Sharondale Corp. v. Ross, 42 F.3d 993 (6th Cir. 1994). · Go Syfert
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Strongest positive: Buck Creek Coal Company v. Gay Sexton (ca6, 2013-01-11)
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discussed Cited as authority (verbatim quote) Buck Creek Coal Company v. Gay Sexton (2×) also: Cited as authority (rule)
6th Cir. · 2013 · quote attribution · 1 verbatim quote · confidence high
he doctrine of res judicata is not implicated by the claimant's physical condition or the extent of his disability at two different times.
examined Cited as authority (verbatim quote) Arch of Kentucky, Inc. v. Fred Hatfield (3×) also: Cited as authority (rule), Cited "see"
6th Cir. · 2009 · quote attribution · 1 verbatim quote · confidence high
claimant must be free to reapply for benefits if his first filing was premature.
examined Cited as authority (verbatim quote) Arch of Kentucky, Inc. v. Director, Office of Workers' Compensation (3×) also: Cited as authority (rule), Cited "see"
6th Cir. · 2009 · quote attribution · 1 verbatim quote · confidence high
claimant must be free to reapply for benefits if his 482 first filing was premature.
examined Cited as authority (verbatim quote) Consolidation Coal Company v. Billy D. Williams Director, Office of Workers' Compensation Programs, United States Department of Labor (2×) also: Cited as authority (rule)
4th Cir. · 2006 · quote attribution · 1 verbatim quote · confidence high
he claimant cannot prevail on a duplicate claim unless he shows a 'material change' in his condition; thus, the critical evidence in assessing whether to reopen the claim is the evidence accruing since the previous denial.
examined Cited as authority (verbatim quote) Peabody Coal Co. v. Director, Office of Workers' Compensation Programs (7×) also: Cited as authority (rule)
6th Cir. · 2002 · quote attribution · 1 verbatim quote · confidence high
claimant must be free to reapply for benefits if his first filing was premature.
discussed Cited as authority (rule) Navistar, Inc. v. Terry Forester
6th Cir. · 2014 · confidence medium
Because the BRB “acts as an adjudicatory tribunal and does not make rules or formulate policy, its interpretation [of the BLBA] is not entitled to any special deference.” Robbins v. Cyprus Cumberland Coal Co., 146 F.3d 425, 427 (6th Cir.1998) (quoting Sharondale Corp. v. Ross, 42 F.3d 993, 997 (6th Cir.1994)).
cited Cited as authority (rule) Cumberland River Coal Company v. Billie Banks
6th Cir. · 2012 · confidence medium
Id. at 999 (emphasis added).
discussed Cited as authority (rule) Sherman Greene v. King James Coal Mining, Inc.
6th Cir. · 2009 · confidence medium
A panel of this court reversed the award, criticizing the ALJ for relying on the old, already-rejected medical evidence and noting that "a material change cannot be based on an ALJ’s disagreement with the previous characterization of the strength of the evidence.” 1996 WL 497157 at *4 (citing Sharondale Corp. v. Ross, 42 F.3d 993, 999 (6th Cir.1994)).
discussed Cited as authority (rule) Energy West Mining Co. v. Oliver (2×)
10th Cir. · 2009 · confidence medium
Wyoming Fuel, 90 F.3d at 1507 (citing Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994)).
discussed Cited as authority (rule) Smith v. Martin County Coal Corp. (2×) also: Cited "see"
6th Cir. · 2007 · confidence medium
See 20 C.F.R. § 725.309 (d); Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
discussed Cited as authority (rule) Consolidation Coal v. Williams (2×)
4th Cir. · 2006 · confidence medium
Although Consolidation relies on cer- tain dicta expressed in the Sixth Circuit’s decision in Tennessee Con- solidated Coal Co. v. Kirk, 264 F.3d 602, 608 (6th Cir. 2001), which suggests that misdiagnoses can trigger the statute of limitations for subsequent claims,2 the progressive nature of the disease dictates that "a claimant must be free to reapply for benefits if his first filing was premature." Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir. 1994).
discussed Cited as authority (rule) Mountain Clay, Inc. v. Spivey
6th Cir. · 2006 · confidence medium
Because this claim was filed more than a year after the denial of his first claim for benefits, Spivey must first prove “a material change in conditions” since the denial of his first claim for benefits. 20 C.F.R. § 725.309 (d) (1999). 8 Proof of a material change in condition protects the finality of the judgment on the prior claim, while recognizing that “res judicata is not implicated by the claimant’s physical condition or the extent of his disability at two different times.” Sharondale Corp. v. Ross, 42 F.3d 993, 998 (6th Cir.1994).
