The PACT Act added dozens of presumptive conditions and expanded the list of locations tied to toxic exposure. If you served near burn pits, were exposed to Agent Orange, or worked around other hazards, conditions that were denied years ago may now be presumptive.
Presumptive vs. facts-found
A presumptive condition means the VA concedes the link if you meet the exposure and diagnosis criteria — no nexus letter required. If your condition is not on the presumptive list, you can still win on a facts-found basis by proving the exposure and the medical link directly.
It is not about your MOS alone
Toxic-exposure claims are driven by where you were and what you did — your unit, your locations, and your job duties — not your job title on paper. A TERA (Toxic Exposure Risk Activity) review reconstructs that exposure history. We map your service to the exposure, then to the condition. And no tool or worksheet is the official exposure record — the evidence still has to be built.