38 U.S.C. § 1154 — Consideration to be accorded time, place,

Page 185 TITLE 38—VETERANS’ BENEFITS § 1154 1991, 105 Stat. 406; Pub. L. 116–283, div. A, title IX, § 926(a)(15), Jan. 1, 2021, 134 Stat. 3830.) Editorial Notes AMENDMENTS 2021—Pub. L. 116–283 substituted ‘‘air, or space serv- ice’’ for ‘‘or air service’’. 1991—Pub. L. 102–83 renumbered section 353 of this title as this section. § 1154. Consideration to be accorded time, place, and circumstances of service (a) The Secretary shall include in the regula- tions pertaining to service-connection of disabil- ities (1) additional provisions in effect requiring that in each case where a veteran is seeking service-connection for any disability due consid- eration shall be given to the places, types, and circumstances of such veteran’s service as shown by such veteran’s service record, the offi- cial history of each organization in which such veteran served, such veteran’s medical records, and all pertinent medical and lay evidence, and (2) the provisions required by section 5 of the Veterans’ Dioxin and Radiation Exposure Com- pensation Standards Act (Public Law 98–542; 98 Stat. 2727). (b) In the case of any veteran who engaged in combat with the enemy in active service with a military, naval, air, or space organization of the United States during a period of war, campaign, or expedition, the Secretary shall accept as suf- ficient proof of service-connection of any disease or injury alleged to have been incurred in or ag- gravated by such service satisfactory lay or other evidence of service incurrence or aggrava- tion of such injury or disease, if consistent with the circumstances, conditions, or hardships of such service, notwithstanding the fact that there is no official record of such incurrence or aggravation in such service, and, to that end, shall resolve every reasonable doubt in favor of the veteran. Service-connection of such injury or disease may be rebutted by clear and con- vincing evidence to the contrary. The reasons for granting or denying service-connection in each case shall be recorded in full. (Pub. L. 85–857, Sept. 2, 1958, 72 Stat. 1124, § 354; Pub. L. 94–433, title IV, § 404(20), Sept. 30, 1976, 90 Stat. 1379; Pub. L. 98–542, § 4, Oct. 24, 1984, 98 Stat. 2727; Pub. L. 102–54, § 14(b)(1), June 13, 1991, 105 Stat. 282; renumbered § 1154 and amended Pub. L. 102–83, §§ 4(b)(1), (2)(E), 5(a), Aug. 6, 1991, 105 Stat. 404–406; Pub. L. 116–283, div. A, title IX, § 926(d), Jan. 1, 2021, 134 Stat. 3831.) Editorial Notes REFERENCES IN TEXT Section 5 of the Veterans’ Dioxin and Radiation Ex- posure Compensation Standards Act, referred to in sub- sec. (a), is set out below. AMENDMENTS 2021—Subsec. (b). Pub. L. 116–283 substituted ‘‘air, or space organization’’ for ‘‘or air organization’’. 1991—Pub. L. 102–83, § 5(a), renumbered section 354 of this title as this section. Pub. L. 102–54, § 14(b)(1)(A), inserted a comma after ‘‘place’’ in section catchline. Subsec. (a). Pub. L. 102–83, § 4(b)(1), (2)(E), substituted ‘‘Secretary’’ for ‘‘Administrator’’. Pub. L. 102–54, § 14(b)(1)(B), inserted before period at end ‘‘(Public Law 98–542; 98 Stat. 2727)’’. Subsec. (b). Pub. L. 102–83, § 4(b)(1), (2)(E), substituted ‘‘Secretary’’ for ‘‘Administrator’’. 1984—Subsec. (a). Pub. L. 98–542 designated existing provisions as cl. (1) and added cl. (2). 1976—Subsec. (a). Pub. L. 94–433 substituted ‘‘such veteran’s’’ for ‘‘his’’ in three places and ‘‘such veteran’’ for ‘‘he’’. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 1976 AMENDMENT Amendment by Pub. L. 94–433 effective Oct. 1, 1976, see section 406 of Pub. L. 94–433, set out as a note under section 1101 of this title. RADIATION DOSE RECONSTRUCTION PROGRAM OF DEPARTMENT OF DEFENSE Pub. L. 108–183, title VI, § 601, Dec. 16, 2003, 117 Stat. 2667, as amended by Pub. L. 117–263, div. A, title VII, § 734, Dec. 23, 2022, 136 Stat. 2668, provided that: ‘‘(a) REVIEW OF MISSION, PROCEDURES, AND ADMINIS- TRATION.—(1) The Secretary of Veterans Affairs and the Secretary of Defense shall jointly conduct a review of the mission, procedures, and administration of the Ra- diation Dose Reconstruction Program of the Depart- ment of Defense. ‘‘(2) In conducting the review under paragraph (1), the Secretaries shall— ‘‘(A) determine whether any additional actions are required to ensure that the quality assurance and quality control mechanisms of the Radiation Dose Reconstruction Program are adequate and sufficient for purposes of the program; and ‘‘(B) determine the actions that are required to en- sure that the mechanisms of the Radiation Dose Re- construction Program for communication and inter- action with veterans are adequate and sufficient for purposes of the program, including mechanisms to permit veterans to review the assumptions utilized in their dose reconstructions. ‘‘(3) Not later than 90 days after the date of the enact- ment of this Act [Dec. 16, 2003], the Secretaries shall jointly submit to Congress a report on the review under paragraph (1). The report shall set forth— ‘‘(A) the results of the review; ‘‘(B) a plan for any actions determined to be re- quired under paragraph (2); and ‘‘(C) such other recommendations for the improve- ment of the mission, procedures, and administration of the Radiation Dose Reconstruction Program as the Secretaries jointly consider appropriate. ‘‘(b) ON-GOING REVIEW AND OVERSIGHT.