discussed Cited as authority (rule) Westmoreland Coal Co. v. Amick
4th Cir. · 2004 · confidence medium
We specifically rejected the Sixth Circuit’s further requirement in Sharondale Corp. v. Ross, 42 F.3d 993, 999 (6th Cir. 1994) of “consideration of the evidence behind the earlier denial to determine whether it ‘differ[s] qualitatively from the new evidence.’ ” Id. at 1363 n. 11.
examined Cited as authority (rule) U.S. Steel Mining Company v. Director, OWCP (3×) also: Cited "see"
11th Cir. · 2004 · confidence medium
See, e.g., Swarrow, 72 F.3d at 318 ; Lisa Lee Mines v. Director, OWCP, 86 F.3d 1358, 1363-64 (4th Cir.1996) (en banc); Sharondale Corp. v. Ross, 42 F.3d 993, 998 (6th Cir.1994); Peabody Coal Co. v. Spese, 117 F.3d 1001, 1007-09 (7th Cir.1997) (en banc); Lovilia Coal Co. v. Harvey, 109 F.3d 445 , 454 (8th Cir.1997); Wyoming Fuel Co. v. Director, 90 F.3d 1502 , 1510-11 (10th Cir.1996).
discussed Cited as authority (rule) Bethenergy Mines, Inc. v. Cunningham (2×)
4th Cir. · 2004 · confidence medium
See Wyoming Fuel Co. v. Director, O.W.C.P., 90 F.3d 1502 , 1507 n.7 (10th Cir. 1996); Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir. 1994); see also Tenn. Consolidated Coal Co. v. Kirk, 264 F.3d 602, 606-07 (6th Cir. 2001) (affirming an award of benefits where the BRB did not attempt to apply its rule).* We do not believe, in other words, that the BRB had a full opportunity to evalu- ate its rule in the context of Cunningham’s facts, and that is a factor in favor of finding a waiver.
cited Cited as authority (rule) Bartley v. Director, Office of Workers' Compensation Programs
6th Cir. · 2004 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 996-98 (6th Cir.1994).
examined Cited as authority (rule) Grundy Mining Company v. Douglas W. Flynn and Director, Office of Workers' Compensation Programs, United States Department of Labor (6×) also: Cited "see"
6th Cir. · 2004 · confidence medium
In Sharondale Corp. v. Ross, 42 F.3d 993, 997 (6th Cir.1994), however, this Circuit rejected the Spese standard.
examined Cited as authority (rule) Grundy Mining v. Flynn (8×) also: Cited "see"
6th Cir. · 2003 · confidence medium
No. 01-3111 existence of that element, he has demonstrated, as a Finally, we considered whether the administrative decision matter of law, a material change. under review properly found a “material change in conditions” in accordance with the standard we had adopted: Sharondale, 42 F.3d at 997-98.
cited Cited as authority (rule) Margie Marie Mills v. Director, Office of Workers' Compensation Programs, United States Department of Labor
6th Cir. · 2003 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
cited Cited as authority (rule) Mills v. Dir OWCP
6th Cir. · 2003 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th arose out of his coal mine employment, or that death was due Cir. 1994).
cited Cited as authority (rule) Hamby v. Richland Coal Co.
6th Cir. · 2003 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 997 (6th Cir.1994).
cited Cited as authority (rule) Ward v. SMC Coal & Terminal Co.
6th Cir. · 2003 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994).
cited Cited as authority (rule) Wampler Bros. Coal v. Stewart
6th Cir. · 2003 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 997 (6th Cir.1994).
cited Cited as authority (rule) Kentucky Carbon Corp. v. Blankenship
6th Cir. · 2003 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994).
cited Cited as authority (rule) Simpson v. National Mines Corp.
6th Cir. · 2002 · confidence medium
Ross, 42 F.3d at 997-98.
discussed Cited as authority (rule) Meade v. National Mines Corp.
6th Cir. · 2002 · confidence medium
If a new claim is filed beyond the one-year limit, it is a duplicate claim, and a miner must show a material change in condition to be entitled to further adjudication. 20 C.F.R. § 725.309 (d); Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
cited Cited as authority (rule) Bishop v. Shelby Fuels Corp.
6th Cir. · 2002 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
cited Cited as authority (rule) Kentland Elkhorn Coal Corporation v. Noah Hall Director, Office of Workers' Compensation Programs, United States Department of Labor
6th Cir. · 2002 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994).
cited Cited as authority (rule) Powell v. Langley & Morgan Corp.
6th Cir. · 2001 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
discussed Cited as authority (rule) Lankford v. Eastover Coal Co.
6th Cir. · 2001 · confidence medium
