THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Joseph R. Biden, Jr.

President of the United States Senate

Washington, DC 20510 

Dear Mr. President:

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Mitch McConnell 

Majority Leader

United States Senate

Washington, DC 20510 

Dear Senator McConnell: 

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
THE SECRETARY OF HEALTH AND HUMAN SERVICES 

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Harry Reid

Minority Leader

United States Senate

Washington, DC 20510 

Dear Senator Reid: 

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
THE SECRETARY OF HEALTH AND HUMAN SERVICES 

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Paul Ryan

Speaker of the U.S. House of Representatives

Washington, DC 20515 

Dear Mr. Speaker:

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
THE SECRETARY OF HEALTH AND HUMAN SERVICES 

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Nancy Pelosi 

Minority Leader

U.S. House of Representatives

Washington, DC 20515 

Dear Representative Pelosi: 

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
THE SECRETARY OF HEALTH AND HUMAN SERVICES 

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Claire McCaskill

United States Senate

Washington, DC 20510 

Dear Senator McCaskill:

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Roy Blunt

United States Senate

Washington, DC 20510 

Dear Senator Blunt: 

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
THE SECRETARY OF HEALTH AND HUMAN SERVICES 

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Kevin Yoder 

U.S. House of Representatives

Washington, DC 20515 

Dear Representative Yoder: 

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
THE SECRETARY OF HEALTH AND HUMAN SERVICES 

WASHINGTON, D.C. 20201

April 12, 2016 

The Honorable Emanuel Cleaver

U.S. House of Representatives

Washington, DC 20515 

Dear Representative Cleaver: 

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

(EEOICPA) and 42 C.F.R. pt. 83, a petition was filed on behalf of workers at the Kansas City 

Plant, Kansas City, Missouri 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) completed the evaluation of the petition for the time period from 

January 1, 1949, through December 31, 1993, and presented its findings to the Advisory Board 

on Radiation and Worker Health (Board) during its Board meeting on November 19, 2015, in 

Oakland, California. The Board considered the petition, and on January 19, 2016, 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 determined that the following employees do not meet the statutory 

criteria for addition to the SEC, as authorized under EEOICPA, 42 U.S.C. § 7384q. 

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

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

report.

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

Sincerely,

[Signature on File] 

Sylvia M. Burwell

Enclosure 
HHS Special Exposure Cohort Determination:

Kansas City Plant, Kansas City, Missouri (SEC Petition 00210)

HHS Determination Concerning a Petition to Add Members to the 

Special Exposure Cohort 

Under the 

Energy Employees Occupational Illness Compensation Program Act of 2000

Determination Concerning a Petition for Employees from 

Kansas City Plant 

Kansas City, Missouri 
HHS Special Exposure Cohort Determination:

Kansas City Plant, Kansas City, Missouri (SEC Petition 00210)

Page 1

I. Determination 

I, Sylvia M. Burwell, Secretary of the U.S. Department of Health and Human Services

(HHS), have determined that the employees defined in Section II of this report do not meet 

the statutory criteria 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. 

 [Signature on File] April 12, 2016 

Sylvia M. Burwell Date 

II. Employee Class Definition

All employees who worked in any area of the Kansas City Plant site in Kansas City, 

Missouri, from January 1, 1949, through December 31, 1993. 

III. Decision Criteria and Recommendations 

Pursuant to 42 U.S.C. § 7384q, to designate a class for addition to the SEC, the Secretary 

must determine, upon recommendation of the Advisory Board on Radiation and Worker 

Health (the Board), 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 the Centers for 

Disease Control and Prevention’s National Institute for Occupational Safety and Health 

(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. NIOSH determined that it has access to 

sufficient site-specific information to reconstruct radiation doses incurred by the class of 

employees covered by this report with sufficient accuracy

In a letter received by the Secretary on January 19, 2016, the Board, pursuant to 42 U.S.C. § 

7384q, agreed with the following NIOSH findings, effectively advising the Secretary that 

radiation dose can be reconstructed with sufficient accuracy for employees at the Kansas City 

Plant (KCP) in Kansas City, Missouri, in accordance with provisions of EEOICPA and the 

SEC final rule.
HHS Special Exposure Cohort Determination:

Kansas City Plant, Kansas City, Missouri (SEC Petition 00210)

Page 2

IV. Determination 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. 

• The principal source of internal radiation doses for members of the proposed class 

included potential inhalation and ingestion of airborne uranium and thorium from 

machining operations, and resuspended surface contamination during work with nonradioactive materials. 

