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The Black Lung Program, the Black Lung Disability Trust Fund, and the Excise Tax on Coal

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The Black Lung Program, the Black Lung Disability Trust Fund, and the Excise Tax on Coal: Background and Policy Options ,name redacted, Analyst in Disability Policy ,name redacted, Specialist in Public Finance July 18, 2018 Congressional Research Service 7-.... www.crs.gov R45261 SUMMARY The Black Lung Program, the Black Lung Disability Trust Fund, and the Excise Tax on Coal: Background and Policy Options R45261 July 18, 2018 name redacted Analyst in Disability Policy -redacted-@crs.loc.gov The federal government pays benefits to coal miners affected by coal workers’ name redacted pneumoconiosis (CWP, commonly referred to as black lung disease) and other lung Specialist in Public Finance -redacted-@crs.loc.gov diseases linked to coal mining in cases where responsible mine operators are not able to pay. In 2018, the monthly benefit for a miner with no dependents is $660.10. Benefits For a copy of the full report, can be as much as $1,320.10 per month for miners with three or more dependents. please call 7-.... or visit Medical benefits are provided separately from disability benefits. Benefit payments and www.crs.gov. related administrative expenses in cases in which the responsible operators do not pay are paid out of the Black Lung Disability Trust Fund. The primary source of revenue for the trust fund is an excise tax on coal produced and sold domestically. If excise tax revenue is not sufficient to finance Black Lung Program benefits, the trust fund may borrow from the general fund of the Treasury. For 2018, the tax rates on coal are $1.10 per ton of underground-mined coal or $0.55 per ton of surface-mined coal, limited to 4.4% of the sales price. These rates were established in 1986. Starting in 2019, under current law, these tax rates are scheduled to be $0.50 per ton of underground-mined coal or $0.25 per ton of surface-mined coal, limited to 2% of the sales price. These are the rates that were set when the trust fund was established in 1977. The scheduled decline in the excise tax rates will likely put additional financial strain on a trust fund that already borrows from the general fund to meet obligations. The decline in domestic coal production, recent increases in the rate of CWP, and bankruptcies in the coal sector also contribute to the financial strain on the trust fund. Coal Excise Tax Collections The Black Lung Disability Trust Fund and associated excise tax on coal were established so that the coal industry, as opposed to taxpayers in general, would bear the burden associated with providing black lung benefits. Throughout its history, the Black Lung Source: IRS SOI Bulletin Historical Table 20, available at Disability Trust Fund has not raised revenues https://www.irs.gov/statistics/soi-tax-stats-historical-table-20; and sufficient to meet obligations. As a result, at Department of the Treasury, Bureau of the Fiscal Service, Treasury various points in time, Congress and the Bulletin, March 2018, pp. 90-91, http://www.fiscal.treasury.gov. President have acted to increase the excise tax on coal, forgive or refinance trust fund debt, and modify black lung benefits eligibility. With the rate of the excise tax on coal scheduled to fall in 2019, the 115th Congress may again evaluate options for improving the fiscal condition of the Black Lung Disability Trust Fund, or other issues related to providing federal benefits to miners with black lung disease. Congressional Research Service The Black Lung Program Contents Federal Black Lung Program........................................................................................................... 1 Black Lung Disease................................................................................................................... 1 Federal Black Lung Program .................................................................................................... 3 Part B......................................................................................................................................... 3 Part C......................................................................................................................................... 3 Operator Responsibility ...................................................................................................... 4 Federal Payment of Benefits and Expenses ........................................................................ 4 Eligibility for Black Lung Benefits ........................................................................................... 5 Clinical and Legal Pneumoconiosis .................................................................................... 5 Eligibility Presumptions...................................................................................................... 6 Black Lung Program Benefits ................................................................................................... 8 Medical Benefits ................................................................................................................. 8 Disability Benefits .............................................................................................................. 8 Survivors’ Benefits............................................................................................................ 10 Black Lung Disability Trust Fund Revenues ..................................................................................11 Excise Tax on Coal ...................................................................................................................11 Legislative History ............................................................................................................ 13 Borrowing and Debt ................................................................................................................ 14 Other Revenue Sources ........................................................................................................... 15 Fines, Penalties, and Interest ............................................................................................. 15 Collection from Responsible Mine Operators .................................................................. 16 Financial Condition and Outlook .................................................................................................. 16 Policy Issues and Options .............................................................................................................. 17 Revenue Options ..................................................................................................................... 17 Change the Coal Excise Tax ............................................................................................. 18 Modify Coal Industry Tax Benefits .................................................................................. 18 Provide Additional General Fund Revenue ...................................................................... 18 Forgive Trust Fund Interest or Debt ........................................................................................ 19 Expenditure Options................................................................................................................ 20 Reduce Benefit Amounts .................................................................................................. 20 Restrict Benefit Eligibility ................................................................................................ 21 Increase the Ability of the Federal Government to Recover Benefit Costs from Responsible Operators ................................................................................................... 22 Figures Figure 1. Black Lung Part C Benefit Costs ................................................................................... 10 Figure 2. Black Lung Part C Beneficiaries .....................................................................................11 Figure 3. Coal Excise Tax Collections .......................................................................................... 12 Figure 4. Black Lung Disability Trust Fund Debt ......................................................................... 15 Figure 5. Black Lung Disability Trust Fund: Revenues and Expenses ......................................... 17 Figure 6. Projected Debt Outstanding with Various Policy Options, 2050 ................................... 20 Congressional Research Service The Black Lung Program Tables Table 1. Eligibility Presumptions Provided in the BLBA, as Amended by Section 1556 of the Affordable Care Act (ACA) .................................................................................................... 8 Table 2. Monthly Black Lung Benefit Amounts for CY2018 ......................................................... 9 Contacts Author Contact Information .......................................................................................................... 22 Congressional Research Service The Black Lung Program he federal government pays benefits to coal miners affected by coal workers’ pneumoconiosis (CWP, commonly referred to as black lung disease) and other lung diseases linked to coal mining in cases where the responsible mine operators are not able to pay. Benefit payments and related administrative expenses are paid out of the Black Lung Disability Trust Fund. The primary source of revenue for the trust fund is an excise tax on coal produced and sold domestically. If excise tax revenue is not sufficient to finance Black Lung Program benefits, the trust fund may borrow from the general fund of the Treasury, which contains federal receipts not earmarked for a specific purpose. T For 2018, the tax rates on coal are $1.10 per ton of underground-mined coal or $0.55 per ton of surface-mined coal, limited to 4.4% of the sales price. Starting in 2019, under current law, these tax rates are scheduled to be $0.50 per ton of underground-mined coal or $0.25 per ton of surfacemined coal, limited to 2% of the sales price. The scheduled decline in the excise tax rates will likely put additional financial strain on a trust fund that already borrows from the general fund to meet obligations. The decline in domestic coal production, recent increases in the rate of CWP, and bankruptcies in the coal sector also contribute to the financial strain on the trust fund.1 This report provides background information and policy options to help inform the debate surrounding the coal excise tax rate, and other considerations related to the Black Lung Disability Trust Fund. The report begins with an overview of the federal black lung program, providing information on black lung disease and benefits under the program. The report proceeds to examine Black Lung Disability Trust Fund revenues, focusing on the coal excise tax and its history. The report closes with a discussion of policy options, evaluating various revenue- and benefits-related policy options that could improve the fiscal outlook of the Black Lung Disability Trust Fund. Federal Black Lung Program The Black Lung Disability Trust Fund is used to finance the payment of federal Black Lung Program benefits under Part C of the Black Lung Benefits Act (BLBA) when a responsible coal operator does not meet its obligations under the law to pay benefits. Black Lung Disease Coal workers’ pneumoconiosis (CWP, commonly referred to as black lung disease) is an interstitial lung disease caused by the inhalation of coal dust.2 Like in other types of pneumoconioses, the inhalation of coal dust results in the scarring of the lung tissue and affects the gas-exchanging ability of the lungs to remove carbon dioxide and take oxygen into the bloodstream.3 Exposure to coal dust over an extended period of time can lead to CWP and continued exposure can lead to the progression from the early stages of CWP referred to as “simple CWP,” to more advanced stages of scarring referred to as “complicated CWP” or progressive massive fibrosis (PMF). There is no cure for CWP and PMF. CWP can lead to loss of 1 For general information on the U.S. coal industry, see CRS Report R44922, The U.S. Coal Industry: Historical Trends and Recent Developments, by (name redacted) . 2 For additional information on CWP, see the website of the National Institute for Occupational Safety and Health (NIOSH) at https://www.cdc.gov/niosh/topics/cwhsp/coalminingrelatedrespiratorydiseases.html. 3 Other types of pneumoconioses include silicosis caused by the inhalation of silica dust, and asbestosis caused by the inhalation of asbestos fibers. For additional information on pneumoconioses, see the website of NIOSH at https://www.cdc.gov/niosh/topics/pneumoconioses/. Congressional Research Service 1 The Black Lung Program lung function, the need for lung transplantation, and premature death. CWP can be identified by observing light spots, or opacities, in x-ray images of the lungs and can be classified using guidelines established by the International Labour Organization (ILO).4 Despite technological advances in mining dust control, mandatory chest x-rays for miners,5 free CWP surveillance offered to miners by the National Institute for Occupational Safety and Health (NIOSH),6 the enactment of numerous pieces of mine safety and health legislation,7 and the promulgation and enforcement of mine safety and health standards by the Mine Safety and Health Administration (MSHA),8 CWP persists in American coal miners, especially those in the Appalachian region. After reductions in rates of PMF in the 1990s, this advanced form of CWP has recently been found in Central Appalachia at rates not seen since the early 1970s.9 In 2017 researchers discovered, among coal miners mostly living in Kentucky and Virginia and served by three federally funded Black Lung Clinics in Virginia,10 what may be the largest cluster of PMF ever recorded.11 This cluster of miners with PMF includes a relatively high number of miners with less than 20 years of mining experience as well as cases of PMF in current miners. The occurrence of this advanced stage of CWP in short-tenured and current miners is noteworthy since MSHA standards require that any miner with evidence of CWP be given the option, without loss of compensation or other penalty, to work in an area of the mining operation in which the average concentration of coal dust in the air is continuously maintained at or below an established level that is lower than the permissible exposure level for all miners with the goal of preventing the progression of CWP.12 4 For additional information on the ILO classification system, see the website of NIOSH at https://www.cdc.gov/niosh/ topics/chestradiography/ilo.html. 5 Federal law at 30 U.S.C. § 843(a) requires that each miner new to coal mining be given a free chest x-ray within 18 months of starting work, a follow-up x-ray within three years of the first x-ray, and if the follow-up x-ray shows evidence of CWP, an additional chest x-ray within two years of the follow-up x-ray. 6 For additional information on the NIOSH Coal Workers’ Health Surveillance Program, see the NIOSH website at https://www.cdc.gov/niosh/topics/cwhsp/default.html. 7 The major pieces of enacted coal mine safety and health legislation are the Federal Coal Mine Safety and Health Act of 1969 (P.L. 91-73), the Federal Mine Safety and Health Amendments Act of 1977 (P.L. 95-164), and the Mine Improvement and New Emergency Response Act of 2006 (MINER Act, P.L. 109-236). 8 The MSHA standards for underground coal mine safety and health are published in Chapter 1, Subchapter O, of Part 30 of the C.F.R. In 2015, MSHA revised its standards on exposure to respirable coal dust to lower exposure limits for coal miners (Mine Safety and Health Administration, “Lowering Miners’ Exposure to Respirable Coal Mine Dust, Including Continuous Personal Dust Monitors,” 79 Federal Register 24813, May 1, 2014). 9 David J. Blackley, Cara N. Halldin, and A. Scott Laney, “Resurgence of a Debilitating and Entirely Preventable Respiratory Disease among Working Coal Miners,” American Journal of Respiratory and Critical Care Medicine, vol. 190, no. 6 (September 15, 2014), pp. 708-709; and David J. Blackley, James B. Crum, Cara N. Halldin, et al., “Resurgence of Progressive Massive Fibrosis in Coal Miners-Eastern Kentucky, 2016,” Morbidity and Mortality Weekly Report, vol. 65, no. 49 (December 16, 2016), pp. 1385-1389. 10 Federal Black Lung Clincs are medical clinics that provide screening and treatment for CWP regardless of a miner’s ability to pay. Federal Black Lung Clinics are supported by grants from the Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) as authorized by 30 U.S.C. §937. 11 David J. Blackley, Laura E. Reynolds, Connie Short, et al., “Progressive Massive Fibrosis in Coal Miners from Three Clinics in Virginia,” Journal of the American Medical Association, vol. 319, no. 5 (February 6, 2018), pp. 500-501. 12 30 C.F.R. §90.3. The concentration limits of respirable coal dust are 1.5 milligrams per cubic meter (mg/m3) of air for all miners and 0.5 mg/m3 for miners with evidence of CWP. Congressional Research Service 2 The Black Lung Program Federal Black Lung Program The federal Black Lung Program was created in 1969 with the enactment of Title IV of the Federal Coal Mine Health and Safety Act of 1969 (Coal Act, P.L. 91-173, later renamed the Coal: Background and Policy Options Updated January 18, 2019 (R45261) Jump to Main Text of Report