The employer’s motion for reconsideration was granted and the case was again remanded for the ALJ to reconsider the issue of material change in condition in accordance with this court’s intervening decision in Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994), as well as to reconsider the issues of total disability and causation.
cited Cited as authority (rule) Myers v. Director, Office of Workers' Compensation Programs
6th Cir. · 2001 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir. 1994).
examined Cited as authority (rule) Tennessee Consolidated Coal Company v. Jack Kirk and Director, Office of Workers' Compensation Programs, United States Department of Labor (7×) also: Cited "see"
6th Cir. · 2001 · confidence medium
The ALJ also determined that Kirk had shown a material change in conditions because Ad-cock and Soteres had found in 1992 that he was now totally disabled, and Kirk’s “third claim had been denied by district director on January 18, 1989 for failure to establish either pneumoconiosis or total disability.” Since the ALJ found Kirk had proven one of the elements “previously adjudicated against him[,]” Sharondale, 42 F.3d at 997, he concluded that a material change had been shown.
discussed Cited as authority (rule) National Mining Ass'n v. Chao
D.D.C. · 2001 · confidence medium
Peabody Coal Co. v. Spese, 117 F.3d 1001, 1007-1008 (7th Cir.1997); Lovilia Coal Co. v. Harvey, 109 F.3d at 450 (8th Cir.1997); Wyoming Fuel Co. v. Dir., OWCP, 90 F.3d 1602 , 1610 (10th Cir.1996); Lisa Lee Mines v. Dir., OWCP; 86 F.3d 1358, 1362 (4th Cir.1996); Labelle Processing Co., 72 F.3d at 314 (3rd Cir.1995); Sharondale Corp. v. Ross, 42 F.3d 993, 998 (6th Cir.1994).
cited Cited as authority (rule) Bartley v. Director, Office of Workers' Compensation Programs
6th Cir. · 2001 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir. 1994).
discussed Cited as authority (rule) Jones v. Flaming Sun Coals, Inc.
6th Cir. · 2001 · confidence medium
Pursuant to that regulation, it is the claimant’s burden to show a material change in his condition before he is entitled to further adjudication. 20 C.F.R. § 725.309 (d); Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
discussed Cited as authority (rule) Little v. National Mines Corp. (2×) also: Cited "see"
6th Cir. · 2001 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994).
examined Cited as authority (rule) Walker v. Bethenergy Mines, Inc. (3×) also: Cited "see"
6th Cir. · 2001 · confidence medium
See 20 C.F.R. § 725.309 (d); Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
cited Cited as authority (rule) Trocheck v. Pellin Emergency Medical Service, Inc.
N.D. Ohio · 1999 · confidence medium
Chevron, U.S.A., Inc. v. Natural Resources Defense Council, Inc., 467 U.S. 837, 862-65 , 104 S.Ct. 2778 , 81 L.Ed.2d 694 (1984); Sharondale Corp. v. Ross, 42 F.3d 993, 998 (6th Cir.1994).
discussed Cited as authority (rule) Elmer Robbins v. Cyprus Cumberland Coal Company Director, Office of Workers' Compensation Programs, United States Department of Labor
6th Cir. · 1998 · confidence medium
This case involves the Board’s interpretation of the statutory and regulatory requirements under the Act. “[BJecause the Board acts as an adjudicatory tribunal and does not make rules or formulate policy, its interpretation is not entitled to any special deference.” Sharondale Corp. v. Ross, 42 F.3d 993, 997 (6th Cir.1994) (citing Saginaw Mining Co. v. Mazzulli, 818 F.2d 1278, 1283 (6th Cir.1987) (quoting Potomac Elec.
discussed Cited as authority (rule) Glen Coal Company v. Jess Seals (2×)
6th Cir. · 1998 · confidence medium
See Pauley, 501 U.S. at 696 , 111 S.Ct. 2524 ; Sharondale Corp. v. Ross, 42 F.3d 993, 998 (6th Cir.1994).
discussed Cited as authority (rule) Glen Coal Co. v. Seals (2×)
6th Cir. · 1998 · confidence medium
See Pauley, 501 U.S. at 696 , 111 S.Ct. 2524 ; Sharondale Corp. v. Ross, 42 F.3d 993, 998 (6th Cir.1994).
discussed Cited as authority (rule) Lovilia Coal Company v. Harvey
8th Cir. · 1997 · confidence medium
In Wyoming Fuel, the court explained that appellate courts had rejected the Spese standard because it "violates principles of res judicata by permitting a claimant--when attempting to show a material change--to present evidence that merely shows the initial decision was in error, rather than limiting the evidence to that which shows that the claimant's condition has worsened since the previous denial." Id. at 1508-09. 17 Instead, the Director asks this court to adopt his "one-element" standard, as did the Third Circuit, Labelle Processing Co. v. Swarrow, 72 F.3d at 318 ; Fourth Circuit, Lisa L…