• NIOSH has access to sufficient personnel monitoring, area monitoring, and source 

term data that, when coupled with existing exposure assessments, support the 

reconstruction of internal doses at KCP during the time period from January 1, 1949, 

through December 31, 1993. 

• NIOSH concludes that there are methods available in the KCP Site Profile (ORAUTTKBS-0031), Battelle-TBD-6000, and ORAUT-OTIB-0070, as well as breathing 

zone air data, bioassay data, and operational descriptions, so that uranium, thorium, 

and thoron internal radiation doses can be completely reconstructed with sufficient 

accuracy for KCP workers during the time period from January 1, 1949, through 

December 31, 1993. 

• The principal sources of external radiation exposures for members of the proposed 

class included gamma and beta radiation associated with handling and working in 

proximity to uranium and thorium; isotopic beta, gamma-ray, and neutron radiationemitting sources; industrial radiation-generating devices (e.g., x-ray machines and 

electron accelerators); and radiation from uranium and thorium contamination after 

work with those materials was completed.

• NIOSH has located sufficient personnel monitoring, area monitoring, and source term 

data that, when coupled with existing dose reconstruction methods and exposure 

assessments, support the reconstruction of external doses at KCP during the time 

period from January 1, 1949, through December 31, 1993. 

• NIOSH concludes it is feasible, using available external monitoring data for KCP 

radiation workers and methods available in the KCP Site Profile (ORAUT-TKBS0031) and ORAUT-OTIB-0020, to bound external ambient radiation doses for 

unmonitored workers for the period from January 1, 1949, through December 31, 

1993. NIOSH plans to use existing methods to reconstruct occupational medical xray doses for the evaluated time periods. 
HHS Special Exposure Cohort Determination:

Kansas City Plant, Kansas City, Missouri (SEC Petition 00210)

Page 3

• In sum, NIOSH determined that it has access to sufficient site-specific information to 

either (1) estimate the maximum internal and external radiation dose for every type of 

cancer for which radiation doses are reconstructed that could have been incurred 

under plausible circumstances by any workers at KCP during the time period from 

January 1, 1949, through December 31, 1993; or (2) estimate the internal and external 

radiation doses to workers at KCP during the time period from January 1, 1949, 

through December 31, 1993, more precisely than a maximum dose estimate. 

• The Board concurred with NIOSH's determination that dose reconstruction is 

feasible for the class of KCP workers covered by Petition 00210 for the period 

from January 1, 1949, through December 31, 1993, and therefore should not 

be added to the SEC.

Health Endangerment

Because the Secretary established that it is feasible to estimate with sufficient accuracy the 

radiation doses encountered by employees at the KCP in Kansas City, as specified in this 

class, a determination of health endangerment is not required. 

V. Effect of the Determination

Members of the class of employees covered by this determination and their survivors 

continue to be eligible to submit claims for compensation under EEOICPA. As required for 

cancer claims covering other U.S. Department of Energy and Atomic Weapons Employer 

employees (or Atomic Weapons Employees) not included in the SEC, qualified cancer 

claims under Part B of EEOICPA for members of this class will be adjudicated by the U.S. 

Department of Labor, in part on the basis of radiation dose reconstructions, which will be 

conducted by NIOSH. 

VI. Administrative Review of Determination

The determination 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 designate the class of employees covered by this determination, in part or in 

whole, as an addition to the SEC, the Secretary would transmit a new report to Congress 

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