Contents

Summary

The federal government pays benefits to coal miners affected by coal workers' pneumoconiosis (CWP, commonly referred to as black lung disease) and other lung diseases linked to coal mining in cases where responsible mine operators are not able to pay. In 2019, the monthly benefit for a miner with no dependents is $660.10. Benefits can be as much as $1,320.10 per month for miners with three or more dependents. Medical benefits are provided separately from disability benefits. Benefit payments and related administrative expenses in cases in which the responsible operators do not pay are paid out of the Black Lung Disability Trust Fund. The primary source of revenue for the trust fund is an excise tax on coal produced and sold domestically. If excise tax revenue is not sufficient to finance Black Lung Program benefits, the trust fund may borrow from the general fund of the Treasury.

For 2018, the tax rates on coal were $1.10 per ton of underground-mined coal or $0.55 per ton of surface-mined coal, limited to 4.4% of the sales price. These rates were established in 1986. Starting in 2019, under current law, these tax rates are $0.50 per ton of underground-mined coal or $0.25 per ton of surface-mined coal, limited to 2% of the sales price. These are the rates that were set when the trust fund was established in 1977.

The decline in the excise tax rates will likely put additional financial strain on a trust fund that already borrows from the general fund to meet obligations. The decline in domestic coal production, recent increases in the rate of CWP, and bankruptcies in the coal sector also contribute to the financial strain on the trust fund.

The Black Lung Disability Trust Fund and associated excise tax on coal were established so that the coal industry, as opposed to taxpayers in general, would bear the burden associated with providing black lung benefits. Throughout its history, the Black Lung Disability Trust Fund has not raised revenues sufficient to meet obligations. As a result, at various points in time, Congress and the President have acted to increase the excise tax on coal, forgive or refinance trust fund debt, and modify black lung benefits eligibility. With the rate of the excise tax on coal reduced in 2019, the 116th Congress may again evaluate options for improving the fiscal condition of the Black Lung Disability Trust Fund, or other issues related to providing federal benefits to miners with black lung disease.

The federal government pays benefits to coal miners affected by coal workers' pneumoconiosis (CWP, commonly referred to as black lung disease) and other lung diseases linked to coal mining in cases where the responsible mine operators are not able to pay. Benefit payments and related administrative expenses are paid out of the Black Lung Disability Trust Fund. The primary source of revenue for the trust fund is an excise tax on coal produced and sold domestically. If excise tax revenue is not sufficient to finance Black Lung Program benefits, the trust fund may borrow from the general fund of the Treasury, which contains federal receipts not earmarked for a specific purpose.

For 2018, the tax rates on coal were $1.10 per ton of underground-mined coal or $0.55 per ton of surface-mined coal, limited to 4.4% of the sales price. Starting in 2019, under current law, these tax rates are $0.50 per ton of underground-mined coal or $0.25 per ton of surface-mined coal, limited to 2% of the sales price. This decline in the excise tax rates will likely put additional financial strain on a trust fund that already borrows from the general fund to meet obligations. The decline in domestic coal production, recent increases in the rate of CWP, and bankruptcies in the coal sector also contribute to the financial strain on the trust fund.1

This report provides background information and policy options to help inform the debate surrounding the coal excise tax rate, and other considerations related to the Black Lung Disability Trust Fund. The report begins with an overview of the federal black lung program, providing information on black lung disease and benefits under the program. The report proceeds to examine Black Lung Disability Trust Fund revenues, focusing on the coal excise tax and its history. The report closes with a discussion of policy options, evaluating various revenue- and benefits-related policy options that could improve the fiscal outlook of the Black Lung Disability Trust Fund.

Federal Black Lung Program

The Black Lung Disability Trust Fund is used to finance the payment of federal Black Lung Program benefits under Part C of the Black Lung Benefits Act (BLBA) when a responsible coal operator does not meet its obligations under the law to pay benefits.

Black Lung Disease

Coal workers' pneumoconiosis (CWP, commonly referred to as black lung disease) is an interstitial lung disease caused by the inhalation of coal dust.2 Like in other types of pneumoconioses, the inhalation of coal dust results in the scarring of the lung tissue and affects the gas-exchanging ability of the lungs to remove carbon dioxide and take oxygen into the bloodstream.3 Exposure to coal dust over an extended period of time can lead to CWP and continued exposure can lead to the progression from the early stages of CWP referred to as "simple CWP," to more advanced stages of scarring referred to as "complicated CWP" or progressive massive fibrosis (PMF). There is no cure for CWP and PMF. CWP can lead to loss of lung function, the need for lung transplantation, and premature death. CWP can be identified by observing light spots, or opacities, in x-ray images of the lungs and can be classified using guidelines established by the International Labour Organization (ILO).4

Despite technological advances in mining dust control, mandatory chest x-rays for miners,5 free CWP surveillance offered to miners by the National Institute for Occupational Safety and Health (NIOSH),6 the enactment of numerous pieces of mine safety and health legislation,7 and the promulgation and enforcement of mine safety and health standards by the Mine Safety and Health Administration (MSHA),8 CWP persists in American coal miners, especially those in the Appalachian region. After reductions in rates of PMF in the 1990s, this advanced form of CWP has recently been found in Central Appalachia at rates not seen since the early 1970s.9 In 2017 researchers discovered, among coal miners mostly living in Kentucky and Virginia and served by three federally funded Black Lung Clinics in Virginia,10 what may be the largest cluster of PMF ever recorded.11

This cluster of miners with PMF includes a relatively high number of miners with less than 20 years of mining experience as well as cases of PMF in current miners. The occurrence of this advanced stage of CWP in short-tenured and current miners is noteworthy since MSHA standards require that any miner with evidence of CWP be given the option, without loss of compensation or other penalty, to work in an area of the mining operation in which the average concentration of coal dust in the air is continuously maintained at or below an established level that is lower than the permissible exposure level for all miners with the goal of preventing the progression of CWP.12

