What the Proposed PACT Act Expansion Means

Senator Tammy Duckworth has introduced a bill to expand the PACT Act to include veterans who served in Iran. If this legislation passes, it would add Iran War veterans to the list of those eligible for presumptive service connection for conditions related to toxic exposures, such as burn pits and airborne hazards. This change would streamline the VA disability claims process for affected veterans.

Currently, the PACT Act (Honoring our Promise to Address Comprehensive Toxics Act of 2022) covers veterans of the Gulf War, Afghanistan, and certain other regions, but not Iran. The new bill aims to close this gap, recognizing the risks faced by those deployed in Iran.

How Presumptive Benefits Work for Toxic Exposure

Under the PACT Act, certain conditions—like respiratory illnesses and cancers—are presumed to be connected to military service if you served in designated locations and timeframes. This means you do not have to prove direct causation between your illness and your service; the VA assumes the link if you meet the criteria. For details on how presumptive claims work, see our explainers.

With this proposed expansion, Iran War veterans could qualify for the same presumptive benefits as those who served in Afghanistan or Iraq. This would affect both VA claims for disability compensation and access to VA healthcare for covered conditions.

VA Disability Claims Process for Iran War Veterans

If the bill passes, Iran War veterans with qualifying service and a listed presumptive condition could file a VA disability claim using VA Form 21-526EZ. The process would be similar to other PACT Act claims:

  • Gather service records showing deployment in Iran during eligible periods.
  • Obtain medical evidence of a presumptive condition (e.g., chronic bronchitis, certain cancers).
  • File your claim online, by mail, or in person. See our VA claims hub for step-by-step instructions.

The VA would review your claim under the new presumptive rules, meaning less burden of proof for you. If approved, your disability rating (see disability ratings hub) would determine your monthly compensation amount. Use our combined rating calculator to estimate your benefit.

What Veterans Should Do Now

This bill is not yet law. Iran War veterans should:

  • Monitor the bill’s progress in Congress via the VA or veteran service organizations (VSOs).
  • Gather deployment records and medical documentation now, so you’re ready to file if the law changes.
  • Talk to a VSO or accredited representative for updates and help preparing your claim.

If you have a current claim or appeal related to toxic exposure denied due to location, keep records—if the law changes, you may be able to reopen or supplement your claim.

Stay Informed on PACT Act and VA Policy Changes

Legislation like this can move quickly or stall for months. For the latest updates, check our topic explainers and sign up for alerts from reputable VSOs. If you’re unsure about your eligibility or how to prepare, visit our VA claims hub for guidance.