THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

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 who were employed at the Los Alamos 

National Laboratory in Los Alamos, New Mexico, 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 September 18, 2012. The Board considered 

the petition, and on November 7, 2012, 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 Los Alamos National Laboratory 

(LANL) in Los Alamos, New Mexico from January 1, 1976, through December 31, 1995, 

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 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

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

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 who were employed at the Los Alamos 

National Laboratory in Los Alamos, New Mexico, 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 September 18, 2012. The Board considered 

the petition, and on November 7, 2012, 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 Los Alamos National Laboratory 

(LANL) in Los Alamos, New Mexico from January 1, 1976, through December 31, 1995, 

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 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

Enclosure
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

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 who were employed at the Los Alamos 

National Laboratory in Los Alamos, New Mexico, 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 September 18, 2012. The Board considered 

the petition, and on November 7, 2012, 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 Los Alamos National Laboratory 

(LANL) in Los Alamos, New Mexico from January 1, 1976, through December 31, 1995, 

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 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

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

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 who were employed at the Los Alamos 

National Laboratory in Los Alamos, New Mexico, 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 September 18, 2012. The Board considered 

the petition, and on November 7, 2012, 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 Los Alamos National Laboratory 

(LANL) in Los Alamos, New Mexico from January 1, 1976, through December 31, 1995, 

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 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

Enclosure 
 

 THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

December 7, 2012 

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 who were employed at the Los Alamos 

National Laboratory in Los Alamos, New Mexico, 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 September 18, 2012. The Board considered 

the petition, and on November 7, 2012, 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 Los Alamos National Laboratory 

(LANL) in Los Alamos, New Mexico from January 1, 1976, through December 31, 1995, 

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 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

Enclosure 
HHS Special Exposure Cohort Designation:

Los Alamos National Laboratory, Los Alamos, New Mexico

 

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 

Los Alamos National Laboratory

Los Alamos, New Mexico
HHS Special Exposure Cohort Designation:

Los Alamos National Laboratory, Los Alamos, New Mexico

Page 2

I. Designation 

I, Kathleen Sebelius, Secretary of Health and Human Services (Secretary), 

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 7, 2012___ [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 Los Alamos National 

Laboratory (LANL) in Los Alamos, New Mexico from January 1, 1976, 

through December 31, 1995, 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 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 November 7, 

2012. 
HHS Special Exposure Cohort Designation:

Los Alamos National Laboratory, Los Alamos, New Mexico

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 principal sources of internal radiation for members of the 

proposed class included exposures to plutonium, uranium, tritium, fission and 

activation products, transuranic radionuclides, nuclear reactors, linear 

accelerators, radiography equipment, and a wide variety of other radioactive 

materials.

• NIOSH previously determined in its evaluations of petitions SEC-00051 and 

SEC-00170 that LANL workers could have received intakes of radioactive 

materials that went unmonitored during the period from March 15, 1943, through 

December 31, 1975, and that limitations in the available data did not allow 

NIOSH to estimate such radiation doses with sufficient accuracy. As a result, in 

2010, the Secretary of HHS designated the following class for inclusion in the 

SEC:

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

and their contractors and subcontractors who worked at the Los Alamos 

National Laboratory in Los Alamos, New Mexico from March 15, 1943, 

through December 31, 1975, 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 in the Special Exposure Cohort.

• Through the course of on-going research, NIOSH has been unable to 

demonstrate that the limitations identified in its SEC-00051 and SEC-00170 

evaluations did not persist beyond December 31, 1975. Specifically, NIOSH 

could not locate sufficient documentation to demonstrate that some radionuclides 

(e.g., certain alpha-emitters and fission and activation products) were monitored 

in a manner equivalent to the monitoring programs established for other wellmonitored nuclides (e.g., plutonium and uranium).

• The Board concurred with NIOSH’s finding that it was not feasible to reconstruct 

with sufficient accuracy internal doses for the years 1976–1995 based on 

NIOSH’s inability to bound unmonitored exposures to exotic alpha emitters, 

fission products, and activation products. The Board has not yet reached a 

conclusion about the feasibility of dose reconstruction for the post-1995 period.

• NIOSH determined that the principal sources of external radiation for members of 

the proposed class included exposures to beta, photon (X-ray and gamma), and 

neutron radiation associated with: nuclear weapon development; reactor and 

accelerator activities; radiation-producing devices; or radioactive waste facilities 

or handling operations. For some workers, neutron radiation accounted for a 

large fraction of the occupational external radiation dose. The principal sources 
HHS Special Exposure Cohort Designation:

Los Alamos National Laboratory, Los Alamos, New Mexico

Page 4

of neutron dose over the time period under evaluation were accelerator and 

plutonium-handling operations.

• During the evaluated period, NIOSH determined that the majority of LANL 

workers were monitored for external exposures. Information describing 

workplace radiation fields at LANL, performance of personnel dosimetry systems 

in those fields, and the monitoring data produced by LANL’s personnel dosimetry 

program have been reviewed as they pertain to bounding of radiation dose from 

external sources of photon, beta, and neutron radiation for members of the 

proposed class. Information describing doses from ambient sources of radiation 

and from occupational medical X-ray have also been reviewed. NIOSH has 

determined that the available information is adequate to allow bounding of 

external radiation doses with sufficient accuracy for the proposed class of LANL 

workers. 

• NIOSH has determined that reconstruction of medical dose is feasible by using 

claimant-favorable assumptions and the Technical Information Bulletin Dose 

Reconstruction from Occupational Medical X-Ray Procedures (ORAUT-OTIB0006).

• 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 

be interpreted using existing NIOSH dose reconstruction processes or 

procedures). Therefore, dose reconstructions for individuals employed at LANL 

during the period from January 1, 1976, through December 31, 1995, 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 concurred with NIOSH’s recommendation to add the proposed class 

of workers to the SEC.

 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 
HHS Special Exposure Cohort Designation:

Los Alamos National Laboratory, Los Alamos, New Mexico

Page 5

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). 

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.