John Nataloni v. Director, Office of Workers' Compensation Programs (Board decision, February 9, 1993)
Nataloni v. Director, OWCP (BRB 90-0595): Denial of claim modification upheld
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BRB final decision. The Benefits Review Board affirmed the denial of John Nataloni's request to modify his black lung benefits denial. Under 20 C.F.R. § 802.406, a Board decision becomes final 60 days after issuance unless a timely petition for judicial review or a timely request for Board reconsideration is filed. A party may seek Board reconsideration within 30 days under § 802.407.
Plain-English summary
John Nataloni sought to reopen a denied black lung claim under the modification rule. He argued that the judge had failed to discuss older medical evidence favoring him. The Board held that newly submitted evidence did not establish the missing elements of pneumoconiosis and total disability, so it showed no change in conditions. Although the judge should have considered the full record for a possible mistake of fact, Nataloni had identified no such mistake, making that omission harmless. The denial of modification was affirmed.
Decision snapshot
- Authority: Modification for changed conditions or mistake of fact under 20 C.F.R. § 725.310.
- Outcome: Denial of modification affirmed.
- Key point: Old evidence already considered in the initial claim did not establish a changed condition.
Full text (BRB public release)
[BLR cite: Nataloni v. Director, OWCP, 17 BLR 1-82 (1993)]
BRB No. 90-0595 BLA
JOHN NATALONI
)
)
Claimant-Petitioner )
)
v. )
)
DIRECTOR, OFFICE OF WORKERS' ) DATE ISSUED: COMPENSATION PROGRAMS, UNITED ) STATES DEPARTMENT OF LABOR ) )
Respondent ) DECISION and ORDER
Appeal of the Decision and Order of Paul H. Teitler, Administrative Law Judge, United States Department of Labor.
Robert A. Mazzoni (Mazzoni & Mazzoni), Scranton, Pennsylvania, for claimant.
Patricia M. Nece (David S. Fortney, Deputy Solicitor of Labor; Donald S.
Shire, Associate Solicitor; Rae Ellen Frank James, Deputy Associate Solicitor;
Richard A. Seid and Michael J. Rutledge, Counsel for Administrative Litigation and Legal Advice), Washington, D.C., for the Director, Office of Workers' Compensation Programs, the United States Department of Labor.
Before: BROWN and DOLDER, Administrative Appeals Judges, and LAWRENCE, Administrative Law Judge.*
PER CURIAM:
Claimant appeals the Decision and Order (89-BLA-0986) of Administrative
Law Judge Paul H. Teitler denying a request for modification on a claim filed
pursuant to the provisions of Title IV of the Federal Coal Mine Health and Safety Act
of 1969, as amended, 30 U.S.C. §901 et seq. (the Act). The administrative law judge found the evidence insufficient to establish a change in
*Sitting as a temporary Board member by designation pursuant to the Longshore
and Harbor Workers' Compensation Act as amended in 1984, 33 U.S.C. §921(b)(5)
(Supp. V 1987).
claimant's condition or a mistake in a determination of fact in the previous denial of
benefits.1 The administrative law judge therefore denied claimant's request for
modification pursuant to 20 C.F.R. §725.310. On appeal, claimant contends that
the administrative law judge failed to comply with Administrative Procedure Act
requirements because he failed to discuss certain medical evidence of record. See
5 U.S.C. §557(c)(3)(A), as incorporated into the Act by 5 U.S.C. §554(c)(2), 33
U.S.C. §919(d) and U.S.C. §932(a). The Director, Office of Workers' Compensation
Programs (the Director), responds, seeking affirmance of the decision below.
The Board's scope of review is defined by statute. If the findings of fact and
conclusions of law of the administrative law judge are supported by substantial
evidence, are rational, and are consistent with applicable law, they are binding upon
this Board and may not be disturbed. 33 U.S.C. §921(b)(3), as incorporated by 30
1
Claimant initially filed a claim on August 25, 1981. (Director's Exhibit 1). After a formal hearing, claimant was denied benefits, on September 18, 1985. (Director's Exhibit 20). The Board affirmed the denial of benefits on December 15, 1987. (Director's Exhibit 27). Claimant filed a second application on November 8, 1988 (Director's Exhibit 28), which was considered a request for modification pursuant to Section 725.310 since it was filed within a year of the denial by the Board. The request was denied by the deputy commissioner on December 22, 1988. (Director's Exhibit 30).
