81_FR_71582 81 FR 71382 - Extension of the Presumptive Period for Compensation for Gulf War Veterans

81 FR 71382 - Extension of the Presumptive Period for Compensation for Gulf War Veterans

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 81, Issue 200 (October 17, 2016)

Page Range71382-71384
FR Document2016-25017

The Department of Veterans Affairs (VA) is issuing this interim final rule to amend its adjudication regulations regarding compensation for disabilities resulting from undiagnosed illnesses suffered by veterans who served in the Persian Gulf War. This amendment is necessary to extend the presumptive period for qualifying chronic disabilities resulting from undiagnosed illnesses that must become manifest to a compensable degree in order that entitlement for compensation be established. The intended effect of this amendment is to provide consistency in VA adjudication policy and preserve certain rights afforded to Persian Gulf War veterans and ensure fairness for current and future Persian Gulf War veterans.

Federal Register, Volume 81 Issue 200 (Monday, October 17, 2016)
[Federal Register Volume 81, Number 200 (Monday, October 17, 2016)]
[Rules and Regulations]
[Pages 71382-71384]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-25017]


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DEPARTMENT OF VETERANS AFFAIRS

38 CFR Part 3

RIN 2900-AP84


Extension of the Presumptive Period for Compensation for Gulf War 
Veterans

AGENCY: Department of Veterans Affairs.

ACTION: Interim final rule.

-----------------------------------------------------------------------

SUMMARY: The Department of Veterans Affairs (VA) is issuing this 
interim final rule to amend its adjudication regulations regarding 
compensation for disabilities resulting from undiagnosed illnesses 
suffered by veterans who served in the Persian Gulf War. This amendment 
is necessary to extend the presumptive period for qualifying chronic 
disabilities resulting from undiagnosed illnesses that must become 
manifest to a compensable degree in order that entitlement for 
compensation be established. The intended effect of this amendment is 
to provide consistency in VA adjudication policy and preserve certain 
rights afforded to Persian Gulf War veterans and ensure fairness for 
current and future Persian Gulf War veterans.

DATES: Effective date: This interim final rule is effective October 17, 
2016.
    Comment date: Comments must be received on or before December 16, 
2016.

ADDRESSES: Written comments may be submitted through 
www.Regulations.gov; by mail or hand-delivery to Director, Regulation 
Policy and Management (00REG), Department of Veterans Affairs, 810 
Vermont Avenue NW., Room 1068, Washington, DC 20420; or by fax to (202) 
273-9026. Comments should indicate that they are submitted in response 
to ``RIN 2900-AP84--Extension of the Presumptive Period for 
Compensation for Gulf War Veterans.'' Copies of comments received will 
be available for public inspection in the Office of Regulation Policy 
and Management, Room 1068, between the hours of 8 a.m. and 4:30 p.m., 
Monday through Friday (except holidays). Please call (202) 461-4902 for 
an appointment. (This is not a toll-free number.) In addition, during 
the comment period, comments may be viewed online through the Federal 
Docket Management System (FDMS) at www.Regulations.gov.

FOR FURTHER INFORMATION CONTACT: Stephanie Li, Chief, Regulations Staff 
(211D), Compensation Service, Veterans Benefits Administration, 810 
Vermont Avenue NW., Washington, DC 20420, (202) 461-9700. (This is not 
a toll-free telephone number.)

SUPPLEMENTARY INFORMATION: 

I. Background

    In response to the needs and concerns of veterans who served in the 
Southwest Asia theater of operations during the Persian Gulf War, 
Congress enacted the Persian Gulf War Veterans' Benefits Act, Title I 
of the Veterans' Benefits Improvement Act of 1994, Public Law 103-446, 
which was codified in relevant part at 38 U.S.C. 1117. This law 
provided authority for the Secretary of Veterans Affairs (Secretary) to 
compensate eligible Gulf War veterans with a chronic disability 
resulting from undiagnosed illness. That illness must have become 
manifest either during active duty service in the Southwest Asia 
theater of operations during the Persian Gulf War, or disabling to a 
degree of ten percent or more during a period determined by the 
Secretary and prescribed by regulation. The Secretary would determine 
this period after reviewing any credible medical or scientific 
evidence, the historical treatment afforded disabilities for which VA 
had established such periods, and other pertinent circumstances 
regarding the experiences of veterans of the Persian Gulf War.
    To implement 38 U.S.C. 1117, VA published a final rule to add 38 
CFR 3.317, which established the framework for VA to pay compensation 
under the Persian Gulf War Veterans' Benefits Act. See 60 FR 6660-6666, 
Feb. 3, 1995. As part of that rulemaking, VA established a period of 
two years after Gulf War service in which VA would presume a medical 
relationship of an undiagnosed illness to that service. VA determined 
that there was little or no scientific or medical evidence at that time 
useful in determining an appropriate presumptive period for undiagnosed 
illnesses. Therefore, VA primarily based this two-year period on its 
history of establishing presumptive periods as well as the available 
facts regarding service in the Southwest Asia theater of operations 
during the Gulf War.
    The lack of medical and scientific evidence about the nature and 
cause of the illnesses suffered by Gulf War veterans continued, as did 
the uncertainty of an appropriate presumptive period for undiagnosed 
illnesses. Accordingly, VA established December 31, 2001, as the date 
by which an undiagnosed illness must become manifest. See 62 FR 23138, 
Apr. 29, 1997. In 2001, VA again extended the period to December 31, 
2006. See 66 FR 56614, Nov. 9, 2001.
    In December 2001, section 202(a) of Public Law 107-103 amended 38 
U.S.C. 1117 by revising the term ``chronic disability'' to include the 
following (or any combination thereof): (a) An undiagnosed illness; (b) 
a medically unexplained chronic multisymptom illness (such as chronic 
fatigue syndrome, fibromyalgia, and irritable bowel syndrome) that is 
defined by a cluster of signs and symptoms; or (c) any diagnosed 
illness that the Secretary determines warrants a presumption of service 
connection. The term ``qualifying chronic disability'' broadened the 
scope of those illnesses the Secretary may presume related to service. 
Under 38 U.S.C. 1117, a chronic disability must still occur during 
service in the Southwest Asia theater of operations during the Persian 
Gulf War, or to a degree of ten percent or more disabling during the 
prescribed presumptive period following such service. VA amended Sec.  
3.317 to reflect these changes. See 68 FR 34539, June 10, 2003.
    As required by Public Law 105-368, the National Academy of Sciences 
(NAS) reviews, evaluates, and summarizes the scientific and medical 
literature for possible association between service in the Southwest 
Asia theater of operations and long-term adverse health effects. 
Following review of such NAS reports, VA determined that the evidence 
remained inconclusive

