PACT Act presumptive conditions: the official VA list

This list is copied from VA's own page, The PACT Act and your VA benefits (VA marks it "Last updated: June 2, 2026"; we checked it Oct 15, 2026). Nothing here is added or guessed. If VA changes the list, VA's page wins.

What "presumptive" means: normally you must prove your service caused a condition. For a presumptive condition, VA assumes the link. You only have to meet the service requirement (where and when you served).

Burn pits and other toxins (Gulf War era and post-9/11)

Cancers VA now presumes

• 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

Illnesses VA now presumes

• 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

Where you had to serve (presumption of exposure)

On or after Sept. 11, 2001: Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Uzbekistan, Yemen, or the airspace above any of them.

On or after Aug. 2, 1990: Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia, the United Arab Emirates (UAE), or the airspace above any of them.

Agent Orange (Vietnam era)

The PACT Act added 2 Agent Orange presumptive conditions:

• High blood pressure (hypertension)
• Monoclonal gammopathy of undetermined significance (MGUS)

These sit on top of VA's existing Agent Orange list (certain cancers, type 2 diabetes and other illnesses). See VA's full Agent Orange list.

New Agent Orange presumptive locations (active duty):

• Any U.S. or Royal Thai military base in Thailand, Jan. 9, 1962 – June 30, 1976
• Laos, Dec. 1, 1965 – Sept. 30, 1969
• Cambodia at Mimot or Krek, Kampong Cham Province, Apr. 16 – Apr. 30, 1969
• Guam or American Samoa or their territorial waters, Jan. 9, 1962 – July 31, 1980
• Johnston Atoll or a ship that called there, Jan. 1, 1972 – Sept. 30, 1977

VA notes this isn't its full Agent Orange location list; check the official page.

Radiation: new presumptive response efforts

• Cleanup of Enewetak Atoll, Jan. 1, 1977 – Dec. 31, 1980
• Cleanup of the B-52 nuclear weapons crash off Palomares, Spain, Jan. 17, 1966 – Mar. 31, 1967
• Response to the B-52 fire near Thule Air Force Base, Greenland, Jan. 21 – Sept. 25, 1968

What to do with this

1. Lock your date first. Submit an intent to file; it holds your potential start date for 1 year.
2. New claim: file online (how to file). Trouble logging in? VA.gov sign-in help.
3. Denied before, and your condition is now presumptive? VA says you can file a Supplemental Claim. You don't have to wait for VA to contact you.
4. Claim already pending? VA says you don't need to do anything; it will still consider the condition presumptive.
5. Health care: many Gulf War, post-9/11 and Vietnam-era veterans can enroll in VA health care under the PACT Act without a disability claim first. Every enrolled veteran gets a toxic exposure screening. PACT Act line: 800-698-2411 (TTY: 711).
6. Survivors: DIC, accrued benefits and Survivors Pension may apply; see the VA page.

Approved? See what it pays in the 2026 VA disability pay chart, and how multiple ratings add up in VA combined ratings.

Related: PACT Act presumptive conditions · 2026 VA disability pay chart · VA combined rating (VA math) · Intent to File · Top 10 most-missed benefits · All vet benefit guides