discussed Cited as authority (rule) Lovilia Coal Co. v. Wesley Harvey
8th Cir. · 1997 · confidence medium
Instead, the Director asks this court to adopt his “one-element” standard, as did the Third Circuit, Labelle Processing Co. v. Swarrow, 72 F.3d at 318 ; Fourth Circuit, Lisa Lee Mines v. Director, 86 F.3d at 1363 ; and Sixth Circuit, Sharondale Corp. v. Ross, 42 F.3d 993, 998 (6th Cir.1994).
cited Cited as authority (rule) Adams on Behalf of Adams v. Blue Diamond Coal Co.
6th Cir. · 1996 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994).
discussed Cited as authority (rule) Southeast Coal Co. v. Combs
6th Cir. · 1996 · confidence medium
Because it cannot, Combs's 1982 claim could only succeed if he could demonstrate, pursuant to section 725.309, that there had been a material change in conditions since the 1980 denial. 21 Section 725.309 requires that a claim be denied if it is filed more than one year after an earlier-filed claim based on the same exposure has been finally denied, unless "there has been a material change in conditions" since the earlier denial. 20 C.F.R. § 725.309 (d); Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
discussed Cited as authority (rule) Peabody Coal Co. v. Spese
7th Cir. · 1996 · confidence medium
Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994) (acknowledging that the Sahara Coal standard is a “reasonable interpretation of material change” but deferring to the DOL’s interpretation); see also Lisa Lee Mines v. Director, OWCP, 86 F.3d 1358, 1363 (4th Cir.1996) (adopting the DOL’s standard); Labelle Processing Co. v. Swarrow, 72 F.3d 308, 318 (3d Cir.1995) (same).
discussed Cited as authority (rule) Peabody Coal Company v. Spese
7th Cir. · 1996 · confidence medium
If the miner establishes the existence of that element, he has demonstrated, as a matter of law, a material change. 19 Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994) (acknowledging that the Sahara Coal standard is a "reasonable interpretation of material change" but deferring to the DOL's interpretation); see also Lisa Lee Mines v. Director, OWCP, 86 F.3d 1358, 1363 (4th Cir.1996) (adopting the DOL's standard); Labelle Processing Co. v. Swarrow, 72 F.3d 308, 318 (3d Cir.1995) (same).
examined Cited as authority (rule) Wyoming Fuel Co. v. Director, Office of Workers' Compensation Programs (5×) also: Cited "see"
10th Cir. · 1996 · confidence medium
See Sahara Coal Co. v. OWCP, 946 F.2d 554 (7th Cir.1991) (holding that the Spese standard violates res judicata principles); Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994) (rejecting Spese on res judicata principles but adopting in its place a different standard from Sahara Coal’s test); Labelle Processing Co. v. Swarrow, 72 F.3d 308, 317 (3d Cir.1995) (same as Sharondale Corp.); Lisa Lee Mines v. Director, OWCP, 86 F.3d 1358, 1363 (4th Cir.1996) (en banc) (rejecting Spese standard on vagueness grounds).
examined Cited as authority (rule) Wyoming Fuel Company v. Director, Office Of Workers' Compensation Programs (5×) also: Cited "see"
10th Cir. · 1996 · confidence medium
See Sahara Coal Co. v. OWCP, 946 F.2d 554 (7th Cir.1991) (holding that the Spese standard violates res judicata principles); Sharondale Corp. v. Ross, 42 F.3d 993, 997-98 (6th Cir.1994) (rejecting Spese on res judicata principles but adopting in its place a different standard from Sahara Coal 's test); Labelle Processing Co. v. Swarrow, 72 F.3d 308, 317 (3d Cir.1995) (same as Sharondale Corp.); Lisa Lee Mines v. Director, OWCP, 86 F.3d 1358, 1363 (4th Cir.1996) (en banc) (rejecting Spese standard on vagueness grounds).
discussed Cited as authority (rule) Ranie J. White v. Arch on the North Fork, Inc. Director, Office of Workers' Compensation Programs, United States Department of Labor
6th Cir. · 1996 · confidence medium
Ramey v. Kentland Elkhorn Coal Corp., 755 F.2d 485, 488 (6th Cir.1985). 6 The ALJ and Board properly applied 20 C.F.R. § 725.309 (c) to conclude that White's most recent claim was a "duplicate" claim, because White's subsequent claim was filed beyond the one-year limit after the final denial of her first claim. 20 C.F.R. § 725.309 (d); Sharondale Corp. v. Ross, 42 F.3d 993, 996 (6th Cir.1994).
Retrieving the full opinion text from the archive…
Sharondale Corporation and Kentucky Coal Producers' Self-Insurance Fund
v.
Milford Ross and Director, Office of Workers' Compensation Programs, United States Department of Labor
93-3644.
Court of Appeals for the Sixth Circuit.
Dec 16, 1994.
42 F.3d 993
Cited by 12 opinions  |  Published

