or denial of a claim. The 
Department proposes several revisions to this regulation to ensure that 
responsible operators (and their insurance carriers) fully discharge 
their payment obligations while pursuing modification.
    While modification is a broad remedy available to responsible 
operators as well as claimants, a mere request for modification does 
not terminate an operator's obligation to comply with the terms of a 
prior award, or otherwise undermine the effectiveness, finality, or 
enforceability of a prior award. See Vincent v. Consolidated Operating 
Co., 17 F.3d 782, 785-86 (5th Cir. 1994) (enforcing award despite 
employer's modification request); Williams v. Jones, 11 F.3d 247, 259 
(1st Cir. 1993) (same); Hudson v. Pine Ridge Coal Co., No. 11-00248, 
2012 WL 386736, *5 (S.D. W.Va. Feb. 6, 2012) (same); see also National 
Mines Corp. v. Carroll, 64 F.3d 135, 141 (3d Cir. 1995) (``[A]s the DOL 
points out in its brief, `as a general rule, the mere existence of 
modification proceedings does not affect the finality of an existing 
award of compensation.' ''); Crowe ex rel. Crowe v. Zeigler Coal Co., 
646 F.3d 435, 445 (7th Cir. 2011) (Hamilton, J., concurring) (``If 
Zeigler Coal believed the June 2001 award of benefits was wrong, it was 
entitled to seek modification. But Zeigler Coal was not legally 
entitled simply to ignore the final order of payment.''). Thus, an 
operator must continue to pay any benefits due under an effective award 
even when seeking to overturn that award through a section 22 
modification proceeding.
    The plain language of the Act and its implementing regulations 
support this conclusion. An operator is required to pay benefits 
``after an effective order requiring the payment of benefits''--
generally an uncontested award by a district director or any award by 
an administrative law judge, the Benefits Review Board, or a reviewing 
court--even if the operator timely appeals the effective award. 20 CFR 
725.502(a)(1); see also 33 U.S.C. 921(a), as incorporated by 30 U.S.C. 
932(a). There is only one exception to an operator's obligation to pay 
benefits owed under an effective award: The Board or a reviewing court 
may issue a stay pending its resolution of an appeal based on a finding 
that ``irreparable injury would otherwise ensue to the employer or 
carrier.'' 30 U.S.C. 921(a)(3), (c); see also 20 CFR 725.482(a), 
725.502(a)(1). Otherwise, an effective award requires payment until it 
is (1) ``vacated by an administrative law judge on reconsideration,'' 
(2) ``vacated . . . upon review under section 21 of the LHWCA, by the 
Benefits Review Board or an appropriate court,'' or (3) ``superseded by 
an effective order issued pursuant to Sec.  725.310.'' 20 CFR 725.502. 
Notably absent from this list is a request for modification pursuant to 
Sec.  725.310. Thus, only an administrative or judicial order relieves 
the operator of the obligation to pay benefits, even if the operator 
continues to contest the award. The operator may not terminate the 
obligation unilaterally.
    Despite this clear authority, some operators obligated to pay 
benefits to claimants (and to repay the Black Lung Disability Trust 
Fund for interim benefit payments) by the terms of effective or final 
awards have refused to comply with those obligations, claiming that a 
subsequent modification request excuses their non-compliance. See, 
e.g., Crowe, 646 F.3d at 447 (Hamilton, J., concurring); Hudson, 2012 
WL 386736, *3. In addition to being contrary to the unanimous weight of 
the courts of appeals and the plain text of the controlling statutory 
and regulatory provisions, the practice has a number of negative 
consequences.
    First, it prevents claimants from timely receiving all the benefits 
to which they are entitled. If an operator fails to comply with the 
terms of an effective award, the Black Lung Disability Trust Fund pays 
benefits to the claimant in the operator's stead. See 20 CFR 
725.522(a). But, in any claim filed after 1981, the Trust Fund is 
statutorily prohibited from paying retroactive benefits, i.e., benefits 
owed for the period of time between the entitlement date specified in 
the order (typically the date the miner filed his or her claim or the 
date of the miner's death) and the initial determination that the 
claimant is entitled to benefits. 26 U.S.C. 9501(d)(1)(A)(ii). These 
retroactive benefits are sometimes substantial, and an operator's 
failure to pay them while pursuing modification imposes a similarly 
substantial burden on the claimant. See Crowe, 646 F.3d at 446 (``[T]he 
effect of Zeigler Coal's decision to disobey the final payment order 
[while it pursued modification for ten years] was to deny Mr. Crowe the 
$168,000 in back benefits to which he had been found entitled.'')
    The Act currently provides two mechanisms for claimants to enforce 
these liabilities. Section 21(d) of the Longshore Act, 33 U.S.C. 
921(d), as incorporated into the BLBA by section 422(a) of the Act, 30 
U.S.C. 932(a), and implemented by 20 CFR 725.604, provides for the 
enforcement of final awards. And section 18(a) of the Longshore Act, 33 
U.S.C. 918(a), as incorporated into the BLBA by section 422(a) of the 
Act, 30 U.S.C. 932(a), and implemented by 20 CFR 725.605, does the same 
for effective awards. These remedies are, however, imperfect. Even if 
the previous award is final, section 21(d) still requires the claimant 
to file an enforcement action in federal district court to secure 
compliance with the award, a substantial barrier for unrepresented 
claimants. And even for represented claimants, the process can be a 
source of substantial delay. For example, the district court's order 
enforcing a final award under section 21(d) in Nowlin v. Eastern 
Associated Coal Corp., 266 F. Supp. 2d 502 (N.D. W.Va. 2003), was 
issued more than two years after the complaint was filed, and the 
consequent attorney's fee dispute took another seven months to resolve. 
Such delays should be minimized where possible to ensure prompt

[[Page 23745]]

compensation for claimants. A claimant seeking to enforce an effective 
but non-final award faces the same barriers, plus the additional 
hurdles of section 18(a)'s one-year limitations period and its 
requirement to obtain a supplemental order of default from the district 
director.
    Second, the practice improperly shifts financial burdens from the 
responsible operator to the Trust Fund contrary to Congress's intent. 
Congress created the Trust Fund in 1978 to assume responsibility for 
claims for which no operator was liable or in which the responsible 
operator defaulted on its payment obligations. But Congress intended to 
``ensure that individual coal operators rather than the trust fund bear 
the liability for claims arising out of such operator's mines, to the 
maximum extent feasible.'' S. Rep. No. 95-209 at 9 (1977), reprinted in 
Committee on Education and Labor, House of Representatives, 96th Cong., 
Black Lung Benefits Reform Act and Black Lung Benefits Revenue Act of 
1977 at 612 (Comm. Print) (1979). Thus, operators are required to 
reimburse the Trust Fund for all benefits it paid to a claimant on the 
operator's behalf under an effective or final order. See 30 U.S.C. 
934(b); 20 CFR 725.522(a), 725.601-603.
    This intent is undermined if an operator does not pay benefits or 
reimburse the Trust Fund while seeking to modify an effective award. 
One of the few events that terminates an effective order is being 
``superseded by an effective order issued pursuant to Sec.  725.310.'' 
20 CFR 725.502(a)(1). Thus, if an operator evades its obligation to pay 
benefits under the terms of an effective or final order until it 
successfully modifies that order under Sec.  725.310, the operator may 
entirely evade its obligation to pay benefits (or to reimburse the 
Trust Fund for paying benefits on the operator's behalf) under the 
initial order. Moreover, because Sec.  725.310(d) allows only certain 
benefits paid under a previously effective order to be recovered 
(generally only benefits for periods after modification was requested), 
the Trust Fund will be unable to recoup benefits paid prior to that 
date from the claimant. And the Trust Fund's right to recover the 
remaining overpayment is of little practical value in many cases given 
that claimants may be entitled to waiver of overpayments by operation 
of Sec. Sec.  725.540-548.
    Section 725.502's requirement that operators pay benefits owed 
under the terms of effective (as well as final) awards is designed to 
place these overpayment recovery risks where they properly belong: On 
the operator who, if successful, has the same overpayment recoupment 
rights as the Trust Fund. See 65 FR 80009-80011 (explaining rationale 
for Sec.  725.502); 20 CFR 725.547 (extending overpayment provisions to 
operators and their insurance carriers). The tactic of refusing to pay 
benefits owed while seeking modification threatens to transfer this 
risk to the Trust Fund, essentially rewarding operators that behave 
lawlessly and encouraging others to do the same. See Crowe, 646 F.3d at 
446-47.
    To deal with this recurring problem, the Department proposes adding 
new paragraph (e) to Sec.  725.310. Proposed paragraphs (e)(1) and (2) 
provide that an operator's request to modify any effective award will 
be denied unless the operator proves that it has complied with all of 
its obligations under that award, and any other currently effective 
award (such as an attorney fee award) in the claim, unless payment has 
been stayed. By incorporating Sec.  725.502(a)'s definition of 
effective award, the proposed regulation clarifies that an operator is 
not required to prove compliance with formerly effective awards that 
have been vacated either on reconsideration by an administrative law 
judge, or on appeal by the Board or a court of appeals, or that have 
been superseded by an effective modification order.
    Proposed paragraph (e)(3) integrates the requirements of paragraph 
(e)(1) into the overall modification procedures outlined by Sec.  
725.310(b)-(c). The Department anticipates that compliance with the 
requirements of outstanding effective awards will be readily apparent 
from the documentary evidence in most cases and that any non-compliance 
with those obligations will be easily correctable by the operator based 
on that evidence. Accordingly, paragraph (e)(3) encourages the parties 
to submit all documentary evidence at the earliest stage of the 
modification process (i.e., during proceedings before the district 
director) by forbidding the admission of any new documentary evidence 
addressing the operator's compliance with paragraph (e)(1) at any 
subsequent stage of the litigation absent extraordinary circumstances. 
The Department intends that the term ``extraordinary circumstances'' in 
this context be understood the same way that the identical term has 
been applied in cases governed by Sec.  725.456(b)(1). See, e.g., 
Marfork Coal Co. v. Weis, 251 F. App'x 229, 236 (4th Cir. 2007) 
(operator failed to demonstrate ``extraordinary circumstances'' 
justifying late submission of evidence under Sec.  725.456(b)(1) where 
evidence was not ``hidden or could not have been located'' earlier).
    Proposed paragraph (e)(4) clarifies that an operator has a 
continuing obligation to comply with the requirements of effective 
awards during all stages of a modification proceeding. The Department 
believes that imposing an affirmative obligation on operators to 
continually update the administrative law judge, Board, or court 
currently adjudicating its modification request about every continuing 
payment required by previous awards would be unduly burdensome on both 
operators and adjudicators. When an operator's non-compliance is 
brought to an adjudication officer's attention, however, the 
adjudicator must issue an order to show cause why the operator's 
modification petition should not be denied. Because the issue will be 
the operator's compliance with paragraph (e)(1) at the time of the 
order rather than at the time it requested modification, evidence 
relevant to this issue will be admissible even in the absence of 
extraordinary circumstances. In addition, to avoid the burden of a 
minor default resulting in the denial of modification, paragraph (e)(4) 
gives the operator an opportunity to cure any default identified by the 
Director or claimant before the modification petition is denied.
    Proposed paragraph (e)(5) clarifies that the denial of a 
modification request on the ground that the operator has not complied 
with its obligations under previous effective awards will not prejudice 
the operator's right to make additional modification requests in that 
same claim in the future. At the time of that future request, of 
course, the operator must satisfy all modification requirements, 
including Sec.  725.310(e).
    Finally, proposed paragraph (e)(6) makes these requirements 
applicable only to modification requests filed on or after the 
effective date of the final rule. Making the rule applicable 
prospectively avoids any administrative difficulties that could arise 
from applying the rule's requirements to pending modification requests.
20 CFR 725.413 Disclosure of Medical Information
    The Department proposes a new provision that requires the parties 
to disclose all medical information developed in connection with a 
claim. Currently, parties to a claim are free to develop medical 
information to the extent their resources allow and then select from 
that information those pieces they wish to submit into evidence, 
subject to the evidentiary limitations set out in Sec.  725.414. See 20

[[Page 23746]]

CFR 725.414. Medical information developed but not submitted into 
evidence generally remains in the sole custody of the party who 
developed it unless an opposing party obtains the information through a 
formal discovery process.
    Experience has demonstrated that miners may be harmed if they do 
not have access to all information about their health, including 
information that is not submitted for the record. Claimants who do not 
have legal representation are particularly disadvantaged because 
generally they are unfamiliar with the formal discovery process and 
thus rarely obtain undisclosed information. Moreover, benefit decisions 
based on incomplete medical information are less accurate. These 
results are contrary to the clear intent of the statute.
    One recent case, Fox v. Elk Run Coal Co., 739 F.3d 131 (4th Cir. 
2014), aptly demonstrates these problems. Mr. Fox worked in coal mines 
for more than thirty years. In 1997, a chest X-ray disclosed a mass in 
his right lung. A pathologist who reviewed tissue collected from the 
mass during a 1998 biopsy diagnosed an inflammatory pseudotumor. Acting 
without legal representation, Mr. Fox filed a claim for black lung 
benefits in 1999. The responsible operator submitted radiologists' 
reports and opinions from four pulmonologists, all concluding that Mr. 
Fox did not have coal workers' pneumoconiosis. The operator had 
developed additional medical information, however--opinions from two 
pathologists who reviewed the 1998 biopsy tissue and other records and 
then authored opinions supporting the conclusion that Mr. Fox had 
complicated pneumoconiosis, an advanced form of the disease. But the 
operator did not submit the pathologists' reports into the record, 
provide them to Mr. Fox, or share them with the pulmonologists it 
hired. An administrative law judge denied Mr. Fox's claim in 2001. To 
support his family, Mr. Fox continued to work in the mines, where he 
was exposed to additional coal-mine dust.
    Mr. Fox left the mines in 2006 at the age of 56 because his 
pulmonary capacity had diminished to the point he could no longer work. 
He filed a second claim for benefits that same year. This time he was 
represented by counsel, who successfully obtained discovery of the 
medical information that the responsible operator had developed in 
connection with Mr. Fox's first claim but had not disclosed. This 
additional information included the pathologists' opinions and X-ray 
interpretations showing that Mr. Fox had complicated pneumoconiosis. 
The operator did not disclose any of these documents, despite an order 
from an administrative law judge, until 2008. Mr. Fox died in 2009 
while awaiting a lung transplant.
    Had Mr. Fox received the responsible operator's pathologists' 
opinions in 2000 when they were authored, he could have sought 
appropriate treatment for his advanced pneumoconiosis five or six years 
sooner than he did. He also could have made an informed decision as to 
whether he should continue in coal mine employment, where he was 
exposed to additional coal-mine dust. Or, he might have transferred to 
a position in a less-dusty area of the mine. See 30 U.S.C. 943(b). 
Finally, if the pathology reports the operator obtained had been 
available, Mr. Fox's first claim might have been awarded; indeed, the 
operator conceded entitlement when ordered to disclose this 
information.
    Mr. Fox's case highlights the longstanding problem claimants face 
in obtaining a full picture of the miner's health from testifying and 
non-testifying medical experts as well as examining and non-examining 
physicians. See, e.g., Lawyer Disciplinary Board v. Smoot, 716 SE.2d 
491 (W. Va. 2010); Belcher v. Westmoreland Coal Co., BRB No. 06-0653, 
2007 WL 7629355 (Ben. Rev. Bd. May 31, 2007) (unpublished); Cline v. 
Westmoreland Coal Co., 21 Black Lung Rep. 1-69 (Ben. Rev. Bd. 1997).
    Ensuring that a miner has access to information about his or her 
health is consistent with the primary tenet of the Mine Safety and 
Health Act (Mine Act). Congress expressly declared that ``the first 
priority and concern of all in the coal or other mining industry must 
be the health and safety of its most precious resource--the miner.'' 30 
U.S.C. 801(a). This priority informs the Secretary's administration of 
the BLBA--including adoption of appropriate regulations--because 
Congress placed the BLBA in the Mine Act.
    By requiring disclosure, the rule also protects parties who do not 
have legal representation. Virtually without exception, coal mine 
operators are represented by attorneys in claims heard by 
administrative law judges. But claimants cannot always obtain legal 
representation. The Department estimates that approximately 23 percent 
of claimants appear before administrative law judges without any 
representation, and some of those claimants who have representation are 
represented by lay persons. Unrepresented claimants and lay 
representatives are generally unfamiliar with technical discovery 
procedures and thus do not pursue any information not voluntarily 
disclosed by the operator. And even when represented, not all attorneys 
use available discovery tools. Thus, making full disclosure mandatory 
will put all parties on equal footing, regardless of representation and 
regardless of whether they request disclosure of all medical 
information developed in connection with a claim.
    Finally, allowing parties fuller access to medical information may 
lead to better, more accurate decisions on claims. Elevating 
correctness over technical formalities is a fundamental tenant of the 
BLBA. Subject to regulations of the Secretary, the statute gives the 
Department explicit authority to depart from technical rules: 
adjudicators ``shall not be bound by common law or statutory rules of 
evidence or by technical or formal rules of procedure . . . but may 
make such investigation or inquiry or conduct such hearing in such 
manner as to best ascertain the rights of the parties.'' 33 U.S.C. 
923(a), as incorporated by 30 U.S.C. 932(a). See also 20 CFR 
725.455(b). This statutory provision evidences Congress's strong 
preference for ``best ascertain[ing] the rights of the parties''-- in 
other words, getting to the truth of the matter--over following the 
technical formalities associated with regular civil litigation. Full 
disclosure of medical information is therefore consistent with 
Congressional intent. Indeed, the current regulations require the miner 
to provide the responsible operator authorization to access his or her 
medical records. See 20 CFR 725.414(a)(3)(i)(A).
    An incorporated provision of the Social Security Act provides 
additional authority for proposed Sec.  725.413. See 30 U.S.C. 923(b), 
incorporating 42 U.S.C. 405(a). As incorporated into the BLBA, section 
205(a) of the Social Security Act, 42 U.S.C. 405(a), gives the 
Department wide latitude in regulating evidentiary matters pertaining 
to an individual's right to benefits. Specifically, the Department is 
vested with ``full power and authority to make rules and regulations 
and to establish procedures, not inconsistent with the provisions of 
this subchapter, which are necessary or appropriate to carry out such 
provisions, and [to] adopt reasonable and proper rules and regulations 
to regulate and provide for the nature and extent of the proofs and 
evidence and the method of taking and furnishing the same in order to 
establish the right to benefits.'' Section 205(a) has been construed as 
granting ``exceptionally broad authority to prescribe standards'' for 
proofs and evidence. Heckler v.