[[Page 71383]]

regarding the time of onset of undiagnosed and other illnesses related 
to Gulf War service and, in December 2006, VA published an interim 
final rule to further extend the manifestation period from December 31, 
2006, to December 31, 2011. See 71 FR 75669, Dec. 18, 2006. 
Additionally, on October 13, 2010, Congress enacted section 806 of 
Public Law 111-275, which directed VA to extend its agreement with NAS 
created under Section 101 of Public Law 105-368 to review, evaluate, 
and summarize scientific and medical literature associated with Persian 
Gulf War service. Congress has not established an end date for the Gulf 
War as military operations in the Southwest Asia theater of operations 
continued, including Operation Iraqi Freedom. See 38 U.S.C. 101(33).
    In a report published in 2010 titled Gulf War and Health, Volume 8: 
Update of Health Effects of Serving in the Gulf War, available at 
http://nationalacademies.org/hmd/reports/2010/gulf-war-and-health-volume-8-health-effects-of-serving-in-the-gulf-war.aspx (last viewed 
Aug. 17, 2016), NAS evaluated the available scientific and medical 
literature regarding the prevalence of chronic multisymptom illnesses 
in Gulf War veterans. Consistent with its prior findings, NAS 
concluded, based on multiple studies, that there is sufficient evidence 
of an association between deployment to the Gulf War and chronic 
multisymptom illness. NAS analyzed two follow-up studies that surveyed 
veterans who served in the Gulf War in 1991 to determine whether the 
increased prevalence of chronic multisymptom illness persisted several 
years after such service. One study involved detailed examinations and 
medical histories of veterans deployed to the Gulf War and non-deployed 
veterans of the same era. The study found that, 10 years after the 1991 
Gulf War, chronic multisymptom illness was nearly twice as prevalent in 
veterans deployed to the Gulf War than in the non-deployed veterans 
(28.9 percent compared to 15.8 percent). The study found that the 
prevalence of chronic multisymptom illness decreased gradually over 
time, but remained significantly elevated 10 years after service. The 
other follow-up study involved a 2005 survey of veterans deployed to 
the 1991 Gulf War and their non-deployed counterparts of that era. That 
study found that 36.5 percent of the deployed veterans reported 
experiencing symptoms of chronic multisymptom illness in 2005, compared 
to 11.7 percent of the non-deployed veterans. While this report is 
based on self-reports, the results are statistically significant and 
are consistent with the other follow-up report.
    The scientific and medical literature surveyed by NAS in 2010 thus 
suggested that, while the prevalence of chronic multisymptom illness 
may decrease over time following deployment to the Gulf War, the 
prevalence remained significantly elevated among deployed veterans more 
than a decade after deployment. As military operations in the Southwest 
Asia theater of operations had not ended and scientific and medical 
evidence failed to identify the manifestation period for associated 
illnesses, VA again published a rule amending 38 CFR 3.317(b) to extend 
the presumptive period from December 31, 2011, to December 31, 2016. 
See 76 FR 81834, Dec. 29, 2011.