42 F.3d 993

SHARONDALE CORPORATION and Kentucky Coal Producers'
Self-Insurance Fund, Petitioners,
v.
Milford ROSS and Director, Office of Workers' Compensation
Programs, United States Department of Labor, Respondents.

No. 93-3644.

United States Court of Appeals,
Sixth Circuit.

Submitted May 13, 1994.
Decided Dec. 16, 1994.

John W. Palmore (briefed), Jackson & Kelly, Lexington, KY, for petitioners.

William L. Roberts (briefed), Pikeville, KY, for Milford Ross.

Karen Blank (briefed), U.S. Dept. of Labor, Office of the Solicitor, Washington, DC, for Director, Office of Workers' Compensation Programs, U.S. Dept. of Labor.

Before: SUHRHEINRICH and BATCHELDER, Circuit Judges; and RUBIN, District Judge.[*]

SUHRHEINRICH, Circuit Judge.

[*~993]1

Sharondale Corporation and Kentucky Coal Producers' Self-Insurance Fund (collectively referred to as "Sharondale") seek review of an award of federal black lung benefits pursuant to the Black Lung Benefits Act ("Act"), 30 U.S.C. Secs. 901-945, to its former employee, Milford Ross ("Ross"). Sharondale argues that Ross's claim was untimely under 20 C.F.R. Sec. 725.308; and, that Ross failed to establish a "material change of condition" as required by 20 C.F.R. Sec. 725.309(d). We hold that Ross timely filed his claim and remand this matter for further proceedings on the issue of whether Ross established a material change in his condition.

I.

2

Claimant Milford Ross began working in the coal industry in 1967, but quit his job at Stern Mining Company in 1979, on the advice of his doctor because of breathing problems. Ross filed a Kentucky Workers' Compensation claim for occupational disease benefits, a social security disability claim, and a federal black lung claim that same year. Ross received 100 percent state occupational disability benefits and social security disability benefits as a result; however, Ross's federal black lung claim was denied in 1981. Ross then accepted a job at Sharondale as a cutting machine operator and worked there until November 24, 1983, when he again quit because of breathing problems. He filed the present claim for benefits under the Act in 1985.

3

After a formal hearing on the 1985 claim, an administrative law judge ("ALJ") awarded benefits. The United States Department of Labor, Benefits Review Board ("Board") affirmed the decision of the administrative law judge. Sharondale appeals the Board's order. We must affirm the Board's decision provided it has committed no legal error nor exceeded its scope of review of the ALJ's factual determinations. Director, OWCP v. Quarto Mining Co., 901 F.2d 532, 536 (6th Cir.1990).

II.

[*~994]4

The first issue presented is whether Ross timely filed his 1985 claim for benefits. The statute of limitations contained in Sec. 422(f) of the Act is implemented by 20 C.F.R. Sec. 725.308. Under Sec. 725.308(a) of the regulations, a claim for benefits must be "filed within three years after a medical determination of total disability due to pneumoconiosis which has been communicated to the miner...." 20 C.F.R. Sec. 725.308(a).

