What are VA presumptive conditions?

Q: What are VA presumptive conditions?

Presumptive conditions are illnesses VA presumes are caused by military service based on where and when a veteran served — no nexus letter needed. Categories include Agent Orange (Vietnam and expanded PACT Act locations), Gulf War Illness, burn pits and airborne hazards, radiation exposure, Camp Lejeune water contamination, and chronic illnesses that manifest within a year of separation under 38 CFR § 3.309.

Last verified July 15, 2026 · Reviewed by Esteban Magallon, VA-Accredited Claims Agent

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You still must show a current diagnosis and qualifying service.
The PACT Act added dozens of conditions and locations from 2022 through 2026.
If VA previously denied a listed condition, a Supplemental Claim can capture the earlier effective date if filed timely.

PACT Act conditions

This is general educational information about VA claims — not legal or medical advice. Individual outcomes depend on the record. Oakridge Claims is a private VA-Accredited Claims Agent practice and is not affiliated with the U.S. Department of Veterans Affairs.

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What are VA presumptive conditions?

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