—The Secre- taries shall jointly take appropriate actions to ensure the on-going independent review and oversight of the Radiation Dose Reconstruction Program.’’ REVIEW OF DOSE RECONSTRUCTION PROGRAM OF THE DEFENSE THREAT REDUCTION AGENCY Pub. L. 106–419, title III, § 305, Nov. 1, 2000, 114 Stat. 1853, provided that: ‘‘(a) REVIEW BY NATIONAL ACADEMY OF SCIENCES.—Not later than 30 days after the date of the enactment of this Act [Nov. 1, 2000], the Secretary of Defense shall enter into a contract with the National Academy of Sciences to carry out periodic reviews of the program of the Defense Threat Reduction Agency of the Depart- ment of Defense known as the ‘dose reconstruction pro- gram’. ‘‘(b) REVIEW ACTIVITIES.—The periodic reviews of the dose reconstruction program under the contract under subsection (a) shall consist of the periodic selection of random samples of doses reconstructed by the Defense Threat Reduction Agency in order to determine— ‘‘(1) whether or not the reconstruction of the sam- pled doses is accurate; ‘‘(2) whether or not the reconstructed dosage num- ber is accurately reported; Page 186 TITLE 38—VETERANS’ BENEFITS § 1154 ‘‘(3) whether or not the assumptions made regard- ing radiation exposure based upon the sampled doses are credible; and ‘‘(4) whether or not the data from nuclear tests used by the Defense Threat Reduction Agency as part of the reconstruction of the sampled doses is accurate. ‘‘(c) DURATION OF REVIEW.—The periodic reviews under the contract under subsection (a) shall occur over a period of 24 months. ‘‘(d) REPORT.—(1) Not later than 60 days after the con- clusion of the period referred to in subsection (c), the National Academy of Sciences shall submit to Congress a report on its activities under the contract under this section. ‘‘(2) The report shall include the following: ‘‘(A) A detailed description of the activities of the National Academy of Sciences under the contract. ‘‘(B) Any recommendations that the National Acad- emy of Sciences considers appropriate regarding a permanent system of review of the dose reconstruc- tion program of the Defense Threat Reduction Agen- cy.’’ IONIZING RADIATION REGISTRY Pub. L. 99–576, title II, § 232, Oct. 28, 1986, 100 Stat. 3264, as amended by Pub. L. 102–83, §§ 5(c)(2), 6(h), Aug. 6, 1991, 105 Stat. 406, 408, provided that: ‘‘(a) ESTABLISHMENT OF REGISTRY.—The Secretary of Veterans Affairs shall establish and maintain a special record to be known as the ‘Ionizing Radiation Registry’ (hereinafter in this section referred to as the ‘Reg- istry’). ‘‘(b) CONTENT OF REGISTRY.—Except as provided in subsection (c), the Registry shall include the following information: ‘‘(1) A list containing the name of each veteran who was exposed to ionizing radiation under the condi- tions described in section 1710(e)(1)(B) of title 38, United States Code, and who— ‘‘(A) applies for hospital or nursing home care from the Department of Veterans Affairs under chapter 17 of such title; ‘‘(B) files a claim for compensation under chapter 11 of such title on the basis of a disability which may be associated with the exposure to ionizing ra- diation; or ‘‘(C) dies and is survived by a spouse, child, or parent who files a claim for dependency and indem- nity compensation under chapter 13 of such title on the basis of the exposure of such veteran to ionizing radiation. ‘‘(2) Medical data relating to each veteran listed in the Registry, including— ‘‘(A) the veteran’s medical history, latest health status recorded by the Department of Veterans Af- fairs, physical examinations, and clinical findings; and ‘‘(B) a statement describing birth defects, if any, in the natural children of the veteran. ‘‘(3) Data on claims for the compensation referred to in paragraph (1), including decisions and deter- minations of the Department of Veterans Affairs re- lating to such claims. ‘‘(4) An estimate of the dose of radiation to which each veteran listed in the Registry was exposed under the conditions described in section 1710(e)(1)(B) of such title. ‘‘(c) VETERANS SUBMITTING CLAIMS BEFORE DATE OF ENACTMENT.—If in the case of a veteran described in subsection (b)(1) the application or claim referred to in such subsection was submitted or filed before October 28, 1986, the Secretary shall include in the Registry, to the extent feasible, such veteran’s name and the data and information described in subsection (b) relating to the veteran. ‘‘(d) CONSOLIDATION OF EXISTING INFORMATION.—(1) For the purpose of establishing and maintaining the Registry, the Secretary of Veterans Affairs shall com- pile and consolidate— ‘‘(A) relevant information maintained by the Vet- erans Benefits Administration and the Veterans Health Administration of the Department of Vet- erans Affairs; ‘‘(B) relevant information maintained by the De- fense Nuclear Agency of the Department of Defense; and ‘‘(C) any relevant information maintained by any other element of the Department of Veterans Affairs or the Department of Defense. ‘‘(2) With respect to a veteran whose name is included in the Registry and for whom the information in the Registry is not complete, the Secretary of Veterans Af- fairs shall include information described in paragraph (1) with respect to that veteran (A) to the extent that such information is reasonably available in records of the Department of Veterans Affairs or Department of Defense, or (B) if such information is submitted by the veteran after October 28, 1986. ‘‘(e) DEPARTMENT OF DEFENSE INFORMATION.