,,ib ,union ,calendar ,no4 #bbf #aagth  
,,congress  #b;d ,session  ,h4 ,r4 #bdii
 ,report ,no4 #aag-cjf ,,in ,,the       
,,house ,,of ,,representatives  ,april  
#ad1 #bjba,mr4 ,carbajal 7for himself1  
,mr4 ,bacon1 ,mr4 ,takano1 and ,mr4     
,fitzpatrick7 introduced the following  
bill2 which was referred to the         
,committee on ,education and ,labor     
,may #f1 #bjbb;,additional sponsors3    
,mr4 ,turner1 ,ms4 ,scanlon1 ,mr4       
,foster1 ,mr4 ,sherman1 ,ms4 ,norton1   
,mrs4 ,napolitano1 ,mr4 ,swalwell1 ,ms4 
,wild1 ,ms4 ,bush1 ,ms4 ,pingree1 ,mr4  
,peters1 ,mr4 ,ryan1 ,mr4 ,smith of ,new
 ,jersey1 ,mr4 ,van ,drew1 ,mr4 ,harder 
of ,california1 ,mr4 ,sean ,patrick     
,maloney of ,new ,york1 ,mr4 ,cohen1    
,ms4 ,craig1 ,mrs4 ,luria1 ,mr4 ,lawson 
of ,florida1 ,mrs4 ,demings1 ,ms4       
,spanberger1 ,mr4 ,johnson of ,ohio1    
,mr4 ,larsen of ,washington1 ,ms4 ,dean1
 ,mr4 ,kim of ,new ,jersey1 ,mr4 ,brown 
of ,maryland1 ,ms4 ,strickland1 ,mr4    
,lamb1 ,ms4 ,sherrill1 ,ms4 ,schrier1   

,mr4 ,raskin1 ,mr4 ,kildee1 ,mr4        
,la,malfa1 ,ms4 ,manning1 ,mr4 ,costa1  
,mr4 ,delgado1 ,ms4 ,slotkin1 ,mr4      
,pocan1 ,mr4 ,quigley1 ,mr4 ,perlmutter1
 ,ms4 ,wasserman ,schultz1 ,mr4         
,horsford1 ,ms4 ,jackson ,lee1 ,mrs4    
,trahan1 ,mr4 ,courtney1 ,mr4           
,mc,kinley1 ,mr4 ,trone1 ,ms4 ,brownley1
 ,mrs4 ,hayes1 ,ms4 ,porter1 ,mr4       
,carter of ,louisiana1 ,mr4 ,suozzi1    
,mr4 ,ruppersberger1 ,ms4 ,lee of       
,california1 ,mr4 ,vicente ,gonzalez of 
,texas1 ,mr4 ,lynch1 ,mr4 ,sarbanes1    
,mr4 ,garamendi1 ,mr4 ,vargas1 ,ms4     
,barragn1 ,mrs4 ,axne1 ,ms4 ,stansbury1 
,mr4 ,panetta1 ,mr4 ,fortenberry1 ,mr4  
,levin of ,california1 ,mr4 ,mc,nerney1 
,mr4 ,o',halleran1 ,ms4 ,houlahan1 ,mr4 
,lowenthal1 ,mr4 ,gottheimer1 ,mr4      
,pascrell1 ,mr4 ,neguse1 ,mr4           
,garbarino1 ,mr4 ,aguilar1 ,mr4         
,mc,govern1 ,ms4 ,waters1 ,mr4          
,norcross1 ,mrs4 ,carolyn ,b4 ,maloney  
of ,new ,york1 ,mr4 ,beyer1 ,mr4 ,levin 
of ,michigan1 ,ms4 ,omar1 ,mr4          

,grijalva1 ,mr4 ,morelle1 ,ms4 ,escobar1
 ,mr4 ,de,saulnier1 ,ms4 ,titus1 ,mrs4  
,bustos1 ,mr4 ,correa1 ,ms4 ,snchez1    
,mr4 ,kahele1 ,mr4 ,cleaver1 ,mr4       
,pappas1 ,ms4 ,kuster1 ,mrs4 ,wagner1   
,mr4 ,kilmer1 ,ms4 ,bourdeaux1 ,mr4     
,tony ,gonzales of ,texas1 ,mr4 ,khanna1
 ,mr4 ,soto1 ,ms4 ,lois ,frankel of     
,florida1 ,mr4 ,young1 ,mr4 ,golden1    
,mr4 ,casten1 ,ms4 ,roybal-,allard1 ,mr4
 ,nadler1 ,mr4 ,crdenas1 ,ms4 ,wexton1  
,mr4 ,schrader1 ,mr4 ,huffman1 ,mr4     
,torres of ,new ,york1 ,ms4 ,de,gette1  
,ms4 ,jayapal1 ,mr4 ,crow1 ,ms4 ,matsui1
 ,mrs4 ,torres of ,california1 ,mr4     
,brendan ,f4 ,boyle of ,pennsylvania1   
,ms4 ,adams1 ,mr4 ,connolly1 ,mrs4      
,dingell1 ,mr4 ,espaillat1 ,mr4 ,higgins
 of ,new ,york1 ,mr4 ,cuellar1 ,mr4     
,blumenauer1 ,ms4 ,ross1 ,mr4 ,thompson 
of ,pennsylvania1 ,mr4 ,rush1 ,ms4      
,wilson of ,florida1 ,mr4 ,bishop of    
,georgia1 ,ms4 ,mc,collum1 ,ms4 ,tlaib1 
,ms4 ,bonamici1 ,mr4 ,gallego1 ,mr4     
,castro of ,texas1 ,mr4 ,carson1 ,ms4   

