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 

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

Plant in Miamisburg, Ohio, 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 19, 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 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 of the Department of Energy, Department of Energy Contractors, or 

subcontractors who worked in any area at the Mound Plant in Miamisburg, Ohio, 

during the period from March 1, 1959, through December 31, 2007, except for workers 

who fall within the Special Exposure Cohort (SEC) classes established by SEC petitions 

00171 and 00207. 

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] 

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 

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

Plant in Miamisburg, Ohio, 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 19, 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 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 of the Department of Energy, Department of Energy Contractors, or 

subcontractors who worked in any area at the Mound Plant in Miamisburg, Ohio, 

during the period from March 1, 1959, through December 31, 2007, except for workers 

who fall within the Special Exposure Cohort (SEC) classes established by SEC petitions 

00171 and 00207. 

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] 

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 

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

Plant in Miamisburg, Ohio, 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 19, 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 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 of the Department of Energy, Department of Energy Contractors, or 

subcontractors who worked in any area at the Mound Plant in Miamisburg, Ohio, 

during the period from March 1, 1959, through December 31, 2007, except for workers 

who fall within the Special Exposure Cohort (SEC) classes established by SEC petitions 

00171 and 00207. 

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] 

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 

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

Plant in Miamisburg, Ohio, 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 19, 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 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 of the Department of Energy, Department of Energy Contractors, or 

subcontractors who worked in any area at the Mound Plant in Miamisburg, Ohio, 

during the period from March 1, 1959, through December 31, 2007, except for workers 

who fall within the Special Exposure Cohort (SEC) classes established by SEC petitions 

00171 and 00207. 

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] 

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 

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

Plant in Miamisburg, Ohio, 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 19, 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 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 of the Department of Energy, Department of Energy Contractors, or 

subcontractors who worked in any area at the Mound Plant in Miamisburg, Ohio, 

during the period from March 1, 1959, through December 31, 2007, except for workers 

who fall within the Special Exposure Cohort (SEC) classes established by SEC petitions 

00171 and 00207. 

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] 

Kathleen Sebelius 

Enclosure 
 

 

 

 

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
 

Mound Plant
 

Miamisburg, Ohio
 

HHS Special Exposure Cohort Determination: 

Mound Plant, Miamisburg, Ohio 
 

 

 

 

 

 

 

 

I. Determination 

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

December 7, 2012 [Signature on File]____________________ 

Date Kathleen Sebelius 

II. Employee Class Definition 

All employees of the Department of Energy, Department of Energy contractors, or 

subcontractors who worked in any area at the Mound Plant in Miamisburg, Ohio, 

during the period from March 1, 1959, through December 31, 2007, except for 

workers who fall within the Special Exposure Cohort (SEC) classes established by 

SEC petitions 00171 and 00207. 

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 (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 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. 

In a letter received by the Secretary on November 7, 2012, 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 certain Mound Plant 

employees in accordance with provisions of EEOICPA and the SEC final rule. 

HHS Special Exposure Cohort Determination: 

Mound Plant, Miamisburg, Ohio 
 

 

 

 

 

 

 

 

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 Mound Plant was involved in radiological activities relating to the development 

and manufacture of nuclear weapons initiators and other weapons components, as 

well as tritium recovery, isotope separations, the development of heat sources, and a 

variety of nuclear materials processing. 

•	 The principal source of internal and external radiation doses for members of the 

evaluated class associated with the operations performed at the Mound Plant 

included exposures to polonium, plutonium, and tritium. These exposures were 

considered primary because they were existed in larger quantities and were use 

more widespread across the site. Secondary radionuclides of concern at Mound 

included uranium and thorium and their progeny, americium, curium, actinium, 

various radium and radon isotopes, and protactinium. 

•	 NIOSH determined that internal exposures during the operational period, for 

radionuclides other than those associated with existing Mound Plant SEC classes, 

can be bounded using available data fore the site. In its SEC-00090 Evaluation 

Report, NIOSH demonstrated that employees with the greatest potential for internal 

intake were monitored, and determined that the available bioassay data can be used 

to reconstruct potential internal radiation doses for those employees 

•	 For radionuclides for which exposures were routinely monitored, NIOSH has 

established coworker models that will be used to reconstruct internal doses for those 

workers who were potentially exposed, but not monitored. For reconstruction of 

internal exposures to research quantities of radionuclides that were infrequently 

monitored, NIOSH will rely on the available bioassay data in combination with 

available air concentration measurements and process information. 

•	 NIOSH determined that all external exposures, including occupational medical 

exposures, for all workers and periods at the Mound site can be reconstructed using 

available data from the site. In its SEC-00090 Evaluation Report, NIOSH 

demonstrated that external monitoring data and medical X-ray data exists for Mound 

Plant employees, and determined that the available data can be used to reconstruct 

potential external radiation doses for all employees over the evaluated period at the 

Mound Plant. Because all workers entering radiation-controlled areas were required 

to wear a dosimeter, NIOSH has determined that those receiving exposures in 

controlled areas were monitored. For unmonitored individuals (i.e., those working 

outside of controlled areas, claimant-favorable assumptions for on-site ambient 

doses are applied as part of the estimate. 

•	 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 member of the evaluated class, excluding 

HHS Special Exposure Cohort Determination: 

Mound Plant, Miamisburg, Ohio 
 

 

 

 

 

those members of previously approved Mound Plant Special Exposure Cohort 

classes; or (2) estimate the internal and external radiation doses to members of the 

evaluated class more precisely than a maximum dose estimate, March 1, 1959, 

through December 31, 2007, except for workers who fall within the Special Exposure 

Cohort (SEC) classes established by SEC petition 00171and 00207. 

• The Board concurred with the NIOSH findings. 

Health Endangerment 

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

radiation doses encountered by Weldon Spring employees 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 DOE 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 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. 

HHS Special Exposure Cohort Determination: 

Mound Plant, Miamisburg, Ohio