II. Current Research

    In a report published earlier this year, NAS continued to conclude 
that there is sufficient evidence of association between Gulf War 
deployment and the constellation of chronic symptoms known as Gulf War 
illness. Gulf War and Health, Volume 10: Update of Health Effects of 
Serving in the Gulf War, available at http://nationalacademies.org/hmd/Reports/2016/Gulf-War-and-Health-Volume-10.aspx (last viewed Aug. 17, 
2016). At present, there is insufficient basis to identify the point, 
if any, at which the increased risk of chronic multisymptom illness may 
abate. NAS has concluded that as of its Volume 10 publication date, 
there are no reliable or validated biomarkers of exposure or symptoms 
to substantiate the etiology or mechanisms of the illness. NAS further 
noted that studies looking for biomarkers of Gulf War illness face many 
methodological problems irrespective of the approach or technology 
used. Although follow-up studies in the future may provide additional 
information, there is no medical or scientific basis to support the 
current deadline for manifestation.

III. Extension of Current Deadline

    Currently, military operations in the Southwest Asia theater of 
operations continue. No end date for the Gulf War has been established 
by Congress or the President. See 38 U.S.C. 101(33). Because scientific 
uncertainty remains as to the cause and time of onset of illnesses 
suffered by Persian Gulf War veterans and current IOM research studies 
are incomplete, limiting entitlement to benefits payable under 38 
U.S.C. 1117 due to the expiration of the presumptive period in 38 CFR 
3.317(a)(1)(i) is premature. If extension of the current presumptive 
period is not implemented, servicemembers whose conditions manifest 
after December 31, 2016, would be substantially disadvantaged compared 
to servicemembers whose conditions manifested at an earlier date.
    Therefore, VA is extending the presumptive period in 38 CFR 
3.317(a)(1)(i) for qualifying chronic disabilities that become manifest 
to a degree of 10 percent or more through December 31, 2021 (a period 
of 5 years), to ensure those benefits established by Congress are 
fairly administered.

Administrative Procedure Act

    The Secretary of Veterans Affairs finds that there is good cause 
under the provisions of 5 U.S.C. 553(b)(B) and (d)(3) to publish this 
rule without prior opportunity for public comment and good cause to 
publish this rule with an immediate effective date. Absent extension of 
the sunset date in the current regulation, VA's authority to provide 
benefits in new claims for qualifying chronic disability in Gulf War 
veterans will lapse on December 31, 2016. A lapse of such authority 
would be contrary to the public interest because it would have a 
significant adverse impact on veterans with such disabilities. To avoid 
such impact, VA is issuing this rule as an interim final rule, 
effective upon date of publication. However, VA invites public comments 
on this interim final rule and will fully consider and address any 
comments received.

Executive Orders 12866 and 13563

    Executive Orders 12866 and 13563 direct agencies to assess the 
costs and benefits of available regulatory alternatives and, when 
regulation is necessary, to select regulatory approaches that maximize 
net benefits (including potential economic, environmental, public 
health and safety effects, and other advantages; distributive impacts; 
and equity). Executive Order 13563 (Improving Regulation and Regulatory 
Review) emphasizes the importance of quantifying both costs and 
benefits, reducing costs, harmonizing rules, and promoting flexibility. 
Executive Order 12866 (Regulatory Planning and Review) defines a 
``significant regulatory action,'' requiring review by the Office of 
Management and Budget (OMB), unless OMB waives such review, as ``any 
regulatory action that is likely to result in a rule that may: (1) Have 
an annual effect on the economy of $100 million or more or adversely 
affect in a material way the economy, a

[[Page 71384]]

sector of the economy, productivity, competition, jobs, the 
environment, public health or safety, or State, local, or tribal 
governments or communities; (2) Create a serious inconsistency or 
otherwise interfere with an action taken or planned by another agency; 
(3) Materially alter the budgetary impact of entitlements, grants, user 
fees, or loan programs or the rights and obligations of recipients 
thereof; or (4) Raise novel legal or policy issues arising out of legal 
mandates, the President's priorities, or the principles set forth in 
this Executive Order.''
    The economic, interagency, budgetary, legal, and policy 
implications of this regulatory action have been examined, and it has 
been determined not to be a significant regulatory action under 
Executive Order 12866. VA's impact analysis can be found as a 
supporting document at http://www.regulations.gov, usually within 48 
hours after the rulemaking document is published. Additionally, a copy 
of this rulemaking and its impact analysis are available on VA's Web 
site at http://www.va.gov/orpm/, by following the link for ``VA 
Regulations Published From FY 2004 Through Fiscal Year to Date.''

Regulatory Flexibility Act

    The Secretary hereby certifies that this interim final rule will 
not have a significant economic impact on a substantial number of small 
entities as they are defined in the Regulatory Flexibility Act (5 
U.S.C. 601-612). This interim final rule will directly affect only 
individuals and will not directly affect small entities. Therefore, 
pursuant to 5 U.S.C. 605(b), this rulemaking is exempt from the initial 
and final regulatory flexibility analysis requirements of sections 603 
and 604.

Unfunded Mandates

    The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C. 
1532, that agencies prepare an assessment of anticipated costs and 
benefits before issuing any rule that may result in the expenditure by 
State, local, and tribal governments, in the aggregate, or by the 
private sector, of $100 million or more (adjusted annually for 
inflation) in any one year. This interim final rule will have no such 
effect on State, local, and tribal governments, or on the private 
sector.