,del,bene1 ,mrs4 ,cherfilus-,mc,cormick1
 ,mr4 ,de,fazio1 ,mr4 ,garca of         
,illinois1 ,mr4 ,auchincloss1 ,mr4      
,malinowski1 ,mrs4 ,lawrence1 ,ms4      
,leger ,fernandez1 ,ms4 ,newman1 ,ms4   
,salazar1 ,ms4 ,meng1 ,mr4 ,scott of    
,virginia1 ,ms4 ,herrera ,beutler1 ,mr4 
,mrvan1 ,mr4 ,mfume1 ,mr4 ,bowman1 ,mr4 
,reed1 ,mr4 ,jones1 ,mr4 ,katko1 ,mr4   
,cole1 ,ms4 ,lofgren1 ,mr4 ,yarmuth1    
,mr4 ,schiff1 ,mr4 ,joyce of ,ohio1 ,mr4
 ,wittman1 ,ms4 ,brown of ,ohio1 ,ms4   
,cheney1 ,mr4 ,stanton1 ,mr4 ,langevin1 
,mr4 ,david ,scott of ,georgia1 ,mrs4   
,watson ,coleman1 ,mr4 ,jeffries1 ,ms4  
,schakowsky1 ,mr4 ,danny ,k4 ,davis of  
,illinois1 ,mrs4 ,mc,bath1 ,ms4         
,velzquez1 ,ms4 ,kaptur1 ,mr4           
,mc,eachin1 ,ms4 ,kelly of ,illinois1   
,ms4 ,williams of ,georgia1 ,ms4 ,chu1  
,mr4 ,moulton1 ,mr4 ,hudson1 ,mr4 ,barr1
 ,mr4 ,larson of ,connecticut1 ,mr4     
,veasey1 ,ms4 ,sewell1 ,mr4 ,himes1 ,mr4
 ,johnson of ,georgia1 ,mr4 ,smith of   
,washington1 ,ms4 ,jacobs of            

,california1 ,mrs4 ,radewagen1 ,mr4     
,cicilline1 ,mr4 ,green of ,texas1 ,mr4 
,welch1 ,mr4 ,bera1 ,mr4 ,bost1 ,mrs4   
,kim of ,california1 ,mr4 ,evans1 ,ms4  
,clark of ,massachusetts1 ,mr4          
,krishnamoorthi1 ,mr4 ,thompson of      
,california1 ,mr4 ,sablan1 ,ms4 ,blunt  
,rochester1 and ,ms4 ,stevens  ,may #f1 
#bjbb,reported with an amendment1       
committed to the ,committee of the      
,whole ,house on the ,state of the      
,union1 and ordered to be printed,strike
 out all after the enacting clause and  
insert the part printed in italic,for   
text of introduced bill1 see copy of    
bill as introduced on ,april #ad1 #bjba 
,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 such employees duty1 and 
for other purposes4  #a4 ,short title   
,this ,act may be cited as the ,federal 

,firefighters ,fairness ,act of #bjbb4  
#b4 ,certain diseases presumed to be    
work-related cause of disability or     
death for ,federal employees in fire    
protection activities  7a7 ,presumption 
relating to employees in fire protection
 activities ,subchapter ,i of chapter   
#ha of title #e1 ,united ,states ,code1 
is amended by inserting after section   
#hadc;a the following 7and by conforming
 the table of contents of such chapter  
accordingly73  #hadc;b4 ,employees in   
fire protection activities4  7a7        
,certain diseases deemed to be          
proximately caused by employment in fire
 protection activities  7#a7 ,in general
 ,for a claim under this subchapter of  
disability or death of an employee who  
has been employed for a minimum of #e   
years in aggregate as an employee in    
fire protection activities1 a disease   
specified on the list established under 
paragraph 7#b7 shall be deemed to be    
proximately caused by the employment of 
such employee4  7#b7 ,establishment of  

