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Radiation Exposure & RECA

Benefits for veterans and civilians exposed to ionizing radiation through nuclear weapons testing, occupation of irradiated areas, or uranium mining and processing. Two separate programs exist: VA disability benefits and DOJ RECA compensation.

Who Qualifies for VA Disability Benefits

Veterans who had contact with ionizing radiation through the following qualify for VA presumptive disability benefits:

  • Atmospheric nuclear weapons testing participation
  • Postwar occupation duties in Hiroshima or Nagasaki
  • Prisoner of war in Japan during WWII
  • Department of Energy employee-equivalent tasks (Special Exposure Cohort member)
  • Underground nuclear weapons testing at Amchitka Island, Alaska
  • Gaseous diffusion plant workers: Paducah (KY), Portsmouth (OH), or Oak Ridge (TN)

PACT Act Additions (2022+)

The PACT Act added three new presumptive-exposure locations for radiation:

  1. Enewetak Atoll cleanup: January 1, 1977 – December 31, 1980
  2. Palomares, Spain B-52 recovery: January 17, 1966 – March 31, 1967
  3. Thule Air Force Base, Greenland B-52 fire response: January 21, 1968 – September 25, 1968

Radiation-related illnesses are listed in 38 CFR 3.309(d) and include multiple cancers and other conditions. These presumptive cancers do not require a specific onset timeframe after exposure. (Note: the 5-year latency requirement applies only to radiogenic disease claims under 38 CFR 3.311, not to 3.309(d) presumptive conditions.)

RECA (Radiation Exposure Compensation Act)

RECA is a separate program from VA benefits, administered by the Department of Justice. It provides lump-sum compensation to individuals exposed to radiation.

Current Status

  • Originally expired June 7, 2024
  • Reauthorized July 4, 2025 under the One Big Beautiful Bill Act (Pub. L. 119-21)
  • Extended through December 31, 2028
  • Claims may be filed through December 31, 2027
  • Over $2.9 billion awarded to 45,132 claimants since 1990

2025 RECA Expansion

  • Expanded eligibility for downwinders, onsite participants, and uranium industry workers
  • New coverage for areas in Missouri, Tennessee, Kentucky, and Alaska (Manhattan Project waste)
  • Expanded uranium worker eligibility: workers employed 1971–1990, core drillers added
  • Additional covered illnesses added

How to File

How to file radiation exposure claims with VA and RECA
ProgramHow to FileContact
VA disabilityStandard disability claim (VA Form 21-526EZ) referencing radiation exposure1-800-827-1000
RECA (DOJ)DOJ Civil Division applicationjustice.gov/civil/reca
Toxic exposure screeningRequest at VA enrollment or healthcare visitYour VA medical center

Important: You can file for both VA disability benefits and RECA compensation — they are separate programs. However, RECA Onsite Participant payments are offset by VA disability compensation amounts received for the same illness.