"The system didn't work" for ailing miners, Casey said in an interview. "Their government failed them as well as their company failing. So we have, I think, an abiding obligation to right this wrong."
The news reports revealed how lawyers and doctors retained by coal companies have played a key role in helping defeat the benefits claims of miners sick and dying of black lung disease.
Casey, D-Pa., said he is working with Sen. Jay Rockefeller, D-W.Va., to identify gaps in a bill previously introduced by Rockefeller. And he said he wants to strengthen the legislation to better protect miners.
The U.S. Labor Department is helping the senators craft the bill, the department's top lawyer said Monday.
Meanwhile, government and union officials kept the pressure on Johns Hopkins Medicine, which announced Friday it was suspending its program of reading X-rays for black lung, pending a review, in response to the investigation by ABC News and the Center for Public Integrity. Doctors in the black lung unit at Johns Hopkins Hospital have amassed a long record of reading coal miner X-rays as negative for severe black lung, a review of records found.
The leader of the unit, Dr. Paul Wheeler, has been involved in more than 1,500 cases decided since 2000, according to available case files examined by ABC News and CPI, but never found the severe form of black lung that automatically triggers benefits. Wheeler has defended his work, saying he is following standard medical practice.
The government agency that certifies doctors to read X-rays for black lung issued a statement Monday saying it was "deeply disturbed" by the findings of the CPI-ABC News investigation. The agency, the National Institute for Occupational Safety and Health (NIOSH), said efforts to address the problems raised in the reports should emphasize "accuracy and mainstream views and minimize the impact of outlying views."
"In light of the recent troubling reports, NIOSH applauds the decision of the Johns Hopkins School of Medicine to investigate its [black lung X-ray reading] service and offers whatever assistance we can provide," the agency wrote.
The union representing miners called for an investigation of doctors in the Johns Hopkins unit. Daniel Kane, the international secretary treasurer of the United Mine Workers of America and a former miner himself, also demanded cases involving Wheeler be reopened.
"I'd like to see the truth come out," he said. "I'd like to see the wrongdoers in this system exposed for what they've been doing. More than anything, I'd like to see the miners fairly compensated."
Casey also suggested a second look at cases in which miners may have been wrongfully denied benefits. "I think we should examine ways to reopen cases," he said.
The black lung benefits program was set up in the late 1960s to recognize the unique health risks faced by coal workers. It was supposed to provide financial support if the miner became too sick to work. But in recent years, as coal companies appealed awards to miners, fewer than 10 percent of applicants have been granted their benefits.