,9 ! ,s5ate ( ! ,unit$ ,/ates1  ,may    
#aj1 #bjah4  ,am5dm5t3  ,t ! bill f !   
,h\se ( ,repres5tatives 7,h4,r4 #ica7   
entitl$ ,an ,act to require ! ,secret>y 
( ,heal? & ,human ,s]vices to develop a 
volunt>y regi/ry to collect data on     
canc] incid5ce among firefight]s41 d    
pass ) ! foll[+ ,/rike all aft] ! enact+
 clause & ins]t ! foll[+3 #a4 ,%ort     
title ,?is ,act may be cit$ z !         
,firefight] ,canc] ,regi/ry ,act (      
#bjah4  #b4 ,volunt>y regi/ry =         
firefight] canc] incid5ce  7a7 ,9 g5]al 
,! ,secret>y ( ,heal? & ,human ,s]vices 
7ref]r$ to 9 ?is section z ! ,secret>y71
 act+ ?r\gh ! ,director ( ! ,c5t]s =    
,disease ,control & ,prev5tion & 9      
coord9ation ) o!r ag5cies z ! ,secret>y 
det]m9es appropriate1 %all develop &    
ma9ta91 directly or ?r\gh a grant or    
coop]ative agreem5t1 a volunt>y regi/ry 
( firefight]s 7ref]r$ to 9 ?is section z
 ! ,firefight] ,regi/ry7 to collect     
relevant heal? & occupational in=mation 
( su* firefight]s = purposes ( det]m9+  

canc] incid5ce4  7b7 ,use ( ,firefight] 
,regi/ry ,! ,firefight] ,regi/ry may be 
us$ = ! foll[+ purposes3 7#a7 ,to       
improve data collection & data          
coord9ation activities relat$ to !      
nationwide monitor+ ( ! incid5ce ( canc]
 among firefight]s4  7#b7 ,to collect1  
consolidate1 & ma9ta91 consi/5t )       
subsection 7g71 epidemiological         
in=mation & analyses relat$ to canc]    
incid5ce & tr5ds among firefight]s  7c7 
,relevant data  7#a7 ,data collection ,9
 c>ry+ out ! volunt>y data collection = 
purposes ( inclusion "u ! ,firefight]   
,regi/ry1 ! ,secret>y may collect !     
foll[+3 7,a7 ,in=mation1 z det]m9$ by ! 
,secret>y "u subsection 7d77#a71 (      
volunte]1 paid-on-call1 & c>e]          
firefight]s1 indep5d5t ( canc] /atus or 
diagnosis4  7,b7 ,individual risk       
factors & occupational hi/ory (         
firefight]s4  7,c7 ,in=mation1 if       
available1 relat$ to-- 7i7 basic        
demographic in=mation1 includ+-- 7,i7 ! 
age ( ! firefight] involv$ dur+ !       

relevant dates ( occupation z a         
firefight]2 &  7,,ii7 ! age ( canc]     
diagnosis2  7ii7 ! /atus ( ! firefight] 
z ei!r volunte]1 paid-on-call1 or c>e]  
firefight]2  7iii7 ! total numb] ( ye>s 
( occupation z a firefight] & a detail+ 
( additional employm5t exp]i5ce1 :e!r   
concurr5t1 be=e1 or anytime !reaft]2    
7iv7 7,i7 ! approximate numb] ( fire    
incid5ts att5d$1 includ+ in=mation      
relat$ to ! type ( fire incid5ts & !    
role ( ! firefight] 9 respond+ to !     
incid5t2 or  7,,ii7 9 ! case ( a        
firefight] = :om in=mation on su* numb] 
& type is unavailable1 an e/imate ( su* 
numb] & type bas$ on ! me?od develop$ "u
 subsection 7d77#a77;,d72 &  7v7 o!r    
m$ical in=mation & heal? hi/ory1 includ+
 additional risk factors1 z appropriate1
 & o!r in=mation relevant to a canc]    
incid5ce /udy ( firefight]s4  7#b7      
,in=mation on diagnoses & treatm5t ,9   
c>ry+ out p>agraph 7#a71 ) respect to   
diagnoses & treatm5t ( firefight]s )    
canc]1 ! ,secret>y %all1 z appropriate1 

enable ! ,firefight] ,regi/ry to        
electronically connect to ,/ate-bas$    
canc] regi/ries1 = a purpose describ$ by
 clause 7vi7 or 7vii7 ( section         
#cii;,b7c77#b77;,d7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bhj;e7c77#b77;,d771 to obta9-- 7,a7    
date ( diagnoses & s\rce ( in=mation2 & 
7,b7 pa?ological data *>act]iz+ ! canc]1
 includ+ canc] site1 /ate ( disease     
7pursuant to ,/ag+ ,guide71 incid5ce1 & 
type ( treatm5t4  7d7 ,firefight]       
regi/ry coord9ation /rategy  7#a7       
,requir$ /rategy ,! ,secret>y %all1 9   
consultation ) ! relevant /akehold]s    
id5tifi$ 9 subsection 7e71 includ+      
epidemiologi/s & pa?ologi/s1 develop a  
/rategy to coord9ate data collection    
activities1 includ+ )9 exi/+ ,/ate      
regi/ries1 = inclusion 9 ! ,firefight]  
,regi/ry e/abli%$ "u ?is ,act4 ,!       
/rategy may include ! foll[+3 7,a7      
,increas+ aw>5ess ( ! ,firefight]       
,regi/ry & enc\rag+ p>ticipation among  
volunte]1 paid-on-call1 & c>e]          