Federal Black Lung Program The federal Black Lung Program was created in 1969 with the enactment of Title IV of the Federal Coal Mine Health and Safety Act of 1969 (Coal Act, P.L. 91-173, later renamed the
Federal Mine Safety and Health Act of 1977 by P.L. 95-164). Section 401 of the Coal Act provides the congressional justification for the federal Black Lung Program and cites the lack of benefits for disability and death caused by CWP provided by existing state workers' compensation systems as justification for the creation of a federal program. This section also states that the program is intended to be a cooperative effort between the federal government and the states. The Coal Act also established mandatory safety and health standards for coal mines, including standards limiting exposure of miners to coal dust and giving miners with CWP the option of being moved, without loss of compensation or penalty, to an area of the mine with lower dust concentrations. The Coal Act was later amended by the Black Lung Benefits Act of 1972 (BLBA, P.L. 92-303). Part B Part B The Coal Act established Part B of the federal Black Lung Program to provide cash benefits to miners totally disabled due to CWP and to the survivors of miners who die from CWP.1313 Part B only applies to cases filed on or before December 31, 19721973. Part B benefits are paid out of general revenue and were initially administered by the Social Security Administration (SSA). Today, with the exception of a small number of pending appellate cases, Part B benefits are administered by the Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP). Part C Part C The Coal Act established Part C of the Federal Black Lung Program for cases filed after December 31, 19721973, and was later amended by the BLBA. Under Part C of the BLBA, all claims for benefits for disability or death due to CWP are to be filed with each state's workers' compensation system, but only if such systems have been determined by DOL as providing benefits that are equivalent to or greater than the cash benefits provided by the federal government under Part B of the BLBA and the medical benefits provided to disabled longshore and harbor workers under the federal Longshore and Harbor Workers' Compensation Act (LHWCA).1414 If a state's workers' compensation system is not determined by DOL to meet these standards, then Part C benefits are to be paid by the each miner's coal employer, or, if no such employer is available to pay benefits, by the federal government. In 1973, Maryland, Kentucky, Virginia, and West Virginia submitted their state workers' compensation laws to DOL for approval, but were denied.1515 To date, no state workers’ compensation system has been approved by DOL under Part C of the BLBA. 13 While Part B did not originally include medical benefits, these benefits are now available to Part B claimants under Part C and are paid by the responsible mine operators or the Black Lung Disability Trust Fund. 14 For additional information on the LHWCA, see CRS Report R41506, The Longshore and Harbor Workers’ Compensation Act (LHWCA): Overview of Workers’ Compensation for Certain Private-Sector Maritime Workers, by (name redacted) . 15 Peter S. Barth, The Tragedy of Black Lung: Federal Compensation for Occupational Disease (Kalamazoo, MI: W.E. Upjohn Institute for Employment Research, 1987), p. 196. Congressional Research Service 3 The Black Lung Program Operator Responsibility Because no state’s workers’' compensation system has been approved by DOL under Part C of the BLBA. Operator Responsibility Because no state's workers' compensation system has been determined to be sufficient to pay benefits under Part C, each operator of an underground coal mine is responsible for the payment of benefits to that operator's miners. Operators are required to provide for these benefits either by purchasing insurance for benefits or through self-insurance approved by DOL. A self-insured operator is required to purchase an indemnity bond or provide another form of security (such as a deposit of negotiable securities in a Federal Reserve Bank or the establishment of a trust) in an amount specified by DOL. In order to be approved for self-insurance, federal regulations require that a mine operator have been in business for at least the three previous years and have average assets over the previous three years that exceed current liabilities by the sum of expected benefit payments and annual premiums on the indemnity bond.16 16 When a claim for benefits is approved, benefits are to be paid by the “responsible”"responsible" operator, which is generally the last coal operator to employ the miner.1717 If a company has acquired the assets of a mine operator, then that company is considered a "successor operator" and is responsible for the payment of claims related to the original operator.18 18 Federal Payment of Benefits and Expenses The federal government pays benefits in cases in which the responsible operator no longer exists and has no successor operator, or is unable to pay benefits. The federal government pays benefits when an operator has not made payment within 30 days of a determination of eligibility or when benefits are otherwise due to be paid. Initially, under Part C of the Coal Act, these federal benefits were paid out of general revenue. However, pursuant to the Black Lung Benefits Revenue Act of 1977 (P.L. 95-227), these benefits are now paid from the Black Lung Disability Trust Fund established by this law and primarily financed by an excise tax on coal. If a responsible operator can later be identified, the trust fund is authorized by law to seek to recover from this operator the amount of benefits paid by the trust fund and any interest earned on these amounts. The trust fund is also used for the following federal Black Lung Program-related expenses:      the payment of benefits for miners whose last coal mine employment was before January 1, 1970; reimbursement to the Treasury for the costs of Part C benefits paid from general revenue before April 1, 1978, for periods of benefit eligibility after January 1, 1974; the repayment and payment of interest on advances made from the general fund to the trust fund; the payment of administrative expenses related to Part C of the BLBA and the coal excise tax incurred after March 1, 1978; and the reimbursement of coal operators who paid Part C benefits before April 1, 1978, for miners whose last coal mine employment ended before January 1, 1970.19 16 20 C.F.R. §726.101. 20 C.F.R. §725.495. 18 20 C.F.R. §725.492. 19 26 U.S.C. §9501(d). 17 Congressional Research Service 4 The Black Lung Program 1970.19Eligibility for Black Lung Benefits A miner is eligible for benefits if that miner is totally disabled due to pneumoconiosis arising out of coal mine employment. The survivors of a miner are eligible for benefits if the miner's death was due to pneumoconiosis arising out of coal mine employment. Benefits are only available to miners and their survivors. The BLBA defines a miner as any individual who works or has worked in or around a coal mine or coal preparation facility in the extraction or preparation of coal. Such term also includes an individual who works or has worked in coal mine construction or transportation in or around a coal mine, to the extent such individual was exposed to coal dust as a result of such employment.20 20 Thus, other workers who may be exposed to coal dust in their work, such as railroad workers or workers at coal-fired power plants are not eligible for benefits. Persons who live near coal mines or power plants are also not eligible for benefits even if they are exposed to coal dust. In addition, while a miner's family members may receive benefits as survivors and the number of family members can increase the amount of a miner's monthly benefits, family members may not claim benefits on their own due to exposure to coal dust in the home such as from cleaning the miner’s 's soiled clothing. The BLBA defines pneumoconiosis for the purposes of benefit eligibility as "a chronic dust disease of the lung and its sequelae, including respiratory and pulmonary impairments, arising out of coal mine employment.”21"21 The BLBA directs the Secretary of Labor to develop, through regulations, standards for determining if a miner is totally disabled due to pneumoconiosis or died due to pneumoconiosis.22 22 Clinical and Legal Pneumoconiosis The federal Black Lung Program regulations provide that the definition of pneumoconiosis includes medical or “clinical”"clinical" pneumoconiosis and statutory or “legal”"legal" pneumoconiosis. Clinical pneumoconiosis is defined as follows: "Clinical pneumoconiosis" consists of those diseases recognized by the medical community as pneumoconioses, i.e., the conditions characterized by permanent deposition of substantial amounts of particulate matter in the lungs and the fibrotic reaction of the lung tissue to that deposition caused by dust exposure in coal mine employment. This definition includes, but is not limited to, coal workers' pneumoconiosis, anthracosilicosis, anthracosis, anthrosilicosis, massive pulmonary fibrosis, silicosis or silicotuberculosis, arising out of coal mine employment.23 23 Legal pneumoconiosis is defined as any chronic lung disease or impairment and its sequelae arising out of coal mine employment. This definition includes, but is not limited to, any chronic restrictive or obstructive pulmonary disease arising out of coal mine employment.24 20 30 U.S.C. §902(d). 30 U.S.C. §902(b). 22 30 U.S.C. §921(b). These regulations are at 20 C.F.R.§§ 718.201-718.206. 23 20 C.F.R. §718.201(a)(1). 24 20 C.F.R. §718.201(a)(2). 21 Congressional Research Service 5 The Black Lung Program 24 Through these definitions, DOL has established that benefits are available not just to miners with CWP, but also to those miners with other respiratory diseases arising out of coal mine employment such as chronic obstructive pulmonary disease (COPD) even though these diseases are not pneumoconioses and may be linked to other factors unrelated to exposure to coal dust such as cigarette smoking.25 Eligibility Presumptions 25 Eligibility Presumptions The BLBA contains five presumptions used to determine if a miner is eligible for black lung benefits.2626 Three of these presumptions are "rebuttable," meaning that, in the absence of any contrary evidence, eligibility is presumed. One presumption is “irrebutable”"irrebutable" and eligibility for Black Lung program benefits is established if the statutory requirements of the presumption are met. Three of these presumptions apply to current Black Lung Program claims while two apply only to cases filed before the end of 1981. Table 1 provides a summary of the following five presumptions provided by the BLBA.27 271. A rebuttable presumption that the pneumoconiosis of a miner who was employed in mining for at least 10 years was caused by his or her employment. 2. A rebuttable presumption that the death of a miner who worked in mining for at least 10 years and who died of any respirable disease, was due to pneumoconiosis. This presumption does not apply to claims filed on or after January 1, 1982, the effective date of the Black Lung Benefits Amendments of 1981 (P.L. 97-119). ). 3. An irrebuttable presumption that a miner with any chronic lung disease which meets certain statutory tests or diagnoses is totally disabled due to pneumoconiosis or died due to pneumoconiosis. 4. A rebuttable presumption that a miner employed in mining for at least 15 years, and who has a chest x-ray that is interpreted as negative with respect to certain statutory standards but who has other evidence of a totally disabling respiratory or pulmonary impairment, is totally disabled due to pneumoconiosis or died due to pneumoconiosis. This presumption may only be rebutted by the Secretary of Labor establishing that the miner does not or did not have pneumoconiosis or that the miner's respiratory or pulmonary impairment did not arise out of connection to mine employment. 5. A presumption that a miner who died on or before March 1, 1978, and who was employed in mining for at least 25 years before June 30, 1971, died due to pneumoconiosis, unless it is established that at the time of the miner's death, he or she was not at least partially disabled due to pneumoconiosis. This presumption does not apply to claims filed on or after June 29, 1982, which is 25 For example, deaths due to COPD are strongly linked to cigarette smoking. The Centers for Disease Control and Prevention (CDC) estimated an average of 114,462 annual deaths due to COPD in the form of bronchitis, emphysema, and chronic airway obstruction during the period between 1997 and 2001 in the United States. Of these deaths, 79.1% were attributable to cigarette smoking (Centers for Disease Control and Prevention, “Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses-United States, 1997-2001,” Morbidity and Mortality Weekly Report, vol. 54, no. 25 (July 1, 2005), pp. 625-628). 26 30 U.S.C. §921(c). 27 The presumption number corresponds to the paragraph number in Subsection (c) of Section 411 of the Black Lung Benefits Act [30 U.S.C. §921(c)]. Congressional Research Service 6 The Black Lung Program presumption does not apply to claims filed on or after June 29, 1982, which is 180 days after the effective date of the Black Lung Benefits Amendments of 1981. This presumption is not listed in the law as either rebuttable or irrebuttable. Affordable Care Act Amendments The Patient Protection and Affordable Care Act (commonly referred to as the Affordable Care Act (ACA), P.L. 111-148) included two provisions that amended the BLBA to reinstate one of the eligibility presumptions and a provision affecting survivors' benefits. The effect of these changes was to increase the opportunity to establish eligibility through the statutory presumptions and make it easier for certain survivors to receive benefits. Pursuant to Section 202(a) of the Black Lung Benefits Amendments of 1981, the fourth presumption did not apply to cases filed on or after January 1, 1982. Section 1556(a) of the ACA removed the prohibition on applying the fourth presumption to cases filed on or after January 1, 1982. It is expected that this ACA provision will increase the number of miners eligible for benefits. The BLBA provides that, for Part C claims, the survivors of a miner who was determined to be eligible to receive benefits at the time of his or her death are not required to file new claims for benefits or revalidate any claim for benefits, thus permitting the payment of survivors' benefits in these cases even if the miner's death was not caused by pneumoconiosis.2828 Pursuant to Section 203(a)(6) of the Black Lung Benefits Amendments of 1981, this provision did not apply to claims filed on or after January 1, 1982. Section 1556(b) of the ACA removed from this provision the exception for claims filed on or after January 1, 1982. It is expected that this ACA provision will increase the number of survivors eligible for benefits. The amendments to the BLBA provided in Section 1556 of the ACA apply to any claims filed under Part B or C of the act after January 1, 2005, that were pending on or after March 23, 2010, the date of enactment of the ACA. 28 30 U.S.C. §932(l). Congressional Research Service 7 The Black Lung Program Table 1. Eligibility Presumptions Provided in the BLBA, as Amended by Section 1556 of the Affordable Care Act (ACA) Presumption Numbera Type of Presumption Minimum Number of Years of Mine Employment Basic Presumption Exception 1 Rebuttable 10 If a miner has pneumoconiosis, then pneumoconiosis was caused by employment None 2 Rebuttable 10 If death was from respirable disease, then death was due to pneumoconiosis Does not apply to claims filed on or after January 1, 1982 3 Irrebuttable None If a miner has chronic dust disease of the lung which meets statutory standards, then he or she is totally disabled due to pneumoconiosis or died due to pneumoconiosis None 4 Rebuttable 15 If a miner has negative chest roentgenogram, but has other evidence of respiratory or pulmonary impairment, then he or she is totally disabled due to pneumoconiosis or died due to pneumoconiosis Noneb 5 —c 25, before June 30, 1971 If a miner died before March 1, 1978, then miner died due to pneumoconiosis, unless it is established that the miner did not have at least a partial disability due to pneumoconiosis at the time of death Does not apply to claims filed on or after June 29, 1982 Source: Congressional Research Service (CRS). a. The presumption number corresponds to the paragraph number in Subsection (c) of Section 411 of the Black Lung Benefits Act [30 U.S.C. §921(c)] and listed in this report. b. Prior to the enactment of the ACA, this presumption did not apply to claims filed on or after January 1, 1982. c. This presumption is not listed in the law as either rebuttable or irrebuttable. Black Lung Program Benefits Medical Benefits Eligible miners receiving benefits under Parts B and C are entitled to medical coverage for their pneumoconiosis and related disability. This medical coverage is provided at no cost to the miner and can generally be obtained from the miner’s choice of medical providers. Disability Benefits Eligible miners are also entitled to cash disability benefits. The basic benefit rate is set at 37.5% of the basic pay rate at GS-2, Step 1, on the federal pay schedule without any locality Congressional Research Service 8 The Black Lung Program adjustment.29 If the miner has one dependent (a spouse or minor child) the miner is eligible for a benefit of 150% of the basic benefit. A miner with two dependents is eligible for 175% of the basic benefit and a miner with three or more dependents is eligible for 200% of the basic benefit. Benefits may also be paid to the divorced spouse of a miner if the marriage lasted at least 10 years and the divorced spouse was dependent on the miner for at least half of the spouse’s support at the time of the miner’s disability. A child is considered a dependent until the child marries, or reaches age 18, unless the child is either disabled using the Social Security Disability Insurance (SSDI) definition of disability or is under the age of 23 and a full-time student.30 The benefit rates are adjusted whenever there are changes to the federal employee pay schedules, but are not Presumption Numbera

Type of Presumption

Minimum Number of Years of Mine Employment

Basic Presumption

Exception

1

Rebuttable

10

If a miner has pneumoconiosis, then pneumoconiosis was caused by employment

None

2

Rebuttable

10

If death was from respirable disease, then death was due to pneumoconiosis

Does not apply to claims filed on or after January 1, 1982

3

Irrebuttable

None

If a miner has chronic dust disease of the lung which meets statutory standards, then he or she is totally disabled due to pneumoconiosis or died due to pneumoconiosis

None

4

Rebuttable

15

If a miner has negative chest roentgenogram, but has other evidence of respiratory or pulmonary impairment, then he or she is totally disabled due to pneumoconiosis or died due to pneumoconiosis

Noneb

5

c

25, before June 30, 1971

If a miner died before March 1, 1978, then miner died due to pneumoconiosis, unless it is established that the miner did not have at least a partial disability due to pneumoconiosis at the time of death

Does not apply to claims filed on or after June 29, 1982

Source: Congressional Research Service (CRS).

a. The presumption number corresponds to the paragraph number in Subsection (c) of Section 411 of the Black Lung Benefits Act [30 U.S.C. §921(c)] and listed in this report.

b. Prior to the enactment of the ACA, this presumption did not apply to claims filed on or after January 1, 1982.

c. This presumption is not listed in the law as either rebuttable or irrebuttable. Black Lung Program Benefits Medical Benefits

Eligible miners receiving benefits under Parts B and C are entitled to medical coverage for their pneumoconiosis and related disability. This medical coverage is provided at no cost to the miner and can generally be obtained from the miner's choice of medical providers.

Disability Benefits Eligible miners are also entitled to cash disability benefits. The basic benefit rate is set at 37.5% of the basic pay rate at GS-2, Step 1, on the federal pay schedule without any locality adjustment.29 If the miner has one dependent (a spouse or minor child) the miner is eligible for a benefit of 150% of the basic benefit. A miner with two dependents is eligible for 175% of the basic benefit and a miner with three or more dependents is eligible for 200% of the basic benefit. Benefits may also be paid to the divorced spouse of a miner if the marriage lasted at least 10 years and the divorced spouse was dependent on the miner for at least half of the spouse's support at the time of the miner's disability. A child is considered a dependent until the child marries, or reaches age 18, unless the child is either disabled using the Social Security Disability Insurance (SSDI) definition of disability or is under the age of 23 and a full-time student.30 The benefit rates are adjusted whenever there are changes to the federal employee pay schedules, but are not
separately adjusted to reflect changes in the cost of living. Table 2 provides the benefit rates for 2018 2019. Benefits are offset by state workers' compensation or other benefits paid on account of the miner’ miner's disability or death due to pneumoconiosis. Part C benefits, but not Part B benefits, are considered workers' compensation for the purposes of reducing a miner's SSDI benefits.31 31 Table 2. Monthly Black Lung Benefit Amounts for CY2018 Category Monthly Benefit Amount Claimant with no dependents $660.10 Claimant with one dependent $990.10 Claimant with two dependents $1,155,10 Claimant with three or more dependents $1,320.10 Source: Office of Worker’CY2019

Category

Monthly Benefit Amount

Claimant with no dependents

$660.10

Claimant with one dependent

$990.10

Claimant with two dependents

$1,155,10

Claimant with three or more dependents

$1,320.10

Source: Office of Worker'
s Compensation Programs (OWCP) website at https://www.dol.gov/owcp/dcmwc/ regs/compliance/blbene.htm. . Notes: Benefits listed are for Part C claims, which are rounded up to the nearest 10 cents. Benefits for Part B claims are the same amount as for Part C, but rounded to the nearest dollar. The total amount paid in cash disability benefits has fallen over time, as illustrated in Figure 1. More is paid in cash disability benefits than is paid in medical benefits. 29 The 2018 General Schedule (Base) pay rates are available on the website of the Office of Personnel Management (OPM) at https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/2018/general-schedule/. 30 The SSDI definition of disability is provided at 42 U.S.C. §423 and generally requires that a person be unable to work full-time because of a disability. For additional information on SSDI and the definition of disability, see CRS In Focus IF10506, Social Security Disability Insurance (SSDI), by (name redacted) . 31 Section 224 of the Social Security Act (42 U.S.C. §424) provides that in cases in which a person receives both SSDI and workers’ compensation benefits in a given month, the amount of the monthly SSDI benefit or the workers’ compensation benefit is reduced, but not below zero, until the combined amount of the benefits equals 80% of the person’s pre-disability wage depending on the type of workers’ compensation benefit. In the case of Part C benefits, the persons’ SSDI benefit is reduced. Congressional Research Service 9 The Black Lung Program Figure 1. Black Lung Part C Benefit Costs CY2005-CY2015 Source:. More is paid in cash disability benefits than is paid in medical benefits.

Figure 1. Black Lung Part C Benefit Costs

CY2005-CY2015

Source:
Christopher F. McLaren and Marjorie L. Baldwin, Workers’Workers' Compensation: Benefits, Coverage, and Costs, (2015 Data), National Academy of Social Insurance, October 2017, p. 70, https://www.nasi.org/research/2017/ report-workers%E2%80%99-compensation-benefits-coverage-costs-%E2%80%93-2015. Survivors’ Benefits . Survivors' Benefits Certain survivors of a miner whose death was due to pneumoconiosis are eligible for cash benefits. In the case of a surviving spouse or divorced spouse, the spouse's benefit is equal to what the miner would have received and is based on the number of dependents of the spouse as provided in Table 2. If there is no surviving spouse, then benefits are awarded to the surviving minor children in equal shares. If there are no surviving minor children, then benefits can be paid to the miner's dependent parents or dependent siblings. If there are no eligible survivors, no benefits are paid upon the miner's death and benefits do not go to the miner's estate or to any other person, including a person named by the miner in a will. The number of miners and survivors receiving benefits has declined over time, as illustrated in Figure 2.

Figure 2. Black Lung Part C Beneficiaries

FY2004-FY2017

Figure 2. Congressional Research Service 10 The Black Lung Program Figure 2. Black Lung Part C Beneficiaries FY2004-FY2017 Source: Office of Workers' Compensation Programs (OWCP) website at https://www.dol.gov/owcp/dcmwc/ statistics/PartsBandCBeneficiaries.htm. Notes:. Note: Chief Beneficiary is either the miner or the miner's primary survivor. Black Lung Disability Trust Fund Revenues The primary revenue source for the Black Lung Disability Trust Fund is a per-ton excise tax on coal. Historically, the coal excise tax has not generated enough revenue to meet the trust fund’s 's obligations. Thus, additional funds have been provided from the general fund of the Treasury.32 32 The general fund includes governmental receipts not earmarked for a specific purpose, the proceeds of general borrowing, and is used for general governmental expenditures. Excise Tax on Coal Internal Revenue Code (IRC) Section 4121 imposes the black lung excise tax (BLET) on sales or use of domestically mined coal.3333 Generally, a producer that sells the coal is liable for the tax. Producers that use their own domestically mined coal, such as integrated utilities or steel companies, are also liable for the tax. The tax rate depends on how coal is mined. TheEffective January 1, 2019, the tax on underground-mined coal is the lesser of (1) $1.100.50 per ton, or (2) 4.42% of the sale price. The tax on surface-mined coal is the lesser of (1) $0.55 $0.25 per ton, or (2) 4.4% of the sales price. In FY2017, $229 million was collected on coal mined underground (see Figure 3). Nearly all of this coal was taxed at the $1.10 per ton rate. In 32 Certain excise taxes related to Blank Lung Benefit Trusts are also deposited in the Black Lung Disability Trust Fund. Generally, since very little or no amounts have been reported for these excise taxes, a discussion of these taxes has not been included in this report. Black Lung Benefit Trusts are tax-exempt trusts, as described in Internal Revenue Code (IRC) Section 501(c)(21). There are no active 501(c)(21) organizations at this time. 33 The tax does not apply to lignite (brown coal). Congressional Research Service 11 The Black Lung Program 2% of the sales price. Before 2019, the tax rates were $1.10 per ton for coal from underground mines or $0.55 per ton for coal from surface mines, with the tax being no more than 4.4% of the sale price. In FY2017, $229 million was collected on coal mined underground (see Figure 3). Nearly all of this coal was taxed at the $1.10 per ton rate. In FY2017, $200 million was collected on surface-mined coal. Just over half of this coal was taxed at the $0.55 per ton rate, with the rest subject to the 4.4% of sales price maximum tax. On January 1, 2019, the BLET rates are scheduled to decline to $0.50 per ton for coal from underground mines or $0.25 per ton for coal from surface mines, with the tax being no more than 2% of the sale price. The rates scheduled to takedeclined to their current levels. The rates that took effect January 1, 2019, would also have taken effect if the Black Lung Disability Trust Fund had repaid, with interest, all amounts borrowed from the General Fund of the Treasury. The tax is imposed on "coal from mines located in the United States" and does not apply to imported coal. The tax is designed to support the Black Lung Disability Trust Fund for domestic miners. Very little domestically consumed coal is imported. 34 34 The BLET also does not apply to exported coal under the Export Clause of the United States Constitution.3535 A credit or refund can be claimed if coal is taxed before it is exported.

Figure 3. Coal Excise Tax Collections FY1999 - FY2022 Source: Sources: IRS SOI Bulletin Historical Table 20, available at https://www.irs.gov/statistics/soi-tax-stats-historicaltable-20historical-table-20; and Department of the Treasury, Bureau of the Fiscal Service, Treasury Bulletin, March 2018, pp. 90-91, http://www.fiscal.treasury.gov. . Black lung excise tax collections have generally declined in recent years (see Figure 3). In FY2009, more than $650 million was collected from the BLET. In FY2017, collections were about $429 million. The decline in BLET collections follows the general decline in U.S. coal 34 In 2017, 731.1 million short tons of coal were consumed domestically. In that same year, coal imports to the United States totaled 7.8 million short tons. Data on coal consumption and imports is available from the Energy Information Administration (EIA), at: https://www.eia.gov/coal/data.php. 35 See IRS Notice 2000-28 and CRS Report R42780, Export Clause: Limitation on Congress’s Taxing Power, by (name redacted) . Congressional Research Service 12 The Black Lung Program production.36 production.36 As the price of coal rose in the 2000s, coal mined underground tended to pay the tax at a fixed rate of $1.10 per ton, as opposed to paying 4.4% of the sales price. In the years beyond 2018, coal excise tax receipts are expected to fall sharply, reflecting the decrease in the coal excise tax rate (see Figure 3). Legislative History ). Legislative History The excise tax on coal was established to help ensure the coal industry shared in the social costs imposed by black lung disease. Over time, the rate of the tax has been increased, in an effort to provide sufficient revenue to meet this objective. Establishing an Excise Tax on Coal The Black Lung Benefits Revenue Act of 1977 (P.L. 95-227) first imposed the Section 4121 excise tax on coal. When enacted, the tax was $0.50 per ton for coal from underground mines, and $0.25 per ton for coal from surface mines. The tax was limited to 2% of the sales price. The tax was effective for sales after March 31, 1978. Before P.L. 95-227 was enacted there was considerable debate surrounding how black lung benefits programs should be financed.3737 Various mechanisms to shift the costs of the black lung benefits program to the coal industry and its customers were considered. These debates ultimately led to the establishment of the Black Lung Disability Trust Fund and the related excise tax on coal. There was also debate about how to structure the proposed tax. Some suggested a graduated tax, with higher rates imposed on coal with a higher British thermal unit (Btu) content, as such coal was believed to be more likely to cause black lung disease.3838 There were concerns, however, that such a tax could be difficult to administer. Other proposals suggested that coal be subject to a uniform rate, with coal mined from underground deposits subject to a higher rate than other coal (including lignite). A concern with this approach was that coal prices vary substantially per ton for different types of coal (lignite is less expensive than anthracite), meaning that the tax as a percent of the sales price could differ substantially across different types of coal. One answer to this concern is to impose an ad valorem tax, or a tax based on the sales price. Another approach that was considered was to impose a "premium rate" at a level that would fully finance the Black Lung Disability Trust Fund, giving authority to the Department of Labor to adjust the fee as necessary. The tax as enacted was the lesser of the per-unit price or the ad valorem rate of 2%. Increasing the Rate of Tax In the early 1980s, it was observed that coal excise tax revenues were not sufficient to meet the trust fund's obligations. The Black Lung Benefits Revenue Act of 1981 (P.L. 97-119) doubled the excise tax rates to $1.00 per ton for coal from underground mines, and $0.50 per ton for coal from surface mines, not to exceed 4% of the sales price. The higher rates were effective January 1, 1982. The doubled rates were temporary, and scheduled to revert to the previous rates on January 36 See Energy Information Administration, Average U.S. Coal Mining Productivity Increases as Production Falls, March 7, 2018, available at https://www.eia.gov/todayinenergy/detail.php?id=35232#. 37 See U.S. Congress, Senate Committee on Finance, Tax Aspects of Black Lung Legislation, committee print, prepared by Joint Committee on Taxation and Committee on Finance, 95th Cong., June 21, 1977, JCS-35-77, available at https://www.jct.gov/publications.html?func=startdown&id=4028. 38 Ibid. Congressional Research Service 13 The Black Lung Program 1, 1996. Further, the rates could be reduced earlier if the trust fund repaid all advances and interest from the general fund of the Treasury. A stated goal of this legislation was to eliminate the Black Lung Disability Trust Fund's debt.39 39 The Consolidated Omnibus Budget Reconciliation Act of 1985 (P.L. 99-272) again increased the BLET rates to $1.10 for underground-mined coal, and $0.55 for surface-mined coal, not to exceed 4.4% of the sales price. The Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203) extended these rates through 2013. Increased excise tax rates on coal were again extended in 2008. Current-law rates were extended through 2018 as part of the Emergency Economic Stabilization Act of 2008 (EESA; P.L. 110343110-343). When extending the increased rates, Congress reiterated the original intent of establishing trust fund financing for black lung benefits, observing that it is "to reduce reliance on the Treasury and to recover costs from the mining industry.”40"40 It was also observed that the program’s 's expenses had continued to exceed revenues over time, and that the debt to the Treasury was not likely to be paid off by 2013. For these reasons, "the Congress believe[d] that it [was] appropriate to continue the tax on coal at the increased rates beyond the expiration date.”41 "41 Borrowing and Debt When receipts of the trust fund are less than expenditures, advances are appropriated from the general fund of the Treasury to the trust fund. These advances are repayable, and interest charged on these advances is also payable to the general fund.4242 The Consolidated Omnibus Budget Reconciliation Act of 1985 (P.L. 99-272) provided a five-year forgiveness of interest on debt owed to the Treasury's general fund. As a result, the principal amount of trust fund debt outstanding was relatively unchanged throughout the late 1980s.4343 The moratorium on interest payments ended September 30, 1990. Throughout the 1990s and into the 2000s, the cumulative end-of-year debt of the trust fund grew, and the trust fund continued to receive repayable advances from the general fund to cover expenses. The trust fund was subject to financial restructuring when the current excise tax rate was extended until January 1, 2019, in EESA. The Black Lung Disability Trust Fund debt was restructured in FY2009. Essentially, the partial forgiveness and restructuring allowed the trust fund to refinance outstanding repayable advances and unpaid interest on those advances. As a result of the partial forgiveness and refinancing, the cumulative debt was reduced from $10.4 billion at the end of FY2008 to $6.2 billion by the end of FY2009. At the time of the restructuring it was expected that the trust fund's debt would be fully eliminated by FY2040.4444 The trust fund's cumulative debt has trended downward since the restructuring (see Figure 4). However, coal excise tax revenue has been less than anticipated in ). However, coal excise tax revenue has been less than anticipated in For background, see CRS Report 82-59 EW, Summary and Legislative History of P.L. 97-119, “Black Lung Benefits Revenue Act of 1981,” by Barbara McClure, March 29, 1982. 40 U.S. Congress, Joint Committee on Taxation, General Explanation of Tax Legislation Enacted in the 110th Congress, 110th Cong., March 2009, JCS-1-09, p. 302. 41 Ibid. 42 Repayable advances must be repaid once there is money available in the Black Lung Disability Trust Fund for such purpose. 43 U.S. Government Accountability Office, Black Lung Benefits Program: Options for Improving Trust Fund Finances, GAO-18-351, May 2018, available at https://www.gao.gov/products/GAO-18-351. 44 Ibid. 39 Congressional Research Service 14 The Black Lung Program recent years. As a result, current projections suggest that the trust fund debt will rise over time when considering annual borrowing as well as legacy debt. The trust fund's debt is therefore not on a path to be eliminated. By FY2050, the Government Accountability Office (GAO) projects the trust fund's debt will be $15.4 billion without any changes in current policy.45 45

