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Burn Pits / PACT Act

Burn Pits & Particulate Matter Exposure

TL;DR What You Need to Know
  • The PACT Act (2022) created presumptive service connection for burn pit exposure
  • 23+ respiratory conditions and 30+ cancers are now presumptive
  • No minimum time requirement — even brief exposure in covered areas qualifies
  • No 10% severity requirement — any diagnosis qualifies for presumption

The PACT Act (Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act) recognized that Veterans exposed to burn pits and other airborne hazards during deployment are at increased risk for respiratory diseases and cancers.

Good news: You do NOT need to join the Burn Pit Registry to file a claim. The registry is optional and for research purposes only.

Eligibility

Active Duty, Reservists, and National Guard members who served in or in the airspace above these locations qualify:

Post-9/11 Locations (Sept 11, 2001 – Present)

  • Afghanistan
  • Djibouti
  • Egypt
  • Jordan
  • Lebanon
  • Syria
  • Uzbekistan
  • Yemen

Gulf War Locations (Aug 2, 1990 – Present)

  • Arabian Sea
  • Bahrain
  • Gulf of Aden
  • Gulf of Oman
  • Iraq
  • Kuwait
  • Oman
  • Persian Gulf
  • Qatar
  • Red Sea
  • Saudi Arabia
  • Somalia
  • Iraq-Saudi Neutral Zone
  • United Arab Emirates

No minimum time requirement! If you have evidence you were in a covered location for even a moment, you qualify. One day of boots on ground (or flying over) is enough.

Presumptive Respiratory Conditions

These conditions can develop any time after separation:

Presumptive Cancers

These cancers can develop any time after separation:

Respiratory & Head/Neck Cancers

Blood & Lymphatic Cancers

Urinary & Reproductive Cancers

Other Cancers

Important Notes
For VA raters:
  • Presumptive grants CAN receive earlier effective dates under liberalizing law
  • If condition manifested DURING service but BEFORE exposure, get a direct opinion first — if unfavorable, grant presumptive
  • If condition existed BEFORE service, consider aggravation opinion

Frequently Asked Questions

How many days do I need in a covered location?

None! There is no minimum time requirement. If you have evidence you were in a covered location for even a second, you qualify for presumptive service connection.

Do I need to join the Burn Pit Registry?

No. The registry is optional and primarily for research. You can file a claim without ever joining the registry.

I was denied but have a listed condition. What can I do?

Sometimes the VA makes mistakes or is missing evidence. Seek help from a VSO to file an appeal.

Common denial reasons:

  • Missing evidence of service in covered location
  • Documentation suggests another cause (rare)
I was denied before the PACT Act. Can I refile?

Yes! File a Supplemental Claim stating the condition is now presumptive under the PACT Act. You may also be eligible for an earlier effective date under liberalizing law.

Does flight crew / airspace exposure count?

Yes! Service "in the airspace above" covered locations qualifies. This includes pilots, aircrew, and anyone who flew over these areas during the covered timeframes.

What about conditions not on the list?

You can still file for non-listed conditions on a direct service connection basis. You'll need a medical nexus opinion linking the condition to your burn pit exposure.