,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aidb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bd1 #bjai,mr4   
,c>p] 7= himself1 ,ms4 ,coll9s1 ,mr4    
,s*atz1 ,mr4 ,k+1 ,mr4 ,br[n1 ,mr4      
,coons1 ,mr4 ,b5net1 ,ms4 ,ros51 ,mr4   
,te/]1 & ,ms4 ,baldw97 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 create a presumption t a     
disability or dea? ( a ,f$]al employee 9
 fire protection activities caus$ by any
 ( c]ta9 diseases is ! result ( !       
p]=mance ( ! duty ( ! employee1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,f$]al ,firefight]s        
,fairness ,act ( #bjai4  #b4 ,c]ta9     
diseases presum$ 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 &2 &  7#d7 by 
add+ at ! end ! foll[+3  7#ba7 employee 
9 fire protection activities means an   
employee-- 7,a7 s]v+ z a firefight]1 a  
p>am$ic1 an em]g5cy m$ical te*nician1 a 
rescue work]1 ambulance p]sonnel1 or a  
haz>d\s mat]ial work]2 &  7,b7 :o-- 7i7 
is tra9$ 9 fire suppression2  7ii7 has !
 legal au?ority & responsibility to     
engage 9 fire suppression2  7iii7 is    
engag$ 9 ! prev5tion1 control1 &        
ext+ui%m5t ( fires or response to       
em]g5cy situations 9 :i* life1 prop]ty1 
or ! environm5t is at risk2 &  7iv7     
p]=ms su* activities z a prim>y         
responsibility ( ! duty ( ! employee4  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 ,subject to p>agraph 7#b71 & any  
l5g? ( s]vice limitation "u p>agraph    
7#c71 ) respect to an employee 9 fire   

protection activities--  7,a7 a disease 
describ$ 9 p>agraph 7#c7 %all be presum$
 to be proximately caus$ by ! employm5t 
( ! employee2 &  7,b7 ! disability or   
dea? ( ! employee due to a disease      
describ$ 9 p>agraph 7#c7 %all be presum$
 to result f p]sonal injury su/a9$ :ile 
9 ! p]=mance ( ! duty ( ! employee4     
7#b7 ,) respect to any presumption      
describ$ 9 p>agraph 7#a7-- 7,a7 !       
presumption %all apply ) respect to an  
employee 9 fire protection activities   
only if ! employee is diagnos$ ) !      
disease ) respect to :i* ! presumption  
is s\ght n lat] ?an #aj ye>s aft] ! la/ 
day on :i* ! employee is an active      
employee 9 fire protection activities2 &
  7,b7 ! presumption may be rebutt$ by a
 prepond]ance ( ! evid5ce4  7#c7 ,!     
foll[+ diseases %all be presum$ to be   
proximately caus$ by ! employm5t ( an   
employee 9 fire protection activities3  
7,a7 ,if ! employee has be5 employ$ = n 
less ?an #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  7,,xiv7 ,brea/ canc]4  7iv7 ,any
 o!r canc]1 ! contraction ( :i* !       
,secret>y ( ,labor1 by rule1 det]m9es to
 be relat$ to ! haz>ds to :i* an        
employee 9 fire protection activities   
may be subject4  7,b7 ,)\t reg>d to !   
l5g? ( "t t an employee 9 fire          
protection activities has be5 employ$1  
any uncommon infecti\s disease1         
includ+--  7i7 tub]culosis2  7ii7       
hepatitis ,a1 ,b1 or ,c2  7iii7 ! human 
immunodefici5cy virus 7commonly kn[n z  
,,hiv72 &  7iv7 any o!r uncommon        
infecti\s disease1 ! contraction ( :i* !

 ,secret>y ( ,labor1 by rule1 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 ! ,director ( ! ,national        
,in/itute = ,occupational ,safety &     
,heal? %all--  7#a7 exam9e !            
implem5tation ( ?is ,act1 & ! am5dm5ts  
made by ?is ,act1 & appropriate         
sci5tific & m$ical data relat+ to !     
heal? risks associat$ ) firefight+2 &   
7#b7 submit to ,congress a report1 :i*  
%all include-- 7,a7 an analysis ( !     
claims = comp5sation made "u ! 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 ! presumptions "u         
subsection 7c7 ( section #hajb ( title  
#e1 ,unit$ ,/ates ,code1 z add$ by      
subsection 7b7 ( ?is section4  7d7      

,application ,! am5dm5ts made by ?is    
section %all apply to a disability or   
dea? t occurs on or aft] ! date (       
enactm5t ( ?is ,act4