Figure 4. Black Lung Disability Trust Fund Debt FY1997 – FY2022 Source: Sources: CRS graphic using data from Department of the Treasury, Bureau of the Fiscal Service, Treasury Bulletin, , Annual Releases and TreasuryDirect Black Lung Disability Trust Fund Reports, Annual Releases. Notes: Data for FY1997 through FY2017 is the cumulative end-of-year debt plus repayable advances received in the fiscal year. Data for FY2018 through FY2022 are projections. The repayable advance received in FY2009 of $6.5 billion as part of debt restructuring is not included. Other Revenue Sources In addition to revenue from the BLET and repayable general fund advances, the trust fund receives revenue from the collection of certain fines, penalties, and interest paid by coal operators and miners and reimbursements from responsible operators. Fines, Penalties, and Interest Part C of the BLBA authorizes the following fines and penalties for violations of the act:  45 46 a civil penalty of up to $1,000 per day for a mine operator's failure to secure benefits through insurance or approved self-insurance;46 Ibid. 30 U.S.C. §933(d)(1). Congressional Research Service 15 The Black Lung Program    46 a fine of up to $1,000 upon conviction of the misdemeanor offense of knowingly destroying or transferring property of a mine operator with the intent to avoid the payment of benefits for which the mine operator is responsible;47 47 a fine of up to $1,000 upon conviction of the misdemeanor offense of making a false or misleading statement or representation for the purposes of obtaining benefits;48 and 48 and a civil penalty of up to $500 for a mine operator's failure to file a report on miners who are or may be entitled to benefits as required by DOL.49 49The amount of these penalties and fines, as well as interest assessed, is paid into the trust fund. In FY2017, trust fund receipts from fines, penalties, and interest totaled $1.2 million. This is a small source of trust fund revenue relative to the coal excise tax, which generated $428.7 million in trust fund revenues in FY2017.50 50 Collection from Responsible Mine Operators The trust fund is authorized to begin paying benefits within 30 days if no responsible operator has begun payment. If, after paying benefits, DOL is able to identify a responsible operator, the trust fund may seek to collect from that operator the costs of benefits already paid by the trust fund and interest assessed on this amount.5151 The amount of these collections is paid into the trust fund. In FY2017, $19.9 million was collected from responsible mine operators. The amount collected from responsible mine operators has fluctuated over time, but has averaged about 1% of total receipts since 1995.52 52 Financial Condition and Outlook Various factors have contributed to the ongoing situation of trust fund expenditures exceeding trust fund revenues. Throughout the 1980s, black lung benefit payments and administrative expenditures exceeded trust fund revenue. As a result, the trust fund accumulated debt. As discussed above, over time, various efforts have been made to improve the fiscal condition of the trust fund. However, as of the end of FY2017, the trust fund remains in debt. The trust fund’s 's cumulative debt at the end of FY2017 was $3.1 billion.5353 The trust fund also borrowed $1.3 billion from the general fund that same year. Projections suggest that borrowing from the general fund will increase over the next few years, even as cumulative (or legacy) debt is paid down. IfUnder the current excise tax rates decrease as scheduled under current law, benefit payments and administrative expenses will be approximately equal to trust fund revenues in FY2020 through FY2022 (see Figure 5). However, revenues are not projected to be sufficient to repay debt, and expenses are projected to rise over time when debt and interest 47 30 U.S.C. §933(d)(2). This offense can also result in imprisonment for up to one year. 38 U.S.C. § 941. This offense can also result in imprisonment for up to one year. 49 38 U.S.C. § 942. 50 Department of the Treasury, Bureau of the Fiscal Service, Treasury Bulletin, March 2018, pp. 90-91, http://www.fiscal.treasury.gov. 51 38 U.S.C. § 934(b). 52 Department of the Treasury, Bureau of the Fiscal Service, Treasury Bulletin, annual editions. 53 Department of the Treasury, Bureau of the Fiscal Service, Treasury Bulletin, March 2018, pp. 90-91, http://www.fiscal.treasury.gov. 48 Congressional Research Service 16 The Black Lung Program expenses are included. Specifically, by FY2022, it is projected that the trust fund will borrow $2.6 billion in repayable advances from the general fund.54 54

Figure 5. Black Lung Disability Trust Fund: Revenues and Expenses FY1995 – FY2022 Source: CRS graphic using data from the Department of the Treasury, Bureau of the Fiscal Service, Treasury BulletinTreasury Bulletin, Annual Releases. Notes: Revenues includes excise tax receipts; receipts reported on the Form 990BL files by 501(c)(21) black lung trusts; fines, penalties, and interest; collection from responsible mine operators; and recovery of prior year funds. Expenses include Treasury administrative expenses; program expenses and salaries and expenses at DOL; and, as indicated, interest and debt repayment expenditures. The $6.5 billion in expenses associated with debt restructuring in FY2009 is not included. Policy Issues and Options There are various policy options that Congress might consider to improve the fiscal condition of the Black Lung Disability Trust Fund. Broadly, increasing taxes on the coal industry (or maintaining 2018 rates) would pass the costs associated with paying black lung benefits onto the coal industry. Alternatively, forgiving trust fund interest or debt or financing black lung benefits out of general fund revenues would pass the costs of federal black lung benefits onto taxpayers in general. Another option would be to reduce federal black lung benefits. Revenue Options Revenue Options Additional revenue would likely need to be provided to the trust fund if the trust fund is to pay for past black lung benefits and maintain current benefit levels. Additional revenue may be needed 54 Ibid. Congressional Research Service 17 The Black Lung Program even if past debt is forgiven (or assumed by the general fund), as anticipated trust fund revenues are not likely to be sufficient to cover anticipated trust fund expenditures. Change the Coal Excise Tax As discussed above, in the past, Congress and the President have opted to increase the excise tax on coal to address shortfalls in the Black Lung Disability Trust Fund. These increased rates have been temporary, and scheduled to revert back to the reduced rate if the trust fund's debt is eliminated. Congress has chosen to extend the increased rates beyond their scheduled expiration when the trust fund is in debt. One option would be to extend 2018 rates, not allowing rates to fall in 2019 as scheduled.. The GAO projects that if 2018 coal excise tax rates are extended, the trust fund will have a debt of $4.5 billion in 2050 (see "GAO Options for Improving Trust Fund Finances” Finances" below).5555 GAO projections suggest that increasing 2018 tax rates by 25% would eliminate the trust fund's debt, leaving the trust fund with a surplus of $0.6 billion in 2050. Modify Coal Industry Tax Benefits An alternative way to raise revenue from the coal industry is to scale back or eliminate various tax expenditures, or tax preferences, from which the coal industry benefits. For example, coal producers benefit from being able to expense exploration and development costs and are able to recover costs using percentage depletion (depletion based on revenue from the sale of the mineral asset) instead of cost depletion (depletion based on the amount of the mineral asset exhausted and the amount invested in the asset). The Obama Administration regularly proposed repealing these tax incentives as part of the Administration's annual budget.56 56 It could be difficult to assign the revenues raised via the repeal of tax benefits to the trust fund. With an excise tax, it is straightforward to identify the revenue generated by the tax and earmark the revenue for a trust fund. It is not as straightforward to determine the amount of revenue that is raised through the repeal of an income tax expenditure, or direct the additional revenue raised because a certain preference is no longer in the code to a trust fund. Repeal of coal-industry tax benefits could, however, be used to offset the cost of a one-time transfer from the general fund to the trust fund. Provide Additional General Fund Revenue Revenue from various sources, including the general fund, could be used to supplement trust fund revenue generated from current sources. General fund revenues are not earmarked for a specific purpose, and there is generally no direct link between the source of general fund revenue and the The data presented in this report are from GAO’s moderate case simulations. Moderate case simulations assume that future coal production is consistent with the Energy Information Administration’s reference case. Changes in economic conditions or the policy environment could lead to more or less coal production, or contribute to changes in coal prices. These changes could cause higher or lower coal excise tax revenue collections. GAO provides alternative simulations exploring how Black Lung Disability Trust Fund balances would change under a range of alternative assumptions. Under GAO’s range of scenarios, trust fund debt could be between $1.8 billion and $12.5 billion if 2018 coal excise tax rates were extended. The GAO assumes that coal production does not change in response to changes in the excise tax. More on the assumptions used in GAO’s moderate case simulations, and outcomes under various scenario simulations, can be found in Appendix 1 and Appendix 2 of U.S. Government Accountability Office, Black Lung Benefits Program: Options for Improving Trust Fund Finances, GAO-18-351, May 2018, p. 22, available at https://www.gao.gov/ products/GAO-18-351. 56 Department of the Treasury, “General Explanations of the Administration’s Fiscal Year 2017 Revenue Proposals,” February, 2016, available at https://www.treasury.gov/resource-center/tax-policy/Pages/general_explanation.aspx. 55 Congressional Research Service 18 The Black Lung Program purpose, and there is generally no direct link between the source of general fund revenue and the government good or service provided. Black lung benefits were paid out of general revenue before the trust fund was established in 1977. Trust funds are generally established when there is a link between the government benefits or services being provided and the revenue source funding those benefits or services.5757 The Black Lung Disability Trust Fund was established because Congress believed that the costs of the part C black lung program should be borne by the coal industry.5858 Financing black lung benefits with general fund revenue would weaken the link between the industry and black lung benefits, while reducing the burden on the industry associated with paying for black lung benefits. Forgive Trust Fund Interest or Debt In the past the Black Lung Disability Trust Fund's fiscal outlook has been improved through interest and debt forgiveness. As discussed above, in the late 1990s, there was a five-year forgiveness of interest on debt owed to the Treasury's general fund. More recently, debt was forgiven as part of the 2008 restructuring of the trust fund's debt. The GAO projects that if all current debt were forgiven, the trust fund would accumulate $2.3 billion in new debt by 2050. If all interest were forgiven, the trust fund debt is projected to be $5.8 billion by 2050. Forgiving the trust fund's interest or debt obligations would shift the burden of paying for black lung disability benefits from the coal industry to general taxpayers. However, a one-time appropriation to forgive interest or debt is a transparent option for satisfying the trust fund’ fund's obligations to the general fund.59 59

GAO Options for Improving Trust Fund Finances In a May 2018 report the Government Accountability Office (GAO) projected the debt of the Black Lung Disability Trust Fund under a variety of policy scenarios. These scenarios are summarized in Figure 6. Broadly, benefit payments and administrative costs are expected to increase in the near term (into the mid-2020s), but eventually decline over time. Trust fund revenue, however, is expected to fall sharply after excise tax rates are reduced in 2019. Even if all current debt is forgiven, projections suggest trust fund revenues will not be sufficient to cover trust fund obligations, under current policy. Similarly, forgiving interest on the debt is not expected to eliminate trust fund debt over the longer term (by 2050). Extending the 2018 excise tax rates on coal is also not sufficient to achieve zero trust fund debt by 2050. However, projections suggest that increasing excise tax rates by 25% above 2018 levels would lead to a trust fund surplus of $0.6 billion by 2050. Policies combining debt forgiveness and additional revenues may also be considered. For example, GAO projects that the trust fund would have zero debt in 2050 if 2018 coal excise tax rates were extended and $2.4 billion in debt were forgiven. 57 For background information on federal trust funds, see CRS Report R41328, Federal Trust Funds and the Budget, by (name redacted). 58 U.S. Congress, Senate Committee on Finance, Black Lung Benefits Revenue Act of 1977, S. 1538, 95th Cong., 1st sess., July 12, 1977, Report No. 95-336. 59 U.S. Government Accountability Office, Black Lung Benefits Program: Options for Improving Trust Fund Finances, GAO-18-351, May 2018, p.22, available at https://www.gao.gov/products/GAO-18-351. Congressional Research Service 19 The Black Lung Program Figure 6. Projected Debt Outstanding with Various Policy Options, 2050 Source: debt were forgiven.

