,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bbff  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bi1 #bjad ,mr4 
,c>p] 7= himself & ,ms4 ,coll9s7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,homel& ,security & ,gov]nm5tal ,affairs
  ,a ,,bill  ,to am5d *apt] #ha ( title 
#e1 ,unit$ ,/ates ,code1 to e/abli% a   
presumption t a disability or dea? ( a  
,f$]al employee 9 fire protection       
activities caus$ by c]ta9 diseases is ! 
result ( ! p]=mance ( ! duties ( !      
employee4  #a4  ,%ort title  ,?is ,act  
may be cit$ z ! ,f$]al ,firefight]s     
,fairness ,act ( #bjad4  #b4  ,c]ta9    
diseases presum$ to be "w-relat$ cause (
 disability or dea? ( ,f$]al employees 9
 fire protection activities  7a7        
,def9ition  ,section #haja ( title #e1  
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9  
p>agraph 7#ah71 by /rik+ & at ! end2    
7#b7 9 p>agraph 7#ai71 by /rik+ & at !  
end2  7#c7 9 p>agraph 7#bj71 by /rik+ ! 
p]iod at ! end & ins]t+ &2 &  7#d7 by   

add+ at ! end ! foll[+3  7#ba7  employee
 9 fire protection activities means a   
firefight]1 p>am$ic1 em]g5cy m$ical     
te*nician1 rescue work]1 ambulance      
p]sonnel1 or haz>d\s mat]ial work]1 :o--
  7,a7 is tra9$ 9 fire suppression2     
7,b7 has ! legal au?ority &             
responsibility to engage 9 fire         
suppression2  7,c7 is engag$ 9 !        
prev5tion1 control1 & ext+ui%m5t ( fires
 or response to em]g5cy situations :]e  
life1 prop]ty1 or ! environm5t is at    
risk2 &  7,d7 p]=ms su* activities z a  
prim>y responsibility ( ! job ( !       
individual4  4  7b7  ,presumption relat+
 to employees 9 fire protection         
activities  ,section #hajb ( title #e1  
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+3  7c7 7#a7 ,) reg>d to  
an employee 9 fire protection           
activities1 a disease specifi$ 9        
p>agraph 7#c7 %all be presum$ to be     
proximately caus$ by ! employm5t ( su*  
employee1 subject to ! l5g? ( s]vice    
requirem5ts specifi$4 ,! disability or  

dea? ( an employee 9 fire protection    
activities due to su* a disease %all be 
presum$ to result f p]sonal injury      
su/a9$ :ile 9 ! p]=mance ( su*          
employee's duty4 ,su* presumptions may  
be rebutt$ by a prepond]ance ( !        
evid5ce4  7#b7 ,su* presumptions apply  
only if ! employee 9 fire protection    
activities is diagnos$ ) ! disease = :i*
 presumption is s\ght )9 #aj ye>s ( !   
la/ active date ( employm5t z an        
employee 9 fire protection activities4  
7#c7 ,! foll[+ diseases %all be presum$ 
to be proximately caus$ by ! employm5t (
 ! employee 9 fire protection           
activities3 7,a7 ,if ! employee has be5 
employ$ = a m9imum ( #e ye>s 9 aggregate
 z an employee 9 fire protection        
activities3 7i7 ,he>t disease4  7ii7    
,lung disease4  7iii7 ,! foll[+ canc]s3 
7,i7 ,bra9 canc]4  7,,ii7 ,canc] ( !    
blood or lymphatic sy/ems4  7,,iii7     
,leukemia4  7,,iv7 ,lymphoma 7except    
,hodgk9's disease74  7,v7 ,multiple     
myeloma4  7,,vi7 ,bladd] canc]4  7,,vii7

 ,kidney canc]4  7,,viii7 ,te/icul>     
canc]4  7,,ix7 ,canc] ( ! dige/ive      
sy/em4  7,x7 ,colon canc]4  7,,xi7 ,liv]
 canc]4  7,,xii7 ,sk9 canc]4  7,,xiii7  
,lung canc]4  7iv7 ,any o!r canc] !     
contraction ( :i* ! ,secret>y ( ,labor  
?r\gh regulations det]m9es to be relat$ 
to ! haz>ds to :i* an employee 9 fire   
protection activities may be subject4   
7,b7 ,reg>dless ( ! l5g? ( "t an        
employee 9 fire protection activities   
has be5 employ$1 any uncommon infecti\s 
disease1 includ+ b n limit$ to          
tub]culosis1 hepatitis ,a1 ,b1 or ,c1 ! 
human immunodefici5cy virus 7,,hiv71 &  
any o!r uncommon infecti\s disease !    
contraction ( :i* ! ,secret>y ( ,labor  
?r\gh regulations det]m9es to be relat$ 
to ! haz>ds to :i* an employee 9 fire   
protection activities may be subject4  4
  7c7  ,report  ,n lat] ?an #e ye>s aft]
 ! date ( enactm5t ( ?is ,act1 !        
,national ,in/itute ( ,occupational     
,safety & ,heal? 9 ! ,c5t]s = ,disease  
,control & ,prev5tion %all exam9e !     

implem5tation ( ! am5dm5ts made by ?is  
,act & appropriate sci5tific & m$ical   
data relat$ to ! heal? risks associat$ )
 firefight+ & submit to ,congress a     
report t %all include--  7#a7 an        
analysis ( ! injury claims made pursuant
 to ! am5dm5ts made by ?is ,act2  7#b7  
an analysis ( ! available rese>* relat$ 
to ! heal? risks associat$ ) firefight+2
 &  7#c7 recomm5dations = any           
adm9i/rative or legislative actions     
necess>y to ensure t diseases mo/       
associat$ ) firefight+ are includ$ 9 !  
presumption e/abli%$ "u ?is ,act4  7d7  
,effective date  ,! am5dm5ts made by ?is
 ,act %all apply to an injury t is fir/ 
diagnos$ or a dea? t occurs1 on or aft] 
! date ( enactm5t ( ?is ,act4