initial list ,there is established under
 this section the following list of     
diseases3 7,a7 ,bladder cancer4  7,b7   
,brain cancer4  7,c7 ,chronic           
obstructive pulmonary disease4  7,d7    
,colorectal cancer4  7,e7 ,esophageal   
cancer4  7,f7 ,kidney cancer4  7,g7     
,leukemias4  7,h7 ,lung cancer4  7,i7   
,mesothelioma4  7,j7 ,multiple myeloma4 
7,k7 ,non-,hodgkin lymphoma4  7,l7      
,prostate cancer4  7,m7 ,skin cancer    
7melanoma74  7,n7 ,a sudden cardiac     
event or stroke while1 or not later than
 #bd hours after1 engaging in the       
activities described in subsection      
7b77#a77;,c74  7,o7 ,testicular cancer4 
7,p7 ,thyroid cancer4  7#c7 ,additions  
to the list  7,a7 ,in general ,the      
,secretary shall periodically review the
 list established under this section in 
consultation with the ,director of the  
,national ,institute on ,occupational   
,safety and ,health and shall add a     
disease to the list by rule1 upon a     
showing by a petitioner or on the       

,secretary's own determination1 in      
accordance with this paragraph4  7,b7   
,basis for determination ,the ,secretary
 shall add a disease to the list upon a 
showing by a petitioner or the          
,secretary's own determination1 based on
 the weight of the best available       
scientific evidence1 that there is a    
significant risk to employees in fire   
protection activities of developing such
 disease4  7,c7 ,available expertise ,in
 determining significant risk for       
purposes of subparagraph 7,b71 the      
,secretary may accept as authoritative  
and may rely upon recommendations1 risk 
assessments1 and scientific studies     
7including analyses of ,national        
,firefighter ,registry data pertaining  
to ,federal firefighters7 by the        
,national ,institute for ,occupational  
,safety and ,health1 the ,national      
,toxicology ,program1 the ,national     
,academies of ,sciences1 ,engineering1  
and ,medicine1 and the ,international   
,agency for ,research on ,cancer4  7#d7 

,petitions to add to the list  7,a7 ,in 
general ,any person may petition the    
,secretary to add a disease to the list 
under this section4  7,b7 ,content of   
petition ,such petition shall provide   
information to show that there is       
sufficient evidence of a significant    
risk to employees in fire protection    
activities of developing such illness or
 disease from their employment4  7,c7   
,timely and substantive decisions ,not  
later than #ah months after receipt of a
 petition1 the ,secretary shall either  
grant or deny the petition by publishing
 in the ,federal ,register a written    
explanation of the reasons for the      
,secretary's decision4 ,the ,secretary  
may not deny a petition solely on the   
basis of competing priorities1          
inadequate resources1 or insufficient   
time for review4  7b7 ,definitions ,in  
this section3 7#a7 ,employee in fire    
protection activities ,the term employee
 in fire protection activities means an 
employee employed as a firefighter1     

paramedic1 emergency medical technician1
 rescue worker1 ambulance personnel1 or 
hazardous material worker1 who-- 7,a7 is
 trained in fire suppression2  7,b7 has 
the legal authority and responsibility  
to engage in fire suppression2  7,c7 is 
engaged in the prevention1 control1 and 
extinguishment of fires or response to  
emergency situations where life1        
property1 or the environment is at risk1
 including the prevention1 control1     
suppression1 or management of wildland  
fires2 and  7,d7 performs such          
activities as a primary responsibility  
of his or her job4  7#b7 ,secretary ,the
 term ,secretary means ,secretary of    
,labor4  4  7b7 ,research cooperation   
,not later than #abj days after the date
 of enactment of this ,act1 the         
,secretary of ,labor shall establish a  
process by which a ,federal employee in 
fire protection activities filing a     
claim related to a disease on the list  
established by section #hadc;b of title 
#e1 ,united ,states ,code1 will be      

informed about and offered the          
opportunity to contribute to science by 
voluntarily enrolling in the ,national  
,firefighter ,registry or a similar     
research or public health initiative    
conducted by the ,centers for ,disease  
,control and ,prevention4  7c7 ,review  
of science on breast cancer ,not later  
than #c years after the date of         
enactment of this ,act1 the ,secretary  
shall-- 7#a7 evaluate the best available
 scientific evidence of the risk to an  
employee in fire protection activities  
of developing breast cancer2  7#b7 add  
breast cancer to the list established   
under section #hadc;b of title #e1      
,united ,states ,code1 by rule in       
accordance with subsection 7a77#c7 of   
such section1 if the ,secretary         
determines that such evidence supports  
such addition2 and  7#c7 submit a report
 of the ,secretary's findings under     
paragraph 7#a7 and the ,secretary's     
determination under paragraph 7#b7 to   
the ,committee on ,education and ,labor 

of the ,house and the ,committee on     
,health1 ,education1 ,labor1 and        
,pensions of the ,senate4  7d7          
,application ,the amendments made by    
this section shall apply to claims for  
compensation filed on or after the date 
of enactment of this ,act4  ,may #f1    
#bjbb,reported with an amendment1       
committed to the ,committee of the      
,whole ,house on the ,state of the      
,union1 and ordered to be printed