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Downwinders
The following specific diseases or conditions are compensable
under RECA:
Documentation or Proof of Disease
In addition to providing documentation that establishes
a claimant's inclusion in one of the eligibility categories
described above, the claimant must also provide proof
that they have been diagnosed with at least one of
the compensable diseases. The records or documentation
required vary according to the condition and the vital
status of the person on whose behalf compensation
is being sought.
- General information
- All medical documentation, contemporaneous records,
and other records or documents submitted by a claimant
or eligible surviving beneficiary as proof of disease
must be originals, or certified copies of the originals,
unless it is impossible to obtain an original or
certified copy of the original. If it is impossible
for a claimant to provide an original or certified
copy of an original, the claimant or eligible surviving
beneficiary must provide a written statement with
the uncertified copy setting forth the reason why
it is impossible to provide an original or a certified
copy of an original. All documents submitted by
a claimant or eligible surviving beneficiary must
have a stamp or other indication of their authenticity.
- If a claimant was diagnosed as having one of
the compensable cancers in Arizona, Colorado, Nevada,
New Mexico, Utah or Wyoming, the claimant or eligible
surviving beneficiary does not need to submit medical
documentation of disease at the time the claim is
filed (although medical documentation subsequently
may be required). Instead, the claimant or eligible
surviving beneficiary may submit (with the claim),
an “Authorization to Release Medical and Other Information,”
valid in the state of diagnosis, that authorizes
the RECA Program to contact the appropriate state
cancer or tumor registry. The RECA Program will
accept, as proof of medical condition, verification
from the state cancer or tumor registry that it
possesses medical records or abstracts of medical
records that contain a verified diagnosis of one
of the specified compensable diseases. If the designated
state does not possess medical records or abstracts
of medical records that contain a verified diagnosis
of one of the specified compensable diseases, the
RECA Program will notify the claimant or eligible
surviving beneficiary and allow that individual
the opportunity to submit the required written medical
documentation.
- For the purposes of this Program, the definition
of a “physician” is as follows: A physician who
is employed by (a) the Indian Health Service or
(b) the Department of Veterans Affairs; or (c) has
a documented, ongoing physician/patient relationship
with the claimant.
Proof of cancer
If the person with cancer is deceased or
living, any of the following records
may be submitted as proof of the disease:
Leukemia, but NOT chronic lymphocytic leukemia
- bone marrow biopsy or resection
- peripheral white blood cell differential count
report
- autopsy report
- hospital discharge summary
- history and physical report
- death certificate, provided that it is signed
by a physician at the time of death
Multiple myeloma
- pathology report of tissue biopsy
- autopsy report
- report of serum electrophoresis
- one of the following summary medical reports
- physician summary report
- hospital discharge summary report
- hematology summary or consultation report
- medical oncology summary or consultation report
- X-ray report
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the pharynx
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- endoscopy report
- one of the following summary medical reports :
- physician summary report
- hospital discharge summary report
- report of otolaryngology examination
- medical oncology summary report
- operative report
- report of one of the following radiological studies:
- laryngograms
- tomograms of soft tissue and lateral radiographs
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Lymphomas, other
than Hodgkin's Disease
- pathology report of tissue biopsy
- autopsy report
- one of the following summary medical reports
- physician summary report
- hospital discharge summary report
- hematology summary or consultation report
- medical oncology summary or consultation report
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the small intestine
- pathology report of tissue biopsy
- autopsy report
- endoscopy report, provided the examination covered
the duodenum and parts of the jejunum
- colonoscopy report, providing the examination
covered the distal ileum
- one of the following summary medical reports:
- physician summary report
- hospital discharge summary report
- report of gastroenterology examination
- operative report
- radiotherapy summary report
- medical oncology summary or consultation
report
- report of one of the following radiologic studies:
- upper gastrointestinal (GI) series with small
bowel follow-through
- angiography
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the salivary
gland
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- report of otolaryngology or oral maxillofacial
examination
- one of the following summary medical reports:
- physician summary report
- hospital discharge summary report
- radiotherapy summary report
- operative report
- report of one of the following radiologic studies:
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the brain
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- one of the following summary medical reports
- physician summary report
- hospital discharge summary report
- radiotherapy summary report
- operative report
- report of one of the following radiologic studies:
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- CT or MRI with enhancement
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the stomach
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- one of the following summary medical reports:
- physician summary report
- hospital discharge summary report
- radiotherapy summary report
- operative report
- medical oncology summary report
- report of one of the following radiologic studies:
- barium swallow
- upper gastrointestinal (GI) series
- computerized tomography (CT) series
- magnetic resonance imaging (MRI)
- CT or MRI with enhancement