[[Page 23747]]

Campbell, 461 U.S. 458, 466 (1983) (quoting Schweiker v. Gray Panthers, 
453 U.S. 34, 43 (1981)). The proposed rule honors these tenets.
    The proposed rule sets out both requirements for the disclosure of 
medical information and sanctions that may be imposed on parties that 
do not comply with the rule. Proposed Sec.  725.413(a) defines what 
constitutes ``medical information'' for purposes of this regulation. 
The regulation casts a broad net by encompassing any medical data about 
the miner that a party develops in connection with a claim. Treatment 
records are not information developed in connection with a claim and 
thus do not fall within this definition. But any party may obtain and 
submit records pertaining to treatment for a respiratory or pulmonary 
or related disease under Sec.  725.414(a)(4).
    Proposed paragraph (a)(1) addresses examining physicians' opinions 
and includes all findings made by an examining physician in the 
definition of ``medical information.'' An examining physician's opinion 
may disclose incidental physical conditions beyond a miner's 
respiratory or pulmonary systems that need attention. Giving miners 
full access to this data is consistent with the Act's and the 
Department's intent to protect the miner's health. Proposed paragraphs 
(a)(2) through (a)(4) include all other physicians' opinions, tests, 
procedures and related documentation in ``medical information,'' but 
only to the extent they address the miner's respiratory or pulmonary 
condition.
    Proposed Sec.  725.413(b) sets out the duty to disclose medical 
information about the miner and a time frame for such disclosure. The 
duty to disclose arises when either a party or a party's agent receives 
medical information. By including a ``party's agent,'' the proposed 
rule requires disclosure of medical information received by any 
individual or business entity that develops or screens medical 
information for the party or the party's attorney. Thus, a party may 
not avoid disclosure by having medical opinions and testing results 
filtered through a third-party agent. The time frame for disclosure is 
generally 30 days after receipt of the medical information. Within that 
time period, the disclosing party must send a copy of the medical 
information obtained to all other parties of record. In the event the 
claim is already scheduled for hearing by an administrative law judge 
when the medical information is received, the proposed rule requires 
the disclosing party to send the information no later than 20 days 
prior to the hearing. This provision correlates with current Sec.  
725.456(b)(2)'s 20-day requirement for exchanging any documentary 
evidence a party wants to submit into the hearing record.
    Proposed Sec.  725.413(c) provides sanctions that an adjudication 
officer may impose on a party that does not comply with its obligation 
to disclose the medical information described in proposed Sec.  
725.413(a). In determining an appropriate sanction, the proposed rule 
requires the adjudication officer to consider whether the party who 
violated the disclosure rule was represented by counsel when the 
violation occurred. The proposed rule also requires the adjudication 
officer to protect represented parties when the violation was 
attributable solely to their attorney's errors. The sanctions listed 
are not exclusive, and an adjudication officer may impose a different 
sanction, so long as it is appropriate to the circumstances presented 
in the particular case. Two of the listed sanctions are unique to the 
BLBA claims context. First, the proposed rule allows the adjudication 
officer to disqualify the non-disclosing party's attorney from further 
participation in the claim proceedings. The Department believes this is 
an appropriate sanction when the party's attorney is solely at fault 
for the non-disclosure and the failure to disclose resulted from more 
than an administrative error. Second, the proposed rule empowers an 
adjudication officer to relieve a claimant from the impact of a prior 
claim denial (see 20 CFR 725.309(c)(6)) if the medical information was 
not disclosed in accordance with the regulation in the prior claim 
proceeding. This sanction removes an incentive for responsible 
operators to withhold medical information and, by encouraging operators 
to comply, helps protect miners like Mr. Fox.
    Finally, proposed Sec.  725.413(d) sets out when the rule is 
applicable. Significantly, proposed paragraph (d)(2) specifies that the 
rule applies to claims pending on the rule's effective date if an 
administrative law judge has not yet entered a decision on the merits. 
To provide adequate time for disclosure in pending cases, the proposed 
rule allows the parties 60 days to disclose evidence received prior to 
the rule's adoption. Evidence received after the rule's effective date 
remains subject to proposed Sec.  725.413(b)'s 30-day time limit. After 
an administrative law judge issues a merits decision, proposed 
paragraph (d)(3) imposes the obligation to disclose medical information 
only when further evidentiary development is permitted on 
reconsideration, remand from an appellate body, or after a party files 
a modification request. Applying this rule to pending claims will 
further one of the rule's primary purposes: protecting the health of 
the nation's miners.
20 CFR 725.414 Development of Evidence
    (a) Section 725.414 imposes limitations on the quantity of medical 
evidence that each party may submit in a black lung claim. The 
Department proposed the limitations, in part, to ensure that 
eligibility determinations are based on the quality, not the quantity, 
of evidence submitted and to reduce litigation costs. 62 FR 3338 (Jan. 
22, 1997). Under the evidence limiting rule, each side in a living 
miner's claim--both the claimant and the responsible operator (or 
Director, when appropriate)--may submit two chest X-ray 
interpretations, the results of two pulmonary function tests, two 
arterial blood gas studies and two medical reports as its affirmative 
case. Current Sec.  725.414(a)(1) defines a medical report as a 
``written assessment of the miner's respiratory or pulmonary 
condition'' that ``may be prepared by a physician who examined the 
miner and/or reviewed the available admissible evidence.'' 20 CFR 
725.414(a)(1). Because additional medical evidence may become available 
after a physician has prepared a medical report, physicians often 
update their initial reports in supplemental reports addressing the new 
evidence. This practice has, at times, caused confusion regarding 
whether the supplemental report must be deemed a second medical report 
for purposes of the evidentiary limitations. The Department proposes to 
amend Sec.  725.414(a)(1) to reflect the Director's longstanding 
position that these supplemental reports are merely a continuation of 
the physician's original medical report for purposes of the evidence-
limiting rules and do not count against the party as a second medical 
report. The revised rule would apply to all claims filed after January 
19, 2001. See 20 CFR 725.2(c).
    The Director's position flows from the language of the current 
rules, which constrains the evidence a physician may review in a 
written report based only on its admissibility. Current Sec.  
725.414(a)(1) makes clear that a physician who provides a written 
opinion on the miner's pulmonary condition may consider all 
``admissible medical evidence.'' Significantly, a physician who 
prepares a written medical report may also provide oral testimony in a 
claim, either at the formal hearing or through a deposition, and may 
``testify as to any other medical evidence of

[[Page 23748]]

record.'' 20 CFR 725.414(c), 725.457(d). Thus, so long as a piece of 
medical evidence is admissible, a physician may consider it when 
addressing the miner's condition in either a written report or oral 
testimony. The Benefits Review Board has long accepted the Director's 
position that the medical opinion of a physician may be submitted in 
more than one document and still be considered one medical report for 
purposes of Sec.  725.414. See, e.g., Akers v. TBK Coal Co., BRB No. 
06-894 BLA, 2007 WL 7629772 (Ben. Rev. Bd. Nov. 30, 2007).
    Supplemental reports are a reasonable and cost-effective means of 
providing medical opinion evidence given the practical realities of 
federal black lung litigation. Even with the evidence-limiting rules, a 
miner who files a black lung claim may undergo up to five sets of 
examinations and testing ``spread . . . out over time.'' 65 FR 79992 
(Dec. 20, 2000). A physician who examines the miner early in the claim 
process will obviously not at that time have access to all the medical 
evidence that ultimately will be admitted into the record. Given that 
the rules allow the physician to review all admissible medical evidence 
when evaluating the miner's condition, it makes sense to allow the 
physician to supplement his or her original report as new evidence 
becomes available. Indeed, a contrary rule would increase litigation 
costs because the party would be forced to have the physician review 
new evidence during a deposition or in-court testimony, both of which 
are much more costly means of providing evidence. There is therefore no 
practical or logical reason to consider a physician's supplemental 
written report a second medical report under the evidence limiting 
rules.
    (b) For cases in which the Trust Fund is liable for benefits, 
current Sec.  725.414(a)(3)(iii) authorizes the Director to exercise 
the rights of a responsible operator for purposes of the evidentiary 
limitations. 20 CFR 725.414(a)(3)(iii). The current rule does not, 
however, allow the Director to submit medical evidence, except for the 
medical evidence developed under Sec.  725.406, in cases in which a 
coal mine operator is deemed the liable party. The rule thus leaves the 
Trust Fund potentially unprotected in cases in which the identified 
responsible operator has ceased to defend a claim during the course of 
litigation because of adverse financial developments, such as 
bankruptcy or insolvency. The Department proposes to amend Sec.  
725.414(a)(3)(iii) to allow the Director to submit medical evidence, up 
to the limits allowed an identified responsible operator, in such 
cases. The revised rule would apply to all claims filed after January 
19, 2001. See 20 CFR 725.2(c).
    The Trust Fund is liable for the payment of benefits if no operator 
can be identified as liable or if the operator identified as liable 
fails to pay benefits owed. See 26 U.S.C. 9501(d)(1); 20 CFR 725.522. 
As a result, the Director's inability to develop medical evidence in 
responsible operator cases imperils the Trust Fund if the operator 
ceases to defend the claim. In such cases, the Director currently has 
only two choices: (1) Dismiss the operator and have the Trust Fund 
assume liability so that medical evidence can be developed; or (2) keep 
the operator as the liable party and, if an award is issued, attempt to 
enforce the award against the operator or related entities (e.g., 
insurance carrier, surety-bond companies, successor operator, etc.).
    The first choice forecloses any possibility of recovery from the 
operator in the case of an award because the award would run against 
the Trust Fund. To be enforceable against an operator, the order 
awarding benefits must identify the operator as the liable party. See 
20 CFR 725.522(a), 725.601-.609. The second choice restricts the Trust 
Fund's ability to defend against an unmeritorious claim without 
providing any certainty as to the recovery of any benefits awarded. In 
both cases, the Trust Fund is unnecessarily put at risk. This risk can 
be ameliorated by the simple expedient of allowing the Director, at his 
or her discretion, to develop evidence in cases in which the identified 
responsible operator has ceased to defend the claim.
    Proposed Sec.  725.414(a)(3)(iii) allows the Director the option of 
developing evidence in such cases. This revision would not prejudice 
claimants because the Director would be bound by the same evidence-
limiting rules as the operator. In a miner's claim, the medical 
evidence developed under Sec.  725.406 counts as one medical report and 
one set of tests submitted by the Director, 20 CFR 725.414(a)(3)(iii), 
and the Director would be able to submit only one additional medical 
report and set of tests, along with appropriate rebuttal evidence. And 
in a survivor's claim, the Director, like an operator, is limited to 
two complete reports and rebuttal evidence. Moreover, in appropriate 
cases, the Director may determine that an award of benefits is 
justified, and decline to submit additional evidence. In sum, the 
proposed rule reasonably allows the Director to defend the Trust Fund 
against unwarranted liability in appropriate circumstances without 
unjustifiably burdening claimants.
20 CFR 725.601 Enforcement Generally
    Current Sec.  725.601 sets out the Department's policy regarding 
enforcing the liabilities imposed by Part 725. The last sentence of 
current paragraph (b) refers to ``payments in addition to compensation 
(see Sec.  725.607)[.]'' For the reasons explained in the discussion 
under Sec.  725.607, the Department proposes to replace the phrase 
``payments in addition to compensation'' with the phrase ``payments of 
additional compensation.'' No substantive change is intended.
20 CFR 725.607 Payments in Addition to Compensation
    The Department proposes two revisions to current Sec.  725.607, 
which implements section 14(f) of the Longshore and Harbor Workers' 
Compensation Act, 33 U.S.C. 914(f), as incorporated into the BLBA by 
section 422(a) of the Act, 30 U.S.C. 932(a), to clarify that amounts 
paid under section 14(f) are compensation. Section 14(f) generally 
provides that claimants are entitled to an additional 20% of any 
compensation owed under the terms of an award that is not paid within 
ten days after it becomes due.
    The majority of courts to consider the question have agreed with 
the Director's view that the 20% payment required by section 14(f) is 
itself ``compensation'' rather than a penalty. See Newport News 
Shipbuilding and Dry Dock Co. v. Brown, 376 F.3d 245, 251 (4th Cir. 
2004) (``[I]t is plain that an award for late payment under [section] 
14(f) is compensation.''); Tahara v. Matson Terminals, Inc., 511 F.3d 
950, 953-54 (9th Cir. 2007) (same); but see Burgo v. General Dynamics 
Corp., 122 F.3d 140, 145-46 (2d Cir. 1997). Part 725 reflects this view 
by generally referring to 14(f) payments as ``additional 
compensation.'' See 20 CFR 725.530(a), 725.607(b), 725.608(a)(3); see 
also 65 FR 80014 (Dec. 20, 2000) (``Section 14(f) provides that 
additional compensation, in the amount of twenty percent of unpaid 
benefits, shall be paid if an employer fails to pay within ten days 
after the benefits become due.'').
    Current Sec.  725.607 does not consistently reflect the majority 
rule or the Director's position. Paragraph (b) describes section 14(f) 
payments as ``additional compensation.'' But both the title of the 
section and paragraph (c) describe them as payments ``in addition to 
compensation.'' The latter formulation could be read to suggest

[[Page 23749]]

that 14(f) payments are something other than compensation. While the 
``in addition to compensation'' formulation has not caused any problems 
in the administration of Sec.  725.607 thus far, the Department wishes 
to eliminate any possibility that the regulation's phrasing could 
confuse readers. Accordingly, the Department proposes to replace ``in 
addition to compensation'' with ``additional compensation'' in the 
title of Sec.  725.607 and paragraph (c). To maintain consistency 
within part 725, the Department also proposes the same change to Sec.  
725.601(b).

III. Statutory Authority

    Section 426(a) of the BLBA, 30 U.S.C. 936(a), authorizes the 
Secretary of Labor to prescribe rules and regulations necessary for the 
administration and enforcement of the Act.

IV. Information Collection Requirements (Subject to the Paperwork 
Reduction Act) Imposed Under the Proposed Rule

    The Paperwork Reduction Act of 1995 (PRA), 44 U.S.C. 3501 et seq., 
and its implementing regulations, 5 CFR part 1320, require that the 
Department consider the impact of paperwork and other information 
collection burdens imposed on the public. A Federal agency generally 
cannot conduct or sponsor a collection of information, and the public 
is generally not required to respond to an information collection, 
unless it is approved by the Office of Management and Budget (OMB) 
under the PRA and displays a currently valid OMB Control Number. In 
addition, notwithstanding any other provisions of law, no person may 
generally be subject to penalty for failing to comply with a collection 
of information that does not display a valid Control Number. See 5 CFR 
1320.5(a) and 1320.6.
    As discussed earlier in the preamble, proposed Sec.  725.413 would 
require each party in a black lung benefits claim to disclose certain 
medical information about the miner that the party or the party's agent 
receives by sending a complete copy of the information to all other 
parties in the claim. The Department does not believe this rule will 
have a broad impact because in many (and perhaps the majority) of 
cases, the parties already exchange all of the medical information in 
their possession as part of their evidentiary submissions. But 
requiring an exchange of additional medical information could be 
considered a collection of information within the meaning of the PRA. 
Thus, consistent with the requirements codified at 44 U.S.C. 
3506(c)(2)(B) and 3507(d), and at 5 CFR 1320.11, the Department has 
submitted a new Information Collection Request to OMB for approval 
under the PRA and is providing an opportunity for public comment. A 
copy of this request (including supporting documentation) may be 
obtained free of charge by contacting Michael Chance, Director, 
Division of Coal Mine Workers' Compensation, Office of Workers' 
Compensation Programs, U.S. Department of Labor, 200 Constitution 
Avenue, NW., Suite N-3464, Washington, DC 20210. Telephone: (202) 693-
0978 (this is not a toll-free number). TTY/TDD callers may dial toll-
free 1-800-877-8339.
    The Department has estimated the number of responses and burdens as 
follows for this information collection:
    Title of Collection: Disclosure of Medical Information
    OMB Control Number: 1240-0NEW [OWCP will supply before publication]
    Total Estimated Number of Responses: 4,074
    Total Estimated Annual Time Burden: 679 hours
    Total Estimated Annual Cost Burden: $21,537.88
    In addition to having an opportunity to file comments with the 
Department, the PRA provides that an interested party may file comments 
on the information collection requirements in a proposed rule directly 
with OMB at the Office of Information and Regulatory Affairs, Attn: OMB 
Desk Officer for DOL-OWCP, Office of Management and Budget, Room 10235, 
725 17th Street, NW., Washington, DC 20503; by Fax: 202-395-5806 (this 
is not a toll-free number); or by email: [email protected]. 
Commenters are encouraged, but not required, to send a courtesy copy of 
any comments to the Department by one of the methods set forth in the 
ADDRESSES section above. OMB will consider all written comments that 
the agency receives within 30 days of publication of this NPRM in the 
Federal Register. In order to help ensure appropriate consideration, 
comments should mention the OMB control number listed above.
    OMB and the Department are particularly interested in comments 
that:
     Evaluate whether the proposed collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information will have practical utility;
     Evaluate the accuracy of the agency's estimate of the 
burden of the proposed collection of information, including the 
validity of the methodology and assumptions used;
     Enhance the quality, utility, and clarity of the 
information to be collected; and
     Minimize the burden of the collection of information on 
those who are to respond, including through the use of appropriate 
automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology, e.g., permitting 
electronic submission of responses.

V. Executive Orders 12866 and 13563 (Regulatory Planning and Review)

    Executive Orders 12866 and 13563 direct agencies to assess all 
costs and benefits of available regulatory alternatives and, if 
regulation is necessary, to select regulatory approaches that maximize 
net benefits (including potential economic, environmental, public 
health and safety effects, distributive impacts, and equity). Executive 
Order 13563 emphasizes the importance of quantifying both costs and 
benefits, of reducing costs, of harmonizing rules, and of promoting 
flexibility.
    The Department has considered the proposed rule with these 
principles in mind and has determined that the regulated community will 
benefit from this regulation. The discussion below sets out the rule's 
anticipated economic impact and discusses non-economic factors favoring 
adoption of the proposal. OMB has reviewed this rule prior to 
publication in accordance with these Executive Orders.

A. Economic Considerations

    The proposed rule includes only one provision that arguably could 
have an economic impact on parties to black lung claims or others: 
proposed Sec.  725.310(e), which requires a responsible operator to pay 
effective awards of benefits while seeking to modify those awards. As 
set forth above in the Section-by-Section Explanation, within one year 
of an award of benefits or of the last payment of benefits, a liable 
coal mine operator may request modification of an award (i.e., may seek 
to have the award converted to a denial) based on a change in 
conditions or because of a mistake in a determination of fact in the 
award. 20 CFR 725.310(a). Operators are legally obligated to make 
benefit payments during such modification proceedings. But few do, and 
the Trust Fund pays monthly benefits in their stead. To avoid this 
result, proposed Sec.  725.310(e) would prohibit a responsible operator 
from seeking modification until it meets the

[[Page 23750]]

payment obligations imposed by effective awards in a claim. Because the 
proposed rule merely enforces operators' existing obligations, it 
imposes no additional costs and is thus cost neutral.
    Even if the proposed rule were construed to impose a new obligation 
on operators, the Department believes any additional costs involved 
would not be burdensome for several reasons. First, if an operator's 
modification request is denied, the operator must reimburse the Trust 
Fund with interest for all benefits paid to the claimant during the 
proceeding. In such cases, whether the responsible operator starts 
paying benefits after the award is made initially or does so after the 
modification process has ended, the operator must pay all benefits 
owed. Second, in those instances where the operator's modification 
petition is successful, the operator can pursue reimbursement from the 
claimant for at least some of the benefits paid, including those paid 
during the modification proceeding itself. See 20 CFR 725.310(d). The 
potential economic impact on responsible operators in this instance is 
the amount that they cannot recoup from the claimant. In this regard, 
when an operator successfully modifies an award, the operator can seek 
only to recover cash benefits paid to the claimant and not medical 
benefits paid to hospitals and other health care providers. The 
Department believes, based on its experience in administering the 
program, that there are very few claims in which an operator is 
successful on modification. Thus, even if recoupment is unavailable, 
the cost impact would not be large.