—The Secretary of Defense shall furnish to the Secretary of Veterans Affairs such information maintained by the Department of Defense as the Secretary of Veterans Af- fairs considers necessary to establish and maintain the Registry. ‘‘(f) DEFINITION.—For the purpose of this section, the term ‘veteran’ has the meaning given that term in sec- tion 101(2) of title 38, United States Code, and includes a person who died in the active military, naval, or air service. ‘‘(g) EFFECTIVE DATE.—The Registry shall be estab- lished not later than 180 days after the date of the en- actment of this Act [Oct. 28, 1986].’’ VETERANS’ DIOXIN AND RADIATION EXPOSURE COM- PENSATION STANDARDS; CONGRESSIONAL FINDINGS AND STATEMENT OF PURPOSE Pub. L. 98–542, § 1–3, Oct. 24, 1984, 98 Stat. 2725, 2727, as amended by Pub. L. 102–4, § 10(a), (b), Feb. 6, 1991, 105 Stat. 19, provided that: ‘‘SHORT TITLE ‘‘SECTION 1. This Act [amending this section, enacting provisions set out as notes under this section, and amending provisions set out as notes under this section and section 1116 of this title] may be cited as the ‘Vet- erans’ Dioxin and Radiation Exposure Compensation Standards Act’. ‘‘FINDINGS ‘‘SEC. 2. The Congress makes the following findings: ‘‘(1) Veterans who served in the Republic of Viet- nam during the Vietnam era and veterans who par- ticipated in atmospheric nuclear tests or the Amer- ican occupation of Hiroshima or Nagasaki, Japan, are deeply concerned about possible long-term health ef- fects of exposure to herbicides containing dioxin or to ionizing radiation. ‘‘(2) There is scientific and medical uncertainty re- garding such long-term adverse health effects. ‘‘(3) In section 102 of Public Law 97–22 [see Tables for classification], the Congress responded to that un- certainty by authorizing priority medical care at Veterans’ Administration [now Department of Vet- erans Affairs] facilities for any disability of a veteran who may have been so exposed (even though there is insufficient medical evidence linking such disability with such exposure) unless the disability is found to have resulted from a cause other than the exposure. ‘‘(4) The Congress has further responded to that medical and scientific uncertainty by requiring, in section 307 of Public Law 96–151 [set out as a note under section 1116 of this title] and section 601 of Public Law 98–160 [set out below], the conduct of thorough epidemiological studies of the health effects experienced by veterans in connection with exposure both to herbicides containing dioxin and (if not deter- mined to be scientifically infeasible) to radiation, and by requiring in Public Law 97–414 [see Tables for classification], the development of radioepidemiological tables setting forth the prob- Page 187 TITLE 38—VETERANS’ BENEFITS § 1154 abilities of causation between various cancers and ex- posure to radiation. ‘‘(5) There is some evidence that most types of leu- kemia, malignancies of the thyroid, female breast, lung, bone, liver, and skin, and polycythemia vera are associated with exposure to certain levels of ionizing radiation. ‘‘(6) As of the date of the enactment of this Act [Oct. 24, 1984], there are sixty-six federally sponsored research projects being conducted relating to herbi- cides containing dioxin, at a cost to the Federal Gov- ernment in excess of $130,000,000 and, as of 1981, feder- ally sponsored research projects relating to ionizing radiation were costing the Federal Government more than $115,000,000. ‘‘(7) The initial results of one project—an epidemio- logical study, conducted by the United States Air Force School of Aerospace Medicine, of the health status of the ‘Ranch Hand’ veterans who carried out the loading and aerial spraying of herbicides con- taining dioxin in Vietnam and in the process came into direct skin contact with such herbicides in their most concentrated liquid form—were released on Feb- ruary 24, 1984, and contained the conclusion ‘that there is insufficient evidence to support a cause and effect relationship between herbicide exposure and adverse health in the Ranch Hand group at this time’. ‘‘(8) The ‘film badges’ which were originally issued to members of the Armed Forces in connection with the atmospheric nuclear test program have pre- viously constituted a primary source of dose informa- tion for veterans (and survivors of veterans) filing claims for Veterans’ Administration [now Depart- ment of Veterans Affairs] disability compensation or dependency and indemnity compensation in connec- tion with exposure to radiation. ‘‘(9) These film badges often provide an incomplete measure of radiation exposure, since they were not capable of recording inhaled, ingested, or neutron doses (although the Defense Nuclear Agency cur- rently has the capability to reconstruct individual es- timates of such doses), were not issued to most of the participants in nuclear tests, often provided question- able readings because they were shielded during the detonation, and were worn for only limited periods during and after each nuclear detonation. ‘‘(10) Standards governing the reporting of dose es- timates in connection with radiation-related claims for Veterans’ Administration [now Department of Veterans Affairs] disability compensation vary among the