The Board remands the matter for additional development, including obtaining a medical opinion pursuant to the Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxins Act of 2022 (PACT Act) due to the Veteran's participation in toxic exposure risk activities during service.
The deciding factor: The decision is based on the need for an addendum medical opinion addressing the possibility of a nexus between the claimed disability and the TERA, as required by the PACT Act.
- Claimed conditions
- iron deficiency anemia, myelodysplastic syndrome (MDS), clotting disorder caused by Factor V Leiden mutation, anemia
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Camp Lejeune water
- Rating assigned
- None in this decision
- Decision date
- November 6, 2024
- Citation
- 24032680
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
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The Board denied service connection for a vitamin D deficiency and remanded claims for coronary artery disease, status post femoral bypass, chronic kidney disease, and anemia due to a pre-decisional duty to assist error.
- Denied
The Board denied the veteran's claims for a rating in excess of 10 percent for tinnitus and service connection for iron deficiency anemia.
- Partly granted
The appeal for service connection for fibromyalgia was granted with an effective date of August 14, 2023. The appeals for earlier effective dates and higher ratings were denied.
- Denied
The Board denied service connection for hot flashes, sleep apnea, iron deficiency anemia, and PTSD as the probative evidence did not support a finding that these conditions were incurred in or due to active service.
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