B. Other Considerations

    The Department has also considered other benefits and burdens that 
would result from the proposed rules apart from any potential monetary 
impact. As discussed in the Section-by-Section analysis, proposed Sec.  
725.310(e) requires responsible operators to meet their payment 
obligations on effective awards before modifying those awards. This 
rule strikes an appropriate balance between the parties' competing 
interests: claimants are made whole while operators who would be 
irreparably harmed by making such payments can seek a stay in payments. 
While there is some risk that the operator will not recover payments 
made after a successful modification petition, placing that risk on the 
operator, rather than the Trust Fund, is consistent with the Act's 
intent.
    Proposed Sec.  725.413, which requires the parties to disclose all 
medical information they develop, will help protect miners' health and 
assist in reaching more accurate benefits determinations. These 
concerns far outweigh any minimal additional administrative burden this 
rule would place on the parties as a result of the mandatory exchange 
of this information. Moreover, the Department does not believe this 
rule will have an extremely broad impact. In many (and perhaps the 
majority) of cases, the Department believes, and has been informed by 
the public, that the parties already exchange all of the medical 
information in their possession as part of their evidentiary 
submissions.
    Finally, the proposed revisions to Sec.  725.414 and Sec.  725.607 
will benefit all regulated parties simply by adding clarity to the 
rules.

VI. Regulatory Flexibility Act and Executive Order 13272 (Proper 
Consideration of Small Entities in Agency Rulemaking)

    The Regulatory Flexibility Act of 1980, as amended, 5 U.S.C. 601 et 
seq. (RFA), requires an agency to prepare a regulatory flexibility 
analysis when it proposes regulations that will have ``a significant 
economic impact on a substantial number of small entities,'' or to 
certify that the proposed regulations will have no such impact, and to 
make the analysis or certification available for public comment. 5 
U.S.C. 605.
    The Department has determined that a regulatory flexibility 
analysis under the RFA is not required for this rulemaking. While many 
coal mine operators are small entities within the meaning of the RFA, 
see 77 FR 19471-72 (Mar. 30, 2012), this proposed rule, if adopted in 
final, would not have a significant economic impact on them. As 
discussed above, the proposed rule addresses procedural issues that 
have arisen in claims administration and adjudication, and does not 
change the substantive standards under which claims are adjudicated. As 
such, the Department anticipates that the proposed rule would have 
little, if any, financial consequences for operators. Moreover, to the 
extent proposed Sec.  725.310(e) requires that operators make benefit 
payments on effective awards while pursuing modification, the 
regulation merely reflects an existing payment obligation rather than 
imposing a new one on operators.
    Based on these facts, the Department certifies that this rule will 
not have a significant economic impact on a substantial number of small 
entities. Thus, a regulatory flexibility analysis is not required. The 
Department invites comments from members of the public who believe the 
regulations will have a significant economic impact on a substantial 
number of small coal mine operators. The Department has provided the 
Chief Counsel for Advocacy of the Small Business Administration with a 
copy of this certification. See 5 U.S.C. 605.

VII. Unfunded Mandates Reform Act of 1995

    Title II of the Unfunded Mandates Reform Act of 1995, 2 U.S.C. 1531 
et seq., directs agencies to assess the effects of Federal Regulatory 
Actions on State, local, and tribal governments, and the private 
sector, ``other than to the extent that such regulations incorporate 
requirements specifically set forth in law.'' 2 U.S.C. 1531. For 
purposes of the Unfunded Mandates Reform Act, this rule does not 
include any Federal mandate that may result in increased expenditures 
by State, local, tribal governments, or increased expenditures by the 
private sector of more than $100,000,000.

VIII. Executive Order 13132 (Federalism)

    The Department has reviewed this proposed rule in accordance with 
Executive Order 13132 regarding federalism, and has determined that it 
does not have ``federalism implications.'' E.O. 13132, 64 FR 43255 
(Aug. 4, 1999). The proposed rule will not ``have substantial direct 
effects on the States, on the relationship between the national 
government and the States, or on the distribution of power and 
responsibilities among the various levels of government'' if 
promulgated as a final rule. Id.

IX. Executive Order 12988 (Civil Justice Reform)

    The proposed rule meets the applicable standards in Sections 3(a) 
and 3(b)(2) of Executive Order 12988, Civil Justice Reform, to minimize 
litigation, eliminate ambiguity, and reduce burden. See 61 FR 4729 
(Feb. 5, 1996).

X. Congressional Review Act

    The proposed rule is not a ``major rule'' as defined in the 
Congressional Review Act, 5 U.S.C. 801 et seq. If promulgated as a 
final rule, this rule will not result in an annual effect on the 
economy of $100,000,000 or more; a major increase in costs or prices 
for consumers, individual industries, Federal, State or local 
government agencies, or geographic regions; or significant adverse 
effects on competition, employment, investment, productivity, 
innovation, or on the

[[Page 23751]]

ability of United States-based enterprises to compete with foreign-
based enterprises in domestic and export markets.

List of Subjects in 20 CFR Part 725

    Administrative practice and procedure, Black lung benefits, Claims, 
Health care, Reporting and recordkeeping requirements, Vocational 
rehabilitation, Workers' compensation.
    For the reasons set forth in the preamble, the Department of Labor 
proposes to amend 20 CFR part 725 as follows:

PART 725--CLAIMS FOR BENEFITS UNDER PART C OF TITLE IV OF THE 
FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED

0
1. The authority citation for part 725 continues to read as follows:

    Authority: 5 U.S.C. 301; Reorganization Plan No. 6 of 1950, 15 
FR 3174; 30 U.S.C. 901 et seq., 902(f), 934, 936; 33 U.S.C. 901 et 
seq.; 42 U.S.C. 405; Secretary's Order 10-2009, 74 FR 58834.

0
2. In Sec.  725.310, revise paragraphs (b), (c), and (d) and add 
paragraph (e) to read as follows:


Sec.  725.310  Modification of awards and denials.

* * * * *
    (b) Modification proceedings must be conducted in accordance with 
the provisions of this part as appropriate, except that the claimant 
and the operator, or group of operators or the fund, as appropriate, 
are each entitled to submit no more than one additional chest X-ray 
interpretation, one additional pulmonary function test, one additional 
arterial blood gas study, and one additional medical report in support 
of its affirmative case along with such rebuttal evidence and 
additional statements as are authorized by paragraphs (a)(2)(ii) and 
(a)(3)(ii) of Sec.  725.414. Modification proceedings may not be 
initiated before an administrative law judge or the Benefits Review 
Board.
    (c) At the conclusion of modification proceedings before the 
district director, the district director may issue a proposed decision 
and order (Sec.  725.418) or, if appropriate, deny the claim by reason 
of abandonment (Sec.  725.409). In any case in which the district 
director has initiated modification proceedings on his own initiative 
to alter the terms of an award or denial of benefits issued by an 
administrative law judge, the district director must, at the conclusion 
of modification proceedings, forward the claim for a hearing (Sec.  
725.421). In any case forwarded for a hearing, the administrative law 
judge assigned to hear such case must consider whether any additional 
evidence submitted by the parties demonstrates a change in condition 
and, regardless of whether the parties have submitted new evidence, 
whether the evidence of record demonstrates a mistake in a 
determination of fact.
    (d) An order issued following the conclusion of modification 
proceedings may terminate, continue, reinstate, increase or decrease 
benefit payments or award benefits. Such order must not affect any 
benefits previously paid, except that an order increasing the amount of 
benefits payable based on a finding of a mistake in a determination of 
fact may be made effective on the date from which benefits were 
determined payable by the terms of an earlier award. In the case of an 
award which is decreased, no payment made in excess of the decreased 
rate prior to the date upon which the party requested reconsideration 
under paragraph (a) of this section will be subject to collection or 
offset under subpart H of this part, provided the claimant is without 
fault as defined by Sec.  725.543. In the case of an award which is 
decreased following the initiation of modification by the district 
director, no payment made in excess of the decreased rate prior to the 
date upon which the district director initiated modification 
proceedings under paragraph (a) will be subject to collection or offset 
under subpart H of this part, provided the claimant is without fault as 
defined by Sec.  725.543. In the case of an award which has become 
final and is thereafter terminated, no payment made prior to the date 
upon which the party requested reconsideration under paragraph (a) will 
be subject to collection or offset under subpart H of this part. In the 
case of an award which has become final and is thereafter terminated 
following the initiation of modification by the district director, no 
payment made prior to the date upon which the district director 
initiated modification proceedings under paragraph (a) will be subject 
to collection or offset under subpart H of this part.
    (e)(1) Any modification request by an operator must be denied 
unless the operator proves that at the time of the request, the 
operator has complied with all of the obligations imposed by all awards 
in the claim that are currently effective as defined by Sec.  
725.502(a). These include the obligations to--
    (i) Pay all benefits owed to the claimant (including retroactive 
benefits under Sec.  725.502(b)(2), additional compensation under Sec.  
725.607, and medical benefits under Sec. Sec.  725.701 through 
725.708). If the prior award is final, these obligations also include 
the payment of approved attorney's fees and expenses under Sec.  
725.367 and witness fees under Sec.  725.459; and
    (ii) Reimburse the Black Lung Disability Trust Fund for all 
benefits paid (including payments prior to final adjudication under 
Sec.  725.522, costs for the medical examination under Sec.  725.406, 
and other benefits paid on behalf of the operator) with such penalties 
and interest as are appropriate.
    (2) The requirements of paragraph (e)(1) of this section are 
inapplicable to any benefits owed pursuant to an effective but non-
final order if the payment of such benefits has been stayed by the 
Benefits Review Board or appropriate court under 33 U.S.C. 921.
    (3) Except as provided by paragraph (e)(4) of this section, the 
operator must submit all documentary evidence pertaining to its 
compliance with the requirements of paragraph (e)(1) of this section to 
the district director concurrently with its request for modification. 
The claimant is also entitled to submit any relevant evidence to the 
district director. Absent extraordinary circumstances, no documentary 
evidence pertaining to the operator's compliance with the requirements 
of paragraph (e)(1) at the time of the modification request will be 
admitted into the hearing record or otherwise considered at any later 
stage of the proceeding.
    (4) The requirements imposed by paragraph (e)(1) of this section 
are continuing in nature. If at any time during the modification 
proceedings the operator fails to meet obligations imposed by all 
effective awards in the claim, the adjudication officer must issue an 
order to show cause why the operator's modification request should not 
be denied and afford all parties time to respond to such order. 
Responses may include evidence pertaining to the operator's continued 
compliance with the requirements of paragraph (e)(1). If, after the 
time for response has expired, the adjudication officer determines that 
the operator is not meeting its obligations, the adjudication officer 
must deny the operator's modification request.
    (5) The denial of a request for modification under this section 
will not bar any future modification request by the operator, so long 
as the operator satisfies the requirements of paragraph (e)(1) of this 
section with each future modification petition.
    (6) The provisions of this paragraph (e) apply to all modification 
requests filed on or after the effective date of this rule.

[[Page 23752]]

0
3. Add Sec.  725.413 to subpart E to read as follows:


Sec.  725.413  Disclosure of medical information.

    (a) For purposes of this section, medical information is any 
medical data about the miner that a party develops in connection with a 
claim for benefits, including medical data developed with any prior 
claim that has not been disclosed previously to the other parties. 
Medical information includes, but is not limited to--
    (1) Any examining physician's written or testimonial assessment of 
the miner, including the examiner's findings, diagnoses, conclusions, 
and the results of any tests;
    (2) Any other physician's written or testimonial assessment of the 
miner's respiratory or pulmonary condition;
    (3) The results of any test or procedure related to the miner's 
respiratory or pulmonary condition, including any information relevant 
to the test or procedure's administration; and
    (4) Any physician's or other medical professional's interpretation 
of the results of any test or procedure related to the miner's 
respiratory or pulmonary condition.
    (b) Each party must disclose medical information the party or the 
party's agent receives by sending a complete copy of the information to 
all other parties in the claim within 30 days after receipt. If the 
information is received after the claim is already scheduled for 
hearing before an administrative law judge, the disclosure must be made 
at least 20 days before the scheduled hearing is held (see Sec.  
725.456(b)).
    (c) At the request of any party or on his or her own motion, an 
adjudication officer may impose sanctions on any party or his or her 
representative who fails to timely disclose medical information in 
compliance with this section.
    (1) Sanctions must be appropriate to the circumstances and may only 
be imposed after giving the party an opportunity to demonstrate good 
cause why disclosure was not made and sanctions are not warranted. In 
determining an appropriate sanction, the adjudication officer must 
consider--
    (i) Whether the sanction should be mitigated because the party was 
not represented by an attorney when the information should have been 
disclosed; and
    (ii) Whether the party should not be sanctioned because the failure 
to disclose was attributable solely to the party's attorney.
    (2) Sanctions may include, but are not limited to--
    (i) Drawing an adverse inference against the non-disclosing party 
on the facts relevant to the disclosure;
    (ii) Limiting the non-disclosing party's claims, defenses or right 
to introduce evidence;
    (iii) Dismissing the claim proceeding if the non-disclosing party 
is the claimant and no payments prior to final adjudication have been 
made to the claimant unless the Director agrees to the dismissal in 
writing (see Sec.  725.465(d));
    (iv) Rendering a default decision against the non-disclosing party;
    (v) Disqualifying the non-disclosing party's attorney from further 
participation in the claim proceedings; and
    (vi) Relieving a claimant who files a subsequent claim from the 
impact of Sec.  725.309(c)(6) if the non-disclosed evidence predates 
the denial of the prior claim and the non-disclosing party is the 
operator.
    (d) This rule applies to--
    (1) All claims filed after the effective date of this rule;
    (2) Pending claims not yet adjudicated by an administrative law 
judge, except that medical information received prior to the effective 
date of this rule and not previously disclosed must be provided to the 
other parties within 60 days of the effective date of this rule; and
    (3) Pending claims already adjudicated by an administrative law 
judge where--
    (i) The administrative law judge reopens the record for receipt of 
additional evidence in response to a timely reconsideration motion (see 
Sec.  725.479(b)) or after remand by the Benefits Review Board or a 
reviewing court; or
    (ii) A party requests modification of the award or denial of 
benefits (see Sec.  725.310(a)).
0
4. In Sec.  725.414, revise paragraphs (a), (c), and (d) to read as 
follows:


Sec.  725.414  Development of evidence.

    (a) Medical evidence. (1) For purposes of this section, a medical 
report is a physician's written assessment of the miner's respiratory 
or pulmonary condition. A medical report may be prepared by a physician 
who examined the miner and/or reviewed the available admissible 
evidence. Supplemental medical reports prepared by the same physician 
must be considered part of the physician's original medical report. A 
physician's written assessment of a single objective test, such as a 
chest X-ray or a pulmonary function test, is not a medical report for 
purposes of this section.
    (2)(i) The claimant is entitled to submit, in support of his 
affirmative case, no more than two chest X-ray interpretations, the 
results of no more than two pulmonary function tests, the results of no 
more than two arterial blood gas studies, no more than one report of an 
autopsy, no more than one report of each biopsy, and no more than two 
medical reports. Any chest X-ray interpretations, pulmonary function 
test results, blood gas studies, autopsy report, biopsy report, and 
physicians' opinions that appear in a medical report must each be 
admissible under this paragraph (a)(2)(i) or paragraph (a)(4) of this 
section.
    (ii) The claimant is entitled to submit, in rebuttal of the case 
presented by the party opposing entitlement, no more than one 
physician's interpretation of each chest X-ray, pulmonary function 
test, arterial blood gas study, autopsy or biopsy submitted by the 
designated responsible operator or the fund, as appropriate, under 
paragraph (a)(3)(i) or (iii) of this section and by the Director 
pursuant to Sec.  725.406. In any case in which the party opposing 
entitlement has submitted the results of other testing pursuant to 
Sec.  718.107 of this chapter, the claimant is entitled to submit one 
physician's assessment of each piece of such evidence in rebuttal. In 
addition, where the responsible operator or fund has submitted rebuttal 
evidence under paragraph (a)(3)(ii) or (iii) of this section with 
respect to medical testing submitted by the claimant, the claimant is 
entitled to submit an additional statement from the physician who 
originally interpreted the chest X-ray or administered the objective 
testing. Where the rebuttal evidence tends to undermine the conclusion 
of a physician who prepared a medical report submitted by the claimant, 
the claimant is entitled to submit an additional statement from the 
physician who prepared the medical report explaining his conclusion in 
light of the rebuttal evidence.
    (3)(i) The responsible operator designated pursuant to Sec.  
725.410 is entitled to obtain and submit, in support of its affirmative 
case, no more than two chest X-ray interpretations, the results of no 
more than two pulmonary function tests, the results of no more than two 
arterial blood gas studies, no more than one report of an autopsy, no 
more than one report of each biopsy, and no more than two medical 
reports. Any chest X-ray interpretations, pulmonary function test 
results, blood gas studies, autopsy report, biopsy report, and 
physicians' opinions that appear in a medical report must each be 
admissible under this paragraph (a)(3)(i)

