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Federal statute · 38 USC § 1101

38 USC 1101: Chronic Diseases Under VA Compensation Law

§ 1101. Definitions

Claim Raven explanation

What this means

This section defines terms for the compensation chapter and identifies diseases within the statutory chronic-disease category. That category matters to certain presumptions and other service-connection rules.

A condition being long-lasting does not necessarily make it a listed chronic disease for these legal purposes. The diagnosis must be matched to the relevant list and the separate timing and service requirements.

How this helps your claim

Use the list to check whether VA considered the correct chronic-disease framework. Medical records showing early manifestations can matter when the applicable presumption requires the disease to appear within a specified period.

What to check in your records

Use your decision, examination reports, and relevant records to check the following points.

  • Compare the exact diagnosis with the statutory and regulatory chronic-disease lists.
  • Locate early symptoms, examinations, and diagnostic findings after separation.
  • Check the separate service and manifestation requirements that apply to the disease.

Check the legal category behind the word chronic

In medical conversation, chronic often means persistent or long-lasting. This statute identifies a particular legal disease category used by compensation provisions. A condition can be chronic in ordinary language without appearing in that category.

Use the confirmed diagnosis and read the relevant presumption with its service and timing requirements. The list and the conditions for applying it work together. Avoid assuming that a long symptom history alone establishes both a listed disease and every requirement of a presumptive connection.

Does any condition lasting more than a year qualify as a listed chronic disease?

No. Duration alone does not place a diagnosis in the statutory category. The disease identity and applicable legal provisions matter. A long history may still be relevant evidence under another supported service-connection analysis, but it should not be mislabeled as this particular presumption.

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Official statutory text

38 USC § 1101

OLRC release through Public Law 119-102 (July 12, 2026). Layout and spacing are adapted for reading. The statutory text is shown here; publisher source credits and editorial notes remain in the linked official release.

§ 1101. Definitions

For the purposes of this chapter—

(1) The term “veteran” includes a person who died in the active military, naval, air, or space service.

(2) The term “period of war” includes, in the case of any veteran—

(A) any period of service performed by such veteran after November 11, 1918, and before July 2, 1921, if such veteran served in the active military, naval, air, or space service after April 5, 1917, and before November 12, 1918; and

(B) any period of continuous service performed by such veteran after December 31, 1946, and before July 26, 1947, if such period began before January 1, 1947.

(3) The term “chronic disease” includes—

Anemia, primary

Arteriosclerosis

Arthritis

Atrophy, progressive muscular

Brain hemorrhage

Brain thrombosis

Bronchiectasis

Calculi of the kidney, bladder, or gallbladder

Cardiovascular-renal disease, including hypertension

Cirrhosis of the liver

Coccidioidomycosis

Diabetes mellitus

Encephalitis lethargica residuals

Endocarditis

Endocrinopathies

Epilepsies

Hansen’s disease

Hodgkin’s disease

Leukemia

Lupus erythematosus, systemic

Myasthenia gravis

Myelitis

Myocarditis

Nephritis

Organic diseases of the nervous system

Osteitis deformans (Paget’s disease)

Osteomalacia

Palsy, bulbar

Paralysis agitans

Psychoses

Purpura idiopathic, hemorrhagic

Raynaud’s disease

Sarcoidosis

Scleroderma

Sclerosis, amyotrophic lateral

Sclerosis, multiple

Syringomyelia

Thromboangiitis obliterans (Buerger’s disease)

Tuberculosis, active

Tumors, malignant, or of the brain or spinal cord or peripheral nerves

Ulcers, peptic (gastric or duodenal)

and such other chronic diseases as the Secretary may add to this list.

(4) The term “tropical disease” includes—

Amebiasis

Blackwater fever

Cholera

Dracontiasis

Dysentery

Filiariasis

Hansen’s disease

Leishmaniasis, including kala-azar

Loiasis

Malaria

Onchocerciasis

Oroya fever

Pinta

Plague

Schistosomiasis

Yaws

Yellow fever

and such other tropical diseases as the Secretary may add to this list.

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