,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #biba  ,,in ,,the ,,house ,,of  
,,representatives  ,april #ag1 #bjbe,mr4
 ,bacon 7for himself and ,mr4 ,norcross7
 introduced the following bill2 which   
was referred to the ,committee on ,armed
 ,services  ,a ,,bill  ,to require the  
,secretary of ,defense to provide to    
firefighters of the ,department of      
,defense medical testing and related    
services to detect and prevent certain  
cancers4  #a4 ,short title ,this ,act   
may be cited as the ,federal            
,firefighter ,cancer ,detection and     
,prevention ,act of #bjbe4  #b4 ,medical
 testing and related services for       
firefighters of ,department of ,defense 
7a7 ,provision of services ,during the  
annual periodic health assessment of    
each firefighter of the ,department of  
,defense1 or at such other intervals as 
may be indicated in this subsection1 the
 ,secretary shall provide to the        
firefighter 7at no cost to the          
firefighter7 appropriate medical testing

 and related services to detect1        
document the presence or absence of1 and
 prevent1 certain cancers4 ,such        
services shall meet1 at a minimum1 the  
following criteria3  7#a7 ,breast cancer
 ,with respect to the breast cancer     
screening1 if the firefighter is a      
female firefighter-- 7,a7 such services 
shall include the provision of a        
mammogram to the firefighter--  7i7 on  
at least a biannual basis if the        
firefighter is #dj years old to #di     
years old 7inclusive72  7ii7 on at least
 an annual basis if the firefighter is  
at least #ej years old2 and  7iii7 as   
clinically indicated 7without regard to 
age72 and  7,b7 in connection with such 
provision1 a licensed radiologist shall 
review the most recent mammogram        
provided to the firefighter1 as compared
 to prior mammograms so provided1 and   
provide to the firefighter the results  
of such review4  7#b7 ,colon cancer     
,with respect to colon cancer           
screening-- 7,a7 if the firefighter is  

at least #dj years old1 and as otherwise
 clinically indicated1 such services    
shall include the communication to the  
firefighter of the risks and benefits of
 stool-based blood testing2  7,b7 if the
 firefighter is at least #de years old1 
and as clinically indicated 7without    
regard to age71 such services shall     
include the provision1 at regular       
intervals1 of visual examinations 7such 
as a colonoscopy1 ,,ct colonoscopy1 or  
flexible sigmoidoscopy7 or stool-based  
blood testing2 and  7,c7 in connection  
with such provision1 a licensed         
physician shall review and provide to   
the firefighter the results of such     
examination or testing1 as the case may 
be4  7#c7 ,prostate cancer ,with respect
 to prostate cancer screening1 if the   
firefighter is a male firefighter1 the  
communication to the firefighter of the 
risks and benefits of prostate cancer   
screenings and the provision to the     
firefighter of a prostate-specific      
antigen test-- 7,a7 on an annual basis1 

if the firefighter is at least #ej years
 old2  7,b7 on an annual basis1 if the  
firefighter is at least #dj years old   
and is a high-risk individual2 and  7,c7
 as clinically indicated 7without regard
 to age74  7#d7 ,other cancers ,such    
services shall include routine          
screenings for any other cancer the risk
 or occurrence of which the ,director of
 the ,centers for ,disease ,control and 
,prevention has identified as higher    
among firefighters than among the       
general public1 the provision of which  
shall be carried out during the annual  
periodic health assessment of the       
firefighter4  7b7 ,optional nature ,a   
firefighter of the ,department of       
,defense may opt out of the receipt of a
 medical testing or related service     
provided under subsection 7a74  7c7 ,use
 of consensus technical standards ,in   
providing medical testing and related   
services under subsection 7a71 the      
,secretary shall use consensus technical
 standards in accordance with section   

#ab7;d7 of the ,national ,technology    
,transfer and ,advancement ,act of #aiie
 7#ae ,u4,s4,c4 #bgb note74  7d7        
,documentation  7#a7 ,in general ,in    
providing medical testing and related   
services under subsection 7a71 the      
,secretary--  7,a7 shall document the   
acceptance rates of such tests offered  
and the rates of such tests performed2  
7,b7 shall document tests results1 to   
identify trends in the rates of cancer  
occurrences among firefighters2 and     
7,c7 may collect and maintain additional
 information from the recipients of such
 tests and other services1 to allow for 
appropriate scientific analysis4  7#b7  
,privacy ,in analyzing any information  
of an individual documented1 collected1 
or maintained under paragraph 7#a71 in  
addition to complying with other        
applicable privacy laws1 the ,secretary 
shall ensure the name1 and any other    
personally identifiable information1 of 
the individual is removed from such     
information prior to the analysis4  7#c7

 ,sharing with ,centers for ,disease    
,control and ,prevention ,the ,secretary
 may share data from any tests performed
 under subsection 7a7 with the ,director
 of the ,centers for ,disease ,control  
and ,prevention1 as appropriate1 to     
increase the knowledge and understanding
 of cancer occurrences among            
firefighters4  7e7 ,definitions ,in this
 section3  7#a7 ,the term firefighter   
has the meaning given that term in      
section #gjg of the ,national ,defense  
,authorization ,act for ,fiscal ,year   
#bjbj 7,public ,law #aaf-ib2 #acc ,stat4
 #adda2 #aj ,u4,s4,c4 #ajgdm note74     
7#b7 ,the term high-risk individual     
means an individual who--  7,a7 is      
,african ,american2  7,b7 has at least  
one first-degree relative who has been  
diagnosed with prostate cancer at an    
early age2 or  7,c7 is otherwise        
determined by the ,secretary to be high 
risk with respect to prostate cancer4