5

The ALJ held that Ross timely filed his claim, reasoning that because Ross worked for a substantial period of time after the doctor advised him to quit because of breathing problems, he was not totally disabled due to pneumoconiosis in 1979. Thus, the ALJ concluded, the earlier notification of disability was erroneous, and the later medical diagnosis triggered the running of a new three year period in which a claim must be filed.

6

The Board did not adopt the ALJ's reasoning; instead it relied on its own interpretation of Sec. 725.308 to affirm the ALJ's holding. The Board stated that Sec. 725.308 only applies to the filing of a miner's initial claim. See Faulk v. Peabody Coal Co., 14 BLR 1-18 (1990). Thus, according to the Board, subsequent filings need not comply with the statute of limitations. Thus, if the initial filing was timely, relief may be granted on a subsequent application provided a substantial change in condition is shown.

7

Sharondale contends that, under the ALJ's construction of the regulation, it is saddled with a claim from 1979, because a medical determination of total disability, erroneous or not, had been communicated to Ross in 1979, when he received state occupational and social security disability benefits. Additionally, Sharondale contends that the Board's broad interpretation of the regulation deprives it of the opportunity to rebut proof developed in any prior proceedings and denies it the protection of notice.

[*~995]8

If we accept Sharondale's recitation of the facts, its argument that Ross filed the present claim three years after the statute had run might be correct. Sharondale overlooks, however, additional facts that nullify its position. First, after the final denial of Ross's first claim, Ross returned to work as a miner. Secondly, Ross worked for several years before a doctor again declared him disabled by pneumoconiosis. Thirdly, Ross filed his second claim within three years of this later medical determination.

9

When we review these additional facts, in light of past recognition that the "Act is remedial legislation that should be liberally construed so as to include the largest number of miners within its entitlement provisions," Adams v. Director, OWCP, 886 F.2d 818, 825 (6th Cir.1989) (citations omitted), we are convinced that Ross's claim was timely.

[*~996]10

Admittedly, the circumstances of this case are unusual in that the claimant commenced work with a new employer after his first claim for benefits under the Act was denied. However, Sharondale's concern about rebutting proof developed in Ross's initial claim is unwarranted. It is apparent that the previous employer sufficiently rebutted the proof developed in the prior proceedings because those benefits were denied. More importantly, the claimant cannot prevail on a duplicate claim unless he shows a "material change" in his condition; thus, the critical evidence in assessing whether to reopen the claim is the evidence accruing since the previous denial. That evidence arose during Ross's last two years of employment with Sharondale. Consequently, Sharondale was perfectly situated to defend against Ross's 1985 claim, a claim for which it received notice.

[*996]11

Nevertheless, we need not hold, as did the Board, that Sec. 725.308 only applies to the filing of a miner's initial claim, to decide this case. Under Sec. 725.308(a), the time period in which a miner must file for benefits starts, at a minimum, after each denial of a previous claim, provided the miner works in the coal mines for a substantial period of time after the denial and a new medical opinion of total disability due to pneumoconiosis is communicated. The progressive nature of the disease dictates this result; a claimant must be free to reapply for benefits if his first filing was premature. Furthermore, the Act recognizes that sequential claims may be filed; and for the Act to recognize serial applications on the one hand, while limiting to three years the time in which all applications must be filed, on the other, makes no sense.

12

Accordingly, we hold that Ross timely filed his 1985 claim.

III.

13

The second issue presented is whether the record evidence established a "material change" in Ross's condition. Under 20 C.F.R. Sec. 725.309(d), when a claimant files more than one claim for benefits, the later claim is merged with the earlier claim if the earlier claim is pending. If an earlier claim has been denied, however, the later claim is likewise denied "unless the deputy commissioner determines that there has been a material change in conditions or the later claim is a request for modification and the requirements of Sec. 725.310 are met." 20 C.F.R. Sec. 309(d). Here, the later claim was filed more than a year after the denial of the first claim, thus the claim is not a request for modification under the regulation and Ross must show a material change in his condition.

14

In Ross's first claim, an ALJ found that the x-ray evidence failed to establish the presence of pneumoconiosis. In the present claim, the ALJ found that "the x-ray evidence is now considered to be positive for the presence of pneumoconiosis." On this basis, the ALJ held that a "material change" had occurred. The Board affirmed, citing Spese v. Peabody Coal Co., 11 BLR 1-174 (1988) (requiring that the new evidence present a "reasonable possibility" that it would change the prior administrative result). Under the Spese formulation, the ALJ reviews only the favorable new evidence and does not weigh that evidence against unfavorable new evidence.