Paperwork Reduction Act

    This interim final rule contains no provisions constituting a 
collection of information under the Paperwork Reduction Act of 1995 (44 
U.S.C. 3501-3521).

Catalog of Federal Domestic Assistance

    The Catalog of Federal Domestic Assistance program numbers and 
titles for this rule are: 64.104, Pension for Non-Service-Connected 
Disability for Veterans; 64.109, Veterans Compensation for Service-
Connected Disability.

Signing Authority

    The Secretary of Veterans Affairs, or designee, approved this 
document and authorized the undersigned to sign and submit the document 
to the Office of the Federal Register for publication electronically as 
an official document of the Department of Veterans Affairs. Gina S. 
Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, 
approved this document on October 7, 2016, for publication.

    Dated: October 7, 2016.
Jeffrey Martin,
Office Program Manager, Office of Regulation Policy & Management, 
Office of the Secretary, Department of Veterans Affairs.

List of Subjects in 38 CFR Part 3

    Administrative practice and procedure, Disability benefits, 
Pensions, Veterans.

    For the reasons set out in the preamble, VA amends 38 CFR part 3 as 
follows:

PART 3--ADJUDICATION

Subpart A--Pension, Compensation, and Dependency and Indemnity 
Compensation

0
1. The authority citation for part 3, subpart A continues to read as 
follows:

    Authority:  38 U.S.C. 501(a), unless otherwise noted.

0
2. In Sec.  3.317, paragraph (a)(1)(i) is revised to read as follows:


3.317  Compensation for certain disabilities occurring in Persian Gulf 
veterans.

    (a) * * *
    (1) * * *
    (i) Became manifest either during active military, naval, or air 
service in the Southwest Asia theater of operations, or to a degree of 
10 percent or more not later than December 31, 2021; and
* * * * *

(Authority: 38 U.S.C. 1117, 1118).

