From the U.S. Code Online via GPO Access
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[Laws in effect as of January 7, 2003]
[Document not affected by Public Laws enacted between
January 7, 2003 and February 12, 2003]
[CITE: 38USC1118]
TITLE 38--VETERANS' BENEFITS
PART II--GENERAL BENEFITS
CHAPTER 11--COMPENSATION FOR SERVICE-CONNECTED DISABILITY OR DEATH
SUBCHAPTER II--WARTIME DISABILITY COMPENSATION
Sec. 1118. Presumptions of service connection for illnesses
associated with service in the Persian Gulf during the Persian
Gulf War
(a)(1) For purposes of section 1110 of this title, and subject to
section 1113 of this title, each illness, if any, described in paragraph
(2) shall be considered to have been incurred in or aggravated by
service referred to in that paragraph, notwithstanding that there is no
record of evidence of such illness during the period of such service.
(2) An illness referred to in paragraph (1) is any diagnosed or
undiagnosed illness that--
(A) the Secretary determines in regulations prescribed under
this section to warrant a presumption of service connection by
reason of having a positive association with exposure to a
biological, chemical, or other toxic agent, environmental or wartime
hazard, or preventive medicine or vaccine known or presumed to be
associated with service in the Armed Forces in the Southwest Asia
theater of operations during the Persian Gulf War; and
(B) becomes manifest within the period, if any, prescribed in
such regulations in a veteran who served on active duty in that
theater of operations during that war and by reason of such service
was exposed to such agent, hazard, or medicine or vaccine.
(3) For purposes of this subsection, a veteran who served on active
duty in the Southwest Asia theater of operations during the Persian Gulf
War and has an illness described in paragraph (2) shall be presumed to
have been exposed by reason of such service to the agent, hazard, or
medicine or vaccine associated with the illness in the regulations
prescribed under this section unless there is conclusive evidence to
establish that the veteran was not exposed to the agent, hazard, or
medicine or vaccine by reason of such service.
(4) For purposes of this section, signs or symptoms that may be a
manifestation of an undiagnosed illness include the signs and symptoms
listed in section 1117(g) of this title.
(b)(1)(A) Whenever the Secretary makes a determination described in
subparagraph (B), the Secretary shall prescribe regulations providing
that a presumption of service connection is warranted for the illness
covered by that determination for purposes of this section.
(B) A determination referred to in subparagraph (A) is a
determination based on sound medical and scientific evidence that a
positive association exists between--
(i) the exposure of humans or animals to a biological, chemical,
or other toxic agent, environmental or wartime hazard, or preventive
medicine or vaccine known or presumed to be associated with service
in the Southwest Asia theater of operations during the Persian Gulf
War; and
(ii) the occurrence of a diagnosed or undiagnosed illness in
humans or animals.
(2)(A) In making determinations for purposes of paragraph (1), the
Secretary shall take into account--
(i) the reports submitted to the Secretary by the National
Academy of Sciences under section 1603 of the Persian Gulf War
Veterans Act of 1998; and
(ii) all other sound medical and scientific information and
analyses available to the Secretary.
(B) In evaluating any report, information, or analysis for purposes
of making such determinations, the Secretary shall take into
consideration whether the results are statistically significant, are
capable of replication, and withstand peer review.
(3) An association between the occurrence of an illness in humans or
animals and exposure to an agent, hazard, or medicine or vaccine shall
be considered to be positive for purposes of this subsection if the
credible evidence for the association is equal to or outweighs the
credible evidence against the association.
©(1) Not later than 60 days after the date on which the Secretary
receives a report from the National Academy of Sciences under section
1603 of the Persian Gulf War Veterans Act of 1998, the Secretary shall
determine whether or not a presumption of service connection is
warranted for each illness, if any, covered by the report.
(2) If the Secretary determines under this subsection that a
presumption of service connection is warranted, the Secretary shall, not
later than 60 days after making the determination, issue proposed
regulations setting forth the Secretary's determination.
(3)(A) If the Secretary determines under this subsection that a
presumption of service connection is not warranted, the Secretary shall,
not later than 60 days after making the determination, publish in the
Federal Register a notice of the determination. The notice shall include
an explanation of the scientific basis for the determination.
(B) If an illness already presumed to be service connected under
this section is subject to a determination under subparagraph (A), the
Secretary shall, not later than 60 days after publication of the notice
under that subparagraph, issue proposed regulations removing the
presumption of service connection for the illness.
(4) Not later than 90 days after the date on which the Secretary
issues any proposed regulations under this subsection, the Secretary
shall issue final regulations. Such regulations shall be effective on
the date of issuance.
(d) Whenever the presumption of service connection for an illness
under this section is removed under subsection ©--
(1) a veteran who was awarded compensation for the illness on
the basis of the presumption before the effective date of the
removal of the presumption shall continue to be entitled to receive
compensation on that basis; and
(2) a survivor of a veteran who was awarded dependency and
indemnity compensation for the death of a veteran resulting from the
illness on the basis of the presumption before that date shall
continue to be entitled to receive dependency and indemnity
compensation on that basis.
(e) Subsections (b) through (d) shall cease to be effective on
September 30, 2011.
(Added Pub. L. 105-277, div. C, title XVI, Sec. 1602(a)(1), Oct. 21,
1998, 112 Stat. 2681-742; amended Pub. L. 107-103, title II,
Sec. 202(b)(2), (d)(1), Dec. 27, 2001, 115 Stat. 989.)
References in Text
Section 1603 of the Persian Gulf War Veterans Act of 1998, referred
to in subsecs. (b)(2)(A)(i) and ©(1), is section 1603 of Pub. L. 105-
277, which is set out in a note under section 1117 of this title.
Amendments
2001--Subsec. (a)(4). Pub. L. 107-103, Sec. 202(b)(2), added par.
(4).
Subsec. (e). Pub. L. 107-103, Sec. 202(d)(1), substituted ``on
September 30, 2011'' for ``10 years after the first day of the fiscal
year in which the National Academy of Sciences submits to the Secretary
the first report under section 1603 of the Persian Gulf War Veterans Act
of 1998''.
Effective Date of 2001 Amendment
Amendment by section 202(b)(2) of Pub. L. 107-103 effective Mar. 1,
2002, see section 202© of Pub. L. 107-103, set out as a note under
section 1117 of this title.
Section Referred to in Other Sections
This section is referred to in sections 1113, 1117 of this title.
