Title 42, The Public Health and WelfareRelease 119-110

§7385s–4 Determinations Regarding Contraction of Covered Illnesses

Title 42 › CHAPTER 84 — DEPARTMENT OF ENERGY › SUBCHAPTER XVI — ENERGY EMPLOYEES OCCUPATIONAL ILLNESS COMPENSATION PROGRAM › Part E — Contractor Employee Compensation › § 7385s–4

Last updated Sep 22, 2026|Official source

Summary

If a Department of Energy (DOE) contractor worker already got compensation under Part B for a job-related illness, that decision counts here as proof the illness came from exposure at a DOE site. The same is true when a panel made a positive finding under section 7385o(d) and the Secretary accepted it, or when the panel made a negative finding but the Secretary found significant evidence to the contrary under section 7385o(e)(2). For other cases, the worker is considered to have a covered illness from DOE exposure only if both are true: it is at least as likely as not that a toxic exposure at a DOE facility significantly caused or worsened the illness, and it is at least as likely as not that the exposure was related to the worker’s DOE job. The Secretary must make this decision. If a spouse or child applies for benefits, the Secretary must make the same decision about the employee even if the spouse or child would not otherwise be a “covered” family member.

Full Legal Text

Title 42, §7385s–4

The Public Health and Welfare, Source: USLM XML via OLRC

(a)Cases determined under part B
A determination under part B that a Department of Energy contractor employee is entitled to compensation under that part for an occupational illness shall be treated for purposes of this part as a determination that the employee contracted that illness through exposure at a Department of Energy facility.
(b)Cases determined under former part D
In the case of a covered illness of an employee with respect to which a panel has made a positive determination under section 7385o(d) of this title and the Secretary of Energy has accepted that determination under section 7385o(e)(2) of this title, or with respect to which a panel has made a negative determination under section 7385o(d) of this title and the Secretary of Energy has found significant evidence to the contrary under section 7385o(e)(2) of this title, that determination shall be treated for purposes of this part as a determination that the employee contracted the covered illness through exposure at a Department of Energy facility.
(c)Other cases
(1)In any other case, a Department of Energy contractor employee shall be determined for purposes of this part to have contracted a covered illness through exposure at a Department of Energy facility if—
(A)it is at least as likely as not that exposure to a toxic substance at a Department of Energy facility was a significant factor in aggravating, contributing to, or causing the illness; and
(B)it is at least as likely as not that the exposure to such toxic substance was related to employment at a Department of Energy facility.
(2)A determination under paragraph (1) shall be made by the Secretary.
(d)Applications by spouses and children
If a spouse or child of a Department of Energy contractor employee applies for benefits under this part, the Secretary shall make a determination under this section with respect to that employee without regard to whether the spouse is a “covered spouse”, or the child is a “covered child”, under this part.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

section 7385o of this title, referred to in subsec. (b), was repealed by Pub. L. 108–375, div. C, title XXXI, § 3162(i), Oct. 28, 2004, 118 Stat. 2186.

Reference

Citations & Metadata

Citation

42 U.S.C. § 7385s–4

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110