[[Page 23753]]

or paragraph (a)(4) of this section. In obtaining such evidence, the 
responsible operator may not require the miner to travel more than 100 
miles from his or her place of residence, or the distance traveled by 
the miner in obtaining the complete pulmonary evaluation provided by 
Sec.  725.406, whichever is greater, unless a trip of greater distance 
is authorized in writing by the district director. If a miner 
unreasonably refuses--
    (A) To provide the Office or the designated responsible operator 
with a complete statement of his or her medical history and/or to 
authorize access to his or her medical records; or
    (B) To submit to an evaluation or test requested by the district 
director or the designated responsible operator, the miner's claim may 
be denied by reason of abandonment. (See Sec.  725.409).
    (ii) The responsible operator is entitled to submit, in rebuttal of 
the case presented by the claimant, no more than one physician's 
interpretation of each chest X-ray, pulmonary function test, arterial 
blood gas study, autopsy or biopsy submitted by the claimant under 
paragraph (a)(2)(i) of this section and by the Director pursuant to 
Sec.  725.406. In any case in which the claimant has submitted the 
results of other testing pursuant to Sec.  718.107 of this chapter, the 
responsible operator is entitled to submit one physician's assessment 
of each piece of such evidence in rebuttal. In addition, where the 
claimant has submitted rebuttal evidence under paragraph (a)(2)(ii) of 
this section, the responsible operator is entitled to submit an 
additional statement from the physician who originally interpreted the 
chest X-ray or administered the objective testing. Where the rebuttal 
evidence tends to undermine the conclusion of a physician who prepared 
a medical report submitted by the responsible operator, the responsible 
operator is entitled to submit an additional statement from the 
physician who prepared the medical report explaining his conclusion in 
light of the rebuttal evidence.
    (iii) In a case in which the district director has not identified 
any potentially liable operators, or has dismissed all potentially 
liable operators under Sec.  725.410(a)(3), or has identified a liable 
operator that ceases to defend the claim on grounds of an inability to 
provide for payment of continuing benefits, the district director is 
entitled to exercise the rights of a responsible operator under this 
section, except that the evidence obtained in connection with the 
complete pulmonary evaluation performed pursuant to Sec.  725.406 must 
be considered evidence obtained and submitted by the Director, OWCP, 
for purposes of paragraph (a)(3)(i) of this section. In a case 
involving a dispute concerning medical benefits under Sec.  725.708, 
the district director is entitled to develop medical evidence to 
determine whether the medical bill is compensable under the standard 
set forth in Sec.  725.701.
    (4) Notwithstanding the limitations in paragraphs (a)(2) and (3) of 
this section, any record of a miner's hospitalization for a respiratory 
or pulmonary or related disease, or medical treatment for a respiratory 
or pulmonary or related disease, may be received into evidence.
    (5) A copy of any documentary evidence submitted by a party must be 
served on all other parties to the claim. If the claimant is not 
represented by an attorney, the district director must mail a copy of 
all documentary evidence submitted by the claimant to all other parties 
to the claim. Following the development and submission of affirmative 
medical evidence, the parties may submit rebuttal evidence in 
accordance with the schedule issued by the district director.
* * * * *
    (c) Testimony. A physician who prepared a medical report admitted 
under this section may testify with respect to the claim at any formal 
hearing conducted in accordance with subpart F of this part, or by 
deposition. If a party has submitted fewer than two medical reports as 
part of that party's affirmative case under this section, a physician 
who did not prepare a medical report may testify in lieu of such a 
medical report. The testimony of such a physician will be considered a 
medical report for purposes of the limitations provided by this 
section. A party may offer the testimony of no more than two physicians 
under the provisions of this section unless the adjudication officer 
finds good cause under paragraph (b)(1) of Sec.  725.456. In accordance 
with the schedule issued by the district director, all parties must 
notify the district director of the name and current address of any 
potential witness whose testimony pertains to the liability of a 
potentially liable operator or the designated responsible operator. 
Absent such notice, the testimony of a witness relevant to the 
liability of a potentially liable operator or the designated 
responsible operator will not be admitted in any hearing conducted with 
respect to the claim unless the administrative law judge finds that the 
lack of notice should be excused due to extraordinary circumstances.
    (d) Except to the extent permitted by Sec. Sec.  725.456 and 
725.310(b), the limitations set forth in this section apply to all 
proceedings conducted with respect to a claim, and no documentary 
evidence pertaining to liability may be admitted in any further 
proceeding conducted with respect to a claim unless it is submitted to 
the district director in accordance with this section.
0
5. In Sec.  725.601, revise paragraphs (b) and (c) to read as follows:


Sec.  725.601  Enforcement generally.

* * * * *
    (b) It is the policy and intent of the Department to vigorously 
enforce the provisions of this part through the use of the remedies 
provided by the Act. Accordingly, if an operator refuses to pay 
benefits with respect to a claim for which the operator has been 
adjudicated liable, the Director may invoke and execute the lien on the 
property of the operator as described in Sec.  725.603. Enforcement of 
this lien must be pursued in an appropriate U.S. district court. If the 
Director determines that the remedy provided by Sec.  725.603 may not 
be sufficient to guarantee the continued compliance with the terms of 
an award or awards against the operator, the Director may in addition 
seek an injunction in the U.S. district court to prohibit future 
noncompliance by the operator and such other relief as the court 
considers appropriate (see Sec.  725.604). If an operator unlawfully 
suspends or terminates the payment of benefits to a claimant, the 
district director may declare the award in default and proceed in 
accordance with Sec.  725.605. In all cases payments of additional 
compensation (see Sec.  725.607) and interest (see Sec.  725.608) will 
be sought by the Director or awarded by the district director.
    (c) In certain instances the remedies provided by the Act are 
concurrent; that is, more than one remedy might be appropriate in any 
given case. In such a case, the Director may select the remedy or 
remedies appropriate for the enforcement action. In making this 
selection, the Director shall consider the best interests of the 
claimant as well as those of the fund.
0
6. Revise Sec.  725.607 to read as follows:


Sec.  725.607  Payments of additional compensation.

    (a) If any benefits payable under the terms of an award by a 
district director (Sec.  725.419(d)), a decision and order filed and 
served by an administrative law judge (Sec.  725.478), or a decision 
filed by the Board or a U.S. court of appeals, are not paid by an 
operator or other employer ordered to make such

[[Page 23754]]

payments within 10 days after such payments become due, there will be 
added to such unpaid benefits an amount equal to 20 percent thereof, 
which must be paid to the claimant at the same time as, but in addition 
to, such benefits, unless review of the order making such award is 
sought as provided in section 21 of the LHWCA and an order staying 
payments has been issued.
    (b) If, on account of an operator's or other employer's failure to 
pay benefits as provided in paragraph (a) of this section, benefit 
payments are made by the fund, the eligible claimant will nevertheless 
be entitled to receive such additional compensation to which he or she 
may be eligible under paragraph (a), with respect to all amounts paid 
by the fund on behalf of such operator or other employer.
    (c) The fund may not be held liable for payments of additional 
compensation under any circumstances.

    Signed at Washington, DC, this 20th day of April, 2015.
Leonard J. Howie III,
Director, Office of Workers' Compensation Programs.
[FR Doc. 2015-09573 Filed 4-28-15; 8:45 am]
 BILLING CODE 4510-CR-P



                                                                           Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules                                         23743

                                                    #!docketDetail;D=NOAA-NOS-2015-                           Dated: April 21, 2015.                               Programs, Office of Workers’
                                                    0028, click the ‘‘Comment Now!’’ icon,                  Daniel J. Basta,                                       Compensation Programs, U.S.
                                                    complete the required fields, and enter                 Director, Office of National Marine                    Department of Labor, Room C–3520, 200
                                                    or attach your comments.                                Sanctuaries.                                           Constitution Avenue NW., Washington,
                                                      • Mail: Public comments may be                        [FR Doc. 2015–10015 Filed 4–28–15; 8:45 am]            DC 20210. The Department’s receipt of
                                                    mailed to Hawaiian Islands Humpback                     BILLING CODE 3510–NK–P                                 U.S. mail may be significantly delayed
                                                    Whale National Marine Sanctuary,                                                                               due to security procedures. You must
                                                    NOAA/DKIRC, 1845 Wasp Blvd., Bldg.                                                                             take this into consideration when
                                                    176, Honolulu, HI 96818, Attn: Malia                    DEPARTMENT OF LABOR                                    preparing to meet the deadline for
                                                    Chow, Superintendent.                                                                                          submitting comments.
                                                                                                            Office of Workers’ Compensation                          • Hand Delivery/Courier: Submit
                                                      Instructions: Comments sent by any                                                                           comments on paper, disk, or CD–ROM
                                                                                                            Programs
                                                    other method, to any other address or                                                                          to Division of Coal Mine Workers’
                                                    individual, or received after the end of                                                                       Compensation Programs, Office of
                                                                                                            20 CFR Part 725
                                                    the comment period, may not be                                                                                 Workers’ Compensation Programs, U.S.
                                                    considered by NOAA. All comments                        RIN 1240–AA10                                          Department of Labor, Room C–3520, 200
                                                    received are a part of the public record                                                                       Constitution Avenue NW., Washington,
                                                    and will generally be posted for public                 Black Lung Benefits Act: Disclosure of
                                                                                                                                                                   DC 20210.
                                                    viewing on www.regulations.gov                          Medical Information and Payment of                       Instructions: All submissions received
                                                    without change. All personal identifying                Benefits                                               must include the agency name and the
                                                    information (e.g., name, address, etc.),                AGENCY:  Office of Workers’                            Regulatory Information Number (RIN)
                                                    confidential business information, or                   Compensation Programs, Labor.                          for this rulemaking. All comments
                                                    otherwise sensitive information                                                                                received will be posted without change
                                                                                                            ACTION: Notice of proposed rulemaking;
                                                    submitted voluntarily by the sender will                                                                       to http://www.regulations.gov, including
                                                                                                            request for comments.
                                                    be publicly accessible. NOAA will                                                                              any personal information provided.
                                                    accept anonymous comments (enter ‘‘N/                   SUMMARY:    The Department is proposing                  Docket: For access to the docket to
                                                    A’’ in the required fields if you wish to               revisions to the Black Lung Benefits Act               read background documents or
                                                    remain anonymous).                                      (BLBA) regulations to address several                  comments received, go to http://
                                                    FOR FURTHER INFORMATION CONTACT:                        procedural issues that have arisen in                  www.regulations.gov.
                                                    Malia Chow, Superintendent, Hawaiian                    claims processing and adjudications. To                FOR FURTHER INFORMATION CONTACT:
                                                    Islands Humpback Whale National                         protect a miner’s health and promote                   Michael Chance, Director, Division of
                                                    Marine Sanctuary at 808–725–5901 or                     accurate benefit determinations, the                   Coal Mine Workers’ Compensation,
                                                    hihwmanagementplan@noaa.gov.                            proposed rule would require parties to                 Office of Workers’ Compensation
                                                                                                            disclose all medical information                       Programs, U.S. Department of Labor,
                                                       Copies of the draft environmental
                                                                                                            developed in connection with a claim                   200 Constitution Avenue NW., Suite N–
                                                    impact statement and proposed rule can
                                                                                                            for benefits. The proposed rule also                   3520, Washington, DC 20210.
                                                    be downloaded or viewed on the
                                                                                                            would clarify that a liable coal mine                  Telephone: 1–800–347–2502. This is a
                                                    Internet at www.regulations.gov (search
                                                                                                            operator is obligated to pay benefits                  toll-free number. TTY/TDD callers may
                                                    for docket # NOAA–NOS–2015–0028) or
                                                                                                            during post-award modification                         dial toll-free 1–800–877–8339 for
                                                    at http://
                                                                                                            proceedings and that a supplemental                    further information.
                                                    hawaiihumpbackwhale.noaa.gov.
                                                                                                            report from a physician is considered                  SUPPLEMENTARY INFORMATION:
                                                    Copies can also be obtained by
                                                                                                            merely a continuation of the physician’s
                                                    contacting the person identified under                                                                         I. Background of This Rulemaking
                                                                                                            earlier report for purposes of the
                                                    FOR FURTHER INFORMATION CONTACT.
                                                                                                            evidence-limiting rules.                                  The BLBA, 30 U.S.C. 901–944,
                                                    SUPPLEMENTARY INFORMATION:     In                       DATES: The Department invites written                  provides for the payment of benefits to
                                                    addition to the ten hearings listed in the              comments on the proposed regulations                   coal miners and certain of their
                                                    proposed rule (80 FR 16224) published                   from interested parties. Written                       dependent survivors on account of total
                                                    on March 26, 2015, two public hearings                  comments must be received by June 29,                  disability or death due to coal workers’
                                                    will be held in the following locations                 2015.                                                  pneumoconiosis. 30 U.S.C. 901(a); Usery
                                                    at the locales and times indicated:                     ADDRESSES: You may submit written                      v. Turner Elkhorn Mining Co., 428 U.S.
                                                    (1) Waimea, HI (Kaua‘i)                                 comments, identified by RIN number                     1, 5 (1976). Benefits are paid by either
                                                                                                            1240–AA10, by any of the following                     an individual coal mine operator that
                                                    Date: May 5, 2015                                       methods. To facilitate receipt and                     employed the coal miner (or its
                                                    Location: Waimea Canyon Middle                          processing of comments, OWCP                           insurance carrier), or the Black Lung
                                                      School Cafeteria                                      encourages interested parties to submit                Disability Trust Fund. Director, OWCP
                                                                                                            their comments electronically.                         v. Bivens, 757 F.2d 781, 783 (6th Cir.
                                                    Address: 9555 Huakai Road, Waimea,                                                                             1985). The Department has undertaken
                                                      Hawaii 96796                                             • Federal eRulemaking Portal: http://
                                                                                                            www.regulations.gov. Follow the                        this rulemaking primarily to resolve
                                                    Time: 5:30 p.m.—8 p.m.                                  instructions on the Web site for                       several procedural issues that have
                                                                                                            submitting comments.                                   arisen in claims administration and
mstockstill on DSK4VPTVN1PROD with PROPOSALS




                                                    (2) Hilo, HI (Hawai‘i)
                                                                                                               • Facsimile: (202) 693–1395 (this is                adjudication. Each of these issues is
                                                    Date: May 11, 2015                                      not a toll-free number). Only comments                 fully explained in the Section-By-
                                                    Location: Mokupāpapa Discovery Center                  of ten or fewer pages, including a Fax                 Section Explanation below.
                                                    Address: 76 Kamehameha Avenue, Hilo,                    cover sheet and attachments, if any, will              II. Summary of the Proposed Rule
                                                      HI 96720                                              be accepted by Fax.
                                                                                                               • Regular Mail: Submit comments on                  A. General Provisions
                                                    Time: 4:30 p.m.—7 p.m.                                  paper, disk, or CD–ROM to the Division                   The Department is proposing several
                                                       Authority: 16 U.S.C. 1431 et seq.                    of Coal Mine Workers’ Compensation                     general revisions to advance the goals


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                                                    23744                  Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules

                                                    set forth in Executive Order 13563. 76                  Mines Corp. v. Carroll, 64 F.3d 135, 141               concurring); Hudson, 2012 WL 386736,
                                                    FR 3821 (Jan. 18, 2011). That Order                     (3d Cir. 1995) (‘‘[A]s the DOL points out              *3. In addition to being contrary to the
                                                    states that regulations must be                         in its brief, ‘as a general rule, the mere             unanimous weight of the courts of
                                                    ‘‘accessible, consistent, written in plain              existence of modification proceedings                  appeals and the plain text of the
                                                    language, and easy to understand.’’ Id.;                does not affect the finality of an existing            controlling statutory and regulatory
                                                    see also E.O. 12866, 58 FR 51735 (Sept.                 award of compensation.’ ’’); Crowe ex                  provisions, the practice has a number of
                                                    30, 1993) (Agencies must draft                          rel. Crowe v. Zeigler Coal Co., 646 F.3d               negative consequences.
                                                    regulations that are ‘‘simple and easy to               435, 445 (7th Cir. 2011) (Hamilton, J.,                   First, it prevents claimants from
                                                    understand, with the goal of minimizing                 concurring) (‘‘If Zeigler Coal believed                timely receiving all the benefits to
                                                    the potential for uncertainty and                       the June 2001 award of benefits was                    which they are entitled. If an operator
                                                    litigation arising from such                            wrong, it was entitled to seek                         fails to comply with the terms of an
                                                    uncertainty.’’). Accordingly, the                       modification. But Zeigler Coal was not                 effective award, the Black Lung
                                                    Department proposes to remove the                       legally entitled simply to ignore the                  Disability Trust Fund pays benefits to
                                                    imprecise term ‘‘shall’’ throughout those               final order of payment.’’). Thus, an                   the claimant in the operator’s stead. See
                                                    sections it is amending and substitute                  operator must continue to pay any                      20 CFR 725.522(a). But, in any claim
                                                    ‘‘must,’’ ‘‘must not,’’ ‘‘will,’’ or other              benefits due under an effective award                  filed after 1981, the Trust Fund is
                                                    situation-appropriate terms. These                      even when seeking to overturn that                     statutorily prohibited from paying
                                                    changes are designed to make the                        award through a section 22 modification                retroactive benefits, i.e., benefits owed
                                                    regulations clearer and more user-                      proceeding.                                            for the period of time between the
                                                    friendly. See generally Federal Plain                      The plain language of the Act and its               entitlement date specified in the order
                                                    Language Guidelines, http://                            implementing regulations support this                  (typically the date the miner filed his or
                                                    www.plainlanguage.gov/howto/                            conclusion. An operator is required to                 her claim or the date of the miner’s
                                                    guidelines. In some instances, the                      pay benefits ‘‘after an effective order                death) and the initial determination that
                                                    Department has also made minor                          requiring the payment of benefits’’—                   the claimant is entitled to benefits. 26
                                                    technical revisions to these sections to                generally an uncontested award by a                    U.S.C. 9501(d)(1)(A)(ii). These
                                                    comply with the Office of the Federal                   district director or any award by an                   retroactive benefits are sometimes
                                                    Register’s current formatting                           administrative law judge, the Benefits                 substantial, and an operator’s failure to
                                                    requirements. See, e.g., proposed                       Review Board, or a reviewing court—                    pay them while pursuing modification
                                                    § 725.414(a)(2)(ii) (inserting ‘‘of this                even if the operator timely appeals the                imposes a similarly substantial burden
                                                    chapter’’ after reference to § 718.107).                effective award. 20 CFR 725.502(a)(1);                 on the claimant. See Crowe, 646 F.3d at
                                                    No change in meaning is intended.                       see also 33 U.S.C. 921(a), as                          446 (‘‘[T]he effect of Zeigler Coal’s
                                                                                                            incorporated by 30 U.S.C. 932(a). There                decision to disobey the final payment
                                                    B. Section-by-Section Explanation                       is only one exception to an operator’s                 order [while it pursued modification for
                                                    20 CFR 725.310 Modification of awards                   obligation to pay benefits owed under                  ten years] was to deny Mr. Crowe the
                                                    and denials.                                            an effective award: The Board or a                     $168,000 in back benefits to which he
                                                                                                            reviewing court may issue a stay                       had been found entitled.’’)
                                                      Section 725.310 implements section                    pending its resolution of an appeal                       The Act currently provides two
                                                    22 of the Longshore and Harbor                          based on a finding that ‘‘irreparable                  mechanisms for claimants to enforce
                                                    Workers’ Compensation Act (Longshore                    injury would otherwise ensue to the                    these liabilities. Section 21(d) of the
                                                    Act or LHWCA), 33 U.S.C. 922, as                        employer or carrier.’’ 30 U.S.C.                       Longshore Act, 33 U.S.C. 921(d), as
                                                    incorporated into the BLBA by section                   921(a)(3), (c); see also 20 CFR                        incorporated into the BLBA by section
                                                    422(a) of the Act, 30 U.S.C. 932(a).                    725.482(a), 725.502(a)(1). Otherwise, an               422(a) of the Act, 30 U.S.C. 932(a), and
                                                    Section 22 generally allows for the                     effective award requires payment until                 implemented by 20 CFR 725.604,
                                                    modification of claim decisions based                   it is (1) ‘‘vacated by an administrative               provides for the enforcement of final
                                                    on a mistake of fact or a change in                     law judge on reconsideration,’’ (2)                    awards. And section 18(a) of the
                                                    conditions up to one year after the last                ‘‘vacated . . . upon review under                      Longshore Act, 33 U.S.C. 918(a), as
                                                    payment of benefits or denial of a claim.               section 21 of the LHWCA, by the                        incorporated into the BLBA by section
                                                    The Department proposes several                         Benefits Review Board or an appropriate                422(a) of the Act, 30 U.S.C. 932(a), and
                                                    revisions to this regulation to ensure                  court,’’ or (3) ‘‘superseded by an                     implemented by 20 CFR 725.605, does
                                                    that responsible operators (and their                   effective order issued pursuant to                     the same for effective awards. These
                                                    insurance carriers) fully discharge their               § 725.310.’’ 20 CFR 725.502. Notably                   remedies are, however, imperfect. Even
                                                    payment obligations while pursuing                      absent from this list is a request for                 if the previous award is final, section
                                                    modification.                                           modification pursuant to § 725.310.                    21(d) still requires the claimant to file
                                                      While modification is a broad remedy                  Thus, only an administrative or judicial               an enforcement action in federal district
                                                    available to responsible operators as                   order relieves the operator of the                     court to secure compliance with the
                                                    well as claimants, a mere request for                   obligation to pay benefits, even if the                award, a substantial barrier for
                                                    modification does not terminate an                      operator continues to contest the award.               unrepresented claimants. And even for
                                                    operator’s obligation to comply with the                The operator may not terminate the                     represented claimants, the process can
                                                    terms of a prior award, or otherwise                    obligation unilaterally.                               be a source of substantial delay. For
                                                    undermine the effectiveness, finality, or                  Despite this clear authority, some                  example, the district court’s order
                                                    enforceability of a prior award. See                    operators obligated to pay benefits to                 enforcing a final award under section
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                                                    Vincent v. Consolidated Operating Co.,                  claimants (and to repay the Black Lung                 21(d) in Nowlin v. Eastern Associated
                                                    17 F.3d 782, 785–86 (5th Cir. 1994)                     Disability Trust Fund for interim benefit              Coal Corp., 266 F. Supp. 2d 502 (N.D.
                                                    (enforcing award despite employer’s                     payments) by the terms of effective or                 W.Va. 2003), was issued more than two
                                                    modification request); Williams v. Jones,               final awards have refused to comply                    years after the complaint was filed, and
                                                    11 F.3d 247, 259 (1st Cir. 1993) (same);                with those obligations, claiming that a                the consequent attorney’s fee dispute
                                                    Hudson v. Pine Ridge Coal Co., No. 11–                  subsequent modification request                        took another seven months to resolve.
                                                    00248, 2012 WL 386736, *5 (S.D. W.Va.                   excuses their non-compliance. See, e.g.,               Such delays should be minimized
                                                    Feb. 6, 2012) (same); see also National                 Crowe, 646 F.3d at 447 (Hamilton, J.,                  where possible to ensure prompt