several branches of the Armed Forces, and no uniform minimum standards exist. ‘‘(11) The Veterans’ Administration [now Depart- ment of Veterans Affairs] has not promulgated per- manent regulations setting forth specific guidelines, standards, and criteria for the adjudication of claims for Veterans’ Administration disability compensation based on exposure to herbicides containing dioxin or to ionizing radiation. ‘‘(12) Such claims (especially those involving health effects with long latency periods) present adjudica- tory issues which are significantly different from issues generally presented in claims based upon the usual types of injuries incurred in military service. ‘‘(13) It has always been the policy of the Veterans’ Administration [now Department of Veterans Affairs] and is the policy of the United States, with respect to individual claims for service connection of diseases and disabilities, that when, after consideration of all evidence and material of record, there is an approxi- mate balance of positive and negative evidence re- garding the merits of an issue material to the deter- mination of a claim, the benefit of the doubt in re- solving each such issue shall be given to the claim- ant. ‘‘PURPOSE ‘‘SEC. 3. The purpose of this Act is to ensure that Vet- erans’ Administration [now Department of Veterans Affairs] disability compensation is provided to veterans who were exposed to ionizing radiation in connection with atmospheric nuclear tests or in connection with the American occupation of Hiroshima or Nagasaki, Japan, for all disabilities arising after that service that are connected, based on sound scientific and medical evidence, to such service (and that Veterans’ Adminis- tration dependency and indemnity compensation is provided to survivors of those veterans for all deaths resulting from such disabilities).’’ [Amendment by Pub. L. 102–4 to sections 2 and 3 of Pub. L. 98–542, set out above, effective at the end of the six-month period beginning on Feb. 6, 1991, except as otherwise provided, see section 10(e) of Pub. L. 102–4, set out below under sections 5 to 7 of Pub. L. 98–542.] REQUIREMENT FOR AND CONTENT OF REGULATIONS; AD- VISORY COMMITTEE ON ENVIRONMENTAL STANDARDS; NUCLEAR RADIATION MATTERS INVOLVING OTHER AGENCIES Pub. L. 98–542, § 5–7, Oct. 24, 1984, 98 Stat. 2727–2730, as amended by Pub. L. 100–321, § 2(c), May 20, 1988, 102 Stat. 486; Pub. L. 102–4, § 10(c), (d), Feb. 6, 1991, 105 Stat. 19, 20; Pub. L. 102–83, § 5(c)(2), Aug. 6, 1991, 105 Stat. 406, provided that: ‘‘REQUIREMENT FOR AND CONTENT OF REGULATIONS ‘‘SEC. 5. (a) In carrying out the responsibilities of the Administrator of Veterans’ Affairs [now Secretary of Veterans Affairs] under section 1154(a)(2) [formerly 354(a)(2)] of title 38, United States Code, and in order to promote consistency in claims processing and deci- sions, the Administrator shall prescribe regulations to— ‘‘(1) establish guidelines and (where appropriate) standards and criteria for the resolution of claims for benefits under laws administered by the Veterans’ Administration [now Department of Veterans Affairs] where the criteria for eligibility for a benefit include a requirement that a death or disability be service connected and the claim of service connection is based on a veteran’s exposure during service in con- nection with such veteran’s participation in atmos- pheric nuclear tests or with the American occupation of Hiroshima or Nagasaki, Japan, prior to July 1, 1946, to ionizing radiation from the detonation of a nuclear device; and ‘‘(2) ensure that, with respect to those claims, the policy of the United States described in section 2(13) [set out above] is carried out. ‘‘(b)(1)(A) The guidelines required to be established in regulations prescribed under this section shall include guidelines governing the evaluation of the findings of scientific studies relating to the possible increased risk of adverse health effects of exposure to ionizing radi- ation. Those guidelines shall require that, in the eval- uation of those studies, the Administrator [now Sec- retary] shall take into account whether the results are statistically significant, are capable of replication, and withstand peer review. ‘‘(B) The evaluations described in subparagraph (A) shall be made by the Administrator of Veterans’ Affairs [now Secretary of Veterans Affairs] after receiving the advice of the Scientific Council of the Veterans’ Advi- sory Committee on Environmental Hazards (estab- lished under section 6). Those evaluations shall be pub- lished in the notice section of the Federal Register. ‘‘(C) The standards and criteria required to be estab- lished in regulations prescribed under this section shall include provisions governing the use in the adjudica- tion of individual claims of the Administrator’s [now Secretary’s] evaluations made under subparagraph (B). ‘‘(2)(A)(i) In prescribing regulations under this sec- tion, the Administrator [now Secretary] (after receiv- ing the advice of the Advisory Committee and of the Scientific Council of the Veterans’ Advisory Com- mittee on Environmental Hazards regarding the dis- eases described in subparagraph (B)) shall make deter- minations, based on sound medical and scientific evi- dence, with respect to each disease described in sub- Page 188 TITLE 38—VETERANS’ BENEFITS § 1154 paragraph (B) as to whether service connection shall, subject