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We have reached capacity for questions for this event and VA will post responses by Sept 8th. For other PACT and burn pit related questions please call 1-800-MyVA411 ( [login to see] ).

Questions will be answered by the following experts:
» Dr. William J Culpepper - Deputy Director, Epidemiology Program, VA
» LTC Peter Rumm MD - Director of Policy, Health Outcomes Military Exposures, VA
» FN Shanna Smith-Jackson - Acting DEPDIR, Health Outcomes Military Exposures, VA
» Daniel Brown - Program Analyst, VA
» Jacqueline Imboden - Special Advisor, Compensation Services, VBA
» Rachel Jones - Assistant Director, Office of Administrative Review, VA
» RDML Ann Duff - Director of the Office of Survivors Assistance, VA
» Terra Vincent - Senior Toxicologist, Health Outcomes Military Exposures, VA
» Cpl Heather McKibben - Program Analyst, Office of Policy and Oversight, VBA
» Melissa Comeau - Director, American Red Cross Military Veteran Caregiver Network
» Coleton Whitaker - Senior Director of Programs, Elizabeth Dole Foundation
» Jamie Statton - Management Program Analyst, Office of Policy and Oversight, VBA
» Tara Kase - Senior Management & Program Analyst, Office of Policy & Oversight, VBA
» Maj Bonnie Carroll - President and Founder, Tragedy Assistance Program for Survivors
Comments have been disabled
Responses: 196
SrA Andrew Mitchelson
I was diagnosed by the VA for prostate cancer in October 2019. I submitted a claim for prostate cancer that same month. I was stationed PCS at Andersen AFB, Guam, and TDY at U-Tapao AFB, Thailand for 18 months, December 1967 - June 1969. My claim was denied by the VA in April 2022. I submitted a supplementary claim because of passage of the PACT Act in August 2022 that now includes Guam and Thailand as areas for presumptive exposure to Agent Orange and resulting prostate cancer. My question is: Will my prostate cancer supplementary claim for compensation result in compensation going back to the date of my original claim of October 2019?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
VA is considering all conditions established in the PACT Act to be presumptive on August 10, 2022, the date the bill was signed into law. We encourage all Veterans who believe they may be entitled to benefits to apply now. For more information on the PACT Act and how you can apply for benefits, see VA.gov/PACT.  
SSgt Ricardo Lugo
I am a veteran from Gulf War Era; During my military tour I suffer a 100% service-connected condition; neurology disorder. VA Fact Sheet / War Related illness and Injury Study Center; Military Vehicle and Aircraft Exhaust Exposure; establish the fundaments to pursuit to link my condition to request a claim on Combat Related Special Compensation. Please advise me how can I address my case thru this new law legislation. Any help is appreciated by this humble veteran.
God Bless America.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
To be eligible for CRSC, a Veteran must have an SC disability that is combat-related. A qualifying combat-related disability, The Veteran’s service department must independently determine the relationship between the disability and the qualifying criteria. We recommend you contact the VA to discuss the specific details of your case at [login to see] , through va.gov or schedule an appointment to speak with someone at VERA - Home (force.com).
CW2 Roland Descoteaux
Retired Military here but I served in Iraq and Afghanistan as a Department of the Army Civilian and I was exposed to the Burn pits and incinerators and recently was diagnosed with Emphysema and was told it will likely turn into COPD. Very mild right now but I am constantly dealing with more and more issues with congestion.

