,,ii  #aafth ,,congress  #ast ,session  
,s4 #aidb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #bd1     
#bjai,mr4 ,carper 7for himself1 ,ms4    
,collins1 ,mr4 ,schatz1 ,mr4 ,king1 ,mr4
 ,brown1 ,mr4 ,coons1 ,mr4 ,bennet1 ,ms4
 ,rosen1 ,mr4 ,tester1 and ,ms4         
,baldwin7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,homeland ,security   
and ,governmental ,affairs  ,a ,,bill   
,to amend chapter #ha of title #e1      
,united ,states ,code1 to create a      
presumption that a disability or death  
of a ,federal employee in fire          
protection activities caused by any of  
certain diseases is the result of the   
performance of the duty of the employee1
 and for other purposes4  #a4 ,short    
title ,this ,act may be cited as the    
,federal ,firefighters ,fairness ,act of
 #bjai4  #b4 ,certain diseases presumed 
to be work-related cause of disability  
or death for ,federal employees in fire 
protection activities  7a7 ,definition  

,section #haja of title #e1 ,united     
,states ,code1 is amended--  7#a7 in    
paragraph 7#ah71 by striking and at the 
end2  7#b7 in paragraph 7#ai71 by       
striking and at the end2  7#c7 in       
paragraph 7#bj71 by striking the period 
at the end and inserting 2 and2 and     
7#d7 by adding at the end the following3
  7#ba7 employee in fire protection     
activities means an employee-- 7,a7     
serving as a firefighter1 a paramedic1  
an emergency medical technician1 a      
rescue worker1 ambulance personnel1 or a
 hazardous material worker2 and  7,b7   
who-- 7i7 is trained in fire            
suppression2  7ii7 has the legal        
authority and responsibility to engage  
in fire suppression2  7iii7 is engaged  
in the prevention1 control1 and         
extinguishment of fires or response to  
emergency situations in which life1     
property1 or the environment is at risk2
 and  7iv7 performs such activities as a
 primary responsibility of the duty of  
the employee4  4  7b7 ,presumption      

relating to employees in fire protection
 activities ,section #hajb of title #e1 
,united ,states ,code1 is amended by    
adding at the end the following3  7c7   
7#a7 ,subject to paragraph 7#b71 and any
 length of service limitation under     
paragraph 7#c71 with respect to an      
employee in fire protection activities--
  7,a7 a disease described in paragraph 
7#c7 shall be presumed to be proximately
 caused by the employment of the        
employee2 and  7,b7 the disability or   
death of the employee due to a disease  
described in paragraph 7#c7 shall be    
presumed to result from personal injury 
sustained while in the performance of   
the duty of the employee4  7#b7 ,with   
respect to any presumption described in 
paragraph 7#a7-- 7,a7 the presumption   
shall apply with respect to an employee 
in fire protection activities only if   
the employee is diagnosed with the      
disease with respect to which the       
presumption is sought not later than #aj
 years after the last day on which the  

employee is an active employee in fire  
protection activities2 and  7,b7 the    
presumption may be rebutted by a        
preponderance of the evidence4  7#c7    
,the following diseases shall be        
presumed to be proximately caused by the
 employment of an employee in fire      
protection activities3  7,a7 ,if the    
employee has been employed for not less 
than #e years in the aggregate as an    
employee in fire protection activities3 
7i7 ,heart disease4  7ii7 ,lung disease4
  7iii7 ,the following cancers3 7,i7    
,brain cancer4  7,,ii7 ,cancer of the   
blood or lymphatic systems4  7,,iii7    
,leukemia4  7,,iv7 ,lymphoma 7except    
,hodgkin's disease74  7,v7 ,multiple    
myeloma4  7,,vi7 ,bladder cancer4       
7,,vii7 ,kidney cancer4  7,,viii7       
,testicular cancer4  7,,ix7 ,cancer of  
the digestive system4  7,x7 ,colon      
cancer4  7,,xi7 ,liver cancer4  7,,xii7 
,skin cancer4  7,,xiii7 ,lung cancer4   
7,,xiv7 ,breast cancer4  7iv7 ,any other
 cancer1 the contraction of which the   

,secretary of ,labor1 by rule1          
determines to be related to the hazards 
to which an employee in fire protection 
activities may be subject4  7,b7        
,without regard to the length of time   
that an employee in fire protection     
activities has been employed1 any       
uncommon infectious disease1 including--
  7i7 tuberculosis2  7ii7 hepatitis ,a1 
,b1 or ,c2  7iii7 the human             
immunodeficiency virus 7commonly known  
as ,,hiv72 and  7iv7 any other uncommon 
infectious disease1 the contraction of  
which the ,secretary of ,labor1 by rule1
 determines to be related to the hazards
 to which an employee in fire protection
 activities may be subject4  4  7c7     
,report ,not later than #e years after  
the date of enactment of this ,act1 the 
,director of the ,national ,institute   
for ,occupational ,safety and ,health   
shall--  7#a7 examine the implementation
 of this ,act1 and the amendments made  
by this ,act1 and appropriate scientific
 and medical data relating to the health

 risks associated with firefighting2 and
  7#b7 submit to ,congress a report1    
which shall include-- 7,a7 an analysis  
of the claims for compensation made     
under the amendments made by this ,act2 
7,b7 an analysis of the available       
research relating to the health risks   
associated with firefighting2 and  7,c7 
recommendations for any administrative  
or legislative actions necessary to     
ensure that those diseases most         
associated with firefighting are        
included in the presumptions under      
subsection 7c7 of section #hajb of title
 #e1 ,united ,states ,code1 as added by 
subsection 7b7 of this section4  7d7    
,application ,the amendments made by    
this section shall apply to a disability
 or death that occurs on or after the   
date of enactment of this ,act4