15

Before we consider whether the evidence established a material change in Ross's condition, we must determine the proper standard by which to measure the existence of a "material change." Three constructions are before the court: the Spese construction, relied upon by the Board in affirming the ALJ's decision to award benefits; the McNew construction, enunciated by the Seventh Circuit in Sahara Coal Co. v. Director, OWCP, 946 F.2d 554, 556 (7th Cir.1991); and the construction advocated by the Department of Labor. Each is discussed below.

16

Initially, we note that because the Board acts as an adjudicatory tribunal and does not make rules or formulate policy, its interpretation is not entitled to any special deference. See Saginaw Mining Co. v. Mazzulli, 818 F.2d 1278, 1283 (6th Cir.1987) (quoting Potomac Elec. Co. v. Director, OWCP, 449 U.S. 268, 278 n. 18, 101 S.Ct. 509, 514-15 n. 18, 66 L.Ed.2d 446 (1980)). Accordingly, we reject the Spese standard because, in our view, it confuses the delineation in Sec. 309(d), which limits requests for modification of a decision wrongly decided to be filed within one year with requests based on a material change in condition. At issue under the material change provision is relief from the principles of finality for those miners whose conditions have deteriorated due to the progressive nature of black lung disease. Presentation of new evidence that establishes a reasonable possibility that it would change the prior administrative result is a standard so broad that it includes evidence never presented but available at the time of the initial claim. Such evidence, although relevant to a request for modification, is not relevant in establishing a material change and should not be considered.

17

The Seventh Circuit has also rejected the Board's interpretation and has articulated its own standard for assessing whether the claimant has established a material change in his condition. Sahara Coal Co. ("McNew "), 946 F.2d at 556.[1] Under the McNew standard, a material change in condition means either that "the miner did not have black lung disease at the time of the first application but has since contracted it and become totally disabled by it, or that his disease has progressed to the point of becoming totally disabling although it was not at the time of the first application." Id. at 556.

18

In articulating the McNew standard, the Seventh Circuit recognized that a literal interpretation of the standard would require a claimant to prove that he was not totally disabled at the time of his first application and that he was not suffering from pneumoconiosis. The court stated that the standard should be read practically; thus, the standard means that the claimant must show that his condition was either "substantially worse" than it was at the time of his prior application or, if the condition were slightly worse, "that even a slight worsening could be and was a material change in his condition." Id. at 558.

[*~997]19

Although McNew is a reasonable interpretation of material change and this circuit has applied the McNew standard in an unpublished opinion, McGuire v. Little Bill Coal Co., No. 93-3008, 1994 WL 3349, at * 2-3 (6th Cir. Jan. 5, 1994) (unpublished), here the Director of the Office of Workers' Compensation Programs, DOL ("Director"), has offered a competing interpretation of the regulation. Under the Director's interpretation, to assess whether a material change is established, the ALJ must consider all of the new evidence, favorable and unfavorable, and determine whether the miner has proven at least one of the elements of entitlement previously adjudicated against him. If the miner establishes the existence of that element, he has demonstrated, as a matter of law, a material change. Then the ALJ must consider whether all of the record evidence, including that submitted with the previous claims, supports a finding of entitlement to benefits.[2]

20

Although we are presented with competing judicial and agency interpretations of the material change provision contained in Sec. 725.309(d), our discretion in adopting one construction over another is not unfettered.[3] This court has "previously afforded due deference to the Director's position in cases raising similar questions of regulatory interpretation." Brown v. Rock Creek Mining Co., 996 F.2d 812, 816 (6th Cir.1993) (citing Wolf Creek Collieries v. Robinson, 872 F.2d 1264, 1268 (6th Cir.1989)); Saginaw Mining Co., 818 F.2d at 1283.

21

In Pauley v. BethEnergy Mines, Inc., 501 U.S. 680, 696, 111 S.Ct. 2524, 2534, 115 L.Ed.2d 604 (1991), the Supreme Court discussed "the principles underlying judicial deference to agency interpretations, as well as the scope of authority delegated to the Secretary of Labor" in administering the Act. The Court noted that the Act reflects that Congress intended to delegate "broad policy-making discretion in the promulgation" of the regulations, and "[w]hen Congress, through express delegation or the introduction of an interpretive gap in the statutory structure, has delegated policy-making authority to an administrative agency, the extent of judicial review of the agency's policy determinations is limited." Id.

