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 Weldon 

Spring Plant in Weldon Spring, 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) 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 6, 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 Weldon 

Spring Plant in Weldon Spring, Missouri, during the applicable 

covered operational period from January 1, 1957, through December 

31, 1967. 

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 Weldon 

Spring Plant in Weldon Spring, 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) 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 6, 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 Weldon 

Spring Plant in Weldon Spring, Missouri, during the applicable 

covered operational period from January 1, 1957, through December 

31, 1967. 

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 Weldon 

Spring Plant in Weldon Spring, 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) 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 6, 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 Weldon 

Spring Plant in Weldon Spring, Missouri, during the applicable 

covered operational period from January 1, 1957, through December 

31, 1967. 

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 Weldon 

Spring Plant in Weldon Spring, 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) 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 6, 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 Weldon 

Spring Plant in Weldon Spring, Missouri, during the applicable 

covered operational period from January 1, 1957, through December 

31, 1967. 

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 Weldon 

Spring Plant in Weldon Spring, 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) 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 6, 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 Weldon 

Spring Plant in Weldon Spring, Missouri, during the applicable 

covered operational period from January 1, 1957, through December 

31, 1967. 

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 Special Exposure Cohort Determination:

Weldon Spring Plant, Weldon Spring, Missouri 

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 

Weldon Spring Plant 

Weldon Spring, Missouri
HHS Special Exposure Cohort Determination:

Weldon Spring Plant, Weldon Spring, Missouri 

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 Weldon Spring Plant in Weldon 

Spring, Missouri, during the applicable covered operational period from January 1, 

1957, through December 31, 1967.

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 Weldon Spring Plant 

employees in accordance with provisions of EEOICPA and the SEC final rule.
HHS Special Exposure Cohort Determination:

Weldon Spring Plant, Weldon Spring, Missouri 

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.

• NIOSH determined that the principal source of internal radiation doses for members 

of the class under evaluation was inhalation of uranium and thorium during routine 

operations, initial cleanup, and maintenance periods. Ingestion is routinely assessed 

by NIOSH concurrently with inhalation exposure.

• Measured air concentrations of radon are not available for the operational period. 

However, the maximum occupational ambient environmental exposure for radon may 

be calculated using the method in a white paper and discussion at Board and Board 

Work Group meetings.

• NIOSH determined that it can reconstruct internal dose with sufficient accuracy for 

members of the class under evaluation. NIOSH located sufficient personnel 

monitoring data to support reconstruction of internal uranium and thorium exposures 

at the Weldon Spring Plant for the evaluated period of January 1, 1957, through 

December 31, 1967. This feasibility conclusion is based on the collective availability 

of uranium bioassay (urinalysis) and thorium air sampling data in sufficient quantity 

and quality for the entire evaluated period to adequately represent the class under 

evaluation. Supporting information exists related to workplace activities, area 

monitoring, and associated source terms.

• NIOSH determined that the principal source of external radiation doses for members 

of the evaluated class, other than medical X-rays required as a condition of 

employment, was direct beta-gamma exposures from processing uranium feed 

stocks to metal and other intermediate products for use at other AEC facilities across 

the weapons complex. A limited amount of thorium was also processed at Weldon 

Spring from November 1963 through 1966.

• Although NIOSH has not located specific parameters associated with occupational 

medical X-rays (i.e., specific information on the X-ray devices used at the Weldon 

Spring Plant), NIOSH will bound the occupational medical X-ray dose by using the 

values and methodology provided in the complex-wide Technical Information 

Bulletin, Dose Reconstruction from Occupationally Related Diagnostic X-Ray 

Procedures (ORAUT-OTIB-0006) and the Calculations and Assumptions Used in 

ORAUT-TKBS- 0028-3 Rev. No. 01 Weldon Spring Plant Technical Basis Document 

for Occupational Medical Exposure. 

• NIOSH determined that the external dose reconstruction for members of the 

evaluated class is feasible based on the available personal external monitoring data, 

the analysis of the film badge results for the various job categories, survey data 

obtained during studies to determine the time to perform specific job functions and 

necessary shielding, and if necessary, a determination of missed and unmonitored 

neutron dose using the methods described in the SEC 143 Evaluation Report for 

personnel working in buildings that processed uranium (because of the alpha-
HHS Special Exposure Cohort Determination:

Weldon Spring Plant, Weldon Spring, Missouri 

neutron reaction from uranium tetrafluoride). In addition, doses from the required 

medical X-rays and ambient environmental doses can be determined with sufficient 

accuracy for the evaluated class.

• NIOSH determined that the reconstruction of internal and external doses is feasible 

for the covered operational period from January 1, 1957, through December 31, 

1967.

• NIOSH determined that it has access to sufficient Weldon Spring Plant 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; 

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

class more precisely than a maximum dose estimate. 

• 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.