THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2011 

The Honorable Joseph R. Biden, Jr.

President of the United States Senate

Washington, D.C. 20510 

Dear Mr. President:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Pantex Plant in 

Amarillo, Texas, to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on October 21, 2011. The Board considered 

the petition, and on November 21, 2011, I received the Board’s recommendation concerning 

this petition. I have also received the deliberations, findings, and recommendations of the 

Director of NIOSH and the Director of CDC. Based on this information, I have designated the

following class for addition to the SEC: 

All employees of the Department of Energy, its predecessor agencies, and their 

contractors and subcontractors who worked at the Pantex Plant in Amarillo, Texas, 

during the period from January 1, 1958 through December 31, 1983, for a number of 

work days aggregating at least 250 work days, occurring either solely under this 

employment or in combination with work days within the parameters established for 

one or more other classes of employees included in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter. 

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2011 

The Honorable Harry Reid 

Majority Leader

United States Senate

Washington, D.C. 20510 

Dear Senator Reid:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Pantex Plant in 

Amarillo, Texas, to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on October 21, 2011. The Board considered 

the petition, and on November 21, 2011, I received the Board’s recommendation concerning 

this petition. I have also received the deliberations, findings, and recommendations of the 

Director of NIOSH and the Director of CDC. Based on this information, I have designated the 

following class for addition to the SEC: 

All employees of the Department of Energy, its predecessor agencies, and their 

contractors and subcontractors who worked at the Pantex Plant in Amarillo, Texas, 

during the period from January 1, 1958 through December 31, 1983, for a number of 

work days aggregating at least 250 work days, occurring either solely under this 

employment or in combination with work days within the parameters established for 

one or more other classes of employees included in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2011 

The Honorable Mitch McConnell 

Minority Leader

United States Senate

Washington, D.C. 20510 

Dear Senator McConnell:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Pantex Plant in 

Amarillo, Texas, to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on October 21, 2011. The Board considered 

the petition, and on November 21, 2011, I received the Board’s recommendation concerning 

this petition. I have also received the deliberations, findings, and recommendations of the 

Director of NIOSH and the Director of CDC. Based on this information, I have designated the 

following class for addition to the SEC: 

All employees of the Department of Energy, its predecessor agencies, and their 

contractors and subcontractors who worked at the Pantex Plant in Amarillo, Texas, 

during the period from January 1, 1958 through December 31, 1983, for a number of 

work days aggregating at least 250 work days, occurring either solely under this 

employment or in combination with work days within the parameters established for 

one or more other classes of employees included in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2011 

The Honorable John A. Boehner 

Speaker of the House of Representatives

Washington, D.C. 20515 

Dear Mr. Speaker:

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Pantex Plant in 

Amarillo, Texas, to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on October 21, 2011. The Board considered 

the petition, and on November 21, 2011, I received the Board’s recommendation concerning 

this petition. I have also received the deliberations, findings, and recommendations of the 

Director of NIOSH and the Director of CDC. Based on this information, I have designated the 

following class for addition to the SEC: 

All employees of the Department of Energy, its predecessor agencies, and their 

contractors and subcontractors who worked at the Pantex Plant in Amarillo, Texas, 

during the period from January 1, 1958 through December 31, 1983, for a number of 

work days aggregating at least 250 work days, occurring either solely under this 

employment or in combination with work days within the parameters established for 

one or more other classes of employees included in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 21, 2011 

The Honorable Nancy Pelosi

Minority Leader

House of Representatives

Washington, D.C. 20515 

Dear Representative Pelosi: 

Pursuant to the Energy Employees Occupational Illness Compensation Program Act of 2000 

and 42 C.F.R. pt. 83, a petition was filed on behalf of workers from the Pantex Plant in 

Amarillo, Texas, to be added to the Special Exposure Cohort (SEC). 

The Centers for Disease Control and Prevention’s (CDC) National Institute for Occupational 

Safety and Health (NIOSH) evaluated the petition and presented its findings to the Advisory 

Board on Radiation and Worker Health (Board) on October 21, 2011. The Board considered 

the petition, and on November 21, 2011, I received the Board’s recommendation concerning 

this petition. I have also received the deliberations, findings, and recommendations of the 

Director of NIOSH and the Director of CDC. Based on this information, I have designated the 

following class for addition to the SEC: 

All employees of the Department of Energy, its predecessor agencies, and their 

contractors and subcontractors who worked at the Pantex Plant in Amarillo, Texas, 

during the period from January 1, 1958 through December 31, 1983, for a number of 

work days aggregating at least 250 work days, occurring either solely under this 

employment or in combination with work days within the parameters established for 

one or more other classes of employees included in the SEC. 