[FR Doc. 2016-25017 Filed 10-14-16; 8:45 am]
 BILLING CODE 8320-01-P



                                                71382            Federal Register / Vol. 81, No. 200 / Monday, October 17, 2016 / Rules and Regulations

                                                   Under the provisions of 33 CFR                          Comment date: Comments must be                     3.317, which established the framework
                                                165.160, vessels may not enter the safety               received on or before December 16,                    for VA to pay compensation under the
                                                zones unless given permission from the                  2016.                                                 Persian Gulf War Veterans’ Benefits Act.
                                                COTP or a designated representative.                    ADDRESSES: Written comments may be                    See 60 FR 6660–6666, Feb. 3, 1995. As
                                                Spectator vessels may transit outside the               submitted through                                     part of that rulemaking, VA established
                                                safety zones but may not anchor, block,                 www.Regulations.gov; by mail or hand-                 a period of two years after Gulf War
                                                loiter in, or impede the transit of other               delivery to Director, Regulation Policy               service in which VA would presume a
                                                vessels. The Coast Guard may be                         and Management (00REG), Department                    medical relationship of an undiagnosed
                                                assisted by other Federal, State, or local              of Veterans Affairs, 810 Vermont                      illness to that service. VA determined
                                                law enforcement agencies in enforcing                   Avenue NW., Room 1068, Washington,                    that there was little or no scientific or
                                                this regulation.                                        DC 20420; or by fax to (202) 273–9026.                medical evidence at that time useful in
                                                   This notice is issued under authority                Comments should indicate that they are                determining an appropriate presumptive
                                                of 33 CFR 165.160(a) and 5 U.S.C. 552                   submitted in response to ‘‘RIN 2900–                  period for undiagnosed illnesses.
                                                (a). In addition to this notice in the                  AP84—Extension of the Presumptive                     Therefore, VA primarily based this two-
                                                Federal Register, the Coast Guard will                  Period for Compensation for Gulf War                  year period on its history of establishing
                                                provide mariners with advanced                          Veterans.’’ Copies of comments received               presumptive periods as well as the
                                                notification of enforcement periods via                 will be available for public inspection in            available facts regarding service in the
                                                the Local Notice to Mariners and marine                 the Office of Regulation Policy and                   Southwest Asia theater of operations
                                                information broadcasts.                                 Management, Room 1068, between the                    during the Gulf War.
                                                   If the COTP determines that a safety                                                                          The lack of medical and scientific
                                                                                                        hours of 8 a.m. and 4:30 p.m., Monday
                                                zone need not be enforced for the full                                                                        evidence about the nature and cause of
                                                                                                        through Friday (except holidays). Please
                                                duration stated in this notice, a                                                                             the illnesses suffered by Gulf War
                                                                                                        call (202) 461–4902 for an appointment.
                                                Broadcast Notice to Mariners may be                                                                           veterans continued, as did the
                                                                                                        (This is not a toll-free number.) In
                                                used to grant general permission to                                                                           uncertainty of an appropriate
                                                                                                        addition, during the comment period,                  presumptive period for undiagnosed
                                                enter the safety zone.                                  comments may be viewed online                         illnesses. Accordingly, VA established
                                                  Dated: September 29, 2016.                            through the Federal Docket Management                 December 31, 2001, as the date by
                                                M.H. Day,                                               System (FDMS) at www.Regulations.gov.                 which an undiagnosed illness must
                                                Captain, U.S. Coast Guard, Captain of the               FOR FURTHER INFORMATION CONTACT:                      become manifest. See 62 FR 23138, Apr.
                                                Port New York.                                          Stephanie Li, Chief, Regulations Staff                29, 1997. In 2001, VA again extended
                                                [FR Doc. 2016–25048 Filed 10–14–16; 8:45 am]            (211D), Compensation Service, Veterans                the period to December 31, 2006. See 66
                                                BILLING CODE 9110–04–P                                  Benefits Administration, 810 Vermont                  FR 56614, Nov. 9, 2001.
                                                                                                        Avenue NW., Washington, DC 20420,                        In December 2001, section 202(a) of
                                                                                                        (202) 461–9700. (This is not a toll-free              Public Law 107–103 amended 38 U.S.C.
                                                DEPARTMENT OF VETERANS                                  telephone number.)                                    1117 by revising the term ‘‘chronic
                                                AFFAIRS                                                 SUPPLEMENTARY INFORMATION:                            disability’’ to include the following (or
                                                                                                                                                              any combination thereof): (a) An
                                                38 CFR Part 3                                           I. Background
                                                                                                                                                              undiagnosed illness; (b) a medically
                                                                                                           In response to the needs and concerns              unexplained chronic multisymptom
                                                RIN 2900–AP84
                                                                                                        of veterans who served in the Southwest               illness (such as chronic fatigue
                                                Extension of the Presumptive Period                     Asia theater of operations during the                 syndrome, fibromyalgia, and irritable
                                                for Compensation for Gulf War                           Persian Gulf War, Congress enacted the                bowel syndrome) that is defined by a
                                                Veterans                                                Persian Gulf War Veterans’ Benefits Act,              cluster of signs and symptoms; or (c)
                                                                                                        Title I of the Veterans’ Benefits                     any diagnosed illness that the Secretary
                                                AGENCY:    Department of Veterans Affairs.              Improvement Act of 1994, Public Law                   determines warrants a presumption of
                                                ACTION:   Interim final rule.                           103–446, which was codified in relevant               service connection. The term
                                                                                                        part at 38 U.S.C. 1117. This law                      ‘‘qualifying chronic disability’’
                                                SUMMARY:    The Department of Veterans                  provided authority for the Secretary of               broadened the scope of those illnesses
                                                Affairs (VA) is issuing this interim final              Veterans Affairs (Secretary) to                       the Secretary may presume related to
                                                rule to amend its adjudication                          compensate eligible Gulf War veterans                 service. Under 38 U.S.C. 1117, a chronic
                                                regulations regarding compensation for                  with a chronic disability resulting from              disability must still occur during service
                                                disabilities resulting from undiagnosed                 undiagnosed illness. That illness must                in the Southwest Asia theater of
                                                illnesses suffered by veterans who                      have become manifest either during                    operations during the Persian Gulf War,
                                                served in the Persian Gulf War. This                    active duty service in the Southwest                  or to a degree of ten percent or more
                                                amendment is necessary to extend the                    Asia theater of operations during the                 disabling during the prescribed
                                                presumptive period for qualifying                       Persian Gulf War, or disabling to a                   presumptive period following such
                                                chronic disabilities resulting from                     degree of ten percent or more during a                service. VA amended § 3.317 to reflect
                                                undiagnosed illnesses that must become                  period determined by the Secretary and                these changes. See 68 FR 34539, June
                                                manifest to a compensable degree in                     prescribed by regulation. The Secretary               10, 2003.
                                                order that entitlement for compensation                 would determine this period after                        As required by Public Law 105–368,
                                                be established. The intended effect of                  reviewing any credible medical or                     the National Academy of Sciences
                                                this amendment is to provide                            scientific evidence, the historical                   (NAS) reviews, evaluates, and
jstallworth on DSK7TPTVN1PROD with RULES




                                                consistency in VA adjudication policy                   treatment afforded disabilities for which             summarizes the scientific and medical
                                                and preserve certain rights afforded to                 VA had established such periods, and                  literature for possible association
                                                Persian Gulf War veterans and ensure                    other pertinent circumstances regarding               between service in the Southwest Asia
                                                fairness for current and future Persian                 the experiences of veterans of the                    theater of operations and long-term
                                                Gulf War veterans.                                      Persian Gulf War.                                     adverse health effects. Following review
                                                DATES: Effective date: This interim final                  To implement 38 U.S.C. 1117, VA                    of such NAS reports, VA determined
                                                rule is effective October 17, 2016.                     published a final rule to add 38 CFR                  that the evidence remained inconclusive


                                           VerDate Sep<11>2014   18:36 Oct 14, 2016   Jkt 241001   PO 00000   Frm 00058   Fmt 4700   Sfmt 4700   E:\FR\FM\17OCR1.SGM   17OCR1


                                                                 Federal Register / Vol. 81, No. 200 / Monday, October 17, 2016 / Rules and Regulations                                          71383