I am assuming the VA will not consider me in this because I was not on Active duty in uniform when I served but I was a Federal Civilian voluntary deployee as well a veteran to these areas and yes we deployed had to wear the same or a similar uniform as the Active duty folks and exposed to the same toxins, in the service to our country. I guess we are left holding the bag?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The PACT Act is specific to Veterans serving in one of the locations on active military duty. If you were a civilian employee you would need to file with your employer or Department of Labor.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your question. Civilians are covered by Worker's Compensation through an employer. The Department of Labor manages this program.
SPC Larry Wright
Were their any burn pits in Korea
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service and the question. Korea has used burning to get rid of waste as many courtiers have and many still do. Korea does not have the large industrial burn pits that were used in the Southwest Theater of Operations after 1990.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Korea is not included as a location for presumptive conditions related to burn pit exposure under PACT Act. However, if you believe that you have a condition that is related to exposure to burn pits or other toxins, you are encouraged to file a claim.
SSgt Mike Rusnak
I got medically separated after having a softball-sized mass removed which they say they couldn't tie it to my deployment to Afghanistan, but I'm pretty certain that's where it came from as I had complications after I returned stateside. My issues did get looked over and rated in the VA as service connected since I was Active Duty. Would the PACT Act be able to tie my issue to my deployment? I think the issue not being tied to my deployment was more on the Air Force side and not VA, would the PACT Act help change that decision?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The VA determines if a condition is caused by or worsened by events occurring during military service. As it sounds like you are saying that your condition has already been related to service. VA would not review a case to determine a more specific link to a certain event during service once that condition is already determined to be service connected. There is no change in VA benefit between presumptive service connection and direct service connection.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service and question. Without knowing the details about your medical condition, the question is difficult to answer. VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim.
LtCol Dwain Meyer
I was previously denied compensation for lymphoma due to lack of service connection.

Now that lymphoma is one of the presumptive conditions covered under the PACT Act, I am resubmitting my claim.

I am told I should use VA Form 20-0995, Decision Review Request: Supplemental Claim. This form doesn’t seem well suited for a supplemental claim related to the PACT Act as I am not providing new and relevant information about my diagnosis, treatment, or outcome. Rather, what has changed is the passage of the PACT Act.

My question is, what is the VA looking for as supplemental information? Do they want a statement noting the claim is being submitted pursuant to the PACT Act or are they looking for something else?

If it is the statement, I would recommend a change to the form (or a new form) adding a check box noting this justification. That would seem to be all that should be necessary.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
You were informed correctly. If we denied your claim in the past but we now consider your condition presumptive, we encourage you to use that form to file a Supplemental Claim. We’ll review the claim again based on the new presumptive conditions outlined in the PACT Act. Thank you for your suggestion for a change to the form. We will take that under consideration. But in the meantime, you can file a supplemental claim using VA Form 20-0995. Please contact our national call center for claim specific assistance at [login to see] so we may provide individual assistance . For more information on the PACT Act and how you can apply for benefits, see VA.gov/PACT. 
CPO Mike Klem
What about Project Shad sailors? Do they fall under this qct?
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The PACT Act does not directly address Veterans who participated in Project SHAD or Project 112. Currently, there are no presumptive conditions or disabilities recognized as common to Project SHAD, however, VA is able to confirm participation as well as the different types of testing under project SHAD. Please see this link for additional information: https://www.health.mil/Military-Health-Topics/Health-Readiness/Environmental-Exposures/Project-112-SHAD/Fact-Sheets. If you feel you have a diagnosed condition related to your participation in Project SHAD, we encourage you to file a claim.