The criteria and findings upon which this designation is based are provided in the enclosed 

report.

 

Please contact me if you have any further questions regarding this matter.

Sincerely,

[Signature on File] 

Kathleen Sebelius

Secretary

Enclosure 
HHS Special Exposure Cohort Designation: Pantex Plant, Amarillo, Texas

 

HHS Designation of Additional Members of the 

Special Exposure Cohort 

under the 

Energy Employees Occupational Illness Compensation Program Act of 2000 

Designating a Class of Employees from 

Pantex Plant

Amarillo, Texas
HHS Special Exposure Cohort Designation:

Pantex Plant, Amarillo, Texas

Page 2

I. Designation 

I, Kathleen Sebelius, Secretary of Health and Human Services, designate the class 

of employees defined in Section II of this report for addition to the Special Exposure 

Cohort (SEC), as authorized under the Energy Employees Occupational Illness 

Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. § 7384q.

 December 21, 2011 [Signature on File]

Date Kathleen Sebelius

II. Employee Class Definition

All employees of the Department of Energy, its predecessor agencies, and 

their contractors and subcontractors who worked at the Pantex Plant in 

Amarillo, Texas, during the period from January 1, 1958 through December 

31, 1983, for a number of work days aggregating at least 250 work days, 

occurring either solely under this employment or in combination with work 

days within the parameters established for one or more other classes of 

employees included in the SEC.

III. Designation Criteria and Recommendations

Pursuant to 42 U.S.C. § 7384q, for the class defined in Section II of this report, the 

Secretary has determined, and the Advisory Board on Radiation and Worker Health 

(Board) has recommended, that

(1) it is not feasible to estimate with sufficient accuracy the radiation dose that the 

class received; and

(2) there is a reasonable likelihood that such radiation dose may have 

endangered the health of members of the class.

The SEC final rule states in 42 C.F.R. § 83.13(c)(1) that it is feasible in two situations 

to estimate the radiation dose that the class received with sufficient accuracy. First, 

the rule states that radiation doses may be estimated with sufficient accuracy if 

NIOSH has established that it has access to sufficient information to estimate the 

maximum radiation dose for every type of cancer for which radiation doses are 

reconstructed that could have been incurred under plausible circumstances by any 

member of the class. Alternatively, radiation doses may be estimated with sufficient 

accuracy if NIOSH has established that it has access to sufficient information to 

estimate the radiation doses of members of the class more precisely than a 

maximum dose estimate.

The Board, pursuant to 42 U.S.C. § 7384q, advised the Secretary to designate the 

class as an addition to the SEC in a letter received by the Secretary on November 

21, 2011.
HHS Special Exposure Cohort Designation:

Pantex Plant, Amarillo, Texas

Page 3

IV. Designation Findings

Feasibility of Estimating Radiation Doses with Sufficient Accuracy

The Secretary established the feasibility determination for the class of employees 

covered by this report based upon the findings summarized below.

• NIOSH determined that members of this class may have received internal 

radiation exposures from uranium, tritium, plutonium, thorium and radon.

• The Board and the NIOSH Director have determined that reconstruction of 

uranium intakes is not feasible for all Pantex workers. Reconstruction of 

thorium intakes is also not feasible, since NIOSH’s proposed method for 

estimating those intakes depended on the reconstruction of uranium intakes.

• Reconstruction of doses from radon is feasible based on workplace 

measurement. Plutonium and thorium intakes will be reconstructed for 

individuals who have results for those radionuclides. Tritium doses will be 

reconstructed based on tritium bioassay results from monitored workers.

• NIOSH finds that it lacks sufficient personnel or area monitoring data, source 

term data, and operational information to support reconstructing internal dose 

with sufficient accuracy from January 1, 1958 through December 31, 1983 at 

the Pantex Plant in Amarillo, Texas.

• The principal sources of external radiation doses for members of the 

evaluated class were plutonium, uranium, and thorium components in 

weapons systems, radiation-producing machines used in non-destructive 

examination of components, and medical x-ray examinations. 

• The Board and NIOSH determined that these doses can be reconstructed 

with sufficient accuracy based on dosimeter measurements, workplace 

measurements in order to estimate early neutron doses, and complex-wide 

approaches for reconstructing medical x-ray exposures.