                                                regarding the time of onset of                          based on self-reports, the results are                3.317(a)(1)(i) is premature. If extension
                                                undiagnosed and other illnesses related                 statistically significant and are                     of the current presumptive period is not
                                                to Gulf War service and, in December                    consistent with the other follow-up                   implemented, servicemembers whose
                                                2006, VA published an interim final                     report.                                               conditions manifest after December 31,
                                                rule to further extend the manifestation                   The scientific and medical literature              2016, would be substantially
                                                period from December 31, 2006, to                       surveyed by NAS in 2010 thus                          disadvantaged compared to
                                                December 31, 2011. See 71 FR 75669,                     suggested that, while the prevalence of               servicemembers whose conditions
                                                Dec. 18, 2006. Additionally, on October                 chronic multisymptom illness may                      manifested at an earlier date.
                                                13, 2010, Congress enacted section 806                  decrease over time following                            Therefore, VA is extending the
                                                of Public Law 111–275, which directed                   deployment to the Gulf War, the                       presumptive period in 38 CFR
                                                VA to extend its agreement with NAS                     prevalence remained significantly                     3.317(a)(1)(i) for qualifying chronic
                                                created under Section 101 of Public Law                 elevated among deployed veterans more                 disabilities that become manifest to a
                                                105–368 to review, evaluate, and                        than a decade after deployment. As                    degree of 10 percent or more through
                                                summarize scientific and medical                        military operations in the Southwest                  December 31, 2021 (a period of 5 years),
                                                literature associated with Persian Gulf                 Asia theater of operations had not ended              to ensure those benefits established by
                                                War service. Congress has not                           and scientific and medical evidence                   Congress are fairly administered.
                                                established an end date for the Gulf War                failed to identify the manifestation
                                                                                                                                                              Administrative Procedure Act
                                                as military operations in the Southwest                 period for associated illnesses, VA again
                                                Asia theater of operations continued,                   published a rule amending 38 CFR                         The Secretary of Veterans Affairs
                                                including Operation Iraqi Freedom. See                  3.317(b) to extend the presumptive                    finds that there is good cause under the
                                                38 U.S.C. 101(33).                                      period from December 31, 2011, to                     provisions of 5 U.S.C. 553(b)(B) and
                                                                                                        December 31, 2016. See 76 FR 81834,                   (d)(3) to publish this rule without prior
                                                   In a report published in 2010 titled                                                                       opportunity for public comment and
                                                                                                        Dec. 29, 2011.
                                                Gulf War and Health, Volume 8: Update                                                                         good cause to publish this rule with an
                                                of Health Effects of Serving in the Gulf                II. Current Research                                  immediate effective date. Absent
                                                War, available at http://                                  In a report published earlier this year,           extension of the sunset date in the
                                                nationalacademies.org/hmd/reports/                      NAS continued to conclude that there is               current regulation, VA’s authority to
                                                2010/gulf-war-and-health-volume-8-                      sufficient evidence of association                    provide benefits in new claims for
                                                health-effects-of-serving-in-the-gulf-                  between Gulf War deployment and the                   qualifying chronic disability in Gulf
                                                war.aspx (last viewed Aug. 17, 2016),                   constellation of chronic symptoms                     War veterans will lapse on December
                                                NAS evaluated the available scientific                  known as Gulf War illness. Gulf War                   31, 2016. A lapse of such authority
                                                and medical literature regarding the                    and Health, Volume 10: Update of                      would be contrary to the public interest
                                                prevalence of chronic multisymptom                      Health Effects of Serving in the Gulf                 because it would have a significant
                                                illnesses in Gulf War veterans.                         War, available at http://                             adverse impact on veterans with such
                                                Consistent with its prior findings, NAS                 nationalacademies.org/hmd/Reports/                    disabilities. To avoid such impact, VA
                                                concluded, based on multiple studies,                   2016/Gulf-War-and-Health-Volume-                      is issuing this rule as an interim final
                                                that there is sufficient evidence of an                 10.aspx (last viewed Aug. 17, 2016). At               rule, effective upon date of publication.
                                                association between deployment to the                   present, there is insufficient basis to               However, VA invites public comments
                                                Gulf War and chronic multisymptom                       identify the point, if any, at which the              on this interim final rule and will fully
                                                illness. NAS analyzed two follow-up                     increased risk of chronic multisymptom                consider and address any comments
                                                studies that surveyed veterans who                      illness may abate. NAS has concluded                  received.
                                                served in the Gulf War in 1991 to                       that as of its Volume 10 publication
                                                determine whether the increased                                                                               Executive Orders 12866 and 13563
                                                                                                        date, there are no reliable or validated
                                                prevalence of chronic multisymptom                      biomarkers of exposure or symptoms to                    Executive Orders 12866 and 13563
                                                illness persisted several years after such              substantiate the etiology or mechanisms               direct agencies to assess the costs and
                                                service. One study involved detailed                    of the illness. NAS further noted that                benefits of available regulatory
                                                examinations and medical histories of                   studies looking for biomarkers of Gulf                alternatives and, when regulation is
                                                veterans deployed to the Gulf War and                   War illness face many methodological                  necessary, to select regulatory
                                                non-deployed veterans of the same era.                  problems irrespective of the approach or              approaches that maximize net benefits
                                                The study found that, 10 years after the                technology used. Although follow-up                   (including potential economic,
                                                1991 Gulf War, chronic multisymptom                     studies in the future may provide                     environmental, public health and safety
                                                illness was nearly twice as prevalent in                additional information, there is no                   effects, and other advantages;
                                                veterans deployed to the Gulf War than                  medical or scientific basis to support the            distributive impacts; and equity).
                                                in the non-deployed veterans (28.9                      current deadline for manifestation.                   Executive Order 13563 (Improving
                                                percent compared to 15.8 percent). The                                                                        Regulation and Regulatory Review)
                                                study found that the prevalence of                      III. Extension of Current Deadline                    emphasizes the importance of
                                                chronic multisymptom illness decreased                     Currently, military operations in the              quantifying both costs and benefits,
                                                gradually over time, but remained                       Southwest Asia theater of operations                  reducing costs, harmonizing rules, and
                                                significantly elevated 10 years after                   continue. No end date for the Gulf War                promoting flexibility. Executive Order
                                                service. The other follow-up study                      has been established by Congress or the               12866 (Regulatory Planning and
                                                involved a 2005 survey of veterans                      President. See 38 U.S.C. 101(33).                     Review) defines a ‘‘significant
                                                deployed to the 1991 Gulf War and their                 Because scientific uncertainty remains                regulatory action,’’ requiring review by
jstallworth on DSK7TPTVN1PROD with RULES




