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Black Lung Benefits Program: Miners Reported Experiencing Challenges, and DOL Should Monitor Operator-Provided Medical Coverage

May 12, 2026

What GAO Found The Black Lung Benefits Program provides benefits (income and medical benefits) to coal miners who are totally disabled due to black lung disease. These miners may also receive other benefits, such as state workers’ compensation payments, for their black lung disability. According to GAO’s analysis, in 2024, there were 7,709 miner beneficiaries. Ninety-three percent of these miners were age 62 or older, and 87 percent received only federal black lung benefits for their disability. They may also have been eligible for Social Security retirement benefits. For the 7 percent who were under age 62, GAO found that most received additional benefits for their black lung disability. However, nearly one-fourth received only federal black lung benefit payments, which averaged $13,400 annually. The Department of Labor (DOL) has taken some steps to address miners’ challenges with federal black lung benefits. For example, to address lengthy claims, it uses timeliness performance measures for claims examiners on parts of the claim process that it controls. According to GAO’s analysis of closed claims from 2013 to 2024, the median time for DOL to issue an initial decision was 0.7 years (see figure). Appealed claims took longer to close. Forty percent of approved…

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Source: US GAO Reports — US Government, Public Domain