Anytime you have a medical condition which you believe was caused by or worsened by events that occurred in service, you should file a claim for service connection. You can file that claim via the va.gov website, through an accredited representative or by making an appointment to speak with VBA at VERA - Home (force.com).
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service and question. The PACT Act legislation regarding burn pits is specifically aimed at the Southwest Asia Theater of Operations and does not include other locations. VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim.
MSgt Michael Cloud
my husband was in guam during vietnam war. he was there from 1972 to 1973. he was exposed to agent orange. he has ever since had issues with his health. one was diabetes when he was younger. no one knew what his problem was. he was falling asleep and so they said he had that sleeping disease which he didnt. also he had ED WHICH he did have but couldnt figure out why. then he had times when he looked like he was going to pass out and he would run to get something to eat. he felt better afterwards. it wasnt until much later after he got out of the airforce that we discovered he had type 2 diabetes. i dont understand why my husband was treated for so many crazy things when all along it was his exposure to agent orange that was causing this. he spoke to someone recently who told him that guam wasnt considered a source of agent orange. previous to my husband being in the airforce, he couldnt go into the service during veitnam because he was sole surviving son so instead he joined the merchant marines. he had no idea he would be on a ship delivering agent orange to vietnam for the army.. he said he swam in the stuff because it leaked everywhere. being as young as he was he was the one who swabbed the deck. my husband has tried many times for consideration but refused. what can you do about this. what can he do now for consideration. he has 60% from other dissabilities. also, my husband stayed in the airforce for 23yrs. his early time in service he was working with the B-52's fire control. then later after the war he switched to working in hospitals fixing medical equipment. while working with B-52's he was also exposed to a solvent that he used to clean the guns of the b-52's. please can you advise us. thank you wife, vickie cloud.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your question Mrs. Cloud, and thank you for your support. Please extend our thanks to your husband for his service. The PACT Act added Guam or American Samoa or in the territorial waters off Guam or American Samoa from January 9, 1962, through July 30, 1980, as presumptive locations for exposure to Agent Orange. If your husband believes that he has a condition that is related to exposure to Agent Orange, he is encouraged to file a claim now. Anytime a Veteran has a medical condition which they believe was caused by or worsened by events that occurred in service, he or she should file a claim for service connection. Your husband can file that claim via the va.gov website, through an accredited representative or by making an appointment to speak with VBA at VERA - Home (force.com).
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your question and please thank your husband for his service to the nation. Congress has legislated Agent Orange presumptions for Veterans who were stationed on Guam. Depending on his dates of deployment, he may be eligible to file a claim. You can find more information here: https://www.publichealth.va.gov/exposures/benefits/PACT_Act.asp VA encourages Veterans who feel that their health was negatively impacted by their military service to submit a claim.
SSG Eleno Deanda III
Does Dessert Storm under Burn Pits
SSG Eleno Deanda III
SSG Eleno Deanda III
>1 y
I was Deploy from Dec.3 1998 to May 1990
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service and question. Desert Storm Veterans are eligible burn pit presumptions under the PACT Act.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
If a Veteran served in any of these locations and time periods, VA has determined they had exposure to burn pits or other toxins. This is having a presumption of exposure On or after September 11, 2001, in any of these locations: Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Uzbekistan, Yemen, and 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), and the airspace above any of these locations. Veterans and their dependents are encouraged to visit VA’s PACT Act website at https://www.va.gov/resources/the-pact-act-and-your-va-benefits/. Veterans can utilize links on the site to submit claims, and address any questions to maximize their entitlement related to the act’s recent passage. 
MAJ Deirdre Mahony
Has anyone considered Ft McClellan, AL, where we were supplied with drinking water with toxic PCBs from Monsanto (as was the entire town of Anniston). Home of the Army Chem School - and where ranges were defoliated with Agent Orange in 1974-76? Women's Army Corps, Chem Corps and MPs are not important enough because we don't have a Congressperson to fight for us. Ft Mac was closed 20 years ago primarily for environment hazards. Now FEMA is going in to study about chemical warfare effects.... Hmmmm....interesting. But it is 40 - 50 years later, and no one cares about the effects these things have had on us. I was there for 4 years - but it wasn't wartime. Swept under the rug.
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
The VA works closely with the National Academy of Science, Engineering and Medicine (NASEM) among other agencies to determine causal links between exposures and diagnoses. Anytime you have a medical condition which you believe was caused by or worsened by events that occurred in service, you should file a claim for service connection. You can file that claim via the va.gov website, through an accredited representative or by making an appointment to speak with VBA at VERA - Home (force.com).
U.S. Department of Veterans Affairs
U.S. Department of Veterans Affairs
>1 y
Thank you for your service and question. The PACT Act has directed VA conduct a study on Ft. McClellan. For other issues related to Fort McClellan, you can find information here: https://www.publichealth.va.gov/exposures/fort-mcclellan/index.asp Agent Orange was not used or stored on Ft. McClellan. It was used transported through US Army Gulf Outport, Port of Mobile, Alabama from 1965-1968.

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