Presumptive conditions

When the service qualifies, the VA concedes the connection.

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A presumptive condition is one the VA accepts as connected to herbicide exposure without requiring the veteran to prove the link case by case — if the service qualifies (on land in Vietnam, in the inland waterways, or inside the Blue Water line), and the condition is on this list, the presumption does the work.

The Agent Orange presumptive list

AL amyloidosis

Bladder cancer

Chronic B-cell leukemias

Chloracne

Must appear within one year of the last exposure.

Diabetes mellitus, type 2

Hodgkin's disease

Hypertension

Added by the PACT Act, 2022.

Hypothyroidism

Ischemic heart disease

Monoclonal gammopathy (MGUS)

Added by the PACT Act, 2022.

Multiple myeloma

Non-Hodgkin's lymphoma

Parkinson's disease

Parkinsonism

Peripheral neuropathy, early-onset

Must appear within one year of the last exposure and resolve within two years.

Porphyria cutanea tarda

Must appear within one year of the last exposure.

Prostate cancer

Respiratory cancers

Lung, bronchus, larynx, and trachea.

Soft-tissue sarcomas

A defined group of cancers; the VA's list carries specific exceptions.

The VA's own pages govern — read them, and cite them: VA Agent Orange exposure hub and the PACT Act and your VA benefits. Survivors may qualify for Dependency and Indemnity Compensation (DIC) when a presumptive condition caused or contributed to a veteran's death — including, under Nehmer, in claims denied decades ago.

Two companion pages at DearDougCollins.com carry this further: The Presumptive Lists — this list's investigation-side twin, arranged by era, with the rule for claims denied before the law changed — and The PACT Act in Plain Language, the 2022 Act that added hypertension and MGUS here and widened the map for every era after Vietnam.

Information only, not benefits advice. The list above is a summary of the VA's published presumptives as of October 2026; the VA page linked here is the controlling source.

Founded 2026 — in memory of Thomas Alan Bowman Sr., RM2, USN, USS Arikara (ATF-98).

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The record & the routes They Knew — the series · The PACT Act in Plain Language · The Presumptive Lists · If You Die Waiting · Classification · Resources

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