• The Board and the NIOSH Director have determined that NIOSH lacks 

sufficient information, which includes specific biological monitoring data, air 

monitoring information, process and radiological source information, and 

surrogate data from similar operations at other sites that would allow it to 

estimate the potential internal and external radiological exposures for workers 

at the Pantex Plant in Amarillo, Texas for the period from January 1, 1958 

through December 31, 1983.

• The Board and the NIOSH Director have determined that NIOSH cannot 

complete the dose reconstructions related to this petition with sufficient 

accuracy for the employees who worked at the Pantex Plant in Amarillo, 

Texas for the period from January 1, 1958 through December 31, 1983. The 

basis of this finding demonstrates that NIOSH does not have access to 

sufficient information to estimate either the maximum radiation dose incurred 
HHS Special Exposure Cohort Designation:

Pantex Plant, Amarillo, Texas

Page 4

by any member of the class or to estimate such radiation doses more 

precisely than a maximum dose estimate for that period.

• Although NIOSH found that it is not possible to completely reconstruct 

radiation doses for employees who worked at the Pantex Plant in Amarillo, 

Texas for the period from January 1, 1958 through December 31, 1983, 

NIOSH intends to use any reliable internal and external monitoring data, 

including uranium bioassay data, that may be available for an individual claim 

during this period (and that can be interpreted using existing NIOSH dose 

reconstruction processes or procedures). Dose reconstructions for 

individuals employed at the Pantex Plant in Amarillo, Texas for the period 

from January 1, 1958 through December 31, 1983, but who do not qualify for 

inclusion in the SEC, may be performed using these data as appropriate.

• Pursuant to 42 C.F.R. § 83.13(c)(1), NIOSH determined that there is 

insufficient information to either: (1) estimate the maximum radiation dose, for 

every type of cancer for which radiation doses are reconstructed, that could 

have been incurred under plausible circumstances by any member of the 

class; or (2) estimate the radiation doses of members of the class more 

precisely than a maximum dose estimate.

• The Board recommended the proposed class for addition to the SEC and the 

NIOSH Director concurred with the Board’s recommendation.

 Health Endangerment

The Secretary established the health endangerment determination for the class of 

employees covered by this report based upon the findings summarized below.

(1) Pursuant to 42 C.F.R. § 83.13(c)(3), the NIOSH Director established that there 

is a reasonable likelihood that such radiation doses may have endangered the 

health of members of the class. Pursuant to 42 C.F.R. § 83.13(c)(3)(ii), the 

NIOSH Director specified a minimum duration of employment to satisfy this 

health endangerment criterion as “having been employed for a number of 

work days aggregating at least 250 work days within the parameters 

established for this class or in combination with work days within the 

parameters (excluding aggregate work day requirements) established for one 

or more other classes of employees in the Cohort.”

(2) The Board and the NIOSH Director did not identify any evidence from the 

petitioners or from other resources that would establish that the class was 

exposed to radiation during a discrete incident likely to have involved 

exceptionally high-level exposures, such as a nuclear criticality incident, as 

defined under 42 C.F.R. § 83.13(c)(3)(i). 

(3) The NIOSH Director concurred with the Board’s finding that the health of the 

class may have been endangered and defined the class according to the 250-

work day requirement specified under 42 C.F.R. § 83.13(c)(3)(ii). 
HHS Special Exposure Cohort Designation:

Pantex Plant, Amarillo, Texas

Page 5

V. Effect and Effective Date of Designation

The Secretary submits this report on the designation of one additional class to the 

SEC for review by Congress, pursuant to 42 U.S.C. §§ 7384l(14)(C)(ii) and 

7384q(c)(2)(A), as amended by the Ronald W. Reagan National Defense 

Authorization Act for Fiscal Year 2005, Pub. L. No. 108-375 (codified as amended in 

scattered sections of 42 U.S.C.). Pursuant to 42 U.S.C. § 7384l(14)(C)(ii), as 

amended by the Ronald W. Reagan National Defense Authorization Act for Fiscal 

Year 2005, Pub. L. No. 108-375 (codified as amended in scattered sections of 42 

U.S.C.), the designation in this report will become effective 30 days after the date of 

this report’s submission to Congress “unless Congress otherwise provides.”

VI. Administrative Review of Designation

The health endangerment determination of the designation provided in this report 

may be subject to an administrative review within HHS, pursuant to 42 C.F.R. § 

83.18(a). On the basis of such a review, if the Secretary decides to expand the class 

of employees covered by this designation, the Secretary would transmit a 

supplementary report to Congress providing the expanded employee class definition 

and the criteria and findings on which the decision was based.