HR6461-118

Introduced

To ensure that claims for benefits under the Black Lung Benefits Act are processed in a fair and timely manner, to better protect miners from pneumoconiosis (commonly known as black lung disease), and for other purposes.

118th Congress Introduced Nov 21, 2023

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill reforms the federal Black Lung Benefits program to help coal miners with pneumoconiosis (black lung disease) obtain the medical care and financial benefits they are entitled to. It addresses problems that have made the claims process difficult, expensive, and unfair to miners and their families.

Who Benefits and How

Coal miners with black lung disease and their surviving family members benefit most. They gain easier access to medical evidence through government-provided pulmonary evaluations, expanded diagnostic criteria (including CT scans), a new program to cover attorneys' fees and medical expenses during lengthy claims, and inflation-adjusted benefit payments starting at $9,627.60 per year. Miners whose claims were denied based on discredited medical opinions can file new claims.

Who Bears the Burden and How

Coal mine operators face increased costs and compliance requirements. They must meet stricter financial requirements to self-insure their black lung liabilities, must reimburse the Black Lung Disability Trust Fund for claims assistance expenses, and face expanded personal liability for corporate executives who fail to secure benefits. The penalty for failing to secure benefits increases from $1,000 to $25,000.

Key Provisions

  • Requires the Department of Labor to provide complete pulmonary evaluations, including CT scans, to claimants at no cost
  • Creates a payment program covering up to $4,500 in attorneys' fees and $3,000 in medical expenses for claims pending over 2 years
  • Ties benefit payments to the Consumer Price Index so they keep pace with inflation
  • Allows miners whose claims were denied based on discredited chest radiograph interpretations to file new claims
  • Raises the penalty for failing to secure benefit payments from $1,000 to $25,000 and extends liability to corporate executives

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

Reforms the Black Lung Benefits Act to make it easier for coal miners and their survivors to obtain benefits for pneumoconiosis, increases benefit amounts, and strengthens requirements for coal mine operators to secure payment of benefits.

Key Policy Areas

Labor, Health, Social Insurance, Mining

Primary Purpose

Reforms the Black Lung Benefits Act to make it easier for coal miners and their survivors to obtain benefits for pneumoconiosis, increases benefit amounts, and strengthens requirements for coal mine operators to secure payment of benefits.

Policy Domains

Labor Health Social Insurance Mining

Title I - Improving Claims Processing

Identified Gains
Contextual inference, no direct clause citation
  • Coal miners with pneumoconiosis
  • Surviving spouses and dependents of deceased miners
  • Black lung claims attorneys
  • Pulmonary medicine physicians
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Coal mine operators
  • Coal company executives
  • Insurance carriers for coal operators
  • Physicians who provide biased expert testimony
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Title II - Office of Workers' Compensation Programs

Identified Gains
Contextual inference, no direct clause citation
  • Department of Labor workers' compensation programs
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Title III - Technical and Conforming Amendments

Identified Gains
Contextual inference, no direct clause citation
  • Surviving spouses of miners
  • Divorced spouses of miners
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Legislative Progress

Introduced
Introduced Committee Passed
Nov 21, 2023

Mr. Cartwright (for himself, Mr. Scott of Virginia, and Ms. …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Mining
26 mentions across 15 clauses
+16 positive -9 negative ?1 uncertain

Coal mine operators, Coal mine operators and insurance carriers, Coal mine operators liable for benefits

Positive-direction: Coal miners filing black lung claims, Coal miners filing claims, Coal miners seeking black lung benefits, Coal miners with pending black lung claims, Coal miners with pending claims, Disabled coal miners receiving black lung benefits, Miners whose claims were denied based on discredited medical opinions, Miners with previously denied claims based on discredited evidence, Same-sex spouses of miners, Surviving family members of deceased miners with denied claims, Surviving family members of miners with denied claims, Surviving spouses and dependents of miners, Surviving spouses and divorced spouses of miners

Negative-direction: Coal mine operators, Coal mine operators and insurance carriers, Coal mine operators liable for benefits, Coal mine operators with self-insured black lung liabilities, Corporate executives of coal mining companies

Government
8 mentions across 7 clauses
+2 positive -5 negative ?1 uncertain

Black Lung Disability Trust Fund, Department of Labor Office of Administrative Law Judges, Department of Labor claims administrators

Black Lung Disability Trust Fund faces effects in multiple directions

Positive-direction: Department of Labor claims administrators

Negative-direction: Department of Labor Office of Administrative Law Judges, Social Security Administration

Healthcare
5 mentions across 4 clauses
+2 positive -3 negative

Medical expert witnesses, Physicians retained by coal operators, Pulmonary medicine physicians

Positive-direction: Pulmonary medicine physicians

Negative-direction: Medical expert witnesses, Physicians retained by coal operators

Professional Services
4 mentions across 4 clauses
+2 positive -2 negative

Attorneys representing black lung claimants, Attorneys representing parties in black lung claims

Positive-direction: Attorneys representing black lung claimants

Negative-direction: Attorneys representing parties in black lung claims

Medical Diagnostic Services
1 mention across 1 clause
+1 positive

Medical imaging and diagnostic providers

Financial Services
1 mention across 1 clause
+1 positive

Insurance carriers for coal operators

16/20
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Labor Health Social Insurance
Actor Mappings
"the_secretary"
→ Secretary of Labor
Domains
Labor Government Administration
Actor Mappings
"the_director"
→ Director for the Office of Workers' Compensation Programs
Domains
Labor
Actor Mappings
"the_secretary"
→ Secretary of Labor

Key Definitions

Terms defined in this bill

4 terms
"other responsible party" §402(j)

An entity that possesses the power to direct management and policies of an operator or employer, or any trade or business under common control with an operator or employer

"qualifying claim" §403(a)(2)

A contested claim for benefits for which a final order has not been entered within 2 years of filing

"covered chest radiograph" §436(a)(1)

A chest radiograph interpreted as negative for pneumoconiosis by a physician whom the Secretary has directed not to be credited

"covered individual" §436(a)(2)

An individual whose claim record includes a covered chest radiograph

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology