#aag? ,,congress  #b;d ,session  ,h4 ,r4
 #bdii  ,,an ,,act  ,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 
( su* employees duty1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,f$]al ,firefight]s ,fairness ,act (  
#bjbb4  #b4 ,c]ta9 diseases presum$ to  
be "w-relat$ cause ( disability or dea? 
= ,f$]al employees 9 fire protection    
activities  7a7 ,presumption relat+ to  
employees 9 fire protection activities  
,sub*apt] ,i ( *apt] #ha ( title #e1    
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
aft] section #hadc;a ! foll[+3  #hadc;b4
 ,employees 9 fire protection           
activities4  7a7 ,c]ta9 diseases deem$  
to be proximately caus$ by employm5t 9  
fire protection activities  7#a7 ,9     
g5]al ,= a claim "u ?is sub*apt] (      
disability or dea? ( an employee :o has 
be5 employ$ = a m9imum ( #e ye>s 9      

aggregate z an employee 9 fire          
protection activities1 a disease        
specifi$ on ! li/ e/abli%$ "u p>agraph  
7#b7 %all be deem$ to be proximately    
caus$ by ! employm5t ( su* employee4    
7#b7 ,e/abli%m5t ( initial li/ ,!re is  
e/abli%$ "u ?is section ! foll[+ li/ (  
diseases3  7,a7 ,bladd] canc]4  7,b7    
,bra9 canc]4  7,c7 ,*ronic ob/ructive   
pulmon>y disease4  7,d7 ,colorectal     
canc]4  7,e7 ,esophageal canc]4  7,f7   
,kidney canc]4  7,g7 ,leukemias4  7,h7  
,lung canc]4  7,i7 ,meso!lioma4  7,j7   
,multiple myeloma4  7,k7 ,non-,hodgk9   
lymphoma4  7,l7 ,pro/ate canc]4  7,m7   
,sk9 canc] 7melanoma74  7,n7 ,a sudd5   
c>diac ev5t or /roke :ile1 or n lat] ?an
 #bd h\rs aft]1 engag+ 9 ! activities   
describ$ 9 subsection 7b77#a77;,c74     
7,o7 ,te/icul> canc]4  7,p7 ,?yroid     
canc]4  7#c7 ,additions to ! li/  7,a7  
,9 g5]al ,! ,secret>y %all p]iodically  
review ! li/ e/abli%$ "u ?is section 9  
consultation ) ! ,director ( ! ,national
 ,in/itute on ,occupational ,safety &   

,heal? & %all add a disease to ! li/ by 
rule1 ^u a %[+ by a petition] or on !   
,secret>y's own det]m9ation1 9          
accordance ) ?is p>agraph4  7,b7 ,basis 
= det]m9ation ,! ,secret>y %all add a   
disease to ! li/ ^u a %[+ by a petition]
 or ! ,secret>y's own det]m9ation1 bas$ 
on ! weight ( ! be/ available sci5tific 
evid5ce1 t !re is a significant risk to 
employees 9 fire protection activities (
 develop+ su* disease4  7,c7 ,available 
exp]tise ,9 det]m9+ significant risk =  
purposes ( subp>agraph 7,b71 ! ,secret>y
 may accept z au?oritative & may rely ^u
 recomm5dations1 risk assessm5ts1 &     
sci5tific /udies 7includ+ analyses (    
,national ,firefight] ,regi/ry data     
p]ta9+ to ,f$]al firefight]s7 by !      
,national ,in/itute = ,occupational     
,safety & ,heal?1 ! ,national           
,toxicology ,program1 ! ,national       
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e1 & ! ,int]national ,ag5cy =     
,rese>* on ,canc]4  7#d7 ,petitions to  
add to ! li/  7,a7 ,9 g5]al ,any p]son  

may petition ! ,secret>y to add a       
disease to ! li/ "u ?is section4  7,b7  
,cont5t ( petition ,su* petition %all   
provide in=mation to %[ t !re is        
suffici5t evid5ce ( a significant risk  
to employees 9 fire protection          
activities ( develop+ su* illness or    
disease f _! employm5t4  7,c7 ,timely & 
sub/antive decisions ,n lat] ?an #ah    
mon?s aft] receipt ( a petition1 !      
,secret>y %all ei!r grant or d5y !      
petition by publi%+ 9 ! ,f$]al ,regi/] a
 writt5 explanation ( ! reasons = !     
,secret>y's decision4 ,! ,secret>y may n
 d5y a petition solely on ! basis (     
compet+ priorities1 inadequate res\rces1
 or insuffici5t "t = review4  7,d7      
,notification to ,congress ,n lat] ?an  
#cj days aft] mak+ any decision to      
approve or d5y a petition "u ?is        
p>agraph1 ! ,secret>y %all notify !     
,committee on ,education & ,labor ( !   
,h\se ( ,repres5tatives & ! ,committee  
on ,homel& ,security & ,gov]nm5t        
,affairs ( ! ,s5ate ( su* decision4  7b7

 ,def9itions ,9 ?is section3  7#a7      
,employee 9 fire protection activities  
,! t]m employee 9 fire protection       
activities means an employee employ$ z 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 risk1 includ+ !     
prev5tion1 control1 suppression1 or     
managem5t ( wildl& fires2 &  7,d7 p]=ms 
su* activities z a prim>y responsibility
 ( 8 or h] job4  7#b7 ,secret>y ,! t]m  
,secret>y means ,secret>y ( ,labor4  4  
7b7 ,rese>* coop]ation ,n lat] ?an #abj 
days aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y ( ,labor %all e/abli% a     
process by :i* a ,f$]al employee 9 fire 
protection activities fil+ a claim      
relat$ to a disease on ! li/ e/abli%$ by

 section #hadc;b ( title #e1 ,unit$     
,/ates ,code1 w be in=m$ ab\t & (f]$ !  
opportunity to contribute to sci5ce by  
volunt>ily enroll+ 9 ! ,national        
,firefight] ,regi/ry or a simil> rese>* 
or public heal? initiative conduct$ by !
 ,c5t]s = ,disease ,control &           
,prev5tion4  7c7 ,ag5da = ,fur!r ,review
 ,n lat] ?an #c ye>s aft] ! date (      
enactm5t ( ?is ,act1 ! ,secret>y %all-- 
7#a7 evaluate ! be/ available sci5tific 
evid5ce ( ! risk to an employee 9 fire  
protection activities ( develop+ brea/  
canc]1 gynecological canc]1 &           
rhabdomyolysis2  7#b7 add brea/ canc]1  
gynecological canc]1 & rhabdomyolysis to
 ! li/ e/abli%$ "u section #hadc;b (    
title #e1 ,unit$ ,/ates ,code1 by rule 9
 accordance ) subsection 7a77#c7 ( su*  
section1 if ! ,secret>y det]m9es t su*  
evid5ce supports su* addition2 &  7#c7  
submit a report ( ! ,secret>y's f9d+s "u
 p>agraph 7#a7 & ! ,secret>y's          
det]m9ation "u p>agraph 7#b7 to !       
,committee on ,education & ,labor ( !   

,h\se & ! ,committee on ,homel&         
,security & ,gov]nm5tal ,affairs ( !    
,s5ate4  7d7 ,report on ,f$]al wildl&   
firefight]s ,! ,director ( ! ,national  
,in/itute = ,occupational ,safety &     
,heal? %all conduct a compreh5sive /udy 
on long-t]m heal? effects t ,f$]al      
wildl& firefight]s :o are eligible to   
receive work]s' comp5sation "u *apt] #ha
 ( title #e1 ,unit$ ,/ates ,code1       
exp]i5ce aft] be+ expos$ to fires1      
smoke1 & toxic fumes :5 9 s]vice4 ,su*  
/udy %all include--  7#a7 ! race1       
e?nicity1 age1 g5d]1 & "t ( s]vice ( su*
 ,f$]al wildl& firefight]s p>ticipat+ 9 
! /udy2 &  7#b7 recomm5dations to       
,congress on :at legislative actions are
 ne$$ to support su* ,f$]al wildl&      
firefight]s 9 prev5t+ heal? issues f ?is
 toxic exposure1 simil> to vet]ans t are
 expos$ to burn pits4  7e7 ,application 
,! am5dm5ts made by ?is section %all    
apply to claims = comp5sation fil$ on or
 aft] ! date ( enactm5t ( ?is ,act4  7f7
 ,report on affect$ employees ,beg9n+ #a

 ye> aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y %all include 9 ea* annual   
report on implem5tation ( ! ,f$]al      
,employees' ,comp5sation ,act program & 
issues aris+ "u x t ! ,secret>y makes   
pursuant to section #haeb ( title #e1   
,unit$ ,/ates ,code1 ! total numb] &    
demographics ( employees ) diseases &   
conditions describ$ 9 ! am5dm5ts made by
 ?is ,act z ( ! date ( su* annual       
report1 disaggregat$ by ! specific      
condition or conditions1 = ! purposes ( 
und]/&+ ! scope ( ! problem4 ,!         
,secret>y may include any in=mation !y  
deem necess>y &1 z appropriate1 may make
 recomm5dations = additional actions t  
c\ld be tak5 to m9imize ! risk ( adv]se 
heal? impacts = ,f$]al employees 9 fire 
protection activities4  #c4 ,subrogation
 ( cont9uation ( pay  7a7 ,subrogation (
 ! ,unit$ ,/ates ,section #haca ( title 
#e1 ,unit$ ,/ates ,code1 is am5d$-- 7#a7
 9 subsection 7a71 by ins]t+ cont9uation
 ( pay or be=e comp5sation2 &  7#b7 9   
subsection 7c71 by ins]t+ cont9uation ( 

pay or be=e comp5sation already paid4   
7b7 ,adju/m5t aft] recov]y f a ?ird     
p]son ,section #hacb ( title #e1 ,unit$ 
,/ates ,code1 is am5d$--  7#a7 by ins]t+
 cont9uation ( pay or be=e comp5sation !
 fir/ & second place x appe>s2  7#b7 by 
/rik+ 9 8 behalf & ins]t+ on 8 behalf2  
7#c7 by ins]t+ cont9uation ( pay & be=e 
comp5sation ! ?ird place x appe>s2 &    
7#d7 by /rik+ ! #d? s5t5ce & ins]t+ !   
foll[+3 ,if cont9uation ( pay or        
comp5sation has n be5 paid to !         
b5efici>y1 ! money or prop]ty %all be   
cr$it$ aga9/ cont9uation ( pay or       
comp5sation payable to him by ! ,unit$  
,/ates = ! same injury44  #d4           
,protection ( firefight]s f toxic       
*emicals & o!r contam9ants  7a7 ,9 g5]al
 ,n lat] ?an #a ye> aft] ! date ( !     
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all submit to 
! ,committee on ,education & ,labor ( ! 
,h\se ( ,repres5tatives & ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate a report t evaluates

 ! heal? & safety impacts on employees  
engag$ 9 fire protection activities t   
result f ! employees' exposure to toxic 
*emicals & o!r contam9ants t c\ld cause 
human heal? problems4 ,! report may     
include in=mation on-- 7#a7 ! degree to 
:i* su* programs & policies include     
consid]ation ( ! possibility ( toxic    
exposure ( su* employees :o may come    
into contact ) residue f fib]s1 combu/$ 
build+ mat]ials su* z asbe/os1 h\sehold 
*emicals1 polym]s1 flame-ret>dant       
*emicals1 & o!r pot5tially toxic        
contam9ants2  7#b7 ! availability &     
prop] ma9t5ance ( pr(essional protective
 equipm5t & secure /orage ( su* equipm5t
 9 employees' homes & automotive        
vehicles2  7#c7 ! availability ( home   
in/ructions = employees reg>d+ tox9s &  
contam9ants1 & ! appropriate proc$ures  
to c\nt]act exposure to same2  7#d7 !   
employees' int]e/s 9 protect+ ! heal? & 
safety ( family memb]s f exposure to    
toxic *emicals & o!r contam9ants to :i* 
! employees may h be5 expos$2 &  7#e7   

o!r relat$ factors4  7b7 ,context ,9    
prep>+ ! report requir$ "u subsection   
7a71 ! ,comptroll] ,g5]al ( ! ,unit$    
,/ates may1 z appropriate1 provide      
in=mation 9 a =mat t del9eates high risk
 urban areas f rural communities4  7c7  
,dep>tm5t ( ,labor ,consid]ation ,aft]  
issuance ( ! report requir$ "u          
subsection 7a71 ! ,secret>y ( ,labor    
%all consid] su* report's f9d+s & assess
 its applicability = purposes ( !       
am5dm5ts made by section #b4  #e4       
,increase 9 "t-p]iod = ,,feca claimant  
to supply support+ docum5tation to      
,(fice ( ,work]'s ,comp5sation ,n lat]  
?an #fj days aft] ! date ( enactm5t (   
?is ,act1 ! ,secret>y ( ,labor %all--   
7#a7 am5d section #aj4aba ( title #bj1  
,code ( ,f$]al ,regulations1 by /rik+   
#cj days & ins]t+ #fj days2 &  7#b7     
modify ! ,f$]al ,employees ,comp5sation 
,act manual to reflect ! *anges to su*  
section made by ! ,secret>y pursuant to 
p>agraph 7#a74  ,pass$ ! ,h\se (        
,repres5tatives ,may #aa1 #bjbb4;,cl]k4