Verified against eCFR and VA.gov

What counts as presumptive right now.

The PACT Act added dozens of presumptive conditions, and VA keeps adding more through rulemaking. This tracker keeps the current lists in one place: burn pits, Agent Orange, Gulf War illness, radiation, Camp Lejeune, and former POWs, each verified against the regulation itself.

Last verified: July 11, 2026

Not sure if you qualify? Check in about a minute.

Answer a few questions about where and when you served and our screener shows which presumptive categories could apply to you. Nothing is stored.

Run the presumptive screener

Original research

How is the PACT Act actually going? We got the numbers.

Our FOIA request produced 48 months of grant and denial data for every PACT Act claim. The 12-month grant rate fell 8.4 points, from 78.6 percent in the law's first year to 70.2 percent in the most recent year, a period measure distinct from VA's cumulative approval rate.

Read the PACT Act Claims Report

Newest additions

January 2025
Acute and chronic leukemias, multiple myeloma, myelodysplastic syndromes, myelofibrosis, and cancers of the urinary bladder, ureter, and related genitourinary organs were added to the burn pit presumptive list (38 CFR 3.320).
2024 (codifying the PACT Act)
Male breast cancer, urethral cancer, and cancer of the paraurethral glands were addressed for toxic exposure presumptions.
2022 (PACT Act), codified 2024
Hypertension (high blood pressure) and MGUS (monoclonal gammopathy of undetermined significance) were added to the Agent Orange presumptive list (38 CFR 3.309).

VA chose to make every PACT Act presumption effective immediately when the law was signed on August 10, 2022, instead of phasing them in over several years the way the statute allowed.

The presumptive categories, verified

Regulation watch

38 CFR 3.309: Last amended by the final rule at 88 FR 15277 (March 13, 2023), which updated the radiation-risk activity locations in 3.309(d) under the PACT Act. The January 2025 fine-particulate-matter blood cancer presumptions are in 38 CFR 3.320b, not this section, and the bladder and ureter cancer presumptions (January 2025) are in 3.320a. Hypertension and MGUS became herbicide presumptives by statute (PACT Act section 403, 38 U.S.C. 1116(a)(2)) and do not yet appear in the 3.309(e) regulatory text; the statute controls. (last change effective March 13, 2023)

38 CFR 3.320: 3.320 covers presumptions based on exposure to fine particulate matter: asthma, rhinitis, and sinusitis (2021) and the rare respiratory cancers (2022, restated at 88 FR 60336, effective October 31, 2023). Later fine-particulate presumptions were placed in new sections: 3.320a (bladder and ureter cancers, 90 FR 23, January 2, 2025) and 3.320b (leukemias, multiple myelomas including MGUS, myelodysplastic syndromes, myelofibrosis, 90 FR 1894, January 10, 2025). (last change effective October 31, 2023)

We check these sections against eCFR and scan the Federal Register weekly. New presumptive rules appear here after verification, never before.

Common questions

What does presumptive actually mean?

For a presumptive condition, VA presumes your diagnosis is connected to your service if you served in a qualifying place and time. You still need the diagnosis and proof of qualifying service, but you do not need a medical opinion linking the two.

Is the PACT Act still adding conditions?

Yes. VA continues to expand the presumptive lists through rulemaking. The most recent additions came in January 2025, when several blood and genitourinary cancers joined the burn pit list. We watch the Federal Register weekly and update this page when a new rule is verified.

I filed before my condition was presumptive. Can I try again?

Yes. If a condition becomes presumptive after a denial, you can file a supplemental claim. If VA grants it, the effective date rules under the PACT Act can be favorable, so it is worth acting quickly.

Hear about new presumptives first

When VA adds a condition to a presumptive list, we email a clear explanation of who qualifies and what to file. That could be the nudge that changes someone's benefits.