Figure 6. Projected Debt Outstanding with Various Policy Options, 2050 Source:
CRS graphic using data from the U.S. Government Accountability Office, Black Lung Benefits Program: Options for Improving Trust Fund Finances, GAO-18-351, May 2018, p. 22, available at https://www.gao.gov/ products/GAO-18-351. Notes: . Notes: The 2050 results presented here are from GAO's moderate case simulations. Moderate case simulations assume that future coal production is consistent with the Energy Information Administration’s 's reference case. Changes in economic conditions or the policy environment could lead to more or less coal production, or contribute to changes in coal prices. These changes could cause higher or lower coal excise tax revenue collections. GAO's moderate case simulations also assume that the number of black lung beneficiaries evolves following historical trends. Sensitivity analysis performed by GAO provides a range of estimates under various assumptions for revenues and beneficiaries associated with the policy options presented in Figure 6. This extended analysis is available in Appendix I and Appendix II of U.S. Government Accountability Office, Black Lung Benefits Program: Options for Improving Trust Fund Finances, GAO-18-351, May 2018, available at https://www.gao.gov/products/GAO-18-351. Expenditure Options . Expenditure Options The primary expenditures of the trust fund are for the payment of Part C benefits to miners in cases in which there is no responsible operator. In order to reduce expenditures and improve the long-term financial health of the trust fund, Congress could consider several options to reduce the generosity and scope of benefits or increase the ability of the federal government to ensure that coal operators, even those who are in the bankruptcy process, pay benefits for their miners. Reduce Benefit Amounts A reduction in the amount of Part C benefits would result in lower Part C expenditures from both responsible coal operators and the trust fund. However, as compared to other workers' compensation benefits, Part C benefits are relatively low. The basic Part C benefit rate for a single miner is equal to 37.5% of the base rate of pay for federal employees at the GS-2, Step 1 level. For 20182019 this benefit is just over $660 per month, or under $8,000 per year. In the majority of state workers' compensation programs, the basic benefit rate is set at two-thirds of the worker’s Congressional Research Service 20 The Black Lung Program 's pre-disability wage, subject to statutory minimums and maximums.6060 The other workers' compensation programs administered by DOL, the LHWCA, and the Federal Employees' Compensation Act (FECA) use two-thirds of a worker's pre-disability wage as the basis for their benefits.6161 A federal worker with a spouse or dependent in the FECA program is entitled to 75% of his or her pre-disability wage. The minimum benefit for total disability or death in the FECA program, 75% of GS-2, Step 1, is twice the amount of the Part C benefit rate. In addition, unlike the other federal workers' compensation programs and many state programs, there is no automatic adjustment to Part C benefits to reflect increases in the cost of living. Part C benefits instead increase only when federal pay rates are increased. Restrict Benefit Eligibility The eligibility of miners and survivors to Part C benefits could be restricted to reduce expenditures from responsible operators and the trust fund. In 1981, Congress enacted several eligibility restrictions to miners and survivors as part of the Black Lung Benefits Revenue Act of 1981, to address concerns about the financial insolvency of the trust fund. Specifically, this law removed the following three eligibility presumptions for new claims going forward:    A rebuttable presumption that the death of a miner who worked in mining for at least 10 years and who died of any respirable disease, was due to pneumoconiosis (listed as presumption 2 in Table 1). ). A rebuttable presumption that a miner employed in mining for at least 15 years, and who has a chest x-ray that is interpreted as negative with respect to certain statutory standards but who has other evidence of a totally disabling respiratory or pulmonary impairment, is totally disabled due to pneumoconiosis, or died due to pneumoconiosis. This presumption may only be rebutted by the Secretary of Labor establishing that the miner does not or did not have pneumoconiosis or that the miner's respiratory or pulmonary impairment did not arise out of connection to mine employment (presumption 4 in Table 1). ). A presumption that a miner who died on or before March 1, 1978, and who was employed in mining for at least 25 years before June 30, 1971, died due to pneumoconiosis, unless it is established that at the time of the miner's death, he or she was not at least partially disabled due to pneumoconiosis (presumption 5 in Table 1).). In addition to removing three of the five existing eligibility presumptions, the 1981 law also removed the right of the survivors of a miner who is determined to be eligible for Part C benefits at the time of his or her death to receive survivors' benefits without filing a new claim, thus permitting the payment of survivors' benefits in the case of a current beneficiary, even if the beneficiary’ beneficiary's death is not proven to be linked to pneumoconiosis. Two of the restrictions put in place by the 1981 legislation were later removed by the ACA. The ACA reinstated the fourth eligibility presumption and expanded rights for survivors' benefits, thus expanding eligibility for both miners and certain survivors. For additional information on state workers’ compensation programs, see CRS Report R44580, Workers’ Compensation: Overview and Issues, by (name redacted) . 61 For additional information on the FECA program, see CRS Report R42107, The Federal Employees’ Compensation Act (FECA): Workers’ Compensation for Federal Employees, by (name redacted) . 60 Congressional Research Service 21 The Black Lung Program Increase the Ability of the Federal Government to Recover Benefit Costs from Responsible Operators Under Part C of the BLBA, the federal government may recover the costs of benefits, and interest accrued on those benefits, paid by the trust fund from identified responsible operators. In addition, Part C allows the federal government to place a lien on the property and rights to property of an operator that refuses to pay the benefits and interest it owes to the trust fund. In the case of a bankruptcy or insolvency proceeding, this lien is to be treated in the same manner as a lien for taxes owed to the federal government. However, in a 2016 letter to the Comptroller General requesting a GAO review of the trust fund, Representatives Bobby Scott, Ranking Member of the House Committee on Education and the Workforce, and Sander Levin, Ranking Member of the House Committee on Ways and Means, claimed that the number of current and potential bankruptcies among coal operators is placing stress on the trust fund.6262 Representatives Scott and Levin cited the example of Patriot Coal which, according to their letter, transferred $62 million in Part C liabilities to the trust fund when it became insolvent. In addition, this letter claims that insolvent coal operators may be able to avoid trust fund liens by continuing to make benefit payments until after the court in their bankruptcy cases has approved the sale of their assets to another company. Because the original company was never in default of its payments, no lien was filed, and these assets were able to be purchased by another company without any lien or future liability to the trust fund. Congress may examine the issue of the impact of coal operator bankruptcies and the interaction of bankruptcy law and the BLBA's lien provisions, to strengthen both the federal government’s 's ability to ensure that responsible operators are paying for benefits and reduce the benefit expenditures of the trust fund. Author Contact Information (name redacted) Analyst in Disability Policy [redacted]@crs.loc.gov , 7-.... (name redacted) Specialist in Public Finance [redacted]@crs.loc.gov , 7-.... Acknowledgments Joseph Hughes, Research Assistant, provided research assistance. Jamie Hutchinson, Visual Information Specialist, assisted in preparing the graphics used in this report. (name redacted), Analyst in Public Finance, (name redacted), Specialist in Health Services, and (name redacted), Specialist in Energy Policy, provided helpful comments. 62 Letter from Rep. Bobby Scott, Ranking Member, House Committee on Education and the Workforce, and Rep. Sander Levin, Ranking Member, House Committee on Ways and Means, to Gene Dodaro, Comptroller General, September 23, 2016, https://democrats-edworkforce.house.gov/download/gao-request-letter-re-solvency-of-black-lungbenefits-trust-fund. Congressional Research Service 22 EveryCRSReport.com The Congressional Research Service (CRS) is a federal legislative branch agency, housed inside the Library of Congress, charged with providing the United States Congress non-partisan advice on issues that may come before Congress. EveryCRSReport.com republishes CRS reports that are available to all Congressional staff. The reports are not classified, and Members of Congress routinely make individual reports available to the public. Prior to our republication, we redacted names, phone numbers and email addresses of analysts who produced the reports. We also added this page to the report. We have not intentionally made any other changes to any report published on EveryCRSReport.com. CRS reports, as a work of the United States government, are not subject to copyright protection in the United States. Any CRS report may be reproduced and distributed in its entirety without permission from CRS. However, as a CRS report may include copyrighted images or material from a third party, you may need to obtain permission of the copyright holder if you wish to copy or otherwise use copyrighted material. Information in a CRS report should not be relied upon for purposes other than public understanding of information that has been provided by CRS to members of Congress in connection with CRS' institutional role. EveryCRSReport.com is not a government website and is not affiliated with CRS. We do not claim copyright on any CRS report we have republished. expenditures of the trust fund.

Author Contact Information

Scott D. Szymendera, Analyst in Disability Policy ([email address scrubbed], [phone number scrubbed])
Molly F. Sherlock, Specialist in Public Finance ([email address scrubbed], [phone number scrubbed])

Acknowledgments

Joseph Hughes, research assistant, provided research assistance. Jamie Hutchinson, visual information specialist, assisted in preparing the graphics used in this report. Grant A. Driessen, analyst in Public Finance; Elayne J. Heisler, specialist in Health Services; and Marc Humphries, specialist in Energy Policy, provided helpful comments.

Footnotes

1.

For general information on the U.S. coal industry, see CRS Report R44922, The U.S. Coal Industry: Historical Trends and Recent Developments, by Marc Humphries.

2.

For additional information on CWP, see the website of the National Institute for Occupational Safety and Health (NIOSH) at https://www.cdc.gov/niosh/topics/cwhsp/coalminingrelatedrespiratorydiseases.html.

3. Other types of pneumoconioses include silicosis caused by the inhalation of silica dust, and asbestosis caused by the inhalation of asbestos fibers. For additional information on pneumoconioses, see the website of NIOSH at https://www.cdc.gov/niosh/topics/pneumoconioses/. 4.

For additional information on the ILO classification system, see the website of NIOSH at https://www.cdc.gov/niosh/topics/chestradiography/ilo.html.

5.

