Federal regulators indefinitely delay rule to protect coal miners from black lung
Apr 09, 2026
Implementation of a previously approved federal rule meant to help prevent black lung in the nation’s coal miners has been delayed indefinitely, according to an update posted this week in the Federal Register.
According to the update, the Mine Safety and Health Administration will wait to impleme
nt most of the rule until a federal court case related to it plays out. It’s at least the fourth time implementation of the rule has been delayed, and this time there is no set date in sight for when the changes — which included cutting permissible limits for silica dust exposure in half for coal miners — could go into effect.
The rule was first finalized under the U.S. Department of Labor and MSHA in 2024. It was meant to go into effect last April, but was pushed back to August 2025. That month, it was pushed again to October. And in October, it was delayed yet again.
The lack of implementation stems from a lawsuit led by the National Sand, Stone and Gravel Association against the Labor Department requesting that the federal government block the implementation of the rule completely. None of the statutes affecting the NSSGA were slated to go into effect until 2027, per the rule.
Silica dust is a leading cause of black lung disease in coal miners. As the rule gets pushed further and further back, advocates say the lost time will have real consequences for coal miners who are suffering from symptoms of the incurable disease at younger ages than ever before.
“This ruling is a green light for mining companies to continue exposing our brothers and sisters to toxic levels of silica dust that we know, with scientific certainty, causes incurable black lung and silicosis,” a representative for the United Mine Workers of America said in a statement. “Silica dust doesn’t wait for a court calendar. While lawyers argue over ‘conforming amendments’ and ‘ministerial actions,’ the lungs of miners are being scarred in real-time. A 35-year-old miner with Stage 1 silicosis doesn’t have the luxury of time.”
Lisa Emery, director of the New River Health Breathing Center and Black Lung Clinic, said it’s disappointing to see yet another delay for a policy that would lead to very real improvements in the health of coal miners.
“We know that there is a problem, we know what that problem is, we have tools to help address it, but those tools aren’t being used right now and that can be frustrating,” Emery said.
Over the past few years, Emery has already seen an influx in patients visiting her black lung clinic. Part of that, she said, is likely due to increased education about the disease. But more than ever before, miners are starting to feel the effects of the disease at younger ages.
“This isn’t an old man’s disease anymore. When I’m sitting down and talking with patients, we’re not discussing a pawpaw who can’t play with his grandbabies anymore,” Emery said. “I’m talking with younger men, dads in their 40s, who can’t play with their own children. We’re seeing what more silica dust exposure is doing to these people in real time and what it’s costing them.”
The Centers for Disease Control and Prevention estimates that about 20% of coal miners in Central Appalachia are suffering from black lung — the highest rate detected in more than 25 years. One in 20 of the region’s coal miners are living with the most severe form of the condition.
And in West Virginia — where coal mining seams are now thinner due to decades of mining activities — miners are being diagnosed earlier in their careers due to how much more silica-rich sandstone they have to cut through to reach the coal that remains.
There is no cure for black lung. The only way to stop the disease from advancing to its most serious forms is by limiting exposure to silica dust as much as possible.
Advocates for coal miners with black lung disease pushed for years to get the federal rule considered and then approved. At clinics across West Virginia and the United States, they spent countless hours collecting data, providing evidence and educating those in power about the severity of the disease and its growing rates.
If implemented, the rule would have cut allowable exposure limits as well as impose new penalties for mines that operate out of compliance. Companies would have been required to offer free medical monitoring for their workers with the hope of detecting black lung and other respiratory diseases earlier.
Without those interventions, Emery said the work being done at black lung clinics like hers won’t change. Now more than ever, she said, advocates and care providers will try to educate younger miners on their risks and urge them to get screenings and checkups as soon as possible to detect the disease early.
“We will keep marching on and we will continue to do our best for our communities that remain at risk. We will keep collecting data, we will care for our miners, educate them about their options, help them access benefits and medical care. The work certainly won’t be stopping,” Emery said. “This doesn’t change what we’ve been doing and what we will continue to do for (West Virginia’s) coal miners.”
This story is republished from West Virginia Watch, a sister publication to the Kentucky Lantern and part of the nonprofit States Newsroom network.
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