                                                non-deployed counterparts of that era.                  as to the cause and time of onset of                  the Office of Management and Budget
                                                That study found that 36.5 percent of                   illnesses suffered by Persian Gulf War                (OMB), unless OMB waives such
                                                the deployed veterans reported                          veterans and current IOM research                     review, as ‘‘any regulatory action that is
                                                experiencing symptoms of chronic                        studies are incomplete, limiting                      likely to result in a rule that may: (1)
                                                multisymptom illness in 2005,                           entitlement to benefits payable under 38              Have an annual effect on the economy
                                                compared to 11.7 percent of the non-                    U.S.C. 1117 due to the expiration of the              of $100 million or more or adversely
                                                deployed veterans. While this report is                 presumptive period in 38 CFR                          affect in a material way the economy, a


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                                                71384            Federal Register / Vol. 81, No. 200 / Monday, October 17, 2016 / Rules and Regulations

                                                sector of the economy, productivity,                    Catalog of Federal Domestic Assistance                DEPARTMENT OF DEFENSE
                                                competition, jobs, the environment,
                                                public health or safety, or State, local,                 The Catalog of Federal Domestic                     GENERAL SERVICES
                                                or tribal governments or communities;                   Assistance program numbers and titles                 ADMINISTRATION
                                                (2) Create a serious inconsistency or                   for this rule are: 64.104, Pension for
                                                otherwise interfere with an action taken                Non-Service-Connected Disability for                  NATIONAL AERONAUTICS AND
                                                or planned by another agency; (3)                       Veterans; 64.109, Veterans                            SPACE ADMINISTRATION
                                                Materially alter the budgetary impact of                Compensation for Service-Connected
                                                entitlements, grants, user fees, or loan                Disability.                                           48 CFR Parts 2, 4, 9, 12, 19, 52, and 53
                                                programs or the rights and obligations of                                                                     [FAC 2005–91; FAR Case 2015–022; Item
                                                                                                        Signing Authority
                                                recipients thereof; or (4) Raise novel                                                                        V; Docket No. 2015–0022, Sequence No. 1]
                                                legal or policy issues arising out of legal               The Secretary of Veterans Affairs, or
                                                mandates, the President’s priorities, or                                                                      RIN 9000–AN00
                                                                                                        designee, approved this document and
                                                the principles set forth in this Executive              authorized the undersigned to sign and                Federal Acquisition Regulation;
                                                Order.’’                                                submit the document to the Office of the
                                                   The economic, interagency,                                                                                 Unique Identification of Entities
                                                                                                        Federal Register for publication                      Receiving Federal Awards
                                                budgetary, legal, and policy
                                                                                                        electronically as an official document of
                                                implications of this regulatory action                                                                        Correction
                                                                                                        the Department of Veterans Affairs. Gina
                                                have been examined, and it has been                                                                             In rule document 2016–23198
                                                                                                        S. Farrisee, Deputy Chief of Staff,
                                                determined not to be a significant                                                                            beginning on page 67736 in the issue of
                                                                                                        Department of Veterans Affairs,
                                                regulatory action under Executive Order                                                                       September 30, 2016, make the following
                                                                                                        approved this document on October 7,
                                                12866. VA’s impact analysis can be                                                                            correction:
                                                found as a supporting document at                       2016, for publication.
                                                http://www.regulations.gov, usually                       Dated: October 7, 2016.                             52.204–7    [Corrected]
                                                within 48 hours after the rulemaking                    Jeffrey Martin,                                       ■  On page 67739, in the second column,
                                                document is published. Additionally, a                  Office Program Manager, Office of Regulation          the provision heading which reads
                                                copy of this rulemaking and its impact                  Policy & Management, Office of the Secretary,         ‘‘System for Award Management ’’
                                                analysis are available on VA’s Web site                 Department of Veterans Affairs.                       should read ‘‘System for Award
                                                at http://www.va.gov/orpm/, by                                                                                Management (Oct 2016)’’.
                                                following the link for ‘‘VA Regulations                 List of Subjects in 38 CFR Part 3
                                                                                                                                                              [FR Doc. C1–2016–23198 Filed 10–14–16; 8:45 am]
                                                Published From FY 2004 Through Fiscal                     Administrative practice and                         BILLING CODE 1301–00–D
                                                Year to Date.’’
