tin-de
indefinitely for claimants who filed for
benefits before 1972, as well as for widows on the
death of a miner who was a beneficiary under
the program.
The benefits are not retroactive--that is, no
benefits will be paid for any period before the
date on which a claim for them is filed. In order
to assure that all persons get the full benefits to
which they are entitled, the Social Security Ad-
ministration began immediately to accept protec-
t ive applications. Those who qualify will thus
be able to draw benefits from the date of filing
even if some of the legal questions regarding the
law are not, resolved.
The law provides that, to the extent, feasible,
personnel and procedures used in processing dis-
ability insurance claims under the Social Security
act will be used in processing claims for “black
lung’? benefits. The Secretary of Health, Educa-
tion, and Welfare is authorized to prescribe the
standards for determining whet,her a miner is
totally disabled or died as a result of pneumoconi-
osis, but such standards must. not be more restric-
tive than the criteria applicable in making dis-
ability determinations under the Social Security
Act. The new iaw also provides that claimants
may bo reimbursed for reasonable medical ex-
penses incurred by them in establishing their
claims.
“Pneumoconiosis,”
for the purpose of these
benefits, is defined as a chronic dust disease of the
lung arising out of employment in an under-
ground coal mine. If a miner who is suffering or
has suffered from the disease was employed in one
or more underground coal mines for 10 or more
years, there is a rebuttable presumption that his
disease arose out of such employment. If a de-
ceased miner was so employed a.nd died from a
respiratory disease, there is also a rebuttable pre-
sumption that, death was the result of the disease.
If a miner is suffering from or dies having an
advanced irreversib1.e state of pneumoconiosis, it
will be irrebuttably presumed that. he is totally
disabled or his death was caused by the disease.
The benefits and costs of administration will
be borne through the general fmids of the Treas-
ury and will require special appropriations. Bene-
fit costs of the program are roughly estimated at
$SOO million for the first, full fiscal year of opera-
tion, which ends June 30, 1971.
The law includes a “maintenance of effort”
provision under which any reduction by a State
in its workmen’s compensation, unemployment
insurance, or disability benefits fcr persons eli-
gible to receive the
“black lung!’ benefits will
result in a stoppage of the Federal p+yment,s to
residents of that State. An exception is to be
made :vhere the State program is funded through
general revenues (in contrast to funding by em-
ployer contributions).
Pennsylvania appears to
be the only State that, provides benefits to victims
of the disease through a program funded in some
instances through general revenues.
One of the questions that, had to be resolved is
whether the “black lung” benefits are to be con-
sidered workmen’s compensation payments for
purposes of applying the workmen’s compensation
oflset provisions contained in the disability in-
surance provisions of tile Social Security act.
The workmen’s compensation offset, provides that
a disabled worker mlder age 62 who is also re-
ceiving periodic workmen’s compensation benefit
may have his disabilit,y insurance benefit under
the Social Security Act reduced so that the total
benefits payable to him and his dependents under
both programs will not, exceed 80 percent of his
average
monthly earnings before he became
disabled.
For benefit claims filed after 1972, overall
responsibility for the program will shift to the
Depart ment of Labor.
Such claims lvill be proc-
essed under State workmen’s compensation laws
in those States with laws that, are approved by
the Secretary of Labor as providing adequate
coverage for pneumoconiosis. Generally speaking,
a State law will be determined to have adequate
coverage for pneumoconiosis if the cash benefits
under such law and the criteria for determining
eligibility are not less
favorable to the claimant
than those applicable to claims filed before
January I, 1973.
Where a State workmen’s compensation law
does not have the approval of the Secretary of
Labor, coal mine operators will be liable for pay-
ment of benefits that, are to be secured through
self-insurance or purchase of an insuranca policy.
In such cases, the benefit levels are to be the same
;as those provided under t,he federally financed
part of the program and are to be made under
the same conditions that would apply if the claim
were subject, to
the provisions of the Federal
J~ongshoremen’s and Harbor Workers’ Compen-
(Continued on payc 25)
BULLETIN, MARCH 1970
21