,,ii ,cal5d> ,no4 #dhe #aag? ,,congress #b;d ,session ,s4 #aaaf ,report ,no4 #aag-adf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #ad1 #bjba,mr4 ,c>p] 7= himself1 ,ms4 ,coll9s1 ,mrs4 ,fe9/e91 ,mr4 ,k+1 ,mr4 ,van ,holl51 ,ms4 ,duckwor?1 ,ms4 ,ros51 ,mr4 ,te/]1 ,mr4 ,m>key1 ,mr4 ,blum5?al1 ,mr4 ,br[n1 ,mrs4 ,fis*]1 ,ms4 ,cortez ,ma/o1 ,ms4 ,w>r51 ,mr4 ,oss(f1 ,ms4 ,s9ema1 ,ms4 ,hassan1 ,mr4 ,padilla1 ,mr4 ,he9ri*1 ,mr4 ,lujn1 ,mr4 ,m]kley1 ,mrs4 ,murray1 ,mr4 ,wyd51 ,ms4 ,smi?1 ,mr4 ,durb91 & ,ms4 ,baldw97 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ,septemb] #ac1 #bjbb,report$ by ,mr4 ,pet]s1 ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,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 ( su* employees duty1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,f$]al ,firefight]s ,fairness ,act ( #bjba4 #b4 ,c]ta9 diseases presum$ 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$-- 7#a7 by /rik+ & at ! end ( p>agraph 7#ai72 7#b7 by /rik+ ! p]iod at ! end ( p>agraph 7#bj7 & ins]t+ 2 &2 & 7#c7 by add+ at ! end ! foll[+3 7#ba7 employee 9 fire protection activities means a firefight]1 p>am$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 risk2 & 7,d7 p]=ms su* activities z a prim>y responsibility ( 8 or h] job4 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 ,) reg>d to an employee 9 fire protection activities1 a disease specifi$ 9 p>agraph 7#c7 %all be presum$ to be proximately caus$ by ! employm5t ( su* employee1 subject to ! l5g? ( s]vice requirem5ts specifi$4 ,! disability or dea? ( an employee 9 fire protection activities due to su* a disease %all be presum$ to result f p]sonal injury su/a9$ :ile 9 ! p]=mance ( su* employee's duty4 ,su* presumptions may be rebutt$ by a prepond]ance ( ! evid5ce f ! employ+ ag5cy4 7#b7 ,su* presumptions apply only if ! employee 9 fire protection activities is diagnos$ ) ! disease = :i* presumption is s\ght )9 #aj ye>s ( ! la/ active date ( employm5t z an employee 9 fire protection activities4 7#c7 ,! foll[+ diseases %all be presum$ to be proximately caus$ by ! employm5t ( ! employee 9 fire protection activities3 7,a7 ,if ! employee has be5 employ$ = a m9imum ( #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 ,bladd] canc]4 7,,iv7 ,kidney canc]4 7,v7 ,te/icul> canc]4 7,,vi7 ,canc] ( ! dige/ive sy/em4 7,,vii7 ,sk9 canc]4 7,,viii7 ,canc] ( ! respiratory sy/em4 7,,ix7 ,brea/ canc]4 7iv7 ,any o!r canc] ! contraction ( :i* ! ,secret>y ( ,labor ?r\gh regulations det]m9es to be relat$ to ! haz>ds to :i* an employee 9 fire protection activities may be subject4 7,b7 ,reg>dless ( ! l5g? ( "t an employee 9 fire protection activities has be5 employ$1 any communicable disease t has be5 det]m9$ to be a p&emic by ! ,_w ,heal? ,organization or ! ,unit$ ,/ates ,c5t]s = ,disease ,control & ,prev5tion1 or any *ronic infecti\s disease1 ! contraction ( :i* ! ,secret>y ( ,labor ?r\gh regulations det]m9es to be relat$ to ! haz>ds to :i* an employee 9 fire protection activities may be subject4 4 7c7 ,application ,! am5dm5ts made by ?is section %all apply to a cov]$ disability or dea? t occurs on or aft] ! date ( ! enactm5t ( ?is ,act4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,f$]al ,firefight]s ,fairness ,act ( #bjbb4 #b4 ,c]ta9 illnesses & diseases presum$ to be "w-relat$ cause ( disability or dea? = ,f$]al employees 9 fire protection activities 7a7 ,presumption relat+ to employees 9 fire protection activities 7#a7 ,9 g5]al ,sub*apt] ,i ( *apt] #ha ( title #e1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #hadc;a ! foll[+3 #hadc;b4 ,employees 9 fire protection activities 7a7 ,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] :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 9 :i* life1 prop]ty1 or ! environm5t is at risk1 includ+ ! prev5tion1 control1 suppression1 or managem5t ( wildl& fires2 & 7,d7 p]=ms ! activities describ$ 9 subp>agraph 7,c7 z a prim>y responsibility ( ! job ( ! employee4 7#b7 ,rule ,! t]m rule has ! mean+ giv5 ! t]m 9 section #hjd4 7#c7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,labor4 7b7 ,c]ta9 illnesses & 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$ = n less ?an #e ye>s 9 aggregate z an employee 9 fire protection activities1 an illness or disease specifi$ on ! li/ e/abli%$ "u p>agraph 7#b7 %all be deem$ to be proximately caus$ by ! employm5t ( t employee1 if ! employee is diagnos$ ) t illness or disease n lat] ?an #aj ye>s aft] ! la/ active date ( employm5t z an employee 9 fire protection activities4 7#b7 ,e/abli%m5t ( initial li/ ,!re is e/abli%$ "u ?is section ! foll[+ li/ ( illnesses & 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 suff]$ :ile1 or n lat] ?an #bd h\rs aft]1 engag+ 9 ! activities describ$ 9 subsection 7a77#a77;,c74 7,o7 ,te/icul> canc]4 7,p7 ,?yroid canc]4 7#c7 ,additions to ! li/ 7,a7 ,9 g5]al 7i7 ,p]iodic review ,! ,secret>y %all-- 7,i7 9 consultation ) ! ,director ( ! ,national ,in/itute = ,occupational ,safety & ,heal? & any advisory committee det]m9$ appropriate by ! ,secret>y1 p]iodically review ! li/ e/abli%$ "u p>agraph 7#b72 & 7,,ii7 if ! ,secret>y det]m9es t ! weight ( ! be/ available sci5tific evid5ce w>rants add+ an illness or disease to ! li/ e/abli%$ "u p>agraph 7#b71 z describ$ 9 subp>agraph 7,b7 ( ?is p>agraph1 make su* an addition ?r\gh a rule t cle>ly id5tifies t sci5tific evid5ce4 7ii7 ,classification ,a rule issu$ by ! ,secret>y "u clause 7i7 %all be consid]$ to be a major rule = ! purposes ( *apt] #h4 7,b7 ,basis = det]m9ation ,! ,secret>y %all add an illness or disease to ! li/ e/abli%$ "u p>agraph 7#b7 bas$ on ! weight ( ! be/ available sci5tific evid5ce t !re is a significant risk to employees 9 fire protection activities ( develop+ t illness or disease4 7,c7 ,available exp]tise ,9 det]m9+ significant risk = purposes ( subp>agraph 7,b71 ! ,secret>y may accept z au?oritative1 & may rely ^u1 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 4 7#b7 ,te*nical & con=m+ am5dm5t ,! table ( sections = sub*apt] ,i ( *apt] #ha ( title #e1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] ! item relat+ to section #hadc;a ! foll[+3 #hadc;b4 ,employees 9 fire protection activities4 4 7#c7 ,application ,! am5dm5ts made by ?is subsection %all apply to claims = comp5sation fil$ on or aft] ! date ( enactm5t ( ?is ,act4 7b7 ,rese>* coop]ation ,n lat] ?an #abj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,labor 7ref]r$ to 9 ?is section z ! ,secret>y7 %all e/abli% a process by :i* an employee 9 fire protection activities1 z def9$ 9 subsection 7a7 ( section #hadc;b ( title #e1 ,unit$ ,/ates ,code1 z add$ by subsection 7a7 ( ?is section 7ref]r$ to 9 ?is section z an employee 9 fire protection activities71 fil+ a claim "u *apt] #ha ( title #e1 ,unit$ ,/ates ,code1 z am5d$ by ?is ,act1 relat+ to an illness or disease on ! li/ e/abli%$ "u subsection 