2
U.S.C. §932(a); O'Keeffe v. Smith, Hinchman & Grylls Associates, Inc., 380 U.S. 359
(1965).
Claimant contends that the administrative law judge erred in failing to discuss
medical evidence which supports his claim. Claimant specifically mentions x-ray
readings by Dr. McGuire which are positive for pneumoconiosis (Director's Exhibits
11, 12), a blood gas study with abnormal, albeit nonqualifying results (Director's
Exhibit 8), and a medical report by Dr. Patel (Director's Exhibit 6), all of which,
claimant states, are corroborated by his testimony. Although claimant correctly
contends that the administrative law judge did not discuss this evidence in his
decision, all of the evidence referred to by claimant was in the record prior to the
September 18, 1985 decision denying benefits and was considered by
Administrative Law Judge Robert M. Glennon. Since the administrative law judge
was evaluating a request for modification at 20 C.F.R. §725.310, he properly
considered whether claimant established a change in conditions or a mistake in fact.
See Kovac v. BCNR Mining Corporation, 14 BLR 1-156 (1990), modified on recon.,
16 BLR 1-71 (1992). In determining whether claimant has established a change in
conditions, the administrative law judge is obligated to perform an independent
assessment of the newly submitted evidence to determine if the weight of the new
evidence is sufficient to establish the element or elements of entitlement which
defeated entitlement in the prior decision. See Kovac, supra. In the case at bar,
3 claimant was not awarded benefits initially because the administrative law judge
determined that claimant failed to establish the existence of pneumoconiosis and
total disability pursuant to 20 C.F.R. §§718.202 and 718.204(c), and the Board, in
Nataloni v. Director, OWCP, BRB No. 85-2485 BLA (Dec. 15, 1987)(unpub.),
affirmed the administrative law judge's finding that claimant failed to establish total
disability. In finding that claimant failed to establish a change in conditions, the
administrative law judge properly found that the weight of the newly submitted
evidence was insufficient to establish either element of entitlement, since none of the
new evidence was favorable to claimant.2 See Decision and Order at 5. As none of
the evidence supports claimant's position, we affirm the administrative law judge's
finding that claimant failed to establish a change in conditions pursuant to Section
725.310 as rational and supported by substantial evidence.
2
The only new evidence, which was discussed by the administrative law judge, is two negative readings of an April 10, 1989 x-ray, a nonqualifying pulmonary function study, a nonqualifying arterial blood gas study, and a doctor's report diagnosing hypertension and osteoarthritis, but no pulmonary impairment. (Director's Exhibits 34, 35). There is also a reading by Dr. Greene (of the same x-ray) in the case file which has no exhibit number and was not discussed by the administrative law judge. However, it is negative for pneumoconiosis, and therefore could not support claimant's contentions.
4
Claimant may also be entitled to modification pursuant to Section 725.310 by
establishing a mistake in fact. Subsequent to the administrative law judge's Decision
and Order denying modification, the Board determined that, unlike a change in
condition, the administrative law judge is bound to consider the entirety of the
evidentiary record, and not merely the newly submitted evidence, in making a
determination of mistake in fact upon modification. See Kovac, supra. However,
since claimant bears the burden of proof to establish a mistake in fact, and the
record does not reveal that claimant has attempted to identify a mistake in fact at
any stage of the request for modification, we hold that the administrative law judge's
failure to consider the entirety of the evidentiary record on this issue constitutes
harmless error, see Larioni v. Director, OWCP, 6 BLR 1-1276 (1984), and thus we
affirm the administrative law judge's finding that claimant failed to establish a
mistake in fact as rational and supported by substantial evidence. Accordingly, since
we affirm the administrative law judge's finding that claimant failed to establish a
change in condition or mistake in fact, we further affirm the administrative law
judge's determination that claimant is not entitled to modification pursuant to Section
725.310, and thus, contrary to claimant's contention, the administrative law judge
was not bound to consider the entirety of the medical evidence in a review of the
merits of this claim. See Kovac, supra.
Accordingly, the administrative law judge's Decision and Order denying
claimant's request for modification is affirmed.
SO ORDERED.
JAMES F. BROWN
Administrative Appeals Judge
NANCY S. DOLDER
Administrative Appeals Judge
LEONARD N. LAWRENCE
Administrative Law Judge
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