THE SECRETARY OF HEALTH AND HUMAN SERVICES

WASHINGTON, D.C. 20201

August 23, 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 Hanford 

Engineer Works in Richland, Washington, 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 June 19, 2012. The Board considered the 

petition, and on August 1, 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 Hanford Engineer Works in Richland, 

Washington, from July 1, 1972, 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 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

August 23, 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 Hanford 

Engineer Works in Richland, Washington, 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 June 19, 2012. The Board considered the 

petition, and on August 1, 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 Hanford Engineer Works in Richland, 

Washington, from July 1, 1972, 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 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

August 23, 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 Hanford 

Engineer Works in Richland, Washington, 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 June 19, 2012. The Board considered the 

petition, and on August 1, 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 Hanford Engineer Works in Richland, 

Washington, from July 1, 1972, 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 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

August 23, 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 Hanford 

Engineer Works in Richland, Washington, 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 June 19, 2012. The Board considered the 

petition, and on August 1, 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 Hanford Engineer Works in Richland, 

Washington, from July 1, 1972, 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 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

August 23, 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 Hanford 

Engineer Works in Richland, Washington, 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 June 19, 2012. The Board considered the 

petition, and on August 1, 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 Hanford Engineer Works in Richland, 

Washington, from July 1, 1972, 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 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:

Hanford Engineer Works, Richland, Washington

 

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 

Hanford Engineer Works

Richland, Washington
HHS Special Exposure Cohort Designation:

Hanford Engineer Works, Richland, Washington

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.

a 

 August 23, 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 Hanford Engineer 

Works in Richland, Washington, from July 1, 1972, 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 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 August 1, 

2012.
HHS Special Exposure Cohort Designation:

Hanford Engineer Works, Richland, Washington

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 the principal sources of internal radiation exposures for 

members of the current proposed class at Hanford included exposures to HEU, 

U-233, thorium, and neptunium in the 200 and 300 Areas. 

• Consistent with the NIOSH, DOE, and DOL determinations associated with the 

evaluation of SEC-00152 in 2009, NIOSH has determined that the Hanford sitespecific and claimant-specific data available for the time period under evaluation 

continue to be insufficient to allow NIOSH to characterize worker movements 

between the 200 and 300 Areas and other areas of Hanford during the period 

under evaluation. Furthermore, NIOSH has no indication that Hanford 

implemented routine or special bioassay programs sufficient to detect intakes of 

purified HEU, U-233, thorium, or neptunium until the end of the period under 

evaluation. 

• NIOSH is unable to assess whether an energy employee, or class of employees, 

did or did not potentially enter specific areas of the Hanford site having the 

potential exposures to HEU, U-233, neptunium, and thorium during the period 

from July 1, 1972, through December 31, 1983. Therefore, NIOSH cannot define 

individual worker exposure scenarios based on the areas or specific work 

location during the evaluated period. 

• NIOSH determined that it does not have sufficient source term information for the 

various site operations. Consequently, NIOSH finds that it is not feasible to 

estimate, with sufficient accuracy, internal exposures to HEU, U-233, thorium, or 

neptunium and resulting doses for the proposed class of employees during the 

period from July 1, 1972, through December 31, 1983.

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

the evaluated class included exposures to HEU, U-233, thorium, and neptunium 

in the 200 and 300 Areas during activities in support of defense-related research, 

development of product materials, maintenance and waste-handling operations, 

and facility decontamination and decommissioning efforts. 

• Consistent with NIOSH’s evaluation of SEC-00152 for the period from October 1, 

1943, through June 30, 1972, available external monitoring data may be used in 

accordance with existing procedures on a case-by-case basis for the purpose of

partial dose reconstructions.
HHS Special Exposure Cohort Designation:

Hanford Engineer Works, Richland, Washington

Page 4

• Also consistent with previous NIOSH determinations associated with the 

evaluations of SEC-00057 and SEC-00152, NIOSH has determined that 

adequate reconstruction of medical dose is likely to be feasible by using 

claimant-favorable assumptions in the technical information bulletin Dose 

Reconstruction from Occupational Medical X-Ray Procedures (ORAUT-OTIB0006) and the Hanford site profile documents.

• NIOSH lacks access to sufficient information and documentation that would allow 

it to estimate with sufficient accuracy the potential internal radiological exposures 

to which the proposed class may have been subjected at the Hanford Engineer 

Works in Richland, Washington, from July 1, 1972, through December 31, 1983.

• NIOSH has documented that it cannot complete the dose reconstructions related 

to this petition with sufficient accuracy for the employees who worked at the 

Hanford Engineer Works in Richland, Washington, from July 1, 1972, 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 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 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 

Hanford Engineer Works during the period from July 1, 1972, through December 

31, 1983, but who do not qualify for inclusion in the SEC, may be performed 

using these data as appropriate.

• NIOSH has determined that adequate reconstruction of medical dose is feasible 

for workers at the Hanford Engineer Works in Richland, Washington, from July 1, 

1972, through December 31, 1983, by using claimant-favorable assumptions and 

available procedures.

• 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.
HHS Special Exposure Cohort Designation:

Hanford Engineer Works, Richland, Washington

Page 5

 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). 

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.