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                                                                           Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules                                            23745

                                                    compensation for claimants. A claimant                  if successful, has the same overpayment                was not ‘‘hidden or could not have been
                                                    seeking to enforce an effective but non-                recoupment rights as the Trust Fund.                   located’’ earlier).
                                                    final award faces the same barriers, plus               See 65 FR 80009–80011 (explaining                         Proposed paragraph (e)(4) clarifies
                                                    the additional hurdles of section 18(a)’s               rationale for § 725.502); 20 CFR 725.547               that an operator has a continuing
                                                    one-year limitations period and its                     (extending overpayment provisions to                   obligation to comply with the
                                                    requirement to obtain a supplemental                    operators and their insurance carriers).               requirements of effective awards during
                                                    order of default from the district                      The tactic of refusing to pay benefits                 all stages of a modification proceeding.
                                                    director.                                               owed while seeking modification                        The Department believes that imposing
                                                       Second, the practice improperly shifts               threatens to transfer this risk to the                 an affirmative obligation on operators to
                                                    financial burdens from the responsible                  Trust Fund, essentially rewarding                      continually update the administrative
                                                    operator to the Trust Fund contrary to                  operators that behave lawlessly and                    law judge, Board, or court currently
                                                    Congress’s intent. Congress created the                 encouraging others to do the same. See                 adjudicating its modification request
                                                    Trust Fund in 1978 to assume                            Crowe, 646 F.3d at 446–47.                             about every continuing payment
                                                    responsibility for claims for which no                     To deal with this recurring problem,                required by previous awards would be
                                                    operator was liable or in which the                     the Department proposes adding new                     unduly burdensome on both operators
                                                    responsible operator defaulted on its                   paragraph (e) to § 725.310. Proposed                   and adjudicators. When an operator’s
                                                    payment obligations. But Congress                       paragraphs (e)(1) and (2) provide that an              non-compliance is brought to an
                                                    intended to ‘‘ensure that individual coal               operator’s request to modify any                       adjudication officer’s attention,
                                                    operators rather than the trust fund bear               effective award will be denied unless                  however, the adjudicator must issue an
                                                    the liability for claims arising out of                 the operator proves that it has complied               order to show cause why the operator’s
                                                    such operator’s mines, to the maximum                   with all of its obligations under that                 modification petition should not be
                                                    extent feasible.’’ S. Rep. No. 95–209 at                award, and any other currently effective               denied. Because the issue will be the
                                                    9 (1977), reprinted in Committee on                     award (such as an attorney fee award) in               operator’s compliance with paragraph
                                                    Education and Labor, House of                           the claim, unless payment has been                     (e)(1) at the time of the order rather than
                                                    Representatives, 96th Cong., Black Lung                 stayed. By incorporating § 725.502(a)’s                at the time it requested modification,
                                                    Benefits Reform Act and Black Lung                      definition of effective award, the                     evidence relevant to this issue will be
                                                    Benefits Revenue Act of 1977 at 612                     proposed regulation clarifies that an                  admissible even in the absence of
                                                    (Comm. Print) (1979). Thus, operators                   operator is not required to prove                      extraordinary circumstances. In
                                                    are required to reimburse the Trust                                                                            addition, to avoid the burden of a minor
                                                                                                            compliance with formerly effective
                                                    Fund for all benefits it paid to a                                                                             default resulting in the denial of
                                                                                                            awards that have been vacated either on
                                                    claimant on the operator’s behalf under                                                                        modification, paragraph (e)(4) gives the
                                                                                                            reconsideration by an administrative
                                                    an effective or final order. See 30 U.S.C.                                                                     operator an opportunity to cure any
                                                                                                            law judge, or on appeal by the Board or
                                                    934(b); 20 CFR 725.522(a), 725.601–603.                                                                        default identified by the Director or
                                                       This intent is undermined if an                      a court of appeals, or that have been
                                                                                                                                                                   claimant before the modification
                                                    operator does not pay benefits or                       superseded by an effective modification
                                                                                                                                                                   petition is denied.
                                                    reimburse the Trust Fund while seeking                  order.                                                    Proposed paragraph (e)(5) clarifies
                                                    to modify an effective award. One of the                   Proposed paragraph (e)(3) integrates                that the denial of a modification request
                                                    few events that terminates an effective                 the requirements of paragraph (e)(1) into              on the ground that the operator has not
                                                    order is being ‘‘superseded by an                       the overall modification procedures                    complied with its obligations under
                                                    effective order issued pursuant to                      outlined by § 725.310(b)–(c). The                      previous effective awards will not
                                                    § 725.310.’’ 20 CFR 725.502(a)(1). Thus,                Department anticipates that compliance                 prejudice the operator’s right to make
                                                    if an operator evades its obligation to                 with the requirements of outstanding                   additional modification requests in that
                                                    pay benefits under the terms of an                      effective awards will be readily                       same claim in the future. At the time of
                                                    effective or final order until it                       apparent from the documentary                          that future request, of course, the
                                                    successfully modifies that order under                  evidence in most cases and that any                    operator must satisfy all modification
                                                    § 725.310, the operator may entirely                    non-compliance with those obligations                  requirements, including § 725.310(e).
                                                    evade its obligation to pay benefits (or                will be easily correctable by the operator                Finally, proposed paragraph (e)(6)
                                                    to reimburse the Trust Fund for paying                  based on that evidence. Accordingly,                   makes these requirements applicable
                                                    benefits on the operator’s behalf) under                paragraph (e)(3) encourages the parties                only to modification requests filed on or
                                                    the initial order. Moreover, because                    to submit all documentary evidence at                  after the effective date of the final rule.
                                                    § 725.310(d) allows only certain benefits               the earliest stage of the modification                 Making the rule applicable
                                                    paid under a previously effective order                 process (i.e., during proceedings before               prospectively avoids any administrative
                                                    to be recovered (generally only benefits                the district director) by forbidding the               difficulties that could arise from
                                                    for periods after modification was                      admission of any new documentary                       applying the rule’s requirements to
                                                    requested), the Trust Fund will be                      evidence addressing the operator’s                     pending modification requests.
                                                    unable to recoup benefits paid prior to                 compliance with paragraph (e)(1) at any
                                                    that date from the claimant. And the                    subsequent stage of the litigation absent              20 CFR 725.413 Disclosure of Medical
                                                    Trust Fund’s right to recover the                       extraordinary circumstances. The                       Information
                                                    remaining overpayment is of little                      Department intends that the term                         The Department proposes a new
                                                    practical value in many cases given that                ‘‘extraordinary circumstances’’ in this                provision that requires the parties to
                                                    claimants may be entitled to waiver of                  context be understood the same way                     disclose all medical information
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                                                    overpayments by operation of                            that the identical term has been applied               developed in connection with a claim.
                                                    §§ 725.540–548.                                         in cases governed by § 725.456(b)(1).                  Currently, parties to a claim are free to
                                                       Section 725.502’s requirement that                   See, e.g., Marfork Coal Co. v. Weis, 251               develop medical information to the
                                                    operators pay benefits owed under the                   F. App’x 229, 236 (4th Cir. 2007)                      extent their resources allow and then
                                                    terms of effective (as well as final)                   (operator failed to demonstrate                        select from that information those
                                                    awards is designed to place these                       ‘‘extraordinary circumstances’’                        pieces they wish to submit into
                                                    overpayment recovery risks where they                   justifying late submission of evidence                 evidence, subject to the evidentiary
                                                    properly belong: On the operator who,                   under § 725.456(b)(1) where evidence                   limitations set out in § 725.414. See 20


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                                                    23746                  Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules

                                                    CFR 725.414. Medical information                        showing that Mr. Fox had complicated                   with technical discovery procedures
                                                    developed but not submitted into                        pneumoconiosis. The operator did not                   and thus do not pursue any information
                                                    evidence generally remains in the sole                  disclose any of these documents,                       not voluntarily disclosed by the
                                                    custody of the party who developed it                   despite an order from an administrative                operator. And even when represented,
                                                    unless an opposing party obtains the                    law judge, until 2008. Mr. Fox died in                 not all attorneys use available discovery
                                                    information through a formal discovery                  2009 while awaiting a lung transplant.                 tools. Thus, making full disclosure
                                                    process.                                                   Had Mr. Fox received the responsible                mandatory will put all parties on equal
                                                       Experience has demonstrated that                     operator’s pathologists’ opinions in                   footing, regardless of representation and
                                                    miners may be harmed if they do not                     2000 when they were authored, he                       regardless of whether they request
                                                    have access to all information about                    could have sought appropriate treatment                disclosure of all medical information
                                                    their health, including information that                for his advanced pneumoconiosis five or                developed in connection with a claim.
                                                    is not submitted for the record.                        six years sooner than he did. He also                     Finally, allowing parties fuller access
                                                    Claimants who do not have legal                         could have made an informed decision                   to medical information may lead to
                                                    representation are particularly                         as to whether he should continue in                    better, more accurate decisions on
                                                    disadvantaged because generally they                    coal mine employment, where he was                     claims. Elevating correctness over
                                                    are unfamiliar with the formal discovery                exposed to additional coal-mine dust.                  technical formalities is a fundamental
                                                    process and thus rarely obtain                          Or, he might have transferred to a                     tenant of the BLBA. Subject to
                                                    undisclosed information. Moreover,                      position in a less-dusty area of the mine.             regulations of the Secretary, the statute
                                                    benefit decisions based on incomplete                   See 30 U.S.C. 943(b). Finally, if the                  gives the Department explicit authority
                                                    medical information are less accurate.                  pathology reports the operator obtained                to depart from technical rules:
                                                    These results are contrary to the clear                 had been available, Mr. Fox’s first claim              adjudicators ‘‘shall not be bound by
                                                    intent of the statute.                                  might have been awarded; indeed, the                   common law or statutory rules of
                                                       One recent case, Fox v. Elk Run Coal                 operator conceded entitlement when                     evidence or by technical or formal rules
                                                    Co., 739 F.3d 131 (4th Cir. 2014), aptly                ordered to disclose this information.                  of procedure . . . but may make such
                                                    demonstrates these problems. Mr. Fox                       Mr. Fox’s case highlights the                       investigation or inquiry or conduct such
                                                    worked in coal mines for more than                      longstanding problem claimants face in                 hearing in such manner as to best
                                                    thirty years. In 1997, a chest X-ray                    obtaining a full picture of the miner’s                ascertain the rights of the parties.’’ 33
                                                    disclosed a mass in his right lung. A                   health from testifying and non-testifying              U.S.C. 923(a), as incorporated by 30
                                                    pathologist who reviewed tissue                         medical experts as well as examining                   U.S.C. 932(a). See also 20 CFR
                                                    collected from the mass during a 1998                   and non-examining physicians. See,                     725.455(b). This statutory provision
                                                    biopsy diagnosed an inflammatory                        e.g., Lawyer Disciplinary Board v.                     evidences Congress’s strong preference
                                                    pseudotumor. Acting without legal                       Smoot, 716 SE.2d 491 (W. Va. 2010);                    for ‘‘best ascertain[ing] the rights of the
                                                    representation, Mr. Fox filed a claim for               Belcher v. Westmoreland Coal Co., BRB                  parties’’— in other words, getting to the
                                                    black lung benefits in 1999. The                        No. 06–0653, 2007 WL 7629355 (Ben.                     truth of the matter—over following the
                                                    responsible operator submitted                          Rev. Bd. May 31, 2007) (unpublished);                  technical formalities associated with
                                                    radiologists’ reports and opinions from                 Cline v. Westmoreland Coal Co., 21                     regular civil litigation. Full disclosure of
                                                    four pulmonologists, all concluding that                Black Lung Rep. 1–69 (Ben. Rev. Bd.                    medical information is therefore
                                                    Mr. Fox did not have coal workers’                      1997).                                                 consistent with Congressional intent.
                                                    pneumoconiosis. The operator had                           Ensuring that a miner has access to                 Indeed, the current regulations require
                                                    developed additional medical                            information about his or her health is                 the miner to provide the responsible
                                                    information, however—opinions from                      consistent with the primary tenet of the               operator authorization to access his or
                                                    two pathologists who reviewed the 1998                  Mine Safety and Health Act (Mine Act).                 her medical records. See 20 CFR
                                                    biopsy tissue and other records and then                Congress expressly declared that ‘‘the                 725.414(a)(3)(i)(A).
                                                    authored opinions supporting the                        first priority and concern of all in the                  An incorporated provision of the
                                                    conclusion that Mr. Fox had                             coal or other mining industry must be                  Social Security Act provides additional
                                                    complicated pneumoconiosis, an                          the health and safety of its most                      authority for proposed § 725.413. See 30
                                                    advanced form of the disease. But the                   precious resource—the miner.’’ 30                      U.S.C. 923(b), incorporating 42 U.S.C.
                                                    operator did not submit the                             U.S.C. 801(a). This priority informs the               405(a). As incorporated into the BLBA,
                                                    pathologists’ reports into the record,                  Secretary’s administration of the                      section 205(a) of the Social Security Act,
                                                    provide them to Mr. Fox, or share them                  BLBA—including adoption of                             42 U.S.C. 405(a), gives the Department
                                                    with the pulmonologists it hired. An                    appropriate regulations—because                        wide latitude in regulating evidentiary
                                                    administrative law judge denied Mr.                     Congress placed the BLBA in the Mine                   matters pertaining to an individual’s
                                                    Fox’s claim in 2001. To support his                     Act.                                                   right to benefits. Specifically, the
                                                    family, Mr. Fox continued to work in                       By requiring disclosure, the rule also              Department is vested with ‘‘full power
                                                    the mines, where he was exposed to                      protects parties who do not have legal                 and authority to make rules and
                                                    additional coal-mine dust.                              representation. Virtually without                      regulations and to establish procedures,
                                                       Mr. Fox left the mines in 2006 at the                exception, coal mine operators are                     not inconsistent with the provisions of
                                                    age of 56 because his pulmonary                         represented by attorneys in claims heard               this subchapter, which are necessary or
                                                    capacity had diminished to the point he                 by administrative law judges. But                      appropriate to carry out such
                                                    could no longer work. He filed a second                 claimants cannot always obtain legal                   provisions, and [to] adopt reasonable
                                                    claim for benefits that same year. This                 representation. The Department                         and proper rules and regulations to
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                                                    time he was represented by counsel,                     estimates that approximately 23 percent                regulate and provide for the nature and
                                                    who successfully obtained discovery of                  of claimants appear before                             extent of the proofs and evidence and
                                                    the medical information that the                        administrative law judges without any                  the method of taking and furnishing the
                                                    responsible operator had developed in                   representation, and some of those                      same in order to establish the right to
                                                    connection with Mr. Fox’s first claim                   claimants who have representation are                  benefits.’’ Section 205(a) has been
                                                    but had not disclosed. This additional                  represented by lay persons.                            construed as granting ‘‘exceptionally
                                                    information included the pathologists’                  Unrepresented claimants and lay                        broad authority to prescribe standards’’
                                                    opinions and X-ray interpretations                      representatives are generally unfamiliar               for proofs and evidence. Heckler v.


