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Burn Pit Presumptive Conditions List

The PACT Act and your VA benefits

The PACT Act is a new law that expands VA health care and benefits for Veterans exposed to burn pits, Agent Orange, and other toxic substances.

The PACT Act adds to the list of health conditions that VA assume (or “presume”) are caused by exposure to these substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve.

What does it mean to have a presumptive condition for toxic exposure?

To get a VA disability rating, your disability must connect to your military service. For many health conditions, you need to prove that your service caused your condition.

But for some conditions, the VA automatically assumes (or “presumes”) that your service caused your condition. They call these “presumptive conditions.”

The VA considers a condition presumptive when it’s established by law or regulation.

If you have a presumptive condition, you don’t need to prove that your service caused the condition. You only need to meet the service requirements for the presumption.

There are now 33 conditions on the list of presumptive conditions related to burn pits – a list that didn’t exist until recently. The VA added the first three (asthmarhinitis, and sinusitis) in August 2021 and expanded the list to include nine rare respiratory cancers in April 2022. Twenty cancers and conditions were added to the list a year later when Congress passed the PACT Act.

Gulf War era and post-9/11 Veteran eligibility

The VA has added more than 20 burn pit and other toxic exposure presumptive conditions based on the PACT Act. This change expands benefits for Gulf War era and post-9/11 Veterans.

These cancers are now presumptive:

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

These illnesses are now presumptive:

  • 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

How do I know if I have a presumptive exposure to burn pits?

If you served in any of these locations and time periods, we’ve determined that you had exposure to burn pits or other toxins. We call this having a presumption of exposure.

On or after September 11, 2001, in any of these locations:

  • Afghanistan
  • Djibouti
  • Egypt
  • Jordan
  • Lebanon
  • Syria
  • Uzbekistan
  • Yemen
  • The airspace above any of these locations

On or after August 2, 1990, in any of these locations:

  • Bahrain
  • Iraq
  • Kuwait
  • Oman
  • Qatar
  • Saudi Arabia
  • Somalia
  • The United Arab Emirates (UAE)
  • The airspace above any of these locations