Howard Berkes

A new government report says that the federal black lung trust fund that helps sick and dying coal miners pay living and medical expenses could incur a $15 billion deficit in the next 30 years. That's if a congressionally mandated funding cut occurs as planned at the end of the year.

More coal miners in central Appalachia have suffered the advanced stages of the deadly disease black lung than previous government research has found, and more miners working in the region today have earlier stages of the disease.

Those are two of the findings in a bundle of studies released Tuesday and expected to be released soon, which focus on the epidemic of black lung disease first reported by NPR in 2016.

Copyright 2018 NPR. To see more, visit http://www.npr.org/.

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Updated at 8 p.m. ET

The federal agency that trains, tests and certifies the physicians who read X-rays and diagnose the deadly coal miners' disease black lung said today it was not consulted by Kentucky lawmakers in the 14 months they considered a new law that mostly limits diagnoses to pulmonologists working for coal companies.

A measure signed into law in Kentucky this past week would prevent federally-certified radiologists from judging X-rays in state black lung compensation claims, leaving diagnoses of the disease mostly to physicians who typically work for coal companies.

The new law requires that only pulmonologists — doctors who specialize in the lungs and respiratory system — assess diagnostic black lung X-rays when state black lung claims are filed.

Rural medical clinics that are struggling to respond to an epidemic of a fatal lung disease plaguing coal miners received a 40 percent boost in federal funding with the passage of the omnibus spending bill last week.

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Epidemiologists at the National Institute for Occupational Safety and Health say they’ve identified the largest cluster of advanced black lung disease ever reported, a cluster that was first uncovered by NPR 14 months ago.

In a research letter published Tuesday in the Journal of the American Medical Association, NIOSH confirms 416 cases of progressive massive fibrosis or complicated black lung in three clinics in central Appalachia from 2013 to 2017.

Updated at 4:50 p.m. ET

Investigators in Las Vegas are sifting through evidence they've gathered from the homes of the man who sprayed a concert crowd with gunfire. They've begun to interview his girlfriend. They've learned quite a bit about Stephen Paddock's past and preparation, but there is still no explanation for why he damaged and destroyed so many lives.

Copyright 2018 NPR. To see more, visit http://www.npr.org/.

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The second-highest ranking member of the Florida Senate pledged a legislative review of a state law that has allowed injured undocumented workers to be arrested and potentially deported rather than paid workers' compensation benefits.

"Legitimate injuries shouldn't be denied just because the person was an undocumented immigrant," said Republican Sen. Anitere Flores, the president pro tempore of the state Senate and chairwoman of the Banking and Insurance Committee.

NPR's ongoing investigation of the advanced stage of the fatal lung disease that afflicts coal miners has identified an additional 1,000 cases in Appalachia.

That brings the NPR count of progressive massive fibrosis, the most serious stage of the disease known as black lung, to nearly 2,000 cases in the region, all of which were diagnosed since 2010.

Former Massey Energy CEO Don Blankenship is marking his release from federal custody with an appeal for vindication by the U.S. Supreme Court.

Blankenship served a one-year federal prison sentence after being convicted of conspiracy to violate federal mine safety laws. The charges stemmed from the disaster at a Massey Energy mine in West Virginia in 2010 that left 29 coal miners dead.

Updated at 6:25 p.m. ET

Two Democratic members of Congress want three federal agencies to work together to get a more accurate count of coal miners suffering from progressive massive fibrosis, the worst stage of the fatal disease known as black lung.

The request is a response to an NPR investigation that shows 10 times as many cases of the advanced stage of black lung as identified and reported by the National Institute for Occupational Safety and Health.

Across Appalachia, coal miners are suffering from the most serious form of the deadly mining disease black lung in numbers more than 10 times what federal regulators report, an NPR investigation has found.

The government, through the National Institute for Occupational Safety and Health, reported 99 cases of "complicated" black lung, or progressive massive fibrosis, throughout the country the last five years.

West Virginia's Democratic candidate for governor is a billionaire, a philanthropist and a resort and coal mine owner who cites his business and mining experience as major attributes as he seeks to lead his home state out of a severe budget and economic crisis.

"I am not a career politician; I am a career businessman," wrote Jim Justice in an April 5 op-ed that appeared in the Charleston Gazette-Mail.

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