to division (ii) of this subparagraph, be granted in the adjudication of individual cases. In making de- terminations regarding such diseases, the Adminis- trator shall give due regard to the need to maintain the policy of the United States with respect to the resolu- tion of contested issues as set forth in section 2(13) [set out above]. The Administrator shall set forth in such regulations such determinations, with any specifica- tion (relating to exposure or other relevant matter) of limitations on the circumstances under which service connection shall be granted, and shall implement such determinations in accordance with such regulations. ‘‘(ii) If the Administrator [now Secretary] makes a determination, pursuant to this subparagraph, that service connection shall be granted in the case of a dis- ease described in subparagraph (B), the Administrator shall specify in such regulations that, in the adjudica- tion of individual cases, service connection shall not be granted where there is sufficient affirmative evidence to the contrary or evidence to establish that an inter- current injury or disease which is a recognized cause of the described disease has been suffered between the date of separation from service and the onset of such disease or that the disability is due to the veteran’s own willful misconduct. ‘‘(iii) With regard to each disease described in sub- paragraph (B), the Administrator [now Secretary] shall include in the regulations prescribed under this section provisions specifying the factors to be considered in ad- judicating issues relating to whether or not service connection should be granted in individual cases and the circumstances governing the granting of service connection for such disease. ‘‘(B) The diseases referred to in subparagraph (A) are those specified in section 2(5) [set out above] and any other disease with respect to which the Administrator [now Secretary] finds (after receiving and considering the advice of the Scientific Council established under section 6(d)(2)) that there is sound scientific or medical evidence indicating a connection to exposure to ion- izing radiation, in the case of a veteran who was ex- posed to ionizing radiation in connection with such vet- eran’s participation in an atmospheric nuclear test or with the American occupation of Hiroshima or Naga- saki, Japan, before July 1, 1946. ‘‘(3) The regulations prescribed under this section shall include— ‘‘(A) specification of the maximum period of time after exposure to such ionizing radiation for the de- velopment of those diseases; and ‘‘(B) a requirement that a claimant filing a claim based upon a veteran’s exposure to ionizing radiation from the detonation of a nuclear device may not be required to produce evidence substantiating the vet- eran’s exposure during active military, naval, or air service if the information in the veteran’s service records and other records of the Department of De- fense is not inconsistent with the claim that the vet- eran was present where and when the claimed expo- sure occurred. ‘‘(c)(1) The Administrator of Veterans’ Affairs [now Secretary of Veterans Affairs] shall develop the regula- tions required by this section (and any amendment to those regulations) through a public review and com- ment process in accordance with the provisions of sec- tion 553 of title 5, United States Code. That process may include consideration by the Administrator of the recommendations of the Veterans’ Advisory Committee on Environmental Hazards and the Scientific Council thereof (established under section 6) with respect to the proposed regulations, and that process shall include consideration by the Administrator of the rec- ommendations of the Committee and the Council with respect to the final regulations and proposed and final amendments to such regulations. The period for public review and comment shall be completed not later than ninety days after the proposed regulations or proposed amendments are published in the Federal Register. ‘‘(2)(A) Not later than one hundred and eighty days after the date of the enactment of this Act [Oct. 24, 1984], the Administrator [now Secretary] shall develop and publish in the Federal Register a proposed version of the regulations required to be prescribed by this sec- tion. ‘‘(B) Not later than three hundred days after the date of the enactment of this Act [Oct. 24, 1984], the Admin- istrator [now Secretary] shall publish in the Federal Register the final regulations (together with expla- nations of the bases for the guidelines, standards, and criteria contained therein) required to be prescribed by this section. ‘‘ADVISORY COMMITTEE ON ENVIRONMENTAL HAZARDS ‘‘SEC. 6. (a) The advisory committee referred to in subsections (b) and (c) of section 5, to be known as the Veterans’ Advisory Committee on Environmental Haz- ards (hereinafter in this section referred to as the ‘Committee’) shall consist of nine members appointed by the Administrator of Veterans’ Affairs [now Sec- retary of Veterans Affairs] after requesting and consid- ering recommendations from veteran organizations, in- cluding— ‘‘(1) six individuals (of whom none may be members of the Armed Forces on active duty or employees of the Veterans’ Administration [now Department of Veterans Affairs] or the Department of Defense and not more than three may be employees of other Fed- eral departments or