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                                                                           Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules                                           23747

                                                    Campbell, 461 U.S. 458, 466 (1983)                      current § 725.456(b)(2)’s 20-day                       files a modification request. Applying
                                                    (quoting Schweiker v. Gray Panthers,                    requirement for exchanging any                         this rule to pending claims will further
                                                    453 U.S. 34, 43 (1981)). The proposed                   documentary evidence a party wants to                  one of the rule’s primary purposes:
                                                    rule honors these tenets.                               submit into the hearing record.                        protecting the health of the nation’s
                                                       The proposed rule sets out both                         Proposed § 725.413(c) provides                      miners.
                                                    requirements for the disclosure of                      sanctions that an adjudication officer
                                                    medical information and sanctions that                  may impose on a party that does not                    20 CFR 725.414 Development of
                                                    may be imposed on parties that do not                   comply with its obligation to disclose                 Evidence
                                                    comply with the rule. Proposed                          the medical information described in                      (a) Section 725.414 imposes
                                                    § 725.413(a) defines what constitutes                   proposed § 725.413(a). In determining                  limitations on the quantity of medical
                                                    ‘‘medical information’’ for purposes of                 an appropriate sanction, the proposed                  evidence that each party may submit in
                                                    this regulation. The regulation casts a                 rule requires the adjudication officer to              a black lung claim. The Department
                                                    broad net by encompassing any medical                   consider whether the party who violated                proposed the limitations, in part, to
                                                    data about the miner that a party                       the disclosure rule was represented by                 ensure that eligibility determinations
                                                    develops in connection with a claim.                    counsel when the violation occurred.                   are based on the quality, not the
                                                    Treatment records are not information                   The proposed rule also requires the                    quantity, of evidence submitted and to
                                                    developed in connection with a claim                    adjudication officer to protect                        reduce litigation costs. 62 FR 3338 (Jan.
                                                    and thus do not fall within this                        represented parties when the violation                 22, 1997). Under the evidence limiting
                                                    definition. But any party may obtain                    was attributable solely to their                       rule, each side in a living miner’s
                                                    and submit records pertaining to                        attorney’s errors. The sanctions listed                claim—both the claimant and the
                                                    treatment for a respiratory or pulmonary                are not exclusive, and an adjudication                 responsible operator (or Director, when
                                                    or related disease under § 725.414(a)(4).               officer may impose a different sanction,               appropriate)—may submit two chest X-
                                                       Proposed paragraph (a)(1) addresses                  so long as it is appropriate to the                    ray interpretations, the results of two
                                                    examining physicians’ opinions and                      circumstances presented in the                         pulmonary function tests, two arterial
                                                    includes all findings made by an                        particular case. Two of the listed                     blood gas studies and two medical
                                                    examining physician in the definition of                sanctions are unique to the BLBA claims                reports as its affirmative case. Current
                                                    ‘‘medical information.’’ An examining                   context. First, the proposed rule allows               § 725.414(a)(1) defines a medical report
                                                    physician’s opinion may disclose                        the adjudication officer to disqualify the             as a ‘‘written assessment of the miner’s
                                                    incidental physical conditions beyond a                 non-disclosing party’s attorney from                   respiratory or pulmonary condition’’
                                                    miner’s respiratory or pulmonary                        further participation in the claim                     that ‘‘may be prepared by a physician
                                                    systems that need attention. Giving                     proceedings. The Department believes                   who examined the miner and/or
                                                    miners full access to this data is                      this is an appropriate sanction when the               reviewed the available admissible
                                                    consistent with the Act’s and the                       party’s attorney is solely at fault for the            evidence.’’ 20 CFR 725.414(a)(1).
                                                    Department’s intent to protect the                      non-disclosure and the failure to                      Because additional medical evidence
                                                    miner’s health. Proposed paragraphs                     disclose resulted from more than an                    may become available after a physician
                                                    (a)(2) through (a)(4) include all other                 administrative error. Second, the                      has prepared a medical report,
                                                    physicians’ opinions, tests, procedures                 proposed rule empowers an                              physicians often update their initial
                                                    and related documentation in ‘‘medical                  adjudication officer to relieve a claimant             reports in supplemental reports
                                                    information,’’ but only to the extent they              from the impact of a prior claim denial                addressing the new evidence. This
                                                    address the miner’s respiratory or                      (see 20 CFR 725.309(c)(6)) if the medical              practice has, at times, caused confusion
                                                    pulmonary condition.                                    information was not disclosed in                       regarding whether the supplemental
                                                       Proposed § 725.413(b) sets out the                   accordance with the regulation in the                  report must be deemed a second
                                                    duty to disclose medical information                    prior claim proceeding. This sanction                  medical report for purposes of the
                                                    about the miner and a time frame for                    removes an incentive for responsible                   evidentiary limitations. The Department
                                                    such disclosure. The duty to disclose                   operators to withhold medical                          proposes to amend § 725.414(a)(1) to
                                                    arises when either a party or a party’s                 information and, by encouraging                        reflect the Director’s longstanding
                                                    agent receives medical information. By                  operators to comply, helps protect                     position that these supplemental reports
                                                    including a ‘‘party’s agent,’’ the                      miners like Mr. Fox.                                   are merely a continuation of the
                                                    proposed rule requires disclosure of                       Finally, proposed § 725.413(d) sets                 physician’s original medical report for
                                                    medical information received by any                     out when the rule is applicable.                       purposes of the evidence-limiting rules
                                                    individual or business entity that                      Significantly, proposed paragraph (d)(2)               and do not count against the party as a
                                                    develops or screens medical information                 specifies that the rule applies to claims              second medical report. The revised rule
                                                    for the party or the party’s attorney.                  pending on the rule’s effective date if an             would apply to all claims filed after
                                                    Thus, a party may not avoid disclosure                  administrative law judge has not yet                   January 19, 2001. See 20 CFR 725.2(c).
                                                    by having medical opinions and testing                  entered a decision on the merits. To                      The Director’s position flows from the
                                                    results filtered through a third-party                  provide adequate time for disclosure in                language of the current rules, which
                                                    agent. The time frame for disclosure is                 pending cases, the proposed rule allows                constrains the evidence a physician may
                                                    generally 30 days after receipt of the                  the parties 60 days to disclose evidence               review in a written report based only on
                                                    medical information. Within that time                   received prior to the rule’s adoption.                 its admissibility. Current § 725.414(a)(1)
                                                    period, the disclosing party must send                  Evidence received after the rule’s                     makes clear that a physician who
                                                    a copy of the medical information                       effective date remains subject to                      provides a written opinion on the
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                                                    obtained to all other parties of record. In             proposed § 725.413(b)’s 30-day time                    miner’s pulmonary condition may
                                                    the event the claim is already scheduled                limit. After an administrative law judge               consider all ‘‘admissible medical
                                                    for hearing by an administrative law                    issues a merits decision, proposed                     evidence.’’ Significantly, a physician
                                                    judge when the medical information is                   paragraph (d)(3) imposes the obligation                who prepares a written medical report
                                                    received, the proposed rule requires the                to disclose medical information only                   may also provide oral testimony in a
                                                    disclosing party to send the information                when further evidentiary development                   claim, either at the formal hearing or
                                                    no later than 20 days prior to the                      is permitted on reconsideration, remand                through a deposition, and may ‘‘testify
                                                    hearing. This provision correlates with                 from an appellate body, or after a party               as to any other medical evidence of


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                                                    23748                  Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules

                                                    record.’’ 20 CFR 725.414(c), 725.457(d).                limits allowed an identified responsible               appropriate circumstances without
                                                    Thus, so long as a piece of medical                     operator, in such cases. The revised rule              unjustifiably burdening claimants.
                                                    evidence is admissible, a physician may                 would apply to all claims filed after
                                                                                                                                                                   20 CFR 725.601 Enforcement
                                                    consider it when addressing the miner’s                 January 19, 2001. See 20 CFR 725.2(c).
                                                                                                                                                                   Generally
                                                    condition in either a written report or                   The Trust Fund is liable for the
                                                    oral testimony. The Benefits Review                     payment of benefits if no operator can                    Current § 725.601 sets out the
                                                    Board has long accepted the Director’s                  be identified as liable or if the operator             Department’s policy regarding enforcing
                                                    position that the medical opinion of a                  identified as liable fails to pay benefits             the liabilities imposed by Part 725. The
                                                    physician may be submitted in more                      owed. See 26 U.S.C. 9501(d)(1); 20 CFR                 last sentence of current paragraph (b)
                                                    than one document and still be                          725.522. As a result, the Director’s                   refers to ‘‘payments in addition to
                                                    considered one medical report for                       inability to develop medical evidence in               compensation (see § 725.607)[.]’’ For the
                                                    purposes of § 725.414. See, e.g., Akers v.              responsible operator cases imperils the                reasons explained in the discussion
                                                    TBK Coal Co., BRB No. 06–894 BLA,                       Trust Fund if the operator ceases to                   under § 725.607, the Department
                                                    2007 WL 7629772 (Ben. Rev. Bd. Nov.                     defend the claim. In such cases, the                   proposes to replace the phrase
                                                    30, 2007).                                              Director currently has only two choices:               ‘‘payments in addition to
                                                       Supplemental reports are a reasonable                (1) Dismiss the operator and have the                  compensation’’ with the phrase
                                                    and cost-effective means of providing                   Trust Fund assume liability so that                    ‘‘payments of additional
                                                    medical opinion evidence given the                      medical evidence can be developed; or                  compensation.’’ No substantive change
                                                    practical realities of federal black lung               (2) keep the operator as the liable party              is intended.
                                                    litigation. Even with the evidence-                     and, if an award is issued, attempt to                 20 CFR 725.607 Payments in Addition
                                                    limiting rules, a miner who files a black               enforce the award against the operator                 to Compensation
                                                    lung claim may undergo up to five sets                  or related entities (e.g., insurance
                                                    of examinations and testing ‘‘spread                                                                              The Department proposes two
                                                                                                            carrier, surety-bond companies,                        revisions to current § 725.607, which
                                                    . . . out over time.’’ 65 FR 79992 (Dec.                successor operator, etc.).
                                                    20, 2000). A physician who examines                                                                            implements section 14(f) of the
                                                                                                              The first choice forecloses any                      Longshore and Harbor Workers’
                                                    the miner early in the claim process will
                                                                                                            possibility of recovery from the operator              Compensation Act, 33 U.S.C. 914(f), as
                                                    obviously not at that time have access
                                                                                                            in the case of an award because the                    incorporated into the BLBA by section
                                                    to all the medical evidence that
                                                                                                            award would run against the Trust                      422(a) of the Act, 30 U.S.C. 932(a), to
                                                    ultimately will be admitted into the
                                                                                                            Fund. To be enforceable against an                     clarify that amounts paid under section
                                                    record. Given that the rules allow the
                                                                                                            operator, the order awarding benefits                  14(f) are compensation. Section 14(f)
                                                    physician to review all admissible
                                                                                                            must identify the operator as the liable               generally provides that claimants are
                                                    medical evidence when evaluating the
                                                                                                            party. See 20 CFR 725.522(a), 725.601-                 entitled to an additional 20% of any
                                                    miner’s condition, it makes sense to
                                                                                                            .609. The second choice restricts the                  compensation owed under the terms of
                                                    allow the physician to supplement his
                                                                                                            Trust Fund’s ability to defend against an              an award that is not paid within ten
                                                    or her original report as new evidence
                                                    becomes available. Indeed, a contrary                   unmeritorious claim without providing                  days after it becomes due.
                                                    rule would increase litigation costs                    any certainty as to the recovery of any                   The majority of courts to consider the
                                                    because the party would be forced to                    benefits awarded. In both cases, the                   question have agreed with the Director’s
                                                    have the physician review new evidence                  Trust Fund is unnecessarily put at risk.               view that the 20% payment required by
                                                    during a deposition or in-court                         This risk can be ameliorated by the                    section 14(f) is itself ‘‘compensation’’
                                                    testimony, both of which are much more                  simple expedient of allowing the                       rather than a penalty. See Newport News
                                                    costly means of providing evidence.                     Director, at his or her discretion, to                 Shipbuilding and Dry Dock Co. v.
                                                    There is therefore no practical or logical              develop evidence in cases in which the                 Brown, 376 F.3d 245, 251 (4th Cir. 2004)
                                                    reason to consider a physician’s                        identified responsible operator has                    (‘‘[I]t is plain that an award for late
                                                    supplemental written report a second                    ceased to defend the claim.                            payment under [section] 14(f) is
                                                    medical report under the evidence                          Proposed § 725.414(a)(3)(iii) allows                compensation.’’); Tahara v. Matson
                                                    limiting rules.                                         the Director the option of developing                  Terminals, Inc., 511 F.3d 950, 953–54
                                                       (b) For cases in which the Trust Fund                evidence in such cases. This revision                  (9th Cir. 2007) (same); but see Burgo v.
                                                    is liable for benefits, current                         would not prejudice claimants because                  General Dynamics Corp., 122 F.3d 140,
                                                    § 725.414(a)(3)(iii) authorizes the                     the Director would be bound by the                     145–46 (2d Cir. 1997). Part 725 reflects
                                                    Director to exercise the rights of a                    same evidence-limiting rules as the                    this view by generally referring to 14(f)
                                                    responsible operator for purposes of the                operator. In a miner’s claim, the medical              payments as ‘‘additional
                                                    evidentiary limitations. 20 CFR                         evidence developed under § 725.406                     compensation.’’ See 20 CFR 725.530(a),
                                                    725.414(a)(3)(iii). The current rule does               counts as one medical report and one                   725.607(b), 725.608(a)(3); see also 65 FR
                                                    not, however, allow the Director to                     set of tests submitted by the Director, 20             80014 (Dec. 20, 2000) (‘‘Section 14(f)
                                                    submit medical evidence, except for the                 CFR 725.414(a)(3)(iii), and the Director               provides that additional compensation,
                                                    medical evidence developed under                        would be able to submit only one                       in the amount of twenty percent of
                                                    § 725.406, in cases in which a coal mine                additional medical report and set of                   unpaid benefits, shall be paid if an
                                                    operator is deemed the liable party. The                tests, along with appropriate rebuttal                 employer fails to pay within ten days
                                                    rule thus leaves the Trust Fund                         evidence. And in a survivor’s claim, the               after the benefits become due.’’).
                                                    potentially unprotected in cases in                     Director, like an operator, is limited to                 Current § 725.607 does not
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                                                    which the identified responsible                        two complete reports and rebuttal                      consistently reflect the majority rule or
                                                    operator has ceased to defend a claim                   evidence. Moreover, in appropriate                     the Director’s position. Paragraph (b)
                                                    during the course of litigation because                 cases, the Director may determine that                 describes section 14(f) payments as
                                                    of adverse financial developments, such                 an award of benefits is justified, and                 ‘‘additional compensation.’’ But both
                                                    as bankruptcy or insolvency. The                        decline to submit additional evidence.                 the title of the section and paragraph (c)
                                                    Department proposes to amend                            In sum, the proposed rule reasonably                   describe them as payments ‘‘in addition
                                                    § 725.414(a)(3)(iii) to allow the Director              allows the Director to defend the Trust                to compensation.’’ The latter
                                                    to submit medical evidence, up to the                   Fund against unwarranted liability in                  formulation could be read to suggest


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                                                                           Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules                                          23749

                                                    that 14(f) payments are something other                 1320.11, the Department has submitted                  including the validity of the
                                                    than compensation. While the ‘‘in                       a new Information Collection Request to                methodology and assumptions used;
                                                    addition to compensation’’ formulation                  OMB for approval under the PRA and is                    • Enhance the quality, utility, and
                                                    has not caused any problems in the                      providing an opportunity for public                    clarity of the information to be
                                                    administration of § 725.607 thus far, the               comment. A copy of this request                        collected; and
                                                    Department wishes to eliminate any                      (including supporting documentation)                     • Minimize the burden of the
                                                    possibility that the regulation’s phrasing              may be obtained free of charge by                      collection of information on those who
                                                    could confuse readers. Accordingly, the                 contacting Michael Chance, Director,                   are to respond, including through the
                                                    Department proposes to replace ‘‘in                     Division of Coal Mine Workers’                         use of appropriate automated,
                                                    addition to compensation’’ with                         Compensation, Office of Workers’                       electronic, mechanical, or other
                                                    ‘‘additional compensation’’ in the title                Compensation Programs, U.S.                            technological collection techniques or
                                                    of § 725.607 and paragraph (c). To                      Department of Labor, 200 Constitution                  other forms of information technology,
                                                    maintain consistency within part 725,                   Avenue, NW., Suite N–3464,                             e.g., permitting electronic submission of
                                                    the Department also proposes the same                   Washington, DC 20210. Telephone:                       responses.
                                                    change to § 725.601(b).                                 (202) 693–0978 (this is not a toll-free                V. Executive Orders 12866 and 13563
                                                    III. Statutory Authority                                number). TTY/TDD callers may dial                      (Regulatory Planning and Review)
                                                                                                            toll-free 1–800–877–8339.
                                                       Section 426(a) of the BLBA, 30 U.S.C.                                                                          Executive Orders 12866 and 13563
                                                                                                               The Department has estimated the
                                                    936(a), authorizes the Secretary of Labor                                                                      direct agencies to assess all costs and
                                                                                                            number of responses and burdens as
                                                    to prescribe rules and regulations                                                                             benefits of available regulatory
                                                                                                            follows for this information collection:
                                                    necessary for the administration and                                                                           alternatives and, if regulation is
                                                                                                               Title of Collection: Disclosure of                  necessary, to select regulatory
                                                    enforcement of the Act.                                 Medical Information                                    approaches that maximize net benefits
                                                    IV. Information Collection                                 OMB Control Number: 1240–0NEW                       (including potential economic,
                                                    Requirements (Subject to the                            [OWCP will supply before publication]                  environmental, public health and safety
                                                    Paperwork Reduction Act) Imposed                           Total Estimated Number of                           effects, distributive impacts, and
                                                    Under the Proposed Rule                                 Responses: 4,074                                       equity). Executive Order 13563
                                                      The Paperwork Reduction Act of 1995                      Total Estimated Annual Time Burden:                 emphasizes the importance of
                                                    (PRA), 44 U.S.C. 3501 et seq., and its                  679 hours                                              quantifying both costs and benefits, of
                                                    implementing regulations, 5 CFR part                       Total Estimated Annual Cost Burden:                 reducing costs, of harmonizing rules,
                                                    1320, require that the Department                       $21,537.88                                             and of promoting flexibility.
                                                    consider the impact of paperwork and                       In addition to having an opportunity                   The Department has considered the
                                                    other information collection burdens                    to file comments with the Department,                  proposed rule with these principles in
                                                    imposed on the public. A Federal                        the PRA provides that an interested                    mind and has determined that the
                                                    agency generally cannot conduct or                      party may file comments on the                         regulated community will benefit from
                                                    sponsor a collection of information, and                information collection requirements in a               this regulation. The discussion below
                                                    the public is generally not required to                 proposed rule directly with OMB at the                 sets out the rule’s anticipated economic
                                                    respond to an information collection,                   Office of Information and Regulatory                   impact and discusses non-economic
                                                    unless it is approved by the Office of                  Affairs, Attn: OMB Desk Officer for                    factors favoring adoption of the
                                                    Management and Budget (OMB) under                       DOL–OWCP, Office of Management and                     proposal. OMB has reviewed this rule
                                                    the PRA and displays a currently valid                  Budget, Room 10235, 725 17th Street,                   prior to publication in accordance with
                                                    OMB Control Number. In addition,                        NW., Washington, DC 20503; by Fax:                     these Executive Orders.
                                                    notwithstanding any other provisions of                 202–395–5806 (this is not a toll-free
                                                    law, no person may generally be subject                 number); or by email: OIRA_                            A. Economic Considerations
                                                    to penalty for failing to comply with a                 submission@omb.eop.gov. Commenters                        The proposed rule includes only one
                                                    collection of information that does not                 are encouraged, but not required, to                   provision that arguably could have an
                                                    display a valid Control Number. See 5                   send a courtesy copy of any comments                   economic impact on parties to black
                                                    CFR 1320.5(a) and 1320.6.                               to the Department by one of the                        lung claims or others: proposed
                                                      As discussed earlier in the preamble,                 methods set forth in the ADDRESSES                     § 725.310(e), which requires a
                                                    proposed § 725.413 would require each                   section above. OMB will consider all                   responsible operator to pay effective
                                                    party in a black lung benefits claim to                 written comments that the agency                       awards of benefits while seeking to
                                                    disclose certain medical information                    receives within 30 days of publication                 modify those awards. As set forth above
                                                    about the miner that the party or the                   of this NPRM in the Federal Register. In               in the Section-by-Section Explanation,
                                                    party’s agent receives by sending a                     order to help ensure appropriate                       within one year of an award of benefits
                                                    complete copy of the information to all                 consideration, comments should                         or of the last payment of benefits, a
                                                    other parties in the claim. The                         mention the OMB control number listed                  liable coal mine operator may request
                                                    Department does not believe this rule                   above.                                                 modification of an award (i.e., may seek
                                                    will have a broad impact because in                        OMB and the Department are                          to have the award converted to a denial)
                                                    many (and perhaps the majority) of                      particularly interested in comments                    based on a change in conditions or
                                                    cases, the parties already exchange all of              that:                                                  because of a mistake in a determination
                                                    the medical information in their                           • Evaluate whether the proposed                     of fact in the award. 20 CFR 725.310(a).
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                                                    possession as part of their evidentiary                 collection of information is necessary                 Operators are legally obligated to make
                                                    submissions. But requiring an exchange                  for the proper performance of the                      benefit payments during such
                                                    of additional medical information could                 functions of the agency, including                     modification proceedings. But few do,
                                                    be considered a collection of                           whether the information will have                      and the Trust Fund pays monthly
                                                    information within the meaning of the                   practical utility;                                     benefits in their stead. To avoid this
                                                    PRA. Thus, consistent with the                             • Evaluate the accuracy of the                      result, proposed § 725.310(e) would
                                                    requirements codified at 44 U.S.C.                      agency’s estimate of the burden of the                 prohibit a responsible operator from
                                                    3506(c)(2)(B) and 3507(d), and at 5 CFR                 proposed collection of information,                    seeking modification until it meets the