                                                                                                        procedure, Disability benefits, Pensions,
                                                Regulatory Flexibility Act                              Veterans.
                                                   The Secretary hereby certifies that                                                                        DEPARTMENT OF TRANSPORTATION
                                                                                                          For the reasons set out in the
                                                this interim final rule will not have a                 preamble, VA amends 38 CFR part 3 as                  48 CFR Chapter 63
                                                significant economic impact on a                        follows:
                                                substantial number of small entities as
                                                                                                                                                              Office of the Secretary
                                                they are defined in the Regulatory                      PART 3—ADJUDICATION
                                                Flexibility Act (5 U.S.C. 601–612). This
                                                                                                                                                              49 CFR Part 6
                                                interim final rule will directly affect                 Subpart A—Pension, Compensation,
                                                only individuals and will not directly                  and Dependency and Indemnity                          [Docket No. OST–2013–0142]
                                                affect small entities. Therefore, pursuant              Compensation                                          RIN 2105–AE27
                                                to 5 U.S.C. 605(b), this rulemaking is
                                                exempt from the initial and final                       ■ 1. The authority citation for part 3,               Update of Department of
                                                regulatory flexibility analysis                         subpart A continues to read as follows:               Transportation Regulations;
                                                requirements of sections 603 and 604.                                                                         Termination of the Department of
                                                                                                          Authority: 38 U.S.C. 501(a), unless
                                                Unfunded Mandates                                       otherwise noted.
                                                                                                                                                              Transportation Board of Contract
                                                                                                                                                              Appeals
                                                   The Unfunded Mandates Reform Act                     ■ 2. In § 3.317, paragraph (a)(1)(i) is
                                                of 1995 requires, at 2 U.S.C. 1532, that                                                                      AGENCY:  Board of Contract Appeals,
                                                                                                        revised to read as follows:
                                                agencies prepare an assessment of                                                                             Office of the Secretary (OST), U.S.
                                                anticipated costs and benefits before                   3.317 Compensation for certain                        Department of Transportation (DOT).
                                                issuing any rule that may result in the                 disabilities occurring in Persian Gulf                ACTION: Final rule.
                                                expenditure by State, local, and tribal                 veterans.
                                                governments, in the aggregate, or by the                                                                      SUMMARY:   The Department of
                                                                                                          (a) * * *                                           Transportation is revising its regulations
                                                private sector, of $100 million or more
                                                (adjusted annually for inflation) in any                  (1) * * *                                           by removing chapter 63 of Title 48 of
                                                one year. This interim final rule will                    (i) Became manifest either during                   the Code of Federal Regulations (CFR)
                                                have no such effect on State, local, and                active military, naval, or air service in             and amending 49 CFR part 6. These
                                                tribal governments, or on the private                   the Southwest Asia theater of                         revisions result from our ongoing efforts
                                                sector.                                                                                                       to review and improve our regulations,
                                                                                                        operations, or to a degree of 10 percent
jstallworth on DSK7TPTVN1PROD with RULES




                                                                                                                                                              and will harmonize the CFR with
                                                Paperwork Reduction Act                                 or more not later than December 31,
                                                                                                                                                              Departmental restructuring required by
                                                                                                        2021; and
                                                  This interim final rule contains no                                                                         statutory changes.
                                                                                                        *     *     *     *     *                             DATES: This final rule is effective on
                                                provisions constituting a collection of
                                                information under the Paperwork                         (Authority: 38 U.S.C. 1117, 1118).                    October 17, 2016.
                                                Reduction Act of 1995 (44 U.S.C. 3501–                  [FR Doc. 2016–25017 Filed 10–14–16; 8:45 am]          FOR FURTHER INFORMATION CONTACT: Jill
                                                3521).                                                  BILLING CODE 8320–01–P                                Laptosky, Attorney, Office of


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Document Created: 2016-10-15 01:51:36
Document Modified: 2016-10-15 01:51:36
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionInterim final rule.
ContactStephanie Li, Chief, Regulations Staff (211D), Compensation Service, Veterans Benefits Administration, 810 Vermont Avenue NW., Washington, DC 20420, (202) 461-9700. (This is not a toll-free telephone number.)
FR Citation81 FR 71382 
RIN Number2900-AP84
CFR AssociatedAdministrative Practice and Procedure; Disability Benefits; Pensions and Veterans

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