firefight]s4  7,b7 ,consid]ation (      
unique data collection ne$s t may arise 
to g5]ate a /ati/ically reliable        
repres5tation ( m9ority1 female1 &      
volunte] firefight]s1 includ+ me?ods1 z 
ne$$1 to enc\rage p>ticipation f su*    
populations4  7,c7 ,in=mation on h[ !   
,secret>y w /ore data describ$ 9        
subsection 7c77#a7 & provide electronic 
access to relevant heal? in=mation      
describ$ 9 subsection 7c77#b74  7,d7    
,work+ 9 consultation ) ! exp]ts        
describ$ 9 subsection 7e71 a reliable & 
/&>diz$ me?od = e/imat+ ! numb] ( fire  
incid5ts att5d$ by a firefight] z well z
 ! type ( fire incid5t s att5d$ 9 ! case
 su* firefight] is unable to provide su*
 in=mation4  7#b7 ,report to ,congress  
,! ,secret>y %all submit ! /rategy      
describ$ 9 p>agraph 7#a7 to ! ,committee
 on ,en]gy & ,comm]ce ( ! ,h\se (       
,repres5tatives & ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate n lat] ?an #cj days aft] !    
date ( ! completion ( ! /rategy4  7#c7  

,guidance = inclusion & ma9t5ance ( data
 on firefight]s ,! ,secret>y %all       
develop1 9 consultation ) ! /akehold]s  
id5tifi$ 9 subsection 7e71 ,/ate heal?  
ag5cies1 ,/ate dep>tm5ts ( homel&       
security1 & volunte]1 paid-on-call1     
comb9ation1 & c>e] firefight+ ag5cies1 a
 /rategy = inclusion ( firefight]s 9 !  
regi/ry t are repres5tative ( ! g5]al   
population ( firefight]s1 t outl9es !   
foll[+3 7,a7 ,h[ new in=mation ab\t     
firefight]s w be submitt$ to !          
,firefight] ,regi/ry = inclusion4  7,b7 
,h[ in=mation ab\t firefight]s w be     
ma9ta9$ & updat$ 9 ! ,firefight]        
,regi/ry ov] "t4  7,c7 ,a me?od =       
e/imat+ ! numb] ( fire incid5ts att5d$  
by a firefight] z well z ! type ( fire  
incid5t s att5d$ 9 ! case su* firefight]
 is unable to provide su* in=mation4    
7,d7 ,fur!r in=mation1 z deem$ necess>y 
by ! ,secret>y4  7e7 ,consultation &    
report ,! ,secret>y %all consult )      
non-,f$]al exp]ts on ! ,firefight]      
,regi/ry e/abli%$ "u ?is section1 & %all

 submit to ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report t includes1 z appropriate1       
in=mation on goals a*iev$ & improvem5ts 
ne$$ to /r5g!n ! ,firefight] ,regi/ry4  
,su* non-,f$]al exp]ts %all include !   
foll[+3 7#a7 ,public heal? exp]ts )     
exp]i5ce 9 develop+ & ma9ta9+ canc]     
regi/ries4  7#b7 ,epidemiologi/s )      
exp]i5ce 9 /udy+ canc] incid5ce4  7#c7  
,cl9icians ) exp]i5ce 9 diagnos+ &      
treat+ canc] incid5ce4  7#d7 ,active &  
retir$ volunte]1 paid-on-call1 & c>e]   
firefight]s z well z relevant national  
fire & em]g5cy response organizations4  
7f7 ,rese>* availability ,subject to    
subsection 7g71 ! ,secret>y %all ensure 
t in=mation & analysis 9 ! ,firefight]  
,regi/ry are available1 z appropriate1  
to ! public1 includ+ rese>*]s1          
firefight]s1 & national fire s]vice     
organizations4  7g7 ,privacy ,9 c>ry+   
out ?is ,act1 ! ,secret>y %all ensure t 

in=mation 9 & analysis ( ! ,firefight]  
,regi/ry are made available 9 a mann] t1
 at a m9imum1 protects p]sonal privacy  
to ! ext5t requir$ by applicable ,f$]al 
& ,/ate privacy law4  7h7 ,au?orization 
( funds ,to c>ry out ?is section1 !re   
are au?oriz$ to be appropriat$          
#b1ejj1jjj = ea* ( ! fiscal ye>s #bjah  
?r\gh #bjbb4  ,secret>y