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the urinary bladder
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- report of cytoscopy, with or without biopsy
- one of the following summary medical reports :
- physician summary report
- hospital discharge summary report
- radiotherapy summary report
- operative report
- report of one of the following radiologic studies:
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the colon
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- endoscopy report, provided the examination covered
the duodenum and parts of the jejunum
- colonoscopy report, providing the examination
covered the distal ileum
- one of the following summary medical reports :
- physician summary report
- hospital discharge summary report
- report of gastroenterology examination
- radiotherapy summary report
- operative report
- medical oncology summary or consultation
report
- report of one of the following radiologic studies:
- upper gastrointestinal (GI) series with small
bowel follow-through
- angiography
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the thyroid
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- one of the following summary medical reports:
- physician summary report
- hospital discharge summary report
- operative report
- medical oncology consultation or summary report
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the pancreas
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- one of the following summary medical reports :
- physician summary report
- hospital discharge summary report
- radiotherapy summary report
- medical oncology summary report
- report of one of the following radiologic studies:
- endoscopic retrograde cholangiopancreatography
(ERCP)
- upper gastrointestinal (GI) series
- arteriography of the pancreas
- ultrasonography
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the male or female breast
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- one of the following summary medical reports:
- physician summary report
- hospital discharge summary report
- operative report
- radiotherapy summary or consultation report
- medical oncology summary or consultation report
- report of mammogram
- report of bone scan
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the esophagus
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- endoscopy report
- one of the following summary medical reports:
- physician summary report
- hospital discharge summary report
- operative report
- radiotherapy summary report
- medical oncology summary or consultation
report
- report of one of the following radiologic studies:
- esophagram
- barium swallow
- upper gastrointestinal (GI) series
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the bile
ducts
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- endoscopy report, provided the examination covered
the duodenum and parts of the jejunum
- one of the following summary medical reports :
- physician summary report
- hospital discharge summary report
- gastroenterology consultation report
- operative report
- medical oncology summary or consultation report
- report of one of the following radiologic studies:
- ultrasonography
- endoscopic retrograde cholangiography
- percutanious cholangiography
- computerized tomography (CT) scan
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the liver
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- one of the following summary medical reports
- physician summary report
- hospital discharge summary report
- gastroenterology report
- operative report
- medical oncology report
- report of one of the following radiologic studies:
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the gall
bladder
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- endoscopy report, provided the examination covered
the duodenum and parts of the jejunum
- colonoscopy report, providing the examination
covered the distal ileum
- one of the following summary medical reports:
- physician summary report
- hospital discharge summary report
- radiotherapy summary report
- operative report
- medical oncology summary or consultation report
- report of one of the following radiologic
studies:
- ultrasonography
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the lung
- pathology report of tissue biopsy or resection,
including, but not limited to specimens obtained
by any of the following methods:
- Surgical resection
- endoscopic endobronchial or transbronchial
biopsy
- bronchial brushings and washings
- pleural fluid cytology
- fine needle aspirate
- pleural biopsy
- sputum cytology
- autopsy report
- bronchoscopy report, with or without biopsy
- one of the following summary medical reports
- physician summary report
- hospital discharge summary report
- radiotherapy summary report
- operative report
- medical oncology summary or consultation report
- report of one of the following radiologic studies:
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- X-rays of the chest
- Chest tomograms
- death certificate, provided that it is signed
by a physician at the time of death
Primary cancer of the ovary
- pathology report of tissue biopsy or surgical
resection
- autopsy report
- one of the following summary medical reports:
- physician summary report
- hospital discharge summary report
- radiotherapy summary report
- operative report
- medical oncology summary or consultation report
- report of one of the following radiologic studies:
- computerized tomography (CT) scan
- magnetic resonance imaging (MRI)
- death certificate, provided that it is signed
by a physician at the time of death
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Radiation Exposure Compensation
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The Radiation Exposure Compensation Act provides for compassionate payments to individuals who contracted certain cancers and other serious diseases as a result of their exposure to radiation released during above-ground nuclear weapons tests or as a result of their exposure to radiation during employment in underground uranium mines.
RESEP Clinical Guidelines describe the eligible diseases, tests, medical procedures and documentation required to establish eligibility in each of the exposure categories.
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