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                                                    23750                  Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules

                                                    payment obligations imposed by                          information they develop, will help                    who believe the regulations will have a
                                                    effective awards in a claim. Because the                protect miners’ health and assist in                   significant economic impact on a
                                                    proposed rule merely enforces                           reaching more accurate benefits                        substantial number of small coal mine
                                                    operators’ existing obligations, it                     determinations. These concerns far                     operators. The Department has provided
                                                    imposes no additional costs and is thus                 outweigh any minimal additional                        the Chief Counsel for Advocacy of the
                                                    cost neutral.                                           administrative burden this rule would                  Small Business Administration with a
                                                       Even if the proposed rule were                       place on the parties as a result of the                copy of this certification. See 5 U.S.C.
                                                    construed to impose a new obligation on                 mandatory exchange of this information.                605.
                                                    operators, the Department believes any                  Moreover, the Department does not
                                                    additional costs involved would not be                  believe this rule will have an extremely               VII. Unfunded Mandates Reform Act of
                                                    burdensome for several reasons. First, if               broad impact. In many (and perhaps the                 1995
                                                    an operator’s modification request is                   majority) of cases, the Department                        Title II of the Unfunded Mandates
                                                    denied, the operator must reimburse the                 believes, and has been informed by the                 Reform Act of 1995, 2 U.S.C. 1531 et
                                                    Trust Fund with interest for all benefits               public, that the parties already exchange              seq., directs agencies to assess the
                                                    paid to the claimant during the                         all of the medical information in their                effects of Federal Regulatory Actions on
                                                    proceeding. In such cases, whether the                  possession as part of their evidentiary                State, local, and tribal governments, and
                                                    responsible operator starts paying                      submissions.                                           the private sector, ‘‘other than to the
                                                    benefits after the award is made initially                 Finally, the proposed revisions to                  extent that such regulations incorporate
                                                    or does so after the modification process               § 725.414 and § 725.607 will benefit all               requirements specifically set forth in
                                                    has ended, the operator must pay all                    regulated parties simply by adding                     law.’’ 2 U.S.C. 1531. For purposes of the
                                                    benefits owed. Second, in those                         clarity to the rules.                                  Unfunded Mandates Reform Act, this
                                                    instances where the operator’s                                                                                 rule does not include any Federal
                                                                                                            VI. Regulatory Flexibility Act and
                                                    modification petition is successful, the                                                                       mandate that may result in increased
                                                                                                            Executive Order 13272 (Proper
                                                    operator can pursue reimbursement                                                                              expenditures by State, local, tribal
                                                                                                            Consideration of Small Entities in
                                                    from the claimant for at least some of                                                                         governments, or increased expenditures
                                                                                                            Agency Rulemaking)
                                                    the benefits paid, including those paid                                                                        by the private sector of more than
                                                    during the modification proceeding                         The Regulatory Flexibility Act of                   $100,000,000.
                                                    itself. See 20 CFR 725.310(d). The                      1980, as amended, 5 U.S.C. 601 et seq.
                                                    potential economic impact on                            (RFA), requires an agency to prepare a                 VIII. Executive Order 13132
                                                    responsible operators in this instance is               regulatory flexibility analysis when it                (Federalism)
                                                    the amount that they cannot recoup                      proposes regulations that will have ‘‘a                   The Department has reviewed this
                                                    from the claimant. In this regard, when                 significant economic impact on a                       proposed rule in accordance with
                                                    an operator successfully modifies an                    substantial number of small entities,’’ or             Executive Order 13132 regarding
                                                    award, the operator can seek only to                    to certify that the proposed regulations               federalism, and has determined that it
                                                    recover cash benefits paid to the                       will have no such impact, and to make                  does not have ‘‘federalism
                                                    claimant and not medical benefits paid                  the analysis or certification available for            implications.’’ E.O. 13132, 64 FR 43255
                                                    to hospitals and other health care                      public comment. 5 U.S.C. 605.                          (Aug. 4, 1999). The proposed rule will
                                                    providers. The Department believes,                        The Department has determined that                  not ‘‘have substantial direct effects on
                                                    based on its experience in administering                a regulatory flexibility analysis under                the States, on the relationship between
                                                    the program, that there are very few                    the RFA is not required for this                       the national government and the States,
                                                    claims in which an operator is                          rulemaking. While many coal mine                       or on the distribution of power and
                                                    successful on modification. Thus, even                  operators are small entities within the                responsibilities among the various
                                                    if recoupment is unavailable, the cost                  meaning of the RFA, see 77 FR 19471–                   levels of government’’ if promulgated as
                                                    impact would not be large.                              72 (Mar. 30, 2012), this proposed rule,                a final rule. Id.
                                                                                                            if adopted in final, would not have a
                                                    B. Other Considerations                                 significant economic impact on them.                   IX. Executive Order 12988 (Civil Justice
                                                       The Department has also considered                   As discussed above, the proposed rule                  Reform)
                                                    other benefits and burdens that would                   addresses procedural issues that have                     The proposed rule meets the
                                                    result from the proposed rules apart                    arisen in claims administration and                    applicable standards in Sections 3(a)
                                                    from any potential monetary impact. As                  adjudication, and does not change the                  and 3(b)(2) of Executive Order 12988,
                                                    discussed in the Section-by-Section                     substantive standards under which                      Civil Justice Reform, to minimize
                                                    analysis, proposed § 725.310(e) requires                claims are adjudicated. As such, the                   litigation, eliminate ambiguity, and
                                                    responsible operators to meet their                     Department anticipates that the                        reduce burden. See 61 FR 4729 (Feb. 5,
                                                    payment obligations on effective awards                 proposed rule would have little, if any,               1996).
                                                    before modifying those awards. This                     financial consequences for operators.
                                                    rule strikes an appropriate balance                     Moreover, to the extent proposed                       X. Congressional Review Act
                                                    between the parties’ competing                          § 725.310(e) requires that operators                     The proposed rule is not a ‘‘major
                                                    interests: claimants are made whole                     make benefit payments on effective                     rule’’ as defined in the Congressional
                                                    while operators who would be                            awards while pursuing modification,                    Review Act, 5 U.S.C. 801 et seq. If
                                                    irreparably harmed by making such                       the regulation merely reflects an                      promulgated as a final rule, this rule
                                                    payments can seek a stay in payments.                   existing payment obligation rather than                will not result in an annual effect on the
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                                                    While there is some risk that the                       imposing a new one on operators.                       economy of $100,000,000 or more; a
                                                    operator will not recover payments                         Based on these facts, the Department                major increase in costs or prices for
                                                    made after a successful modification                    certifies that this rule will not have a               consumers, individual industries,
                                                    petition, placing that risk on the                      significant economic impact on a                       Federal, State or local government
                                                    operator, rather than the Trust Fund, is                substantial number of small entities.                  agencies, or geographic regions; or
                                                    consistent with the Act’s intent.                       Thus, a regulatory flexibility analysis is             significant adverse effects on
                                                       Proposed § 725.413, which requires                   not required. The Department invites                   competition, employment, investment,
                                                    the parties to disclose all medical                     comments from members of the public                    productivity, innovation, or on the


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                                                                           Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules                                             23751

                                                    ability of United States-based                          administrative law judge assigned to                   through 725.708). If the prior award is
                                                    enterprises to compete with foreign-                    hear such case must consider whether                   final, these obligations also include the
                                                    based enterprises in domestic and                       any additional evidence submitted by                   payment of approved attorney’s fees and
                                                    export markets.                                         the parties demonstrates a change in                   expenses under § 725.367 and witness
                                                                                                            condition and, regardless of whether the               fees under § 725.459; and
                                                    List of Subjects in 20 CFR Part 725                     parties have submitted new evidence,                      (ii) Reimburse the Black Lung
                                                      Administrative practice and                           whether the evidence of record                         Disability Trust Fund for all benefits
                                                    procedure, Black lung benefits, Claims,                 demonstrates a mistake in a                            paid (including payments prior to final
                                                    Health care, Reporting and                              determination of fact.                                 adjudication under § 725.522, costs for
                                                    recordkeeping requirements, Vocational                     (d) An order issued following the                   the medical examination under
                                                    rehabilitation, Workers’ compensation.                  conclusion of modification proceedings                 § 725.406, and other benefits paid on
                                                      For the reasons set forth in the                      may terminate, continue, reinstate,                    behalf of the operator) with such
                                                    preamble, the Department of Labor                       increase or decrease benefit payments or               penalties and interest as are appropriate.
                                                    proposes to amend 20 CFR part 725 as                    award benefits. Such order must not                       (2) The requirements of paragraph
                                                    follows:                                                affect any benefits previously paid,                   (e)(1) of this section are inapplicable to
                                                                                                            except that an order increasing the                    any benefits owed pursuant to an
                                                    PART 725—CLAIMS FOR BENEFITS                            amount of benefits payable based on a                  effective but non-final order if the
                                                    UNDER PART C OF TITLE IV OF THE                         finding of a mistake in a determination                payment of such benefits has been
                                                    FEDERAL MINE SAFETY AND HEALTH                          of fact may be made effective on the                   stayed by the Benefits Review Board or
                                                    ACT, AS AMENDED                                         date from which benefits were                          appropriate court under 33 U.S.C. 921.
                                                                                                            determined payable by the terms of an                     (3) Except as provided by paragraph
                                                    ■ 1. The authority citation for part 725                earlier award. In the case of an award                 (e)(4) of this section, the operator must
                                                    continues to read as follows:                           which is decreased, no payment made                    submit all documentary evidence
                                                       Authority: 5 U.S.C. 301; Reorganization              in excess of the decreased rate prior to               pertaining to its compliance with the
                                                    Plan No. 6 of 1950, 15 FR 3174; 30 U.S.C. 901           the date upon which the party requested                requirements of paragraph (e)(1) of this
                                                    et seq., 902(f), 934, 936; 33 U.S.C. 901 et seq.;       reconsideration under paragraph (a) of                 section to the district director
                                                    42 U.S.C. 405; Secretary’s Order 10–2009, 74            this section will be subject to collection             concurrently with its request for
                                                    FR 58834.                                                                                                      modification. The claimant is also
                                                                                                            or offset under subpart H of this part,
                                                    ■ 2. In § 725.310, revise paragraphs (b),               provided the claimant is without fault                 entitled to submit any relevant evidence
                                                    (c), and (d) and add paragraph (e) to                   as defined by § 725.543. In the case of                to the district director. Absent
                                                    read as follows:                                        an award which is decreased following                  extraordinary circumstances, no
                                                                                                            the initiation of modification by the                  documentary evidence pertaining to the
                                                    § 725.310   Modification of awards and                                                                         operator’s compliance with the
                                                                                                            district director, no payment made in
                                                    denials.                                                                                                       requirements of paragraph (e)(1) at the
                                                                                                            excess of the decreased rate prior to the
                                                    *      *    *     *     *                               date upon which the district director                  time of the modification request will be
                                                      (b) Modification proceedings must be                  initiated modification proceedings                     admitted into the hearing record or
                                                    conducted in accordance with the                        under paragraph (a) will be subject to                 otherwise considered at any later stage
                                                    provisions of this part as appropriate,                 collection or offset under subpart H of                of the proceeding.
                                                    except that the claimant and the                        this part, provided the claimant is                       (4) The requirements imposed by
                                                    operator, or group of operators or the                  without fault as defined by § 725.543. In              paragraph (e)(1) of this section are
                                                    fund, as appropriate, are each entitled to              the case of an award which has become                  continuing in nature. If at any time
                                                    submit no more than one additional                      final and is thereafter terminated, no                 during the modification proceedings the
                                                    chest X-ray interpretation, one                         payment made prior to the date upon                    operator fails to meet obligations
                                                    additional pulmonary function test, one                 which the party requested                              imposed by all effective awards in the
                                                    additional arterial blood gas study, and                reconsideration under paragraph (a) will               claim, the adjudication officer must
                                                    one additional medical report in                        be subject to collection or offset under               issue an order to show cause why the
                                                    support of its affirmative case along                   subpart H of this part. In the case of an              operator’s modification request should
                                                    with such rebuttal evidence and                         award which has become final and is                    not be denied and afford all parties time
                                                    additional statements as are authorized                 thereafter terminated following the                    to respond to such order. Responses
                                                    by paragraphs (a)(2)(ii) and (a)(3)(ii) of              initiation of modification by the district             may include evidence pertaining to the
                                                    § 725.414. Modification proceedings                     director, no payment made prior to the                 operator’s continued compliance with
                                                    may not be initiated before an                          date upon which the district director                  the requirements of paragraph (e)(1). If,
                                                    administrative law judge or the Benefits                initiated modification proceedings                     after the time for response has expired,
                                                    Review Board.                                           under paragraph (a) will be subject to                 the adjudication officer determines that
                                                      (c) At the conclusion of modification                 collection or offset under subpart H of                the operator is not meeting its
                                                    proceedings before the district director,               this part.                                             obligations, the adjudication officer
                                                    the district director may issue a                          (e)(1) Any modification request by an               must deny the operator’s modification
                                                    proposed decision and order (§ 725.418)                 operator must be denied unless the                     request.
                                                    or, if appropriate, deny the claim by                   operator proves that at the time of the                   (5) The denial of a request for
                                                    reason of abandonment (§ 725.409). In                   request, the operator has complied with                modification under this section will not
                                                    any case in which the district director                 all of the obligations imposed by all                  bar any future modification request by
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                                                    has initiated modification proceedings                  awards in the claim that are currently                 the operator, so long as the operator
                                                    on his own initiative to alter the terms                effective as defined by § 725.502(a).                  satisfies the requirements of paragraph
                                                    of an award or denial of benefits issued                These include the obligations to—                      (e)(1) of this section with each future
                                                    by an administrative law judge, the                        (i) Pay all benefits owed to the                    modification petition.
                                                    district director must, at the conclusion               claimant (including retroactive benefits                  (6) The provisions of this paragraph
                                                    of modification proceedings, forward                    under § 725.502(b)(2), additional                      (e) apply to all modification requests
                                                    the claim for a hearing (§ 725.421). In                 compensation under § 725.607, and                      filed on or after the effective date of this
                                                    any case forwarded for a hearing, the                   medical benefits under §§ 725.701                      rule.


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                                                    23752                  Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules

                                                    ■ 3. Add § 725.413 to subpart E to read                    (2) Sanctions may include, but are not                 (2)(i) The claimant is entitled to
                                                    as follows:                                             limited to—                                            submit, in support of his affirmative
                                                                                                               (i) Drawing an adverse inference                    case, no more than two chest X-ray
                                                    § 725.413 Disclosure of medical                         against the non-disclosing party on the                interpretations, the results of no more
                                                    information.                                            facts relevant to the disclosure;                      than two pulmonary function tests, the
                                                       (a) For purposes of this section,                       (ii) Limiting the non-disclosing                    results of no more than two arterial
                                                    medical information is any medical data                 party’s claims, defenses or right to                   blood gas studies, no more than one
                                                    about the miner that a party develops in                introduce evidence;                                    report of an autopsy, no more than one
                                                    connection with a claim for benefits,                      (iii) Dismissing the claim proceeding               report of each biopsy, and no more than
                                                    including medical data developed with                   if the non-disclosing party is the                     two medical reports. Any chest X-ray
                                                    any prior claim that has not been                       claimant and no payments prior to final                interpretations, pulmonary function test
                                                    disclosed previously to the other                       adjudication have been made to the                     results, blood gas studies, autopsy
                                                    parties. Medical information includes,                  claimant unless the Director agrees to                 report, biopsy report, and physicians’
                                                    but is not limited to—                                  the dismissal in writing (see                          opinions that appear in a medical report
                                                       (1) Any examining physician’s written                § 725.465(d));                                         must each be admissible under this
                                                    or testimonial assessment of the miner,                    (iv) Rendering a default decision                   paragraph (a)(2)(i) or paragraph (a)(4) of
                                                    including the examiner’s findings,                      against the non-disclosing party;                      this section.
                                                    diagnoses, conclusions, and the results                    (v) Disqualifying the non-disclosing                   (ii) The claimant is entitled to submit,
                                                    of any tests;                                           party’s attorney from further                          in rebuttal of the case presented by the
                                                       (2) Any other physician’s written or                 participation in the claim proceedings;                party opposing entitlement, no more
                                                    testimonial assessment of the miner’s                   and                                                    than one physician’s interpretation of
                                                                                                               (vi) Relieving a claimant who files a               each chest X-ray, pulmonary function
                                                    respiratory or pulmonary condition;
                                                                                                            subsequent claim from the impact of                    test, arterial blood gas study, autopsy or
                                                       (3) The results of any test or                       § 725.309(c)(6) if the non-disclosed
                                                    procedure related to the miner’s                                                                               biopsy submitted by the designated
                                                                                                            evidence predates the denial of the prior              responsible operator or the fund, as
                                                    respiratory or pulmonary condition,                     claim and the non-disclosing party is
                                                    including any information relevant to                                                                          appropriate, under paragraph (a)(3)(i) or
                                                                                                            the operator.                                          (iii) of this section and by the Director
                                                    the test or procedure’s administration;                    (d) This rule applies to—
                                                    and                                                                                                            pursuant to § 725.406. In any case in
                                                                                                               (1) All claims filed after the effective
                                                       (4) Any physician’s or other medical                                                                        which the party opposing entitlement
                                                                                                            date of this rule;
                                                    professional’s interpretation of the                       (2) Pending claims not yet adjudicated              has submitted the results of other testing
                                                    results of any test or procedure related                by an administrative law judge, except                 pursuant to § 718.107 of this chapter,
                                                    to the miner’s respiratory or pulmonary                 that medical information received prior                the claimant is entitled to submit one
                                                    condition.                                              to the effective date of this rule and not             physician’s assessment of each piece of
                                                       (b) Each party must disclose medical                 previously disclosed must be provided                  such evidence in rebuttal. In addition,
                                                    information the party or the party’s                    to the other parties within 60 days of the             where the responsible operator or fund
                                                    agent receives by sending a complete                    effective date of this rule; and                       has submitted rebuttal evidence under
                                                    copy of the information to all other                       (3) Pending claims already                          paragraph (a)(3)(ii) or (iii) of this section
                                                    parties in the claim within 30 days after               adjudicated by an administrative law                   with respect to medical testing
                                                    receipt. If the information is received                 judge where—                                           submitted by the claimant, the claimant
                                                                                                               (i) The administrative law judge                    is entitled to submit an additional
                                                    after the claim is already scheduled for
                                                                                                            reopens the record for receipt of                      statement from the physician who
                                                    hearing before an administrative law
                                                                                                            additional evidence in response to a                   originally interpreted the chest X-ray or
                                                    judge, the disclosure must be made at
                                                                                                            timely reconsideration motion (see                     administered the objective testing.
                                                    least 20 days before the scheduled
                                                                                                            § 725.479(b)) or after remand by the                   Where the rebuttal evidence tends to
                                                    hearing is held (see § 725.456(b)).
                                                                                                            Benefits Review Board or a reviewing                   undermine the conclusion of a
                                                       (c) At the request of any party or on                                                                       physician who prepared a medical
                                                    his or her own motion, an adjudication                  court; or
                                                                                                               (ii) A party requests modification of               report submitted by the claimant, the
                                                    officer may impose sanctions on any                                                                            claimant is entitled to submit an
                                                    party or his or her representative who                  the award or denial of benefits (see
                                                                                                            § 725.310(a)).                                         additional statement from the physician
                                                    fails to timely disclose medical                                                                               who prepared the medical report
                                                                                                            ■ 4. In § 725.414, revise paragraphs (a),
                                                    information in compliance with this                                                                            explaining his conclusion in light of the
                                                                                                            (c), and (d) to read as follows:
                                                    section.                                                                                                       rebuttal evidence.
                                                       (1) Sanctions must be appropriate to                 § 725.414    Development of evidence.                     (3)(i) The responsible operator
                                                    the circumstances and may only be                         (a) Medical evidence. (1) For purposes               designated pursuant to § 725.410 is
                                                    imposed after giving the party an                       of this section, a medical report is a                 entitled to obtain and submit, in support
                                                    opportunity to demonstrate good cause                   physician’s written assessment of the                  of its affirmative case, no more than two
                                                    why disclosure was not made and                         miner’s respiratory or pulmonary                       chest X-ray interpretations, the results
                                                    sanctions are not warranted. In                         condition. A medical report may be                     of no more than two pulmonary
                                                    determining an appropriate sanction,                    prepared by a physician who examined                   function tests, the results of no more
                                                    the adjudication officer must consider—                 the miner and/or reviewed the available                than two arterial blood gas studies, no
                                                       (i) Whether the sanction should be                   admissible evidence. Supplemental                      more than one report of an autopsy, no
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                                                    mitigated because the party was not                     medical reports prepared by the same                   more than one report of each biopsy,
                                                    represented by an attorney when the                     physician must be considered part of                   and no more than two medical reports.
                                                    information should have been disclosed;                 the physician’s original medical report.               Any chest X-ray interpretations,
                                                    and                                                     A physician’s written assessment of a                  pulmonary function test results, blood
                                                       (ii) Whether the party should not be                 single objective test, such as a chest X-              gas studies, autopsy report, biopsy
                                                    sanctioned because the failure to                       ray or a pulmonary function test, is not               report, and physicians’ opinions that
                                                    disclose was attributable solely to the                 a medical report for purposes of this                  appear in a medical report must each be
                                                    party’s attorney.                                       section.                                               admissible under this paragraph (a)(3)(i)


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                                                                           Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules                                              23753

                                                    or paragraph (a)(4) of this section. In                 considered evidence obtained and                         (d) Except to the extent permitted by
                                                    obtaining such evidence, the                            submitted by the Director, OWCP, for                   §§ 725.456 and 725.310(b), the
                                                    responsible operator may not require the                purposes of paragraph (a)(3)(i) of this                limitations set forth in this section
                                                    miner to travel more than 100 miles                     section. In a case involving a dispute                 apply to all proceedings conducted with
                                                    from his or her place of residence, or the              concerning medical benefits under                      respect to a claim, and no documentary
                                                    distance traveled by the miner in                       § 725.708, the district director is entitled           evidence pertaining to liability may be
                                                    obtaining the complete pulmonary                        to develop medical evidence to                         admitted in any further proceeding
                                                    evaluation provided by § 725.406,                       determine whether the medical bill is                  conducted with respect to a claim
                                                    whichever is greater, unless a trip of                  compensable under the standard set                     unless it is submitted to the district
                                                    greater distance is authorized in writing               forth in § 725.701.                                    director in accordance with this section.
                                                    by the district director. If a miner                       (4) Notwithstanding the limitations in              ■ 5. In § 725.601, revise paragraphs (b)
                                                    unreasonably refuses—                                   paragraphs (a)(2) and (3) of this section,             and (c) to read as follows:
                                                       (A) To provide the Office or the
                                                                                                            any record of a miner’s hospitalization                § 725.601   Enforcement generally.
                                                    designated responsible operator with a
                                                                                                            for a respiratory or pulmonary or related              *      *      *     *    *
                                                    complete statement of his or her
                                                                                                            disease, or medical treatment for a                       (b) It is the policy and intent of the
                                                    medical history and/or to authorize
                                                                                                            respiratory or pulmonary or related                    Department to vigorously enforce the
                                                    access to his or her medical records; or
                                                       (B) To submit to an evaluation or test               disease, may be received into evidence.                provisions of this part through the use
                                                    requested by the district director or the                  (5) A copy of any documentary                       of the remedies provided by the Act.
                                                    designated responsible operator, the                    evidence submitted by a party must be                  Accordingly, if an operator refuses to
                                                    miner’s claim may be denied by reason                   served on all other parties to the claim.              pay benefits with respect to a claim for
                                                    of abandonment. (See § 725.409).                        If the claimant is not represented by an               which the operator has been adjudicated
                                                       (ii) The responsible operator is                     attorney, the district director must mail              liable, the Director may invoke and
                                                    entitled to submit, in rebuttal of the case             a copy of all documentary evidence                     execute the lien on the property of the
                                                    presented by the claimant, no more than                 submitted by the claimant to all other                 operator as described in § 725.603.
                                                    one physician’s interpretation of each                  parties to the claim. Following the                    Enforcement of this lien must be
                                                    chest X-ray, pulmonary function test,                   development and submission of                          pursued in an appropriate U.S. district
                                                    arterial blood gas study, autopsy or                    affirmative medical evidence, the                      court. If the Director determines that the
                                                    biopsy submitted by the claimant under                  parties may submit rebuttal evidence in                remedy provided by § 725.603 may not
                                                    paragraph (a)(2)(i) of this section and by              accordance with the schedule issued by                 be sufficient to guarantee the continued
                                                    the Director pursuant to § 725.406. In                  the district director.                                 compliance with the terms of an award
                                                    any case in which the claimant has                      *      *     *     *     *                             or awards against the operator, the
                                                    submitted the results of other testing                                                                         Director may in addition seek an
                                                    pursuant to § 718.107 of this chapter,                     (c) Testimony. A physician who
                                                                                                                                                                   injunction in the U.S. district court to
                                                    the responsible operator is entitled to                 prepared a medical report admitted
                                                                                                                                                                   prohibit future noncompliance by the
                                                    submit one physician’s assessment of                    under this section may testify with
                                                                                                                                                                   operator and such other relief as the
                                                    each piece of such evidence in rebuttal.                respect to the claim at any formal
                                                                                                                                                                   court considers appropriate (see
                                                    In addition, where the claimant has                     hearing conducted in accordance with
                                                                                                                                                                   § 725.604). If an operator unlawfully
                                                    submitted rebuttal evidence under                       subpart F of this part, or by deposition.
                                                                                                                                                                   suspends or terminates the payment of
                                                    paragraph (a)(2)(ii) of this section, the               If a party has submitted fewer than two
                                                                                                                                                                   benefits to a claimant, the district
                                                    responsible operator is entitled to                     medical reports as part of that party’s
                                                                                                                                                                   director may declare the award in
                                                    submit an additional statement from the                 affirmative case under this section, a
                                                                                                                                                                   default and proceed in accordance with
                                                    physician who originally interpreted the                physician who did not prepare a
                                                                                                                                                                   § 725.605. In all cases payments of
                                                    chest X-ray or administered the                         medical report may testify in lieu of
                                                                                                                                                                   additional compensation (see § 725.607)
                                                    objective testing. Where the rebuttal                   such a medical report. The testimony of
                                                                                                                                                                   and interest (see § 725.608) will be
                                                    evidence tends to undermine the                         such a physician will be considered a
                                                                                                                                                                   sought by the Director or awarded by
                                                    conclusion of a physician who prepared                  medical report for purposes of the
                                                                                                                                                                   the district director.
                                                    a medical report submitted by the                       limitations provided by this section. A                   (c) In certain instances the remedies
                                                    responsible operator, the responsible                   party may offer the testimony of no                    provided by the Act are concurrent; that
                                                    operator is entitled to submit an                       more than two physicians under the                     is, more than one remedy might be
                                                    additional statement from the physician                 provisions of this section unless the                  appropriate in any given case. In such
                                                    who prepared the medical report                         adjudication officer finds good cause                  a case, the Director may select the
                                                    explaining his conclusion in light of the               under paragraph (b)(1) of § 725.456. In                remedy or remedies appropriate for the
                                                    rebuttal evidence.                                      accordance with the schedule issued by                 enforcement action. In making this
                                                       (iii) In a case in which the district                the district director, all parties must                selection, the Director shall consider the
                                                    director has not identified any                         notify the district director of the name               best interests of the claimant as well as
                                                    potentially liable operators, or has                    and current address of any potential                   those of the fund.
                                                    dismissed all potentially liable                        witness whose testimony pertains to the                ■ 6. Revise § 725.607 to read as follows:
                                                    operators under § 725.410(a)(3), or has                 liability of a potentially liable operator
                                                    identified a liable operator that ceases to             or the designated responsible operator.                § 725.607 Payments of additional
                                                    defend the claim on grounds of an                       Absent such notice, the testimony of a                 compensation.
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                                                    inability to provide for payment of                     witness relevant to the liability of a                    (a) If any benefits payable under the
                                                    continuing benefits, the district director              potentially liable operator or the                     terms of an award by a district director
                                                    is entitled to exercise the rights of a                 designated responsible operator will not               (§ 725.419(d)), a decision and order filed
                                                    responsible operator under this section,                be admitted in any hearing conducted                   and served by an administrative law
                                                    except that the evidence obtained in                    with respect to the claim unless the                   judge (§ 725.478), or a decision filed by
                                                    connection with the complete                            administrative law judge finds that the                the Board or a U.S. court of appeals, are
                                                    pulmonary evaluation performed                          lack of notice should be excused due to                not paid by an operator or other
                                                    pursuant to § 725.406 must be                           extraordinary circumstances.                           employer ordered to make such


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                                                    23754                  Federal Register / Vol. 80, No. 82 / Wednesday, April 29, 2015 / Proposed Rules

                                                    payments within 10 days after such                      Generation Passport in 2016. The Next                  visa page inserts could compromise the
                                                    payments become due, there will be                      Generation Passport incorporates new                   effectiveness of security features of the
                                                    added to such unpaid benefits an                        security features designed to protect the              new passport books that are intended to
                                                    amount equal to 20 percent thereof,                     integrity of U.S. passport books against               provide greater protections against fraud
                                                    which must be paid to the claimant at                   fraud and misuse. An interagency                       and misuse. To maximize the
                                                    the same time as, but in addition to,                   working group determined that the                      effectiveness of the Next Generation
                                                    such benefits, unless review of the order               addition of visa page inserts could                    Passport that is expected to be issued to
                                                    making such award is sought as                          reduce the effectiveness of these new                  the general public in 2016, the
                                                    provided in section 21 of the LHWCA                     security features. If this change is                   Department considered whether visa
                                                    and an order staying payments has been                  implemented, the fee for this service                  page inserts could be phased out at the
                                                    issued.                                                 will be removed from the Schedule of                   time that the Department begins to issue
                                                       (b) If, on account of an operator’s or               Fees for Consular Services.                            the new passport books.
                                                    other employer’s failure to pay benefits                DATES: Written comments must be                           As part of this study, the Department
                                                    as provided in paragraph (a) of this                    received on or before June 29, 2015.                   considered the extent of the public’s
                                                    section, benefit payments are made by                   ADDRESSES: Interested parties may
                                                                                                                                                                   usage of visa page inserts, costs to the
                                                    the fund, the eligible claimant will                    submit comments by any of the                          Department of eliminating the service,
                                                    nevertheless be entitled to receive such                following methods:                                     and whether any inconvenience to the
                                                    additional compensation to which he or                     • Visit the Regulations.gov Web site                public could be minimized. A study of
                                                    she may be eligible under paragraph (a),                at: http://www.regulations.gov/                        a sample of visa page insert applications
                                                    with respect to all amounts paid by the                 index.cfm and search the RIN 1400–                     revealed that a significant majority of
                                                    fund on behalf of such operator or other                AD76 or docket number DOS–2015–                        those applying for visa page inserts had
                                                    employer.                                               0017.                                                  them added to 28-page passport books,
                                                       (c) The fund may not be held liable                     • Mail (paper, disk, or CD–ROM):                    rather than to the larger 52-page books.
                                                    for payments of additional                              U.S. Department of State, Office of                    A set of visa page inserts is 24 pages.
                                                    compensation under any circumstances.                   Passport Services, Bureau of Consular                  Accordingly, a 52-page passport book is
                                                                                                            Affairs (CA/PPT), Attn: CA/PPT/IA,                     the same size as a 28-page book with a
                                                      Signed at Washington, DC, this 20th day of
                                                    April, 2015.                                            44132 Mercure Circle, P.O. Box 1227,                   set of extra visa pages. The Department
                                                                                                            Sterling, Virginia 20166–1227.                         determined that the demand for
                                                    Leonard J. Howie III,
                                                                                                                                                                   additional visa pages would be
                                                    Director, Office of Workers’ Compensation               FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                   substantially reduced by issuing only
                                                    Programs.                                               Michael Holly, Office of Passport
                                                                                                                                                                   the larger 52-page passport books to
                                                    [FR Doc. 2015–09573 Filed 4–28–15; 8:45 am]             Services, Bureau of Consular Affairs;
                                                                                                                                                                   overseas U.S. passport applicants.
                                                    BILLING CODE 4510–CR–P                                  202–485–6373: PassportRules@                           Accordingly, the Department has begun
                                                                                                            state.gov.                                             issuing the 52-page book to overseas
                                                                                                            SUPPLEMENTARY INFORMATION:                             applicants, who are the most likely to
                                                    DEPARTMENT OF STATE                                                                                            apply for extra visa pages, at no
                                                                                                            Background
                                                                                                                                                                   additional cost. This should further
                                                    22 CFR Parts 22 and 51                                    The Department proposes eliminating                  reduce the already limited demand for
                                                    [Public Notice: 9111]                                   the visa page insert service for regular               visa page inserts, thus making the rule’s
                                                                                                            fee passport book holders beginning                    impact on the public very minimal.
                                                    RIN 1400–AD76                                           January 1, 2016. The expected effective                Individuals who apply for U.S.
                                                                                                            date of this rule coincides with when                  passports within the United States will
                                                    Proposed Elimination of Visa Page                       the Department expects to begin issuing
                                                    Insert Service for U.S. Passport Book                                                                          continue to have the option to request
                                                                                                            an updated version of the Next                         a 52-page passport at no additional
                                                    Holders                                                 Generation Passport book. The                          charge.
                                                    AGENCY:    Department of State.                         Department routinely updates the                          Each version of the Next Generation
                                                    ACTION:   Proposed rule.                                technology used to produce U.S.                        Passport book contains two fewer pages
                                                                                                            passport books so that U.S. passport                   total, but the same number of visa pages
                                                    SUMMARY:   Currently, all U.S. passport                 books use the most current anti-fraud                  as the passport books currently in
                                                    book applicants may apply for either a                  and anti-counterfeit measures. The Next                circulation. Accordingly, after the
                                                    28-page or 52-page passport book at no                  Generation Passport, which is the next                 Department begins issuing the Next
                                                    extra charge. U.S. passport book holders                update of the U.S. passport book, will                 Generation Passport book, all domestic
                                                    may then apply for additional visa pages                contain a polycarbonate data-page and                  passport book applicants will still have
                                                    while the passport book is still valid.                 will be personalized with laser                        the option to choose between a 26-page
                                                    The Department of State proposes                        engraving. This passport will also                     passport book and a larger 50-page
                                                    eliminating the option to add visa pages                employ conical laser perforation of the                passport book, but the larger 50-page
                                                    in passports beginning January 1, 2016.                 passport number through the data and                   passport books will be automatically
                                                    To help mitigate the need for visa page                 visa pages; display a general artwork                  issued to people applying overseas.
                                                    inserts, the Department began issuing                   upgrade and new security features                         The Department believes the limited
                                                    the larger 52-page passport book in                     including watermark, security artwork,                 demand for visa page inserts is
                                                    October 2014 to all overseas U.S.                       optical variable security devices, tactile             outweighed by the importance of
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                                                    passport applicants at no extra cost. U.S.              features, and optically variable inks.                 ensuring that the Next Generation
                                                    passport applicants applying                            The primary reason for eliminating visa                Passport provides the maximum
                                                    domestically can still obtain the 52-page               page inserts is to protect the integrity of            protection against fraud and misuse.
                                                    passport book at no extra charge by                     the Next Generation Passport books.                    Furthermore, the Department must
                                                    requesting it on the application form.                    In 2012, an interagency working                      monitor unused inventories of passport
                                                    The elimination of visa page inserts                    group tasked with overseeing the                       products, and the elimination of visa
                                                    coincides with the Department’s                         development and deployment of Next                     page inserts would facilitate more
                                                    anticipated rollout of the Next                         Generation Passport books found that                   secure inventory controls. Accordingly,


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Document Created: 2015-12-16 08:25:58
Document Modified: 2015-12-16 08:25:58
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionProposed Rules
ActionNotice of proposed rulemaking; request for comments.
DatesThe Department invites written comments on the proposed regulations from interested parties. Written comments must be received by June 29, 2015.
ContactMichael Chance, Director, Division of Coal Mine Workers' Compensation, Office of Workers' Compensation Programs, U.S. Department of Labor, 200 Constitution Avenue NW., Suite N-3520, Washington, DC 20210. Telephone: 1-800-347-2502. This is a toll-free number. TTY/TDD callers may dial toll-free 1-800-877-8339 for further information.
FR Citation80 FR 23743 
RIN Number1240-AA10
CFR AssociatedAdministrative Practice and Procedure; Black Lung Benefits; Claims; Health Care; Reporting and Recordkeeping Requirements; Vocational Rehabilitation and Workers' Compensation

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