Federal law at 30 U.S.C. § 843(a) requires that each miner new to coal mining be given a free chest x-ray within 18 months of starting work, a follow-up x-ray within three years of the first x-ray, and if the follow-up x-ray shows evidence of CWP, an additional chest x-ray within two years of the follow-up x-ray.

6.

For additional information on the NIOSH Coal Workers' Health Surveillance Program, see the NIOSH website at https://www.cdc.gov/niosh/topics/cwhsp/default.html.

7.

The major pieces of enacted coal mine safety and health legislation are the Federal Coal Mine Safety and Health Act of 1969 (P.L. 91-73), the Federal Mine Safety and Health Amendments Act of 1977 (P.L. 95-164), and the Mine Improvement and New Emergency Response Act of 2006 (MINER Act, P.L. 109-236).

8.

The MSHA standards for underground coal mine safety and health are published in Chapter 1, Subchapter O, of Part 30 of the C.F.R. In 2015, MSHA revised its standards on exposure to respirable coal dust to lower exposure limits for coal miners (Mine Safety and Health Administration, "Lowering Miners' Exposure to Respirable Coal Mine Dust, Including Continuous Personal Dust Monitors," 79 Federal Register 24813, May 1, 2014).

9.

David J. Blackley, Cara N. Halldin, and A. Scott Laney, "Resurgence of a Debilitating and Entirely Preventable Respiratory Disease among Working Coal Miners," American Journal of Respiratory and Critical Care Medicine, vol. 190, no. 6 (September 15, 2014), pp. 708-709; and David J. Blackley, James B. Crum, Cara N. Halldin, et al., "Resurgence of Progressive Massive Fibrosis in Coal Miners-Eastern Kentucky, 2016," Morbidity and Mortality Weekly Report, vol. 65, no. 49 (December 16, 2016), pp. 1385-1389.

10.

Federal Black Lung Clincs are medical clinics that provide screening and treatment for CWP regardless of a miner's ability to pay. Federal Black Lung Clinics are supported by grants from the Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) as authorized by 30 U.S.C. §937.

11.

David J. Blackley, Laura E. Reynolds, Connie Short, et al., "Progressive Massive Fibrosis in Coal Miners from Three Clinics in Virginia," Journal of the American Medical Association, vol. 319, no. 5 (February 6, 2018), pp. 500-501.

12.

30 C.F.R. §90.3. The concentration limits of respirable coal dust are 1.5 milligrams per cubic meter (mg/m3) of air for all miners and 0.5 mg/m3 for miners with evidence of CWP.

13.

Although Part B did not originally include medical benefits, these benefits are now available to Part B claimants under Part C and are paid by the responsible mine operators or the Black Lung Disability Trust Fund.

14.

For additional information on the LHWCA, see CRS Report R41506, The Longshore and Harbor Workers' Compensation Act (LHWCA): Overview of Workers' Compensation for Certain Private-Sector Maritime Workers, by Scott D. Szymendera.

15.

Peter S. Barth, The Tragedy of Black Lung: Federal Compensation for Occupational Disease (Kalamazoo, MI: W.E. Upjohn Institute for Employment Research, 1987), p. 196.

16.

20 C.F.R. §726.101.

17.

20 C.F.R. §725.495.

18.

20 C.F.R. §725.492.

19.

26 U.S.C. §9501(d).

20.

30 U.S.C. §902(d).

21.

30 U.S.C. §902(b).

22.

30 U.S.C. §921(b). These regulations are at 20 C.F.R.§§ 718.201-718.206.

23.

20 C.F.R. §718.201(a)(1).

24.

20 C.F.R. §718.201(a)(2).

25.

For example, deaths due to COPD are strongly linked to cigarette smoking. The Centers for Disease Control and Prevention (CDC) estimated an average of 114,462 annual deaths due to COPD in the form of bronchitis, emphysema, and chronic airway obstruction during the period between 1997 and 2001 in the United States. Of these deaths, 79.1% were attributable to cigarette smoking (Centers for Disease Control and Prevention, "Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses-United States, 1997-2001," Morbidity and Mortality Weekly Report, vol. 54, no. 25 (July 1, 2005), pp. 625-628).

26.

30 U.S.C. §921(c).

27.

The presumption number corresponds to the paragraph number in Subsection (c) of Section 411 of the Black Lung Benefits Act [30 U.S.C. §921(c)].

28.

30 U.S.C. §932(l).

29. The 2018 General Schedule (Base) pay rates are available on the website of the Office of Personnel Management (OPM) at https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/2018/general-schedule/. As there has been no legislation or presidential action to increase federal pay rates, the 2018 rates will continue in 2019. 30.

The SSDI definition of disability is provided at 42 U.S.C. §423 and generally requires that a person be unable to work full-time because of a disability. For additional information on SSDI and the definition of disability, see CRS In Focus IF10506, Social Security Disability Insurance (SSDI), by William R. Morton.

31.

Section 224 of the Social Security Act (42 U.S.C. §424) provides that in cases in which a person receives both SSDI and workers' compensation benefits in a given month, the amount of the monthly SSDI benefit or the workers' compensation benefit is reduced, but not below zero, until the combined amount of the benefits equals 80% of the person's pre-disability wage depending on the type of workers' compensation benefit. In the case of Part C benefits, the persons' SSDI benefit is reduced.

32.

Certain excise taxes related to Blank Lung Benefit Trusts are also deposited in the Black Lung Disability Trust Fund. Generally, since very little or no amounts have been reported for these excise taxes, a discussion of these taxes has not been included in this report. Black Lung Benefit Trusts are tax-exempt trusts, as described in Internal Revenue Code (IRC) Section 501(c)(21). There are no active 501(c)(21) organizations at this time.

33.

The tax does not apply to lignite (brown coal).

34.

In 2017, 731.1 million short tons of coal were consumed domestically. In that same year, coal imports to the United States totaled 7.8 million short tons. Data on coal consumption and imports is available from the Energy Information Administration (EIA), at https://www.eia.gov/coal/data.php.

35.

See IRS Notice 2000-28 and CRS Report R42780, Export Clause: Limitation on Congress's Taxing Power, by Erika K. Lunder.

36.

See Energy Information Administration, Average U.S. Coal Mining Productivity Increases as Production Falls, March 7, 2018, available at https://www.eia.gov/todayinenergy/detail.php?id=35232#.

37.

See U.S. Congress, Senate Committee on Finance, Tax Aspects of Black Lung Legislation, committee print, prepared by Joint Committee on Taxation and Committee on Finance, 95th Cong., June 21, 1977, JCS-35-77, available at https://www.jct.gov/publications.html?func=startdown&id=4028.

38.

Ibid.

39.

Background information in CRS Report 82-59 EW, Summary and Legislative History of P.L. 97-119, "Black Lung Benefits Revenue Act of 1981," by Barbara McClure (out of print; available from the author).

40.

U.S. Congress, Joint Committee on Taxation, General Explanation of Tax Legislation Enacted in the 110th Congress, 110th Cong., March 2009, JCS-1-09, p. 302.

41.

Ibid.

42.

Repayable advances must be repaid once there is money available in the Black Lung Disability Trust Fund for such purpose.

43.

U.S. Government Accountability Office, Black Lung Benefits Program: Options for Improving Trust Fund Finances, GAO-18-351, May 2018, available at https://www.gao.gov/products/GAO-18-351.

44.

Ibid.

45.

Ibid.

46.

30 U.S.C. §933(d)(1).

47.

30 U.S.C. §933(d)(2). This offense can also result in imprisonment for up to one year.

48.

38 U.S.C. § 941. This offense can also result in imprisonment for up to one year.

49.

38 U.S.C. § 942.

50.

Department of the Treasury, Bureau of the Fiscal Service, Treasury Bulletin, March 2018, pp. 90-91, http://www.fiscal.treasury.gov.

51.

38 U.S.C. § 934(b).

52.

Department of the Treasury, Bureau of the Fiscal Service, Treasury Bulletin, annual editions.

53.

Department of the Treasury, Bureau of the Fiscal Service, Treasury Bulletin, March 2018, pp. 90-91, http://www.fiscal.treasury.gov.

54.

Ibid.

55.

The data presented in this report are from GAO's moderate case simulations. Moderate case simulations assume that future coal production is consistent with the Energy Information Administration's reference case. Changes in economic conditions or the policy environment could lead to more or less coal production, or contribute to changes in coal prices. These changes could cause higher or lower coal excise tax revenue collections. GAO provides alternative simulations exploring how Black Lung Disability Trust Fund balances would change under a range of alternative assumptions. Under GAO's range of scenarios, trust fund debt could be between $1.8 billion and $12.5 billion if 2018 coal excise tax rates were extended. The GAO assumes that coal production does not change in response to changes in the excise tax. More on the assumptions used in GAO's moderate case simulations, and outcomes under various scenario simulations, can be found in Appendix 1 and Appendix 2 of U.S. Government Accountability Office, Black Lung Benefits Program: Options for Improving Trust Fund Finances, GAO-18-351, May 2018, p. 22, available at https://www.gao.gov/products/GAO-18-351.

56.

Department of the Treasury, "General Explanations of the Administration's Fiscal Year 2017 Revenue Proposals," February, 2016, available at https://www.treasury.gov/resource-center/tax-policy/Pages/general_explanation.aspx.

57.

For background information on federal trust funds, see CRS Report R41328, Federal Trust Funds and the Budget, by Mindy R. Levit.

58.

U.S. Congress, Senate Committee on Finance, Black Lung Benefits Revenue Act of 1977, S. 1538, 95th Cong., 1st sess., July 12, 1977, Report No. 95-336.

59.

U.S. Government Accountability Office, Black Lung Benefits Program: Options for Improving Trust Fund Finances, GAO-18-351, May 2018, p.22, available at https://www.gao.gov/products/GAO-18-351.

60.

For additional information on state workers' compensation programs, see CRS Report R44580, Workers' Compensation: Overview and Issues, by Scott D. Szymendera.

61.

For additional information on the FECA program, see CRS Report R42107, The Federal Employees' Compensation Act (FECA): Workers' Compensation for Federal Employees, by Scott D. Szymendera.

62.

Letter from Rep. Bobby Scott, ranking member, House Committee on Education and the Workforce, and Rep. Sander Levin, ranking member, House Committee on Ways and Means, to Gene Dodaro, comptroller general, September 23, 2016, https://democrats-edworkforce.house.gov/download/gao-request-letter-re-solvency-of-black-lung-benefits-trust-fund.