THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 5, 2010

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 Area IV of the Santa 

Susana Field Laboratory in Santa Susana, California, 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 February 9, 2010. The Board considered the 

petition, and on March 8, 2010, 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 in 

any area of Area IV of the Santa Susana Field Laboratory from 

January 1, 1959 through December 31, 1964, 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 Special Exposure Cohort.

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

April 5, 2010

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 Area IV of the Santa 

Susana Field Laboratory in Santa Susana, California, 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 February 9, 2010. The Board considered the 

petition, and on March 8, 2010, 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 in 

any area of Area IV of the Santa Susana Field Laboratory from 

January 1, 1959 through December 31, 1964, 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 Special Exposure Cohort.

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

April 5, 2010

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 Area IV of the Santa 

Susana Field Laboratory in Santa Susana, California, 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 February 9, 2010. The Board considered the 

petition, and on March 8, 2010, 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 in 

any area of Area IV of the Santa Susana Field Laboratory from 

January 1, 1959 through December 31, 1964, 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 Special Exposure Cohort.

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

April 5, 2010

The Honorable Nancy Pelosi

Speaker of the House of Representatives

Washington, D.C. 20515

Dear Madam 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 Area IV of the Santa 

Susana Field Laboratory in Santa Susana, California, 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 February 9, 2010. The Board considered the 

petition, and on March 8, 2010, 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 in 

any area of Area IV of the Santa Susana Field Laboratory from

January 1, 1959 through December 31, 1964, 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 Special Exposure Cohort.

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

April 5, 2010

The Honorable John A. Boehner

Minority Leader

House of Representatives

Washington, D.C. 20515

Dear Congressman Boehner:

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 Area IV of the Santa 

Susana Field Laboratory in Santa Susana, California, 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 February 9, 2010. The Board considered the 

petition, and on March 8, 2010, 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 in 

any area of Area IV of the Santa Susana Field Laboratory from 

January 1, 1959 through December 31, 1964, 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 Special Exposure Cohort.

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:

Santa Susana Field Laboratory, Santa Susana, California

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 

Santa Susana Field Laboratory

Santa Susana, California
HHS Special Exposure Cohort Designation:

Santa Susana Field Laboratory, Santa Susana, California

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.

__April 5, 2010_______ _[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 in any area of Area IV of the Santa Susana Field 

Laboratory from January 1, 1959 through December 31, 1964, 

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 

Special Exposure Cohort.

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 March 8, 

2010.
HHS Special Exposure Cohort Designation:

Santa Susana Field Laboratory, Santa Susana, California

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 lacks sufficient information, which includes biological monitoring data, 

sufficient air monitoring information, or sufficient process and radiological source 

information, to allow it to estimate with sufficient accuracy the potential internal 

exposures to various radionuclides to which the proposed class may have been 

subjected during the time period from January 1, 1959 through December 31, 

1964.

• NIOSH finds that it is likely feasible to reconstruct external dose, including

occupational medical dose, for Area IV of the Santa Susana Field Laboratory 

(SSFL-Area IV) workers with sufficient accuracy.

• There is currently one SEC class of SSFL-Area IV workers associated with a

previous NIOSH evaluation of SEC petition SEC-00093. The period currently 

designated for inclusion in the SEC extends from January 1, 1955 through 

December 31, 1958.

• Through the course of ongoing dose reconstruction, continued data capture 

efforts, and investigations associated with SEC-00093, NIOSH has since 

determined that although bioassay data are available for some monitored 

workers after 1958, some SSFL-Area IV workers could have received intakes of 

radioactive materials after 1958 that went unmonitored.

• 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 concurred with the NIOSH evaluation and recommended the 

proposed class for addition to the SEC.

• During the development of co-worker distribution models to assess potential 

internal dose to unmonitored workers, NIOSH has found that the available 

bioassay data have limitations which preclude the development of adequate coworker models for the years prior to 1965. Therefore, NIOSH determined that it is 

necessary to propose an extension of the SEC time period for the SSFL-Area IV 

site through December 31, 1964.

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

doses for the proposed class, NIOSH intends to use any internal and external 

monitoring data that may become available for an individual claim (and that can 
HHS Special Exposure Cohort Designation:

Santa Susana Field Laboratory, Santa Susana, California

Page 4

be interpreted using existing NIOSH dose reconstruction processes or 

procedures). Therefore, dose reconstructions for individuals employed at SSFLArea IV during the period from January 1, 1959 through December 31, 1964, but 

who do not qualify for inclusion in the SEC, may be performed using these data 

as appropriate.

 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), NIOSH 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), NIOSH 

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) NIOSH 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 Board concurred with NIOSH’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:

Santa Susana Field Laboratory, Santa Susana, California

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.