7b77#b7 ( su* section #hadc;b 7ref]r$ to 9 ?is section z ! li/71 z ! li/ may be updat$ "u su* section #hadc;b1 %all be in=m$ ab\t1 & (f]$ ! opportunity to contribute to sci5ce by volunt>ily enroll+ 91 ! ,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]s1 & rhabdomyolysis2 7#b7 add brea/ canc]1 gynecological canc]s1 & rhabdomyolysis to ! li/1 by rule 9 accordance ) subsection 7b77#c7 ( section #hadc;b ( title #e1 ,unit$ ,/ates ,code1 z add$ by subsection 7a7 ( ?is section1 if ! ,secret>y det]m9es t su* evid5ce supports t addition2 & 7#c7 submit to ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives a report conta9+-- 7,a7 ! f9d+s ( ! ,secret>y aft] mak+ ! evaluation requir$ "u p>agraph 7#a72 & 7,b7 ! det]m9ation ( ! ,secret>y "u p>agraph 7#b74 7d7 ,report on ,f$]al wildl& firefight]s 7#a7 ,def9ition ,9 ?is subsection1 ! t]m ,f$]al wildl& firefight] means an individual occupy+ a position 9 ! occupational s]ies develop$ pursuant to section #djhjc7;d77#a7 ( ! ,infra/ructure ,inve/m5t & ,jobs ,act 7#af ,u4,s4,c4 #feib7;d77#a774 7#b7 ,/udy ,! ,secret>y ( ! ,int]ior & ! ,secret>y ( ,agriculture1 9 consultation ) ! ,director ( ! ,national ,in/itute = ,occupational ,safety & ,heal?1 %all conduct a compreh5sive /udy on long-t]m heal? effects t ,f$]al wildl& firefight]s :o are eligible to receive comp5sation = "w injuries "u *apt] #ha ( title #e1 ,unit$ ,/ates ,code1 z am5d$ by ?is ,act1 exp]i5ce aft] be+ expos$ to fires1 smoke1 & toxic fumes :5 9 s]vice4 7#c7 ,requirem5ts ,! /udy requir$ "u p>agraph 7#b7 %all include-- 7,a7 ! race1 e?nicity1 age1 g5d]1 & "t ( s]vice ( ! ,f$]al wildl& firefight]s p>ticipat+ 9 ! /udy2 & 7,b7 recomm5dations to ,congress reg>d+ :at legislative actions are ne$$ to support ! ,f$]al wildl& firefight]s describ$ 9 subp>agraph 7,a7 9 prev5t+ heal? issues f ! toxic exposure describ$ 9 p>agraph 7#b71 simil> to vet]ans :o are expos$ to burn pits4 7#d7 ,submission & publication ,! ,secret>y ( ! ,int]ior & ! ,secret>y ( ,agriculture %all submit ! results ( ! /udy conduct$ "u ?is subsection to ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate & ! ,committee on ,education & ,labor ( ! ,h\se ( ,repres5tatives & make ^? results publicly available4 7e7 ,report on affect$ employees ,beg9n+ on ! date t is #a ye> aft] ! date ( enactm5t ( ?is ,act1 ) respect to ea* annual report requir$ "u section #haeb ( title #e1 ,unit$ ,/ates ,code1 ! ,secret>y-- 7#a7 %all include 9 ! report ! total numb] (1 & demographics reg>d+1 employees 9 fire protection activities ) illnesses & diseases describ$ 9 ! li/ 7z ! li/ may be updat$ "u ?is ,act & ! am5dm5ts made by ?is ,act71 z ( ! date on :i* t annual report is submitt$1 :i* %all be disaggregat$ by ! specific illness or disease = ! purposes ( und]/&+ ! scope ( ! problem fac+ ^? employees2 & 7#b7 may-- 7,a7 include 9 ! report any in=mation ) respect to employees 9 fire protection activities t ! ,secret>y det]m9es to be necess>y2 & 7,b7 z appropriate1 make recomm5dations 9 ! report = additional actions t c\ld be tak5 to m9imize ! risk ( adv]se heal? impacts = employees 9 fire protection activities4 #c4 ,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$]al ,regulations1 or any successor regulation1 by /rik+ #cj days & ins]t+ #fj days2 & 7#b7 modify ! ,f$]al ,employees' ,comp5sation ,act manual to reflect ! *anges made by ! ,secret>y pursuant to p>agraph 7#a74 ,septemb] #ac1 #bjbb,report$ ) an am5dm5t