Asthma presumptive under PACT Act for veterans with qualifying service. Includes burn pit exposure, Gulf War environmental hazards, and other toxic exposures.
FEV-1 less than 40% predicted, or; FEV-1/FVC less than 40%, or; more than one attack per week with episodes of respiratory failure, or; requires daily use of systemic (oral or parenteral) high dose corticosteroids or immuno-suppressive medications
FEV-1 of 40-55% predicted, or; FEV-1/FVC of 40-55%, or; at least monthly visits to a physician for required care of exacerbations, or; intermittent (at least three per year) courses of systemic (oral or parenteral) corticosteroids
FEV-1 of 56-70% predicted, or; FEV-1/FVC of 56-70%, or; daily inhalational or oral bronchodilator therapy, or; inhalational anti-inflammatory medication
FEV-1 of 71-80% predicted, or; FEV-1/FVC of 71-80%, or; intermittent inhalational or oral bronchodilator therapy
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how asthma (presumptive - pact act) affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for asthma (presumptive - pact act), examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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