,,ii #aaith ,,congress #ast ,session ,s4 #bgde ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #i1 #bjbe,ms4 ,slotkin 7for herself and ,ms4 ,collins7 introduced the following bill2 which was read twice and 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 subsection 7b71 the ,secretary of ,defense 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 7b7 ,criteria ,services required to be provided under subsection 7a7 shall meet1 at a minimum1 the following criteria3 7#a7 ,breast cancer ,with respect to 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 if the firefighter is #dj years old to #di years old 7inclusive71 not less frequently than twice each year2 7ii7 if the firefighter is #ej years old or older1 not less frequently than annually2 and 7iii7 as clinically indicated 7without regard to age72 and 7,b7 in connection with the provision of a mammogram under subparagraph 7,a71 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 #dj years old or older1 or as clinically indicated without regard to age1 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 #de years old or older1 or as clinically indicated without regard to age1 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 the provision of a visual examination or stool-based blood testing under subparagraph 7,b71 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 such services shall include 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 not less frequently than annually if the firefighter-- 7i7 is #ej years old or older2 or 7ii7 is #dj years old or older and is a high-risk individual2 and 7,b7 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 7c7 ,optional nature ,a firefighter of the ,department of ,defense may opt out of the receipt of medical testing or a related service provided under subsection 7a74 7d7 ,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,public ,law #ajd-aac2 #ae ,u4,s4,c4 #bgb note74 7e7 ,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 test results 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 services 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 name and any other personally identifiable information 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 7f7 ,definitions ,in this section3 7#a7 ,firefighter ,the term firefighter means someone whose primary job or military occupational specialty is being a firefighter4 7#b7 ,high-risk individual ,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