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PACT ACT

The Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022, or PACT Act, is a new law that expands VA health care and benefits for Veterans exposed to burn pits and other toxic substances.  Fact sheet.

The PACT Act adds the following new presumptions:

Gulf War and post 9/11 Veterans

Burn pit and toxic exposure presumptive conditions

These cancers are now presumptive conditions:

  • Brain cancer
  • Gastrointestinal cancer of any type
  • Glioblastoma
  • Head cancer of any type
  • Kidney cancer
  • Lymphatic cancer of any type
  • Lymphoma of any type
  • Melanoma
  • Neck cancer
  • Pancreatic cancer
  • Reproductive cancer of any type
  • Respiratory (breathing-related) cancer of any type

These illnesses are now presumptive conditions:

  • Asthma that was diagnosed after service
  • Chronic bronchitis
  • Chronic obstructive pulmonary disease (COPD)
  • Chronic rhinitis
  • Chronic sinusitis
  • Constrictive bronchiolitis or obliterative bronchiolitis
  • Emphysema
  • Granulomatous disease
  • Interstitial lung disease (ILD)
  • Pleuritis
  • Pulmonary fibrosis
  • Sarcoidosis

Agent Orange

Presumptive conditions:

  • Hypertension
  • Monoclonal gammopathy of undetermined significance (MGUS)

 5 new locations have been added to the list of presumptive locations:

  • Any U.S. or Royal Thai military base in Thailand from January 9, 1962, through June 30, 1976
  • Laos from December 1, 1965, through September 30, 1969
  • Cambodia at Mimot or Krek, Kampong Cham Province from April 16, 1969, through April 30, 1969
  • Guam or American Samoa or in the territorial waters off of Guam or American Samoa from January 9, 1962, through July 30, 1980
  • Johnston Atoll or on a ship that called at Johnston Atoll from January 1, 1972, through September 30, 1977

Radiation presumptive locations

There are 3 new response efforts added to the list of presumptive locations:

  • Cleanup of Enewetak Atoll, from January 1, 1977, through December 31, 1980
  • Cleanup of the Air Force B-52 bomber carrying nuclear weapons off the coast of Palomares, Spain, from January 17, 1966, through March 31, 1967
  • Response to the fire onboard an Air Force B-52 bomber carrying nuclear weapons near Thule Air Force Base in Greenland from January 21, 1968, to September 25, 1968

(Source: PACT Act – Public Health (va.gov))

To speak with a Veterans Benefits Specialist about eligibility and filing a claim, visit our Service Program or call 800-446-4926, ext. 6450 to find your closest service office.


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