agencies), appointed, after re- questing and considering the recommendations of the heads of Federal entities with particular expertise in biomedical and environmental science, including— ‘‘(A) three individuals who are recognized medical or scientific authorities in fields pertinent to un- derstanding the health effects of exposure to ion- izing radiation; and ‘‘(B) three individuals who are recognized medical or scientific authorities in fields, such as epidemi- ology and other scientific disciplines, pertinent to determining and assessing the health effects of ex- posure to ionizing radiation in exposed populations; and ‘‘(2) three individuals from the general public, in- cluding at least one disabled veteran, having a dem- onstrated interest in and experience relating to vet- erans’ concerns regarding exposure to ionizing radi- ation. ‘‘(b) The Committee shall include, as ex officio, non- voting members, the Chief Medical Director and the Chief Benefits Director of the Veterans’ Administration [now Under Secretary for Health and Under Secretary for Benefits of the Department of Veterans Affairs], or their designees. ‘‘(c) The Committee shall submit to the Adminis- trator [now Secretary] any recommendations it con- siders appropriate for administrative or legislative ac- tion. ‘‘(d)(1) The six members of the Committee described in subsection (a)(1) shall, in addition to serving as members of the Committee, constitute a Scientific Council of the Committee (hereinafter in this section referred to as the ‘Council’). ‘‘(2) The Council shall have responsibility for evalu- ating scientific studies relating to possible adverse health effects of exposure to ionizing radiation. ‘‘(3) The Council shall make findings and evaluations regarding pertinent scientific studies and shall submit to the Committee, the Administrator [now Secretary], and the Committees on Veterans’ Affairs of the Senate and House of Representatives directly periodic reports on such findings and evaluations. ‘‘(e) The Administrator [now Secretary] shall des- ignate one of the members to chair the Committee and another member to chair the Council. ‘‘(f) The Administrator [now Secretary] shall deter- mine the terms of service and pay and allowances of members of the Committee, except that a term of serv- ice of any member may not exceed three years. The Ad- ministrator may reappoint any member for additional terms of service. ‘‘(g) The Administrator [now Secretary] shall provide administrative support services and fiscal support for the Committee. Page 189 TITLE 38—VETERANS’ BENEFITS § 1154 ‘‘NUCLEAR RADIATION MATTERS INVOLVING OTHER AGENCIES ‘‘SEC. 7. (a) In connection with the duties of the Di- rector of the Defense Nuclear Agency, as Department of Defense Executive Agent for the Nuclear Test Per- sonnel Review Program, relating to the preparation of radiation dose estimates with regard to claims for Vet- erans’ Administration [now Department of Veterans Affairs] disability compensation and dependency and indemnity compensation under chapters 11 and 13, re- spectively, of title 38, United States Code— ‘‘(1) the Secretary of Defense shall prescribe guide- lines (and any amendment to those guidelines) through a public review and comment process in ac- cordance with the provisions of section 553 of title 5, United States Code— ‘‘(A) specifying the minimum standards governing the preparation of radiation dose estimates in con- nection with claims for such compensation, ‘‘(B) making such standards uniformly applicable to the several branches of the Armed Forces, and ‘‘(C) requiring that each such estimate furnished to the Veterans’ Administration [now Department of Veterans Affairs] and to any veteran or survivor include information regarding all material aspects of the radiation environment to which the veteran was exposed and which form the basis of the claim, including inhaled, ingested, and neutron doses; and ‘‘(2) the Secretary of Health and Human Services, through the Director of the National Institutes of Health, shall— ‘‘(A) conduct a review of the reliability and accu- racy of scientific and technical devices and tech- niques (such as ‘whole body counters’) which may be useful in determining previous radiation expo- sure; ‘‘(B) submit to the Administrator of Veterans’ Af- fairs [now Secretary of Veterans Affairs] and the Committees on Veterans’ Affairs of the House of Representatives and the Senate, not later than July 1, 1985, a report regarding the results of such review, including information concerning the avail- ability of such devices and techniques, the cat- egories of exposed individuals as to whom use of such devices and techniques may be appropriate, and the reliability and accuracy of dose estimates which may be derived from such devices and tech- niques; and ‘‘(C) enter into an interagency agreement with the Administrator of Veterans’ Affairs [now Sec- retary of Veterans Affairs] for the purpose of assist- ing the Administrator in identifying agencies or other entities capable of furnishing services involv- ing the use of such devices and techniques. ‘‘(b) The Administrator of Veterans’ Affairs [now Sec- retary of Veterans Affairs], in resolving material dif- ferences between a radiation dose estimate, from a credible source, submitted by a veteran or survivor and a radiation dose estimate prepared and transmitted by the Director of the Defense Nuclear Agency, shall pro- vide for the preparation of a radiation dose estimate by an independent expert, who shall be selected by the Di- rector of the National Institutes of Health and who shall not be affiliated with the Defense Nuclear Agen- cy, and the Administrator shall provide for the consid- eration of such independent estimate in connection with the adjudication of the claim for Veterans’ Ad- ministration [now Department of Veterans Affairs] compensation.’’ [Pub. L. 102–4, § 10(e), Feb. 6, 1991, 105 Stat. 20, as amended by Pub. L. 102–86, title V, § 503(b)(2), Aug. 14, 1991, 105 Stat. 425, provided that: [‘‘(1) Except as provided in paragraph (2), the amend- ments made by this section [amending sections 2 and 3 of Pub. L. 98–542, set out above, and sections 5 and 6 of Pub. L. 98–542, set out above] shall take effect at the end of the two-month period beginning on the date of the enactment of the Veterans’ Benefits Programs Im- provement Act of 1991 [Aug. 14, 1991]. [‘‘(2)(A) If the Secretary of Veterans Affairs deter- mines before the end of such period that the Environ- mental Hazards Advisory Committee established under section 6 of Public Law 98–542 (38 U.S.C. 354 note) [set out above] has completed its responsibilities under that section and the directives of the Secretary pursuant to the Nehmer case court order, the amendments made by this section shall take effect as of the date of such de- termination. [‘‘(B) For purposes of this paragraph, the term ‘Nehmer case court order’ means the court order dated May 2, 1989, in the case of Nehmer v. Department of Veterans Affairs, in the United States district court for the northern district of California (civil action docket number C–86–6160 TEH). [‘‘(3) If the Secretary makes a determination under paragraph (2), the Secretary shall promptly publish in the Federal Register a notice that such determination has been made and that such amendments have thereby taken effect as of the date of such determination.’’] IDENTIFICATION OF ACTIVITIES INVOLVING EXPOSURE TO IONIZING RADIATION BEFORE JANUARY 1, 1970 Section 10 of Pub. L. 98–542, as added by Pub. L. 102–578, § 3, Oct. 30, 1992, 106 Stat. 4774, provided that: ‘‘(a) IN GENERAL.—(1) In order to determine whether activities (other than the tests or occupation activities referred to in section 5(a)(1)(B) [probably means section 5(a)(1), set out above]) resulted in the exposure of vet- erans to ionizing radiation during the service of such veterans that occurred before January 1, 1970, and whether adverse health effects have been observed or may have resulted from such exposure in a significant number of such veterans, the Advisory Committee es- tablished under section 6 [set out above] shall— ‘‘(A) review all available scientific studies and other relevant information relating to the exposure of such veterans to ionizing radiation during such service; ‘‘(B) identify any activity during which significant numbers of veterans received exposure; and ‘‘(C) on the basis of such review, submit to the Sec- retary of Veterans Affairs a report containing the recommendation of the Advisory Committee on the feasibility and appropriateness for the purpose of the determination under this paragraph of any additional investigation with respect to any activity of such veterans during such service. ‘‘(2) Upon the request of the Advisory Committee, the Secretary of Veterans Affairs (after seeking such as- sistance from the Secretary of Defense as is necessary and appropriate) shall make available to the Advisory Committee records and other information relating to the service referred to in paragraph (1) that may assist the Advisory Committee in carrying out the review and recommendation referred to in that paragraph. ‘‘(3) The Advisory Committee shall submit to the Sec- retary of Veterans Affairs the report referred to in paragraph (1)(C) not later than August 1, 1993. ‘‘(b) INVESTIGATION PLAN AND REPORT.—(1) Upon re- ceipt of the report referred to in subparagraph (C) of subsection (a)(1), the Secretary of Veterans Affairs shall— ‘‘(A) identify which of the activities referred to in that subparagraph, if any, that the Secretary intends to investigate more fully for the purpose of making the determination referred to in that subsection; and ‘‘(B) prepare a plan (including a deadline for the plan) to carry out that investigation and make that determination. ‘‘(2) Not later than December 1, 1993, the Secretary shall submit to the Committees on Veterans’ Affairs of the Senate and House of Representatives a report con- taining— ‘‘(A) a list of the activities identified by the Sec- retary pursuant to paragraph (1)(A) and the basis of such identification; ‘‘(B) a copy of the report of the Advisory Com- mittee referred to in subsection (a)(1)(C); and ‘‘(C) the plan referred to in paragraph (1)(B).’’ Page 190 TITLE 38—VETERANS’ BENEFITS § 1155 INTERIM BENEFITS FOR DISABILITY OR DEATH IN CERTAIN CASES Pub. L. 98–542, § 9, Oct. 24, 1984, 98 Stat. 2732, provided for payment of interim monthly disability benefits to veterans who had served in Vietnam during Vietnam era and who had diseases chloracne and porphyria cutanea tarda which manifested themselves within one year after date of veteran’s most recent departure from Vietnam, but with no such interim benefits to be paid after Sept. 30, 1986. RADIATION EXPOSURE STUDY AND GUIDE Pub. L. 98–160, title VI, Nov. 21, 1983, 97 Stat. 1006, as amended by Pub. L. 98–542, § 8(b), Oct. 24, 1984, 98 Stat. 2732, provided for the conduct of an epidemiological study of long-term adverse health effects of exposure to ionizing radiation from detonation of nuclear devices in connection with tests of such devices or in connec- tion with occupation of Hiroshima and Nagasaki, Japan, between Sept. 11, 1945, and July 1, 1946, and pro- vided for reports to Congress on studies made together with recommendations as to necessary legislation. § 1155. Authority for schedule for rating disabil- ities The Secretary shall adopt and apply a sched- ule of ratings of reductions in earning capacity from specific injuries or combination of injuries. The ratings shall be based, as far as practicable, upon the average impairments of earning capac- ity resulting from such injuries in civil occupa- tions. The schedule shall be constructed so as to provide ten grades of disability and no more, upon which payments of compensation shall be based, namely, 10 percent, 20 percent, 30 percent, 40 percent, 50 percent, 60 percent, 70 percent, 80 percent, 90 percent, and total, 100 percent. The Secretary shall from time to time readjust this schedule of ratings in accordance with experi- ence. However, in no event shall such a readjust- ment in the rating schedule cause a veteran’s disability rating in effect on the effective date of the readjustment to be reduced unless an im- provement in the veteran’s disability is shown to have occurred. (Pub. L. 85–857, Sept. 2, 1958, 72 Stat. 1125, § 355; Pub. L. 98–223, title I, § 101(c), Mar. 2, 1984, 98 Stat. 38; renumbered § 1155 and amended Pub. L. 102–83, §§ 4(b)(1), (2)(E), 5(a), Aug. 6, 1991, 105 Stat. 404–406; Pub. L. 102–86, title I, § 103(a), Aug. 14, 1991, 105 Stat. 414.) Editorial Notes AMENDMENTS 1991—Pub. L. 102–86 amended this section as in effect before the redesignations made by Pub. L. 102–83, § 5, by inserting at end ‘‘However, in no event shall such a re- adjustment in the rating schedule cause a veteran’s dis- ability rating in effect on the effective date of the read- justment to be reduced unless an improvement in the veteran’s disability is shown to have occurred.’’ Pub. L. 102–83, § 5(a), renumbered section 355 of this title as this section. Pub. L. 102–83, § 4(b)(1), (2)(E), substituted ‘‘Sec- retary’’ for ‘‘Administrator’’ in two places. 1984—Pub. L. 98–223 substituted ‘‘percent’’ for ‘‘per centum’’ wherever appearing. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 1991 AMENDMENT Pub. L. 102–86, title I, § 103(b), Aug. 14, 1991, 105 Stat. 415, provided that: ‘‘The amendment made by sub- section (a) [amending this section] shall apply with re- gard to changes in rating schedules that take effect after the date of the enactment of this Act [Aug. 14, 1991].’’ EFFECTIVE DATE OF 1984 AMENDMENT Amendment by Pub. L. 98–223 effective Apr. 1, 1984, see section 107 of Pub. L. 98–223, set out as a note under section 1114 of this title. § 1156. Temporary disability ratings (a) ASSIGNMENT OF TEMPORARY RATINGS.—(1) For the purpose of providing disability com- pensation under this chapter to veterans, the Secretary shall assign a temporary disability rating to a veteran as follows: (A) To a veteran who— (i) was discharged or released from active duty not more than 365 days before the date such veteran submits a claim for disability compensation under this chapter; (ii) has one or more disabilities for which a rating of total is not immediately assign- able— (I) under the regular provisions of the schedule of ratings; or (II) on the basis of individual unemployability; and (iii) has one or more— (I) severe disabilities that result in sub- stantially gainful employment not being feasible or advisable; or (II) healed, unhealed, or incompletely healed wounds or injuries that make mate- rial impairment of employability likely. (B) To a veteran who, as a result of a highly stressful in-service event, has a mental dis- order that is severe enough to bring about the veteran’s discharge or release from active duty. (C) To a veteran who has a service-connected disability that requires hospital treatment or observation in a Department of Veterans Af- fairs or approved hospital for a period in ex- cess of 21 days. (D) To a veteran who has a service-con- nected disability that has required convales- cent care or treatment at hospital discharge (regular discharge or release to non-bed care) or outpatient release that meets the require- ments of regulations prescribed by the Sec- retary. (2) With respect to a veteran described in para- graph (1)(A), the Secretary may assign a tem- porary disability rating to such veteran regard- less of whether such veteran has obtained a medical examination or a medical opinion con- cerning such veteran’s disability. (3) With respect to a veteran described in para- graph (1)(B), the Secretary shall schedule a med- ical examination for such veteran not later than six months after the separation or discharge of such veteran from active duty. (b) TERMINATION OF TEMPORARY DISABILITY RATINGS.—(1) Except as provided in paragraph (2), a temporary disability rating assigned to a veteran under this section shall remain in effect as follows: (A) For a veteran who is assigned a tem- porary disability rating under subsection (a)(1)(A), until the later of the date that is—