22

The Court did not expressly find that the provisions of the Act were ambiguous; however, it noted that the Act established a "complex and highly technical regulatory program" which necessitated some level of expertise in identifying and classifying medical eligibility criteria. Id. The Court reasoned that because such judgment implicated policy concerns, courts must defer to the agency "entrusted by Congress to make such policy determinations." Id. (citing Martin v. OSHRC, 499 U.S. 144, 152-54, 111 S.Ct. 1171, 1177, 113 L.Ed.2d 117 (1991); Aluminum Co. of America v. Central Lincoln Peoples' Util. Dist., 467 U.S. 380, 390, 104 S.Ct. 2472, 2479, 81 L.Ed.2d 301 (1984)).

23

Here, Congress failed to include a definition of "material change" in the Act. Here, as in Pauley, the Secretary of Labor's interpretation of the provisions of the Black Lung Act is entitled to deference.

[*998]24

This deference is conditioned, however, on the reasonableness of the agency interpretation. Chevron, U.S.A., Inc. v. Natural Resources Defense Council, Inc., 467 U.S. 837, 845, 104 S.Ct. 2778, 2783, 81 L.Ed.2d 694 (1984). We may not substitute our own construction of the regulation for the Director's unless his is unreasonable. Id. Here, the Director's interpretation is premised on the notion that miners disabled by pneumoconiosis arising out of coal mine employment are entitled to benefits under the Act. It affords a miner a second chance to show entitlement to benefits provided his condition has worsened. The interpretation implicitly recognizes that the doctrine of res judicata is not implicated by the claimant's physical condition or the extent of his disability at two different times. The entitlement is not without limits, however; a miner whose condition has worsened since the filing of an initial claim may be eligible for benefits, but after a year has passed since the denial of his claim, no minor is entitled to benefits simply because his claim should have been granted. The Director's interpretation takes into account the statutory distinction between a request for modification of the Board's decision and a request for benefits based on a material change in condition. Accordingly, we find the Director's interpretation to be reasonable in light of the purpose of the statute and the language included in Sec. 725.309(d).

25

Under the Director's interpretation, the ALJ did not properly analyze the facts. In assessing the second claim, the ALJ concluded that because he found the new x-ray evidence established the existence of pneumoconiosis, a material change in Ross's condition had occurred. The record shows, however, that both positive and negative x-ray interpretations by both "B" readers[4] and "non-B" readers accompanied the 1979 claim as well as the 1985 claim. The ALJ never discusses how the later x-rays differ qualitatively from those submitted in 1985. Thus, we are unable to discern on the record before us whether the ALJ merely disagreed with the previous characterization of the strength of the evidence or whether Ross indeed had shown the existence of a material change in his condition since the earlier denial.[5]

26

Accordingly, we AFFIRM the holding that Ross's claim was filed in accordance with the statute of limitations and REMAND this case to the ALJ for further proceedings in light of this opinion.

*

The Honorable Carl B. Rubin, United States District Judge for the Southern District of Ohio, sitting by designation

1

Even after the decision in McNew, the Board continues to apply the Spese standard to duplicate claims, "except those arising within the jurisdiction of the United States Court of Appeals for the Seventh Circuit." Shupink v. LTV Steel Co., 17 BLR 1-24 (1992)

2

To prove a claim, a miner must show that he is totally disabled by pneumoconiosis arising at least in part out of coal mine employment. See Tussey v. Island Creek Coal Co., 982 F.2d 1036, 1038 (6th Cir.1993)

3

The McNew court acknowledged its duty to defer to the Director's interpretation, yet formulated its own in that case because the Director's interpretation merely endorsed, without discussion, the Board's construction of the regulation. Id. at 557

4

A "B" reader is a radiologist who has demonstrated proficiency in assessing and classifying x-ray evidence of pneumoconiosis and greater weight may be given to his diagnosis. Blackburn v. Director, 10 BRBS 108 (1979)

5

Additionally, we note that the ALJ relied on the true doubt rule in assessing Ross's claim. Pursuant to the true doubt rule, when the favorable and unfavorable evidence is evenly balanced, the claimant receives benefits. The Supreme Court recently held that the true doubt rule violates Sec. 7 of the Administrative Procedure Act, 5 U.S.C. Sec. 556(d), by shifting the burden of persuasion to the party opposing the award of benefits. Director, OWCP v. Greenwich Collieries, --- U.S. ----, 114 S.Ct. 2251, 129 L.Ed.2d 221 (1994). Accordingly, Ross is not entitled to the benefit of the true doubt rule