VA BENEFITS REFERENCE
Documented Changes To VA Presumptive Lists
A dated record of selected verified changes to VA exposure presumptions, with publication and effective dates distinguished and official sources.
Selected verified milestones, 2017-2025; not a complete historical amendment log.
2025-01-10: Blood And Bone-Marrow Condition Rule Took Effect
38 CFR 3.320b added acute and chronic leukemias, multiple myelomas including MGUS, myelodysplastic syndromes and myelofibrosis for the covered service groups.
2025-01-02: Bladder And Ureter Cancer Rule Took Effect
38 CFR 3.320a added urinary bladder cancer, including overlapping sites, and ureter cancer, including the ureteric orifice and urachus, for its defined service groups.
2024-06-14: Three Cancer Types Expressly Included By VA Policy
VA announced presumptions for male breast cancer, urethral cancer and cancer of the paraurethral glands. The policy notice, published June 17, places them within the statutory reproductive-cancer category.
2023-10-31: Particulate-Rule Manifestation Change Took Effect
The final rule published September 1, 2023 became effective October 31. It permits listed conditions to manifest to any degree at any time after qualifying service, replacing the former ten-year limit for asthma, rhinitis and sinusitis.
2022-08-10: PACT Act Enacted
The law added toxic-exposure disease and service presumptions, hypertension and MGUS for herbicide exposure, three radiation response activities and broader chronic Gulf War illness coverage. Enactment is not a promise that every individual award starts on that date.
2022-04-26: Nine Rare Respiratory Cancers Added
VA established presumptions for nine rare respiratory cancer categories under the fine-particulate rule. The 2023 final rule records the original publication and applicability date.
2021-08-05: Three Respiratory Conditions Added Under The Particulate Rule
VA published the interim rule for asthma, rhinitis and sinusitis associated with fine particulate exposure. Its original ten-year manifestation limit was later removed.
2021-01-01: Three Herbicide Conditions Added By Statute
Public Law 116-283 added Parkinsonism, bladder cancer and hypothyroidism to the herbicide statute.
2017-03-14: Camp Lejeune Compensation Presumptions Took Effect
VA established presumptive service connection for eight diseases tied to qualifying Camp Lejeune service. This predates the PACT Act.
Read The Current Reference Table
Official Sources
Last verified 2026-10-25. Source publication or legal effective dates are shown separately where available.
- veterans.idaho.gov/wp-content/uploads/site-documents/Camp-Lejeune-Fact-Sheet-3.14.2017.pdf
- uscode.house.gov/us/usc/119-124/t38/s1116/
- www.va.gov/disability/eligibility/hazardous-materials-exposure/agent-orange/
- www.govinfo.gov/content/pkg/FR-2023-09-01/pdf/2023-18979.pdf
- www.govinfo.gov/content/pkg/FR-2023-11-03/pdf/2023-24195.pdf
- www.ecfr.gov/current/title-38/section-3.320
- www.govinfo.gov/content/pkg/PLAW-117publ168/pdf/PLAW-117publ168.pdf
- uscode.house.gov/us/usc/119-124/t38/s1117/
- uscode.house.gov/us/usc/119-124/t38/s1119/
- uscode.house.gov/us/usc/119-124/t38/s1120/
- news.va.gov/press-room/va-extends-presumptions-of-service-connection-for-three-new-cancer-types/
- www.govinfo.gov/content/pkg/FR-2024-06-17/pdf/2024-13010.pdf
- www.govinfo.gov/content/pkg/FR-2025-01-02/pdf/2024-31220.pdf
- www.ecfr.gov/current/title-38/section-3.320a
- www.govinfo.gov/content/pkg/FR-2025-01-10/pdf/2024-31776.pdf